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Promoting the Development of State Oral Health Programs September 14, 2004 Centers for Disease Control and Prevention Division of Oral Health Workshop in collaboration with the Association of State and Territorial Dental Directors. Lewis N. Lampiris DDS, MPH President ASTDD. What we do

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Presentation Transcript
slide1

Promoting the Development of

State Oral Health Programs

September 14, 2004

Centers for Disease Control and Prevention

Division of Oral Health Workshop

in collaboration with the

Association of State

and Territorial Dental Directors

Lewis N. Lampiris DDS, MPH President ASTDD

slide2

What we do

ASTDD Guidelines for

State and Territorial

OH Programs

Who we are

ASTDD Infrastructure

& Capacity Report;

ASTDD State Synopsis

State Oral Health Programs

What we don’t do

Who we aren’t

Who Cares

slide3

Evidence Base for

Services

Epi; Biostats; Surveillance;

Determinants of health

Clinical Preventive

Services

Exams, Prophys, Fluorides;

Oral Cancer Screening;

Anticipatory Guidance

State Oral Health Programs

PH Competencies

Community Preventive

Services

Fluoridation; Sealants;

School based programs

Access to Care/

Health Systems

Facilities; Workforce;

Reimbursement; Health Policy

slide4

Dentistry

Dental Hygiene

Other

Health Professions

State Oral Health Programs

Linking Professions

Public Health

Epidemiology

Health Education

Health Promotion

Education, Research,

Evaluation

Universities, Community

Colleges

slide5

Dental Regulators

PH; Prof Reg; Insurance;

Higher Ed; Nuclear

Health Agencies

PH; Human Services,

Medicaid, PCO, Bd of Health

State Oral Health Programs

The ‘Go To’ Place in State Gov

Elected Officials

Gov, Lt. Gov, Legislators

Other State Entities

State University System; State

Board of Ed; EPA; Aging;

Justice;Veteran affairs

PROVIDING CONTINUITY………………………….

slide6

Collecting,

Analyzing & Providing

Data

Training & Education

State Oral Health Programs

Supporting Communities

Program Support:

Grants, Materials, TA

Sealants, Clinics,

Health Ed Materials

Building Partnerships

State & Local

Coalitions

slide7

Federal Funding

CDC, HRSA (MCHB);

Earmarks

State Funds

General Revenue;

Tobacco; Earmarks

State Oral Health Programs

Leveraging Resources

Foundations and Grants

RWJ; Health Care

Conversion funds; others

Hidden Resources

Medicaid; Head Start;

Special funds

slide8

Leadership and

Authority

Oral Health and

Public Health

Expertise

State Oral Health Programs

Requirements for effectiveness &

longevity

Credibility &

Accountability to the

Public and Profession

Salience

slide9

Eliminate Oral Health

Disparities

Improve the quality

and quantity of life for

all Americans

State Oral Health Programs

Salience

Promote oral health as

integral to health

Promote optimal

oral health for all

as a public good

public health core functions
Public Health Core Functions
  • Every state oral health program should have the capacity and infrastructure to perform the basic public health functions of:
  • Assessment
  • Policy Development
  • Assurance

ASTDD Infrastructure and Capacity Report ………….

essential elements critical for a vibrant state oral health program
Essential elements critical for a vibrant state oral health program
  • State based oral health surveillance system
  • Leadership
  • State OH improvement plan
  • Develop and promote policies to improve OH
  • Provide OH communication and education to policymakers and the public
  • Provide population based interventions
  • Build community capacity
  • Develop health system interventions to facility quality dental care
  • Leverage resources

ASTDD Infrastructure and Capacity Report ………….

cdc core state oral health program infrastructure and capacity grants
CDC Core State Oral Health Program Infrastructure and CapacityGrants
  • Assessment
    • Surveillance System
    • Burden Document
  • Policy Development
    • Leadership
    • State Oral Health Plan
    • Statewide Oral Health Coalition
    • Systems and Policy Change
  • Assurance
    • Fluoridation Program Management and Promotion
    • Sealant Program Management
hrsa state oral health collaborative systems grants
HRSA State Oral Health Collaborative Systems Grants

Assessment

Sealant/ECC prevalence

State MCH Need Assessments

Policy Development

Summits & State Plans; Medicaid/SCHIP Collaborations; Adolescent and School Health; Systems Integration: Head Start, WIC, Medicine & Dentistry

Assurance

School Based Sealant Programs; Fluoride Varnish Programs; Safety-net expansions

key points
Key points:
  • A vibrant SOHP can provide accountability for limited state financial resources………
  • A vibrant SOHP can build and foster partnerships between federal, state and local governmental entities to improve oral health……….
  • A vibrant SOHP can build and foster partnerships between state government agencies & communities, practitioners, and dental education...
key points1
Key points:
  • A vibrant SOHP can act as a “focal point” & provide oral health expertise for state action to improve oral health……
  • A vibrant SOHP can provide continuity for moving a comprehensive oral health agenda forward……
  • A vibrant SOHP can convene a broad array of stakeholders to improve OH……
key points2
Key points:
  • A vibrant SOHP can promote legislation and policies to improve oral health……
  • A vibrant SOHP can serve as a non-biased information “broker” to state officials and legislators……
  • Others???
questions
Questions?
  • What are the key messages we should be delivering?
  • What are the best media for doing so?
  • How can we partner with you to communicate the value of state oral health programs to your state affiliates, members, and the policymakers whom you educate?
  • How do we best communicate/educate policymakers?
when you ve seen one
When you’ve seen one……..
  • Nevada
    • Against all odds: starting at ground zero
  • Alaska
    • Building partnerships
  • Colorado
    • The power of data and surveillance
  • Arkansas
    • Population based prevention: community water fluoridation
  • Illinois
    • The impact of a state plan and coalition