1. ROANOKE MISSION OF
MERCY
Presented by: Pat Young, Co-Chair Operations

2. Our story….
• http://www.vdaf.org/

3. Addressing the Oral Health Needs of
Adults in Our Community
• Lack of affordable services, safety net providers
• Minimal reimbursement by Medicaid/Medicare
• Uninsured and low-income adults using Emergency
Departments for dental care

4. Community Based Health Care Coalition
 Advocate for improved
access to dental care
 Goal of the Roanoke
Mission of Mercy
◦ Increase community
 Responsible for the
Carilion Pediatric Clinic
awareness of the problem
◦ Provide direct services to
those in need
 In 2006, led a
grassroots effort for a
Roanoke Mission of
Mercy Project
◦ Develop long-term
solutions to oral health
crisis

5. Must haves…
• Virginia Dental
Association
• VCU School of Dentistry
Support
• Virginia Western
Community College
School of Dental Hygiene
• NC Dental Association
• Lion’s Club
• Local Partners
• Leadership Team
MOST IMPORTANTLY….
Our dental champions!!

6. Community Based
Health Care
Coalition (CBHCC)
CBHCC
Executive
Committee
Project Management
(Council of
Community
Services)
Volunteers
Food
Health
Screening
Dental
Services
Pharmacy
Services
Patient
Registration
Patient Exit
Data
Collection
Finance
Logistics
Publicity

7. Financial and In-kind Support
• Roanoke Women’s
Foundation
• Delta Dental
• Carilion Clinic
• Foundation of Roanoke
Valley
• United Way of Roanoke
Valley
• WalMart Foundation
• Lions Club
• Advanced Auto
• Private cash donations
• Annual budget ~$75,000
to $85,000

8. Logistics- Ticketing
Tickets for Friday and Saturday
with registration packets
distributed one week prior to the
event

9. Logistics- Facility and Set-up

10. Logistics- Patient Flow

11. Logistics- Food & Lodging
• Food for volunteers
• Lunch on Thursday (set-up)
• Ovations Catering (Friday & Saturday)
• Pizza on Saturday (break down)
• Reception on Saturday evening for students, faculty,
and guests
• Food for patients
• Bagged lunches both days
• Lodging
• Sheraton Roanoke Hotel & Conference Center

12. Logistics- Other Support Services
• Volunteer registration and check in
• Security and EMS
• Compressors (VDOT)
• Biohazardous Waste Disposal
• Post-exposure Evaluation and Treatment

13. Patient Registration, Exit, & Data
Collection
• Complete registration and releases
• Identify latex allergies and Coumadin therapy
• Apply wrist bands (color coded by day or if escort present
with patient)
• Collect patient records at the end of the visit
• Administer patient satisfaction surveys
• Data entry of patient records into Access database

14. Health Screenings
• Health history
• Medication review
• Blood sugar
• Blood pressure
• Pulse
• Reported BMI
• PT/INR
• Medical follow-up
when needed

15. Pharmacy Services
• Pre-medications
• Antibiotics
• Analgesic prior to oral surgery
• Medical support
• Insulin
• Anti-hypertensive
• Epi-pen
• Exit counseling
• Post-op prescriptions
• Dispensed at participating CVS Pharmacies
• No cost to patients

16. Dental Services
•
•
•
•
•
•
•
Triage
X-ray
Dental Hygiene
Restorations
Oral Surgery
Endodontics (off-site)
Dentures
• Thursday
• 1 p.m. to 5 p.m.
• Friday prescreening
identified by community
partners
• Dentures
• Friday
• 5:30 a.m. to 6 p.m.
• Health screenings begin at
5:30 a.m.
• Follow-up the week after
the event
• All ED’s are notified of the
MOM
• Saturday prescreening
begins at 11 a.m.
• Saturday
• 6 a.m. to 2 p.m.

17. Roanoke Mission of Mercy
2013 Stats
• 696 patients; 739 patient visits
• 499 volunteers
• Dental – 230
• Medical – 64
• Pharmacy – 14
• General – 191
• 5513 volunteer hours; 11 hours per
•
•
•
•
•
•
volunteer average
Value of volunteer services
$270,564
Value of dental services $589,279
Value of pharmacy services $11,672
Value of medical services $15,159
Total value of patient services
$616,110
Value per patient $885

18. The picture remains the same…
 Low-income adults
served without dental
insurance
 Live primarily in the
Roanoke Valley
Overwhelming majority
of those served required
oral surgery
 53% of patients in 2012
had extractions
 Average of 5.4 teeth
pulled per patient for a
total of 2361 teeth pulled

19. Is the Roanoke Mission of Mercy Project
enough?
 The project has clearly demonstrated the need for
access to affordable dental services for adults.
 However…there is still a need for on-going,
comprehensive services that provide a “dental home” to
the thousands who need care.
 Community Based Health Care Coalition, Healthy
Roanoke Valley and safety net partners are currently
working on a community-based dental clinic business
plan that is cost-effective and offers continuity of care.