Membership Newsletter
December, 2014
Director's Corner 
Updating NH's Oral Health Plan - A Statewide Project 

After a decade, the NH Oral Health Plan: A Framework for Action is being reviewed and updated to guide NH oral health stakeholders into the future. With the financial support of the HNH Foundation, the Endowment for Health, and Northeast Delta Dental, the Oral Health Plan update planning process has begun under the coordination and facilitation of the Health Resources in Action (HriA) consulting firm based in Boston. HriA works to advance public health and medical research with a mission "to help people live healthier lives and create healthy communities through prevention, health promotion, policy and research."

Under the guidance of a NH oral health stakeholder planning team, HriA is coordinating and completing a series of key information interviews, focus groups, and an advisory committee to elicit information, and prepare goals and plans for the future. They will be contacting many of you for input during this process. 

Jodie Silverman Project Coordinator, Jodie Silverman, MPA has over 20 years' experience working with non-profits in New England and Washington, D.C. with a focus on advocacy and development. Her expertise includes strategic and communications planning, media training and outreach, and communication program development. She has a baccalaureate in political science from Middlebury College and did her graduate work in Public Administration at Harvard University. 

Rose Swensen Facilitator Rose Swensen, MBA has worked over 20 years with educational institutions, public agencies, nonprofits, and public health-focused community coalitions. Her area of expertise includes strategic planning, organizational development, leadership coaching and team development, and human resource management models and strategies. She completed her graduate work at the University of Wisconsin-Madison and undergraduate at the University of Michigan-Ann Arbor. 

The updated plan is expected to be completed in May 2015.  

Webinars and Events

NHOHC hosts webinar with Dr. Paul Glassman, DDS, MA, MBA


On November 24th, 2014, the NH Oral Health 2014 Reimbursement/Funding Work Team presented a webinar with Dr. Paul Glassman, exploring California's model of a "virtual dental home" and the role that the dental hygienist along with tele-dentistry play in this model of dental care. The webinar was open to all oral health stakeholders either electronically or in-person. The event was held at Northeast Delta Dental in Concord.

Dr. Glassman began his presentation explaining the impetus for the program creation. Overall, he explained the following: 

  • Dental is 3rd largest health expense when comparing diseases;
  • Dental is the #1 health condition people decide not to treat;
  • Dental has become too expensive for a wide segment of population;
  • Eighty-one percent of dental expenses are paid by the wealthy and middle class -- this group is getting the most care even though they are the healthiest patients.


Given these statistics and bearing in mind the Institute for Healthcare Improvement healthcare goals entitled: Triple Aim -- improving the patient experience of care, including quality and satisfaction, improving the health of populations, and reducing the per capita cost of health care, Dr. Glassman's group looked to the chronic disease management model as a way to accomplish the Triple Aim goal - payments are based on oral health improvements of a population over the life cycle.

How does the "virtual dental home" work?


 "The Virtual Dental Home (VDH) is a community-based oral health delivery system in which people received preventive and simple therapeutic services in community settings. It utilizes telehealth technology to link allied dental personnel in the community with dentists in dental offices and clinics. 

This project is demonstrating that registered dental hygienists in alternative practice (RDHAP), dental hygienists working in public health programs (RDH) and registered dental assistants (RDA) can keep people healthy in community settings by providing education, triage, case management, preventive procedures and interim therapeutic restorations. Where more complex dental treatment is needed, the VDH connects patients with dentists in the area. 

This system promotes collaboration between dentists in the dental offices and these community-based dental hygienists and dental assistants. Most importantly, it brings much-needed services to individuals who might otherwise receive no care." 

The hub and spoke business model works with the dental center or private practice as hub with hygienists or assistants in multiple community sites acting as spokes. Thus far, the pilot has shown that roughly two-thirds of patients can be maintained in community while one-third need more advanced treatment by dentist but then they return to community sites for maintenance. This short-term association with dental office is an attractive part of this model to patients. In addition, site visits by dentists were the most effective way to build understanding and trust of dentists for this model and demonstrate a business opportunity for private practice dentists.
For more information on this new innovation in California, please visit the link:
University of the Pacific: The Virtual Dental Home

We hope to bring our network more webinars in the future about emerging oral health business models that are serving vulnerable populations.  

In This Issue
Under the Dome
NH Legislature is gearing up for the 2015-2016 Session. With an over 30% turnover in the House we have the opportunity to spread the message of oral health as a part of overall health. The first House and Senate sessions are scheduled for January 8 in the State House Chambers.

The Commission on Medicaid Care Management - The December meeting of the Commission was held at the Legislative Office Building in Concord. Following an overview by Commissioner Nicholas Toumpas, presentations were given by the Urban Institute and the Health Services Advisory Group (HSAG) on the status of the Medicaid managed care rollout in N.H. Both groups presented early results on the Medicaid medical care management program and available PowerPoints are at:

As a reminder, regarding oral health, Medicaid payments for the application of fluoride varnish by medical providers are not yet implemented into the program. Dental services done through Medicaid dental providers remain fee-for-service. 

Upcoming meetings are open to the public.

January 8, 2015 2:00 to 4:30, Legislative Office Building, Concord, NH, 03301

February 12, 2015 1:00 to 4:00, ATECH Services, 57 Regional Drive, Concord, NH, 03301.


The Commission to Study Pathways to Oral Health Care in NH (SB193-2014) met for its organizational meeting in December at the Legislative Office Building in Concord. The Commission was formed to analyze and evaluate barriers to and coverage for dental care for underserved NH residents and the impact of the implementation of expanded function dental assistants and certified public health dent hygienists, and how the adding these 2 new professions will meet the need for service. Sen. Jeb Bradley has assumed the chair, reviewed the charter and created an initial listing of topics for study. NHOHC has an active seat on the Commission.

Upcoming meetings are open to the public. 

Feb. 13, 2015 2:00 p.m. at the Legislative Office Building, Concord.

March 27, 2015 2:00 p.m. at the Legislative Office Building, Concord.

On the Wire
This report presents national and state-specific analyses about dental services received by children ages 1 to 20 under Medicaid's Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit in federal fiscal years (FFY) 2002-2012. 

This report produced by Oral Health America is part of the organization's Campaign for Oral Health Equity, which prioritizes oral healthcare amidst other serious chronic diseases through advocacy for improved access, social and economic parity, workforce diversity, and effective community-based interventions. 
Steering Committee
Helen Taft- Committee Chair

Jim Williamson- Vice Chair

Nancy Frank- Treasurer

Margaret Ray- Secretary

Suzanne Boulter
Heather Brown
Patrick Capozzi
Pam Delahanty

Martha McLeod
Lisa Morris
Stephanie Pagliuca
Patricia Tilley

Mary Vallier-Kaplan
Catrina Watson
Gail Brown-JD, MSW
Jane Goodman- MSPH
Project Coordinator
Regina Blaney-BS
Admin. & Data Coordinator