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Presentation Overview. Minnesota Oral Health Summit
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1. Minnesota Oral Health Promotion Coalition Meeting Coalitions 2.0Considerations for a Roadmap Reg Louie, DDS, MPH
St. Paul, Minnesota
June 12, 2009
2. Presentation Overview Minnesota Oral Health Summit
Visions for Oral Health (2009)
Changing Paradigms in Oral Health
State Oral Health Models from CDC and
other Oral Health Coalitions
Tools from ASTDD
State Promising Practices
MOH Landscape SWOT ? Roadmap to the Future
3. Minnesota OH Summit 2009 Minnesota Oral Health Summit -?
Oral Health Vision for the Future 5 topic groups:
Prevention, Education, Awareness
Policy and Funding
Access to Care
Workforce Development
Bridging Private/Public Sectors
-? 3 Oral Health Visions
for the Future
4. Changing Paradigms for Controlling Dental Caries Old Paradigm --> Surgical / Drill & Fill
(dealing with consequences of disease)
?
Later Paradigm: Prevention!!!
(generally one size fits all)
?
Current Paradigm: Early Intervention, Risk Assessment, Anticipatory Guidance, Individualized Prevention and Disease Management
(targeted, systematic, evidence-based approaches)
5. Rethinking Prevention:Broad Strategies / Goals Reduce the burden of disease through the efficient integration of:
Health promotion
Preventive services
Disease management
Treatment services
Expand access to ongoing diagnostic, preventive and treatment services in dental homes
Application of risk assessment and targeted, evidence-based interventions
6. Minnesota Head Start PIR Data2006-07 CHILDREN SERVED 15,709 - MN US
With health insurance 89% (93%)
Dental home 83% (86%)
PS* Dental exam 85% (88%)
PS* Preventive care 89% (85%)
PS* Needing treatment 28% (25%)
PS* Receiving treatment 84% (83%)
* Preschool Head Start Children Only
7. Minnesota Oral Health PIR Trends Percent of Head Start Children (2004-07) 2004 2005 2006 2007
Health insurance 87% 87% 88% 89%
Dental Home 73% 73% 79% 83%
HS Preschool (3 to 5-years)
Dental Exam 63% 65% 74% 85%
Prevent. Care 44% 69% 90% 89%
Need Tx 20% 32% 28% 26%
Received Tx 70% 79% 83% 84%
8. Minnesota Early Head Start PIR Data (2006-07) INFANTS/TODDLERS (Birth to 3 years)
Dental screenings at well-baby exams 80% (68%)
Professional dental exams 47% (54%)
PREGNANT WOMEN/TEENS
With health insurance 95% (89%)
Receiving dental exams or Treatment 42% (42%)
9. CDC Oral Health Infrastructure Development Cooperative Agreements 2003-2008: 23 projects funded (12 States and 1 Pacific jurisdiction)
16 States funded in 2008
8 specific/required areas of program focus (recipient activities)
10. CDC OH Infrastructure Development Cooperative Agreements (2008-13)Eight Recipient Activities Program Infrastructure: Staffing, management and support
Data collection and surveillance
Strategic Planning State OH Plan
Partnerships and coalitions
Access to and utilization of preventive interventions
Policy development
Evaluation
Program collaboration
11. What is a Coalition? Definition: a group of individuals and/or organizations with common interest who agree to work together toward a common goal
Coalitions may be loose associations in which members work for short time to achieve a specific goal; and then disband, or they may also become organizations in themselves, with governing bodies, particular community responsibilities, funding and permanence
Regardless of their size and structure, they exist to create and/or support efforts to reach a particular set of goals
12. Goals of a Coalition Coalition goals are as varied as coalitions themselves, but often contain elements of one or more of the following:
Influencing or developing public policy, usually around a specific issue.
Changing people's behavior.
Building a healthy community.
13. Why Develop a Coaliltion? Concentrate the community's focus on a particular problem.
Create alliances among those who might not normally work together.
Keep the community's approach to issues consistent.
15. ASTDD- Infrastructure Development Tools Surveillance Methodologies
Policy and Systems Strategies
Best Practices Models
Policy: Coalitions, Oral Health Plans, Mandates
State OH Program Review Manual
Core functions, competencies and activities
http://www.astdd.org/index.php
16. A full listing of the Best Practice Approach Reports can be displayed.
Quick access to open each report is also provided.
.
A full listing of the Best Practice Approach Reports can be displayed.
Quick access to open each report is also provided.
.
17. The ASTDD homepage opens to the Best Practices Web page, which gives access to the Best Practice Approach Reports and State and Community Practice Examples.
In addition, the Web page provides background information about the Project, provides access to the Projects survey results, and offers other links of interest.The ASTDD homepage opens to the Best Practices Web page, which gives access to the Best Practice Approach Reports and State and Community Practice Examples.
In addition, the Web page provides background information about the Project, provides access to the Projects survey results, and offers other links of interest.
18. State Promising Practices Infrastructure Development (including coalitions)-Nevada and other CDC funded states AK, CO, AR, IL, SC, TX
Kansas Philanthropic funded coalition and state Oral Health initiative
Massachusetts Special legislative commission on Oral Health
New Mexico Tax considerations for dentists
19. State Promising Practices (2) State Oral Health Plans (NV, ME, IL, KS)
Statutory Mandate for State Oral Health Program (some w/ definitions for state dental director or dental officer) - Iowa
Maryland Dental Action Committee convened by Secretary of HMH in response to Deamonte Driver; state funding for infrastructure and increasing access
20. Statewide Efforts to Expand Access to Care for Young Children Washington ABCD Program
Training for general dentists to treat very young children
Enhanced reimbursement (XIX)
North Carolina Into the Mouths of Babes
Prevent ECE by reimbursing peds, FPs, CHCs for Px and referrals for dental care
Partners: NCAP, NCAFP, NCDS, NCAPD, UNC, NCDM, NCDPH
California First 5 Initiative
Training for general dentists
Training for primary care providers
21. Nevada State Oral Health 1999 Report of Governors Advisory Board
(recds, redirect MCH Title V grant)
2002 CDC Grant, Series of Regional Summits (formed coalitions)
2004 Summit 2.0, More representative state OH plan keyed to HP2010/SG OH Report
2005 Summit 3.0, special focus on non-urban areas/regional plans
2008 Evaluation and Summit 4.0 re: 2004 plan, 4 policy work groups : change perceptions & increase awareness; expand prevention; improve access; assure dental workforce; and, renewal of competitive CDC grant
22. Oral Health Kansas Sponsors Blue Cross and Blue Shield of Kansas Foundation Delta Dental Plan of Kansas Foundation Health Care Foundation of Greater Kansas CityKansas Council on Developmental DisabilitiesKansas Dental AssociationKansas Dental Charitable Foundation Kansas Health FoundationKansas State Office of Oral HealthSunflower FoundationThe REACH Health Care Foundation United Methodist Health Ministry Fund
23. Framework for South Carolina More Smiling Faces Project
24. State Medicaid Dental Program Changes (2007)
25. Minnesota Oral Health Landscape SWOT Analysis Strengths
Efforts of stakeholders and partners convening to proactively define and address issues affecting oral health in Minnesota
26. SWOTWeaknesses The extent of the access problem and continuing/growing reservoir of need
Emerging SOHP and no broad based, cohesive state oral health advocacy entity and need to define future path
27. SWOTThreats or Challenges A very challenging state economy and infrastructure constraints
Provider issues, including aging cohort and inadequate replacements
Distribution of workforce vs. population
Growing diversity of population
28. SWOTOpportunities New five-year CDC grant to Minnesota Department of Health for Oral Health Infrastructure Enhancement and Program Improvement
Build on the commitment and hard work of key stakeholders to deploy new strategies and to enhance existing ones to address the issues in oral health
New provider models to enhance access
Broaden the circle of partners and cultivate consensus agenda
29. SWOT
then what? SWOT
(systematic assessment)
?
Priorities
(importance/impact vs. changeability)
?
Goals, Objectives, Outcomes
(process and effect, time-framed, measurable, realistic)
?
Action Steps, Activities, Resources
(intentional actions and implementer)
?
Evaluation
?
30. Active Coalition + Partnerships and Collaborations = More Direct Path to Improved Oral Health for the People of Minnesota Thank you!
reglouie@sbcglobal.net