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Oral Health Regional Assessment & Planning Project
(RAPP)
2002-2005
Greater Cincinnati, Northern Kentucky & Southeastern Indiana
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October 10, 2000
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Cincinnati Enquirer 9/8/00
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What was the RAPP?Rising interest in dental issuesSmall funds availableUnited Way looking for initiativesPlanning process needed
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RAPP Process CreatedUnited Way and Health Foundation fundingOral Health Council project managementAdvisory Council leadershipBroad community participation by stakeholders
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How the Process Worked
Summary ofNeeds/IssuesMade Public
Steering Committee
Advisory Committee Staff Consultants
AdvisoryCommitteeProvides
InitialInput
Implement
Take Plan toCommunity
Implementprogram(s)that can be
enactedimmediately
Begindevelopment
for otherinitiatives
Oral HealthData
Demographics
Literature
Stakeholder &Consumer
Input
BestPractices
Consumer Input
Funding PlanOptions
RealityTesting
AdvisoryCommittee
Review
Stakeholder &Consumer
Input
AdvisoryCommittee
Review& Accept
Internal & External Communications
Preparation for United Way Phase II proposal
5 Months
7 Months
10 Months
Summary ofNeeds/IssuesMade Public
2 Months
ProgramDraft
FinalProgramDesign
DraftImplementation
Plan
FinalImplementation
Plan
Transition Period
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What We Found
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Economic Culturalconditions norms
Historical Mediatrends messages
Public sectorpractices
Private sector practices
Neighborhood Systemcharacteristics relationships
Family Personalcharacteristics choices
Health caresystem practices
Educationalsystem practices
Families @ 200% of the FPL
Lack Access toDental Care(~450,000)
Multiple factors in the community contribute to poor dental access to care
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Multiple factors in the community contribute to poor dental access to care
• Tooth decay is on the rise – more than 45% of inner city children have untreated decay• Emergencies cases have tripled at the Cincinnati Health Dept. Clinics over the past 8 years.• Existing dental clinics are at capacity
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• No sliding scale dental clinics in some counties; discounts often insufficient for working poor & others• Some areas have no prevention, education or treatment programs• Families choose rent, food, clothing over dental care
Multiple factors in the community contribute to poor dental access to care
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• Impact on employment potential
• Culture of poverty – --postpone treatment--poor appointment compliance
• Perpetuating norms of tooth loss• Dental pain & infection is the #1
one reason why people go to the University Hospital Emergency Room.
Multiple factors in the community contribute to poor dental access to care
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RecommendationsWhat should each county have? Treatment for pain & infection Basic restorative care Essential esthetics Effective early prevention Effective educational programs Water fluoridation
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Recommendations Improved Preventionsealants, use of pediatricians & ob/gyns, oral cancer exams, mouthguards Increased Educationhealth promotion & education on the importance of oral health community-wide Expanded Access to TreatmentExpand and build, lower fees, Urgent Care Center, dental vans
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Regionalized Efforts
Public PolicyProvider EducationHead Start & School SupportMRDD ProgramNursing Home ProgramStrategies for cultural competence/relevance
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Public Policy Recommendations
Gain Public/government financing/support
Improving state Medicaid programs
Exploring new systems to provide care
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Strategies for addressing cultural needs & disparities
Training for dentists & staffs Training in dental schools Mentoring programs for children from low income/minority families to develop dental careers.
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Early AccomplishmentsSealant Program in Northern KentuckyMobile van for Cincinnati Public SchoolsUH GP residency programClermont County Head Start dental projectBabies Milk Fund/Rocking Horse fluoride varnish pilot in pediatric officesOctober 6, 2002 Enquirer articleExpansion of Lincoln Hgts. Clinic2 school-linked dental programsNorthern Ky Clinic expansionFluoride varnish programsCincinnati Dental Society clinic
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Cost
One tenth of 1% of the region’s total health care expenditures $13 million
of $13 billion health expenditures per year in the region
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Funding PossibilitiesShifts in prioritiesUser taxes(sugar-based drinks, candy)Share of leviesNew levyDental insurance underwriters assessment“Sales Tax” on dental fees
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An integrated, collaborative system
with community involvement at the nucleus
Community-developed
CoordinationNucleus
Treatment
Policy
Prevention
Education
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Current Status: Rebirth? Internal changes at United Way= end of funding and support 2 year gap prior to publication. Some progress continues Advisory Committee & Oral Health Council intend to continue with
plan implementation.