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Developing An Oral Health Plan: Alachua County Oral Health Coalition

Developing An Oral Health Plan: Alachua County Oral Health Coalition. Scott L. Tomar, DMD, DrPH Diane Dimperio August 24, 2012. Alachua. Alachua. Elements and Processes. Key Players-Instigators Initial Planning Coalition Building Assessment Program Plan Implementation .

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Developing An Oral Health Plan: Alachua County Oral Health Coalition

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  1. Developing An Oral Health Plan:Alachua County Oral Health Coalition Scott L. Tomar, DMD, DrPH Diane Dimperio August 24, 2012 Alachua

  2. Alachua

  3. Elements and Processes • Key Players-Instigators • Initial Planning • Coalition Building • Assessment • Program Plan • Implementation

  4. Instigators-Alachua • UF-College of Dentistry • Expertise • Professional in-kind contributions • Credibility • Alachua County Health Department • Community relationship • Community assessment and planning • Program development

  5. Planning-Alachua • Funding: Year One • $70,000 • Coalition Development • Assessment • Collecting and analyzing data • Third grade screening (22 schools) • Oral Health Plan

  6. Planning • Dedicated resources for project • Staff >0.5 FTE • Management/supervision • Oral health expertise • Professional volunteers • Resources • Dental society • University/Community College • http://www.floridaoralhealth.com/ • Regional Planning Council • AHEC

  7. Broad-based membership UF Santa Fe College County dental society County health dept. School Board Day care/Head Start Hospitals Safety net providers United Way Gainesville City Commission Policy makers Faith based AHEC Other CBOs Other coalitions e.g. tobacco Coalition Building

  8. Coalition Infrastructure • Vision All Alachua County residents will have good oral health • Mission The Oral Health Coalition of Alachua County will foster oral health through public awareness, education, advocacy and ensuring access to care.

  9. Coalition Infrastructure • Organizational Guidelines • Description of member responsibilities • Coalition decision making and operations • Membership form http://www.floridaoralhealth.com/Oral-Health-Coalition-of-Alachua

  10. Leadership • Coalition • Chair: Scott Tomar DMD MPH DrPH, UFCD Faculty • Vice Chair: Diane Dimperio, Director Program Development, ACHD • Committees • Recruited member as chair

  11. Committees • Assessment Conduct an assessment of the oral health status of Alachua County residents and resources available to the low income population • Prevention Make recommendations regarding strategies to expand and improve access to preventative oral health education and service • Access Identify and recommend cost effective strategies to expand and improve access to oral health care

  12. Assessment • Interviews with providers - describe capacity and experience • Analysis of ER data • Face-to-face interviews (N=102) • Third grade screening (N≈1800) • BRFSS • Claims data-Medicaid/other • Other local data or reports • Many communities now doing CHIP and may include focus groups or other sources of info

  13. Prevention Committee-Plan • Described prevention strategies • Summarized current status in Alachua • Series of recommendations • Voted based on cost and effectiveness

  14. Access Committee-Plan • Cost effective recommendations for increasing access to care • Increase access to Medicaid for children: • Increased participation of pvt dentists in Medicaid • Oral health services by MDs (F varnish) • Services offered in alternate locations (e.g. schools) • Increase access to care for adults • Provide updated list of free/reduced fee options • Increase use of volunteer providers

  15. Other Plan Components • Messaging • Educate community regarding • Importance of oral health • Oral health status of Alachua County residents • Surveillance • Third grade screening • Use of ER for dental problems • Impact of Medicaid reform on access to care

  16. Plan Considerations • Think long term: 3-5 years • Develop several options • Optimistic but realistic • Stay within budget

  17. Contact • stomar@dental.ufl.edu • Alachua County Oral Health Plan • http://www.doh.state.fl.us/chdAlachua/docs/ACHDOralHealth.pdf

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