Or. Admin. R. 333-010-0720

Current through Register Vol. 63, No. 8, August 1, 2024

Section 333-010-0720 - Dental Pilot Projects: Application Procedure

(1) A sponsor who wishes to operate a pilot project must submit an application in a form and manner prescribed by the Authority.

(2) The application must demonstrate how the pilot project will comply with the requirements of these rules.

(3) The Authority will not accept new applications if it determines:

(a) There are a sufficient number of projects to provide a basis for testing the validity of the model as determined by the Authority.

(b) It does not have adequate resources to provide an appropriate level of oversight required by these rules.

(4) An application must include, at a minimum, the following information and documentation:

(a) The goals of the project, including whether the project can achieve at least one of the following:

(A) Teach new skills to existing categories of dental personnel;

(B) Accelerate the training of existing categories of dental personnel;

(C) Teach new oral health care roles to previously untrained personnel; or

(D) Develop new categories of dental personnel.

(b) Sponsor information:

(A) A description of the sponsor, including a copy of an organizational chart that identifies how the project relates organizationally to the sponsor;

(B) A copy of a document verifying the sponsor's status as a non-profit educational institution, professional dental organization, community hospital or clinic, coordinated care organization or dental care organization, or a tribal organization or clinic;

(C) A description of the functions of the project director, project dental director, instructors, and other project staff;

(D) Documentation of the funding sources for the project;

(E) Documentation of liability insurance relevant to services provided by trainees; and

(F) A statement of previous experience in providing related health care services.

(c) Instructor and Supervisor information:

(A) The criteria used to select instructors and supervisors;

(B) Instructor-to-trainee ratio;

(C) The background of instructors in training techniques and methodology;

(D) The number of proposed supervisors and qualification of supervisors; and

(E) An explanation of how instructors and supervisors will be oriented to their roles and responsibilities and these rules.

(d) A training program that includes, but is not limited to, a description of:

(A) The instructional content required to meet the level of competence;

(B) The skills trainees are to learn;

(C) The methodology utilized in the didactic and clinical phases;

(D) The evaluation process used to determine when trainees have achieved the level of competence;

(E) The amount of time required to complete the didactic and clinical phases; and

(F) The level of competence the trainee shall have before entering the employment/utilization phase of the project.

(e) Trainee information:

(A) The criteria that will be used to select trainees;

(B) The number of proposed trainees;

(C) The proposed scope of practice for trainees; and

(D) Information regarding the background check process for participants to determine compliance with OAR 333-010-0760, Minimum Standards.

(f) Employment/utilization site information: A list of all locations or class of locations the proposed project intends for use during the employment/utilization phase where a trainee may provide care.

(g) Underserved population information:

(A) A list of the underserved populations the project intends to serve;

(B) Documentation demonstrating that the populations the pilot project intends to serve are underserved populations; and

(C) Documentation demonstrating that each of the project's trainees or employment/utilization sites shall provide services to the underserved populations identified in the application at a rate of at least 51 percent of all individuals served by the trainee or employment/utilization site on a quarterly basis.

(h) Cost information:

(A) The average cost of preparing a trainee, including but not limited to the costs related to instruction, instructional materials and equipment, space for conducting didactic and clinical phases, and other pertinent costs;

(B) The estimated cost of care provided in the project; the likely cost of this care if performed by the trainees of the project; and the cost for provision of this care by current providers;

(C) A budget narrative that lists costs associated with key project areas, including but not limited to:

(i) Personnel and fringe benefits for project director, project dental director, instructors, and staff associated with the project;

(ii) Contractors and consultants to the project;

(iii) Materials and supplies used in the clinical, didactic, and employment/utilization phases of the project;

(iv) Equipment and other capital costs associated with the project; and

(v) Travel required for implementing and monitoring the project.

(i) An explanation of the feasibility of achieving the project objectives.

(j) A preliminary evaluation plan that includes, but is not limited to:

(A) How the project sponsor will monitor and evaluate the project, including but not limited to:

(i) How the project sponsor will monitor and evaluate the rate of underserved populations served by the pilot project's trainees or employment/utilization sites; and

(ii) How the project sponsor will monitor and evaluate to ensure trainees are adequately supervised. Supervision of trainee must protect patient health and ensure minimum standards in OAR 333-010-0760 are met.

(B) A description of the key project activities and their intended effects;

(C) How the project sponsor intends to use the evaluation results for program improvement and decision making; and

(D) A description of how the project will measure its progress toward meeting the goals listed in the application, as described in subsection (4)(a) of this rule. The project must track and identify measurable project outcomes and metrics as outlined in the requirements under OAR 333-010-0780.

(k) An identified clinical evaluator who will conduct the clinical evaluation of the project in accordance with the evaluation plan.

Or. Admin. R. 333-010-0720

PH 277-2018, adopt filed 11/30/2018, effective 12/1/2018; PH 29-2020, amend filed 04/29/2020, effective 5/1/2020

Statutory/Other Authority: 2011 OL Ch. 716

Statutes/Other Implemented: 2011 OL Ch. 716