ASTDD Best Practices Project Improving the Oral Health of Children, Families and Communities

1. ASTDD Best Practices ProjectImproving the Oral Health ofChildren, Families and Communities Lynn Douglas Mouden, DDS, MPH Julie Tang, DMD, MPH Jay Balzer, DMD, MPH Supported By: CDC Cooperative Agreement U58/CCU723036-04 HRSA Cooperative Agreement 5-U44-07-001 MCH Federal/State Partnership Meeting – Alexandria, VA – Oct. 16, 2007

2. Association of State and Territorial Dental Directors (ASTDD)

3. Objectives • Take our lessons on using best practices concepts to build stronger programs • Use our example to help apply best practices methodology/processes to your focus areas • Share our references and tools with your agency/organization and stakeholders interested in oral health, CSHCN and system development.

4. ASTDD Best Practices Project: Helping State and Local Programs Develop Their Best Practices – A Bottom-Up Approach Julie Tang, DMD, MPH ASTDD Best Practices Project Director

5. ASTDD Best Practices Project: A Best Practice Approach to Promote Oral Health of Children with Special Health Care Needs Jay Balzer, DMD, MPH ASTDD SHCN Coordinator

6. ASTDD Best Practices Project: Building Blocks of Best Practices – Infrastructure and Systems Development Lynn Douglas Mouden, DDS, MPH Director, Office of Oral Health, Arkansas Dept. of Health Chair, ASTDD Best Practices Committee

7. ASTDD Best Practices ProjectImproving the Oral Health ofChildren, Families and Communities

9. ASTDD Best Practices Project: Helping State and Local Programs Develop Their Best Practices – A Bottom-Up Approach Julie Tang, DMD, MPH ASTDD Best Practices Project Director

10. Need for a Best Practices Project Oral Health in America: A Report of the Surgeon General National Call To Action To Promote Oral Health  A Public-Private Partnership Under the leadership of The Office of the Surgeon General Building Infrastructure and Capacity in State and Territorial Oral Health Programs Prepared by: ASTDD

11. ASTDD Best Practices ProjectPurpose Build more effective state, territorial and community oral health programs. Infrastructure & Capacity National Call to Action Healthy People 2010

12. ASTDD Best Practices ProjectGoal Promote the development of best practices by state, territorial and community oral health programs to enhance the oral health of Americans and reduce disparities.

13. Uses ofBest Practice Information • Use successful practices as building blocks • Share ideas & lessons learned • Raise awareness of oral health • Promote collaborations • Update guidelines

14. End-Users ofBest Practice Information Dental Directors Government Officials & Staff Public Health Programs Best Practices Professional & Advocacy Organizations Coalitions Funders Consumers

15. Best Practice ConceptsShaping the Project 1. A best practice is a methodology that, through experience & research, has proven to reliably lead to a desired result. 2. Using best practices is a commitment to using all the knowledge & technology at one's disposal to ensure success.

16. Best Practice ConceptsShaping the Project 3. “Best practice” does not commit people or organizations to one inflexible, unchanging practice. 4. Best practices do not have one template or form for everyone to follow.

17. Best Practice ConceptsShaping the Project 5. Transfer of best practices is an interactive, ongoing & dynamic process that cannot rest on a static body of knowledge. 6. Best practice is a philosophical approach based around continuous learning and improvement.

18. State InputShaping the Project • Best Practice (BP) criteria • Types of BP information • Dental public health strategies • Self-reported successful practices

19. “Best Practice” “Best” from whose perspective and using what criteria? • Impact/Effectiveness • Efficiency/Cost Effectiveness • Demonstrated Sustainability • Collaboration/Integration • Objectives/Rationale

20. Project’s Primary Role:Serving as an Information Broker • Best Practice Approach Reports • Successful State/Community Practices • Web-based Resources

21. Best Practice Approach ReportContent • Description (public health strategy) • Guidelines & recommendations • Research evidence • Best practice criteria • State/community practice examples • References & attachments (tools)

22. Best Practice Approach Reports 1. State Oral Health Surveillance System 2. State Oral Health Coalitions 3. State Oral Health Plans 4. Mandate for a State Oral Health Program 5. Community Water Fluoridation 6. School Sealant Programs 7. School Fluoride Programs 8. Workforce Development 9. Oral Health of Individuals with SHCN

23. Successful State/Community PracticesContent • History • Justification • Inputs, Activities, Outputs & Outcomes • Budget Estimates • Lessons Learned/Plans for Improvement • Available Information Resources • Best Practice Criteria • Contact Persons for Inquiries

24. Successful State/Community PracticesDatabase • 49 states provided submissions • 200+ successful practices described • An expanding collection

25. ASTDD Web Site (www.astdd.org) Best Practices

26. Best Practices Front Page View Best Practice Approach Reports

27. A Best Practice Approach Report Table of Contents

28. A Best Practice Approach Report State Oral Health Plans and Collaborative Planning

29. Successful Practice Descriptions Nevada’s State Oral Health Plan

30. Project’s Developing Role:Building a Supportive Environment • A support network • Partners’ support • Building of evidence • State of the science • Capacity building tools • Program & policy evaluation

31. ASTDD Best Practices ProjectInfluence • Outcomes - Access to best practice information - Observed best practice approaches - Infrastructure & system development • How end-users are using best practice information

32. Ongoing and DynamicDevelopment of Best Practices Identify Best Practices Collaboration Integration Science and Art Supportive Environment Promote Best Practices Cultivate Best Practices

33. ASTDD Best Practices ProjectOur Journey Continues Julie Tang, DMD, MPH ASTDD Best Practices Project Director jtang@astdd.org Optimal oral health across the lifespan…

35. ASTDD Best Practices Project: A Best Practice Approach to Promote Oral Health of Children with Special Health Care Needs Jay Balzer, DMD, MPH ASTDD SHCN Coordinator

36. New Best Practice Approach Report

37. National Survey – CSHCN

38. Background Issues • Oral health needs of CSHCN • Access to care – system limitations • Strategic framework • Empower individuals and families • Prepare the dental workforce • Improve the financing system • Organize community resources

39. Guidelines and Recommendations from Authoritative Sources • SG Report: Persons with Mental Retardation • SG Report: Oral Health • HP 2010 • National Agenda for CSHCN • ASTDD Guidelines for state programs

40. Research Evidence • Empower individuals and families • Prepare the dental workforce • Improve the financing system • Organize community resources

41. Best Practice Criteria • Impact/Effectiveness • Efficiency • Demonstrated sustainability • Collaboration/Integration • Objectives/Rationale

42. State Practice Examples • 16 state practice submissions • From 13 states • Within 4 strategic components

43. Strategic Component 1 Empower individuals and familiesand advocate for their oral health. Example The South Carolina Online Dental Directory for Individuals with SHCN

44. Strategic Component 2 Prepare the dental workforce. Example Nisonger Center Dental Program – Training Dental Professional Students in a UCEDD

45. Strategic Component 3 More responsive financing system. Example New Mexico Special Needs Dental Procedure Code

46. Strategic Component 4 Organize community resources. Example Butler County Dental Case Management

47. Resources In Support of the National Agenda – Oral Health Version (handout) BP Approach Report – Announcement (handout) ASTDD Web Site at www.astdd.org

49. ASTDD Best Practices Project: Building Blocks of Best Practices – Infrastructure and Systems Development Lynn Douglas Mouden, DDS, MPH Director, Office of Oral Health, Arkansas Dept. of Health Chair, ASTDD Best Practices Committee

50. Building Blocks Block #1: Why do an oral health best practices project? Block #2: Why does an oral health project matter to you?