Cavity Free Colorado

Colorados Oral Health Unit

Katya Mauritson, DMD, MPH (c)Oral Health Unit DirectorColorado Department of Public Health and EnvironmentKatya.Mauritson@state.co.us 11

22Oral Health Unit Mission: To improve the oral health of all Coloradans, especially vulnerable populations.

6 members of the OHU team: Dental DirectorOH Workforce ManagerSealant Coordinator, health educatorWater Fluoridation ExpertOAP Dental ProgramProgram Assistant

33Oral Health UnitWhat is the OHU doing to move the needle?

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41. AssessmentMonitor Health Status - SurveysCHS, BRFSS, PRAMS, YRBSSPhone InterviewLPHA surveysASTDD survey - ScreeningsBSS (Basic Screening Survey)Kindergarten & 3rd gradersHead StartOlder AdultsCommunication of DataChew on This: Burden DocumentCOHIDhttp://www.chd.dphe.state.co.us/cohid/Default.aspx

552. Policy DevelopmentEducate: public, providers, partners, decision makersSupport policies and plans for individual and community health effortsResearch solutions to health problemsMedicaid/CHP+ ReimbursementPromote Healthy EnvironmentPromote oral health equitySchool sealant programsCWFLinks to obesity prevention, chronic disease mgmt

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63. Assurance

Prevention Services:Community Water FluoridationSchool Dental Sealant ProgramSchool Fluoride Varnish ProgramPANDAMCH: Cavity Free at Three

Treatment Services:Dental Loan Repayment ProgramOld Age Pension Dental Assistance ProgramColorado School Of Dentistry Mobile VanMedicaid Enrollment7

7Key public health and environmental issues where progress can be made in the next five years

Colorados greatest opportunities for ensuring the health of our residents and visitors and the improvement and protection of our environmentWinnable Battles Initiative

Comparing CDC and ColoradoCDCs Winnable BattlesFood safetyHIVMotor vehicle injuriesNutrition, physical activity, obesityTeen pregnancyTobacco

Healthcare-associated infections

http://www.cdphe.state.co.us/hs/winnable.htmlColorados Winnable Battles:Safe foodInfectious disease preventionInjury preventionObesityUnintended pregnancyTobacco

Oral healthMental health and substance abuseClean waterClean air9Colorados Winnable Battles were chosen because:

They are important large health impact

We have an ability to impact these areas

There is capacity to impact these areas 1010Colorados Winnable BattlesData drivenHealth equityNew Governors Cabinet desire for common metrics and frameworkState agency leadership

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1313Prioritizing oral health:How chosen:Understanding the consequencesCross-cutting causesLeadership wanted to focus on threeConvincing data

Key Decision Makers: Bipartisan legislatorsData expertsPublic health officials

14The Cost of Doing Nothing.In FY09-10, 6,076 Colorado children received hospital-based dental care costing Medicaid

15More Oral Health OpportunitiesPublic Health Improvement ActHygiene practice actMedicaid reimbursement for medical providersFoundation/grant initiativesOral Health Improvement ProjectHealthy Teeth, Healthy BabiesCavity Free at ThreeEarly Childhood Systems BuildingDental Loan RepaymentWorkforce and access surveysMCH Oral Health Priority

16Measuring our successes:

Increase age one dental visits.Increase sealants on permanent teeth.Increase rates of community water fluoridation.

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Colorado Oral Health Policy WorkMedicaid Childrens Dental ASOAdult Dental BenefitUniversal Health Care CoverageOral Health Winnable BattleOral Health PlanMCH Community Toolkit

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2020

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22Oral Health PlanAll Coloradans have access to, and use, patient-centered comprehensive oral health care and education.6 Focus Areas7 Role IconsAnnual Updateshttp://www.oralhealthcolorado.org/oralhealthplan/

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Toolkit for Promoting Maternal and Child Oral Health in Colorado Communities

http://www.oralhealthcolorado.org/new-toolkit-for-promoting-oral-health-in-colorado-communities24

2525BudgetCDC Cooperative AgreementCDC Preventive Health & Health ServicesHRSA Oral Health WorkforceHRSA NHSCStateFoundation

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2828Colorados Community Water FluoridationVoluntary Program72% of Colorados population has access to optimally fluoridated waterAbout 60 water systems adjust their natural level of fluoride to reach an optimal level for oral healthMany systems in Colorado are naturally optimalOHU provides support throughMonitoring monthly reportsEnter data and update CDC databaseInspectionsTrainingsTechnical assistance

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Health EquityAn Explanatory Model for Conceptualizing the Social Determinants of HealthNATIONAL INFLUENCESGOVERNMENT POLICIESU.S. CULTURE & CULTURAL NORMSPREGNANCYEARLY CHILDHOODCHILDHOODADOLESCENCEADULTHOODOLDER ADULTSLIFE COURSE

HEALTH FACTORS=QUALITY OF LIFE

MORBIDITY

MORTALITY

LIFE EXPECTANCY

POPULATIONOUTCOMESSOCIAL DETERMINANTS OF HEALTHECONOMIC OPPORTUNITYPHYSICAL ENVIRONMENTSOCIAL FACTORS Income Employment Education HousingBuilt EnvironmentRecreationFood Transportation

Environmental qualityHousingWaterAir

SafetyParticipationSocial supportLeadershipPolitical influenceOrganizational networksViolenceRacism+ HEALTHBEHAVIORS & CONDITIONSMENTAL HEALTHACCESS , UTILIZATION & QUALITYCARENutritionPhysical activityTobacco useSkin CancerInjuryOral healthSexual health

ObesityCholesterolHigh Blood PressureMental health statusStressSubstance abuseFunctional statusHealth insurance coverageReceived needed careProvider availabilityPreventive care

Public Healths Role in Addressing the Social Determinants of HealthAdvocating for and defining public policy to achieve health equityCoordinated interagency effortsCreating organizational environments that enable changeData collection, monitoring and surveillancePopulation based interventions to address health factorsCommunity engagement and capacity building Colorado Department of Public Health - Social Determinants of Health Workgroup3030Metal Mouth

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Results of dental screening among children in kindergarten.Colorado Childrens Oral Health Screening, 20032004, 20062007, and 20112012Colorado Department of Public Health and Environment3232

Results of dental screening among children in kindergarten by percent of students in the school who are eligible for free or reduced price meal program (FRL).Colorado Childrens Oral Health Screening, 20032004, 20062007, and 20112012 Colorado Department of Public Health and Environment 3333Why Oral Health MattersPreventable diseasesInequitable burdenSustainable change

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