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Title V Oral Health Performance Measures

Title V Oral Health Performance Measures. John Rossetti, DDS, MPH Chief Dental Officer HRSA/MCHB. Title V - Critical to State Oral Health Programs. Historically: Title V was the genesis for many programs Weakened by 1981 Block Grant OBRA ‘89 reversed program declines.

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Title V Oral Health Performance Measures

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  1. Title V Oral HealthPerformance Measures John Rossetti, DDS, MPH Chief Dental Officer HRSA/MCHB

  2. Title V - Critical to State Oral Health Programs Historically: • Title V was the genesis for many programs • Weakened by 1981 Block Grant • OBRA ‘89 reversed program declines

  3. Title V - Critical to State Oral Health Programs OBRA ‘89 required: • Statewide needs assessment • Plan development based on needs assessment & Year 2000 Health Objectives • MCHB guidance for Block Grant

  4. Sentinel Objectives(performance measures) From 6 Dental Objectives Submitted, 1 Would be Allowed: % of children receiving dental sealants

  5. Dental Sealants as the Sentinel Objective: Rationale for Selection • Elevate Medicaid’s awareness & raise fees • Prevent occlusal decay in children • Mechanism to screen and refer to private and safety net providers

  6. Dental Sealants as Sentinel Objective: Rationale for Selection (cont.) • Sensitize private sector to utilize sealants • Integrate oral health into school health • Build dental public health infrastructure

  7. Dental Sealants as Sentinel Objective: Rationale for Selection (cont.) • Increase collaboration between private and public sectors • Build system of dental care for children • Easily understood measure upon which everyone could agree

  8. 1998 Block Grant Guidance Revision of Performance Measures Sealants selected as measure again States offered option to choose additional dental measures: • Decrease disease through comprehensive prevention and education

  9. 1998 Block Grant Guidance Revision of Performance Measures (cont.) •  % of MA eligible children receiving dental services •  prevalence of baby bottle tooth decay (BBTD)

  10. 1998 Block Grant Guidance Revision of Performance Measures States offered option to choose additional dental measures - cont.: •  awareness of BBTD causes •  % of children with obvious tooth decay •  % of Head Start children with tooth decay

  11. How & WhatHave States Been Reporting 1997 - 11 States reported no sealant data 1998 - All States reported Utilization range: 1.2% - 56%

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