This article describes a new and evolving practice model for delivering preventive dental care, the alternative practice of dental hygiene in California. As a new practice model, alternative practice dental hygiene is quite different than traditional dental hygiene practice and traditional dental practice. The HMPP pilot participants became eligible for licensure when the law went into effect in ; however, no formal education was available until , hence the lack of licensees between Sacramento, state of California: Private sector approaches to workforce enhancement.

J Public Health Dent. Fifty-two point four A likely factor in the difficulty finding referrals for traditional dental care is that the patient mix of RDHAPs presents some unique challenges in relation to the known limitations of the current dental care system. An understanding of the current and future issues facing practitioners working in this new practice model comes from a qualitative study of RDHAPs and related stakeholders conducted by the authors in In , West Los Angeles College, a community college with a well-established dental hygiene program, opened the first training program. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIDCR. The individuals with an RDHAP license were more likely to value opportunities for advancement, growth, responsibility and autonomy than RDHs, although both groups rated these attributes highly.

Alternative Practice Dental Hygiene in California: Past, Present, and Future

Open in a separate window. At this time a new approach, the training expanded auxiliary management TEAM model was developed whereby educational institutions taught a team approach to dentistry, including the training and management of dental auxiliaries in extended functions.

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The HMPP evaluation was done by a team consisting of two dentists responsible for on-site quality assurance, a dental hygiene educator, a dental school faculty member, and a health economist who managed and published the full Businses No.

As is clear from the data presented, although the population they serve have very high needs and getting them services is difficult, Bsuiness have been able to find ways to open up access to these patients on the margins.


This study examines the development of the registered dental hygienist in alternative practice in California through an analysis of archival documents, stakeholder interviews, and two surveys of the registered dental hygienist in alternative practice.

Harvard University Press; Cambridge, Mass.: A large body of literature exists that tracks the supply, demand, and distribution of the dental workforce over time. Emerging allied dental workforce models: Patient characteristics all patients across settings worked. These data represents a comprehensive set of perspectives on the alternative practice hygiene.

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In addition, RDHAPs do a significant amount of administrative work to manage their practices and case management to assist their patients. Percent of patients from underrepresented minority groups. Mertz E, Finocchio L.

In California, it is estimated that nearly one-third of young children 11 years old or younger have never visited a dental provider nor have not visited a dental provider in more than one year. The same year, the California Dental Hygienists Association CDHA created a fund and issued a request for proposals to support the buainess of an online education program.

Ina group of dental hygienists and educators proposed a HMPP project focused on determining if the independent practice of dental hygiene could be safe, effective, economically viable, and acceptable to the public.

RDHAP – Business Plan Workshop

For example, in the Board of Dental Examiners BDE adopted regulations allowing auxiliaries trained in the pilot programs to practice extended functions advanced procedures not formerly in their scope of practice. The Current Practice of Alternative Dental Hygiene In line with the theme of this special issue to better understand different workforce models in relation to improving access to care, the following section examines the current state of RDHAP practice along three dimensions.

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Pew Center on the states and the national academy of state health policy; May, RDHAPs report a strong intention to continue working; Busniess School of Dentistry in San Francisco. Archival documents and dental and dental hygiene association literature inform the historical analysis.


Two classes were rdbap with 18 participants in and 16 participants in Improving oral health care delivery systems through workforce innovations: InWest Los Angeles College, a community college with a well-established dental hygiene program, opened the first training program. Inthe accreditation laws were changed to rdyap for educational preparation of expanded-duty dental assistants EDDAsand bya number of educational programs for teaching expanded duties to dental assistants and hygienists were in place.

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This article describes a new and evolving practice model for delivering preventive dental care, the alternative practice of dental hygiene in California. The basic demographic differences are displayed in Table 1. Dental Hygiene Committee of California. Since the July elimination of the adult benefit by Denti-Cal, RDHAPs report struggling to continue to provide services to adults formerly on Denti-Cal but have instituted measures such as sliding-fee scales to try and accommodate these clients.

The motivation was to expand the educational opportunity to dental hygienists who could not travel and attend multiple in-person sessions by offering a primarily on-line program that could be completed by hygienists on a flexible schedule and wherever they were located.

These indicators show that RDHAPs are expanding access to preventive care through their patient care activities, as well as expanding access to restorative care through their case management and referral activities.

Not all report patient care hours because some RDHAPs are employed in administrative or educational positions. A report of the surgeon general. In order to provide services in these settings, RDHAPs must develop formal relationships with the institutions, develop patient trust, schedule patients ahead of time, efficiently bring in mobile equipment to provide care, document the care provided and then bill either insurance or the patients individually.