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Where do we go from here?

Where do we go from here?. RADM Dushanka V. Kleinman Assistant Surgeon General Chief Dental Officer, United States Public Health Service. Basic Assumptions. Other health professions, education and social service communities are key to oral health

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Where do we go from here?

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  1. Where do we go from here? RADM Dushanka V. Kleinman Assistant Surgeon General Chief Dental Officer, United States Public Health Service

  2. Basic Assumptions • Other health professions, education and social service communities are key to oral health • The private and public sectors of dentistry comprise the nation’s dental public health response. • Dentistry is an essential component of public health and health care services.

  3. How do we get involved from here? 1. Join existing and emerging systems and programs 2. Partake in planning 3. Identify, and prepare for, scope of roles and responsibilities 4. Remove barriers 5. Accelerate knowledge transfer 6. Partner 7. Evaluate

  4. Join existing and emerging systems and programs • Are you familiar with local plans in your area? • What are your state plans? • Bring together national organizations and federal agencies that are supporting your efforts: • to facilitate leveraging • to ensure continued support

  5. Strengthen public health infrastructure for surveillance and outbreak response epi expertise lab capability computer connectivity Support public health/health care community partnerships Renew commitment to increase global disease surveillance and public health Ensure ability to recognize and report symptoms Support research M.A.Hamburg Nuclear Threat Initiative Science 2002:295;1425 Align with existing movements: Public health preparedness requires us to:

  6. Partake in Planning • Plan at the local, state, national and global levels • Bring a range of skills to planning: health care, health education, administration and community service • Stimulate new roles for dentistry • Contribute to interdisciplinary work

  7. Planning will require linking across disciplines and sectors • Dental • Medical • Nursing • Pharmacy • Engineering • Social work • Dietician • Health • Dietician • Education • Social • Cultural • Environmental

  8. Using Essential Public Health Functions to Take Next Steps ASSESSMENT (Examination & Diagnosis) Evaluate Monitor Health ASSURANCE (Treatment & Follow-up) Assure Competent Workforce Diagnose & Investigate Link to / Provide Care RESEARCH Inform, Educate, Empower Enforce Laws Mobilize Community Partnerships Develop Policies POLICY DEVELOPMENT (Treatment Plan) “Public Health in America,” Public Heath Functions Steering Committee, 1994.(Adapted)

  9. Identify roles and responsibilities • For the profession • For integrating within systems and programs • For other partners

  10. Remove Barriers • Change the perception of dentistry and its potential role (within profession and beyond) • Enhance profession’s response by extending information technology capacity • Address limitations related to legislation, liability

  11. Accelerate knowledge transfer • Educate, educate, educate • ourselves • our patients • our communities • Build risk communication skills • Link with existing education and training efforts • Streamline information sources • Contribute to overall health literacy

  12. Partner • Maximize networking and communication • Establish a common platform across professions • Take advantage of, and learn from, different disciplines, locations and roles • Maintain flexibility • Integrate, integrate, integrate • Be“at the table”. This requires a “push-pull” approach among partners

  13. Evaluate • How will our efforts be directed, monitored, redesigned? • What are our outcome measures? • How will the effectiveness, accessibility and quality of our efforts be evaluated?

  14. Call for Products • Materials for presentations • Courses for students and practitioners • Certification of dental public health teams • “Public health guide” for dental offices • Start-up Kit for individuals/for organizations: who to contact, how to get started • Approaches for rural geographic sites • Information networks • Research • Recording, and record keeping

  15. Call for Plan of Action • Where are we now? • Where do we need to be? • How do we get there?

  16. Adopt a population health approach Strengthen public health infrastructure Build new generation of intersectoral partnerships Develop systems of accountability Make evidence the foundation of decision making Enhance and facilitate communication As a profession, it’s all about health and our future. (The Future of the Public’s Healthin the 21st Century (IOM, 2003))

  17. “Some say that knowledge is superior to action. Others say that action is superior to knowledge. Both are wrong. Unless knowledge is tied to action, it is not deserving the recompense.” -al-Huhwari, 11th century Sufi saint

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