CHC Planning Guide 2017 - 18
Guidance & Expertise from CHC Dental Leaders
Accessibility
ADA (Americans with Disabilities Act)
Certainly, an important aspect of accessibility is to assure
compliance to standards mandated by Americans with
Disabilities Act (ADA). The Act specifies requirements such as
wheelchair access to sidewalks, restrooms, telephones, and
drinking fountains.
In fact, the ADA has many requirements that are specifically
related to accessibility to health care facilities. These range from stipulating parking requirements (10% of
parking must be suitably located and designated for disabled/handicapped patrons) to the space between the
opening of the operatory and the dental chair (32").
As of this writing, the ADA provides a very complete checklist online at http://www.access-board.gov/adaag/
checklist/a16.html. In addition, you may contact the ADA directly for consultation, if needed.
Getting Physical
While ADA is what most people think of when they think "accessible," there are many other considerations
beyond ease of movement in and around the clinic. Just as important as the layout of your clinic is the physical
location of your office. It's essential to evaluate how suitable your intended site is to your target population.
Think about these questions:
* Is the site located on (or within very easy walking distance of) bus or train routes? In urban areas, expect
that 40% to 70% of patients will be at least somewhat dependent on public transportation.
* Are the access roads to the site in good condition?
* Are there close-by cross walks so that patients can traverse busy streets with relative safety?
* Is the clinic centrally positioned for your target population? Surveys of Medicaid beneficiaries in urban areas
indicate that they prefer services located within 3 miles of home.
* Is the site easily described with driving directions, or will patients need a map and compass to find it?
* Is there adequate parking? Cities have standards for parking allocation including parking designated for
people with disabilities.
* Will signage be easily visible from the road?
* What complementary services are co-located with your dental clinic or in close proximity? (Consider both
integrated primary care services within your program such as medical, pharmacy, mental health, and social
services, but also nearby services like banks, grocery stores, and other shopping).
* Is the neighborhood relatively safe or will patients feel that it and neighboring businesses are potentially
intimidating? If so, should you consider adding security services?
18
http://www.access-board.gov/adaag/checklist/a16.html
http://www.access-board.gov/adaag/checklist/a16.html
Table of Contents for the Digital Edition of CHC Planning Guide 2017
Table of Contents
CHC Planning Guide 2017 - Cover1
CHC Planning Guide 2017 - 2
CHC Planning Guide 2017 - Table of Contents
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