healthy kentucky smiles: a lifetime of oral...

STATEWIDE ORAL HEALTH STRATEGIC PLAN The Commonwealth of Kentucky - 2006

Healthy Kentucky Smiles: A lifetime of Oral Health

S T A T E W I D E O R A L H E A L T H S T R A T E G I C P L A N

For the Commonwealth of Kentucky 2006

Cabinet For Health and Family Services

KENTUCKY DEPARTMENT FOR PUBLIC HEALTH HEALTH CARE ACCESS BRANCH

ORAL HEALTH PROGRAM 275 EAST MAIN STREET, HS2W-B75 FRANKFORT, KENTUCKY 40621-0001 (502) 564-3246 (502) 564-8389 FAX

This project is supported through a grant from the Maternal and Child Health Bureau by the U.S. Department of Health and Human Services' Health Resources and Services Administration.

Table of ContentsTo all Kentuckians: ................................................................ 1 Introduction............................................................................ 3

What can we do as a public health organization to stem the tide of Early Childhood Caries? ................... 4 So, why do Kentuckians lose their teeth? .................. 4

Executive Summary............................................................... 7 Statewide Oral Health Plan.................................................. 11

Oral Health Surveys for Children and Adults............ 11 Mission ................................................................................. 15 Vision.................................................................................... 15 Values ................................................................................... 15 Situation Assessment.......................................................... 16

Strengths..................................................................... 16 Change Opportunities/Weaknesses .......................... 17 Threats......................................................................... 21

Advocacy.............................................................................. 23 Economic Development ...................................................... 29 Funding................................................................................. 37 Partnerships and Collaboration.......................................... 41 Prevention and Treatment................................................... 47 Public Health Education ...................................................... 53 School-Based Coordination................................................ 59 Workforce ............................................................................. 63 Kentucky Oral Health Stakeholder Group.......................... 67

H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H

1 May 2006

ERNIE FLETCHER, MD GOVERNOR

MARK BIRDWHISTELL, MPA SECRETARY

CABINET FOR HEALTH AND FAMILY SERVICES KENTUCKY DEPARTMENT FOR PUBLIC HEALTH

HEALTH CARE ACCESS BRANCH ORAL HEALTH PROGRAM

275 EAST MAIN STREET, HS2W-B75 FRANKFORT, KENTUCKY 40621-0001 (502) 564-3246 (502) 564-8389 FAX

[email protected]

JAMES C. CECIL, III, DMD,MPH

To all Kentuckians: Kentucky’s Oral Health Strategic Plan is a living document that outlines the paths that the citizens of Kentucky can decide to take to improve and enhance the oral and general health status of Kentuckians. The Plan is an example of an incredible product of working partnerships with a broad array of experts and others interested in the health status of our citizens. The Plan was developed by more than 100 individuals meeting over a two-day period (and in numerous follow-up sessions) to create this guide for oral health in Kentucky’s future. The framers of this extraordinary document came from all facets of Kentucky life and the guide represents the consensus view of that expansive coalition of those interested in oral health in Kentucky. The Plan will be reviewed annually by an Executive Committee of the original participants in the planning process using a consensus development process similar to the original. The review will result in well-considered modifications to the Plan that coincide with the changes, opportunities and challenges experienced by the Commonwealth over time. Since this is every Kentuckians guide and Plan, please contact the Kentucky Oral Health Program administrator at 502-564-3246 if you have recommendations for making the Plan the best possible. All suggestions will be considered by the Executive Committee for inclusion in future editions. Thank you for using this Plan and I hope you will continue to make appropriate updates to this important, living, and flexible guidepost. Use this Plan to make a difference in Kentucky’s oral and general health status! Sincerely,

James C. Cecil, III DMD, MPH Administrator, Kentucky Oral Health Program


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Introduction Assure Oral Health in Kentucky

n December 19, 2003 the “Mortality and Morbidity Weekly Report” reported that Kentucky, from data from the 2002 Behavioral Risk Factor Surveillance System (BRFSS) survey, was number one in toothlessness among our older adult citizens (> 65 years of age). In fact, 42.3% of Kentuckians 65 years and older were toothless – they had lost all their natural teeth. This total

did drop slightly in 2004 with 38.1% of older adults edentulous. Other 2002 BRFSS data indicated that 26.6% of Kentuckians of all ages had lost 6 or more teeth due to tooth decay or gum disease (17.6% nationwide). For states neighboring Kentucky, the total toothlessness rates were: Tennessee 36.0%; Indiana 24.7%; Ohio 23.6%; West Virginia 41.9%; Illinois 24.0%; and Virginia 21.3%. What’s wrong with toothlessness? Some people contend that it is not only a health issue (not able to eat a balanced diet, speech is difficult),

but also a quality of life issue (appearance, self esteem, self confidence) as well as an economic development issue (toothless individuals have difficulties in finding employment and advancement). The self-reported data on toothlessness are discouraging particularly as the public health system in Kentucky has worked so diligently over the past three decades to have the second highest rate of citizens exposed to optimally fluoridated water (90%) in the country – second only to Minnesota. The reality, though, is that fluoridation of public water supplies prevents about 60% of tooth decay in children. Therefore, there are a large number of children who still are at-risk for tooth decay even if exposed to fluoridated community water supplies. Community water Fluoridation is a first step in preventing toothlessness – preventing toothlessness is a lifetime endeavor and it is easy. The prevalence of Early Childhood Caries (ECC - formerly called Baby Bottle Tooth Decay) is noted to be very high in Kentucky compared to national studies; the prevalence has increased dramatically from surveys in 1987 to 2001 – particularly among poor and near poor Kentuckians.

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Percent of Edentulous Kentuckians - BRFSS Data 2000 - 2004

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BRFSS 2010 Goal


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What can we do as a public health organization to stem the tide of Early Childhood Caries? Since ECC begins with the eruption of the first baby (primary) tooth about ages 7 months to one year of age, it makes sense that a prevention intervention should start at the time of the first tooth’s eruption. In Kentucky, most family dentists do not see children until after age four or five – their training just does not

prepare them to deal with very young children. But, family physicians and pediatricians, as well as health departments and other nurses, do see these very young children several times during the first few years of life – as many as 10 times before a child might see a dentist. The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentists (AAPD) both recommend that children have their first visit to a dentist about age one – the eruption of the first baby tooth. Starting in FY 03-04 as part of the KIDS NOW program for children of early childhood, local health

department nurses have had the opportunity to participate in training that would ready them to: twice yearly screen children at their usual visits to health departments, apply a prevention agent (fluoride varnish), provide a preventive oral health message to the caregiver (home care instructions), and make a proper referral to a dentist if necessary. This program is called KIDS SMILE and is funded from the tobacco settlement funds for children 0 through 5 years of age. The Kentucky Board of Nursing has declared that the KIDS SMILE program is within the scope of practice of Registered Nurses in Kentucky. Once implemented, the activities of KIDS SMILE should take only two minutes to administer. At this writing more than 600 health department and other nurses have had the training; more than 4000 children have participated; and evaluation of the clinical outcomes began in April 2006. As time goes on, the hope is that all at-risk children in Kentucky will be able to participate in KIDS SMILE to stem the tide of ECC. This is the second step in preventing toothlessness – stop the infection before it becomes too bad. So, why do Kentuckians lose their teeth? Children usually lose their teeth due to untreatable dental decay – an infection that causes the teeth to cavitate (have a cavity) if the microbes of the infection are constantly nourished with fermentable carbohydrates (sugars, other substances). Dental decay occurs over a long period of time (one to two years or more) and is preventable with good home care, i.e. daily use of fluoride toothpaste and rinses, regular visits to the dentist, and maintaining a balanced diet. This is step three in preventing toothlessness – maintain a clean mouth to manage the infection of tooth decay in baby teeth.

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Eastern Northern Western Central Louisville

2001 Regional Comparison of Urgent and Early Care Needs by Children

Need for Urgent Care Need for Early Care

Source: Kentucky's Children's Oral Health Profiles 2001, Oral Health Program, Kentucky Department for Public Health in partnership with the University of Kentucky College of Dentistry. "Urgent Care" defined as treatment needed within twenty-four hours. "Early Care" defined as treatment needed within several weeks. Sample of Kentucky 3rd and 6th graders; n = 5962. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.


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In Fiscal Year 02-03, the Kentucky Department for Public Health began funding dental sealant programs whereby local health departments would partner with local dentists and hygienists, local elementary schools and provide dental sealants to children in the 2nd, 3rd, and 6th grades. The 6-year and 12-year, adult molars have erupted into the mouth at about these grade levels. The Centers for Disease Control and Prevention list sealants as being an evidence-based prevention intervention that is highly effective in preventing tooth decay in permanent molars – fully 80% of decay in elementary children occurs in the pits and fissures on the top surfaces of permanent molar teeth. So far, 18 local health departments have engaged their communities and are providing sealant programs in their health departments with the collaboration of dentists, hygienists, and schools. This is the fourth step in preventing toothlessness – smoothing out the tops of teeth with a painless, simple, plastic coating to keep decay from starting in the pits and fissures of permanent molars. Adults usually lose their teeth due to periodontal diseases. Periodontal diseases are caused by an infection of several species of microbes that slowly, over a very long period of time (5 plus years), erode the tissues (gums, bone, ligaments) that support the teeth in the mouth. The infection of periodontal disease is insidious, usually painless until late in the disease, is detected by bleeding gums and pocketing around the teeth at the gum line, and causes offensive mouth odors. These diseases can be prevented through good, daily home care (flossing and brushing), use of antiseptic mouth rinses, early intervention by regular visits to and cleanings by a dentist or dental hygienist, and maintaining a balanced diet and lifestyle – everything in moderation. Step five in preventing toothlessness – maintaining periodontal health. If steps one to five are initiated before or at very early stages in the establishment of these oral infections, we can keep our permanent teeth all our natural lives. We do not necessarily need to have a third set of “store bought” plastic teeth. Kentucky not only has a high prevalence of oral infections but access to preventive and restorative oral health care is a challenge.

Access to care was highlighted in an issue brief written by Kentucky Youth Advocates in December of 2003, Open Wide or Lock Jaw? Children's Dental Health Access in Kentucky. Findings included the fact that only one-third of eligible children received any dental services through Medicaid and the Kentucky Children's Health Insurance Program (KCHIP) in 2002. In that same year, low-income children did not have adequate access to dentists with 2,169 licensed dentists in 2002 and only 871 Medicaid enrolled dentists billing Medicaid for services.

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Percent of Adults with Self-Reported Symptoms of Periodontal Disease by Region: Kentucky 2002

Bleeding Gums Red, swollen or tender gums

Source: Kentucky Adult Oral Health Survey 2002. Oral Health Program, Kentucky Department of Public Health in partnership with the University of Louisville School of Dentistry. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.


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The problem of access to care was also significant for adults. BRFSS data from 2002 and 2004 shows slight improvement with nearly 70% of Kentucky adults visiting the dentist once each year.

Few of Kentucky's 120 counties are formally

designated as Dental Health Professional Shortage Areas although the majority qualifies. Provider shortages are rampant throughout the state with more dentists retiring, relocating to metropolitan areas and reducing their clinic hours each year.

These issues and more were brought before

Kentucky's Oral Health Stakeholder Group in a series of meetings over the past two years. The resulting

document, Healthy Kentucky Smiles: A Lifetime of Oral Health, highlights the many challenges faced by Kentucky's dental health providers, partners and citizens. The planners of this document wish to recognize that changing demographics are reconstructing the fiber of Kentucky's citizenry. As the group known as the "Baby-Boomers" age, oral health issues associated with the elder population will become increasingly prominent. Kentucky's racial and ethnic populations are also rapidly diversifying, creating new challenges associated with access to oral health care and cultural competency. Children with special health care needs are in great need of preventive and restorative services, yet few pediatric dentists are available within the state to provide these services. Those that do choose to practice in Kentucky rarely choose to do so in the rural regions. New research regarding possible associations with periodontal disease and preterm birth highlight the need for pregnant women to have access to oral health care, yet this population is affected by a shortage or maldistribution of dental providers. Cultural sensitivity and humility are values that planners identified as critical to the development of this document. Activities are underway to reach the aforementioned and other special populations because we believe that oral health is an essential component of overall health and that pursuit of health is a right afforded to all citizens of Kentucky. Following is a description of the process used to develop issues raised by Kentucky's Statewide Oral Health Strategic Plan.

Adult Use of Oral Health Care System - BRFSS Data 2000 - 2004

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BRFSS

2010 Goal


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Executive Summary A lifetime of Healthy Smiles!

trategic planning for a statewide Oral Health Plan began in 2004 with the identification of stakeholders. These individuals in the community were invited to respond to an online survey about oral health in Kentucky. Over one hundred and fifty people were invited to participate in this process on a web page set up by the University of Kentucky (UK) College of Public Health. Participants were requested to answer

the following open-ended questions.

1. What are the strengths in the provision of oral health services in Kentucky?

2. Are there other additional factors that would help us have a positive impact on the achievement of oral health?

3. What can Kentucky do to improve oral health for all citizens?

4. What can Kentucky do to influence the negative factors affecting oral health?

5. What is your vision of oral health in Kentucky?

6. What do you think the purpose or calling of the oral health initiative in Kentucky should be?

7. What are your beliefs, values, or judgments about oral health regarding what is worthy, important or desirable?

Electronic submissions for these questions were collected for approximately one month. Tabulation was completed through the UK College of Public Health. Approximately fifty individuals anonymously completed the survey. Individuals invited to participate were the same group that would be invited to the statewide visioning meeting.

The second step was to conduct a one-day meeting of key oral health leaders within the state on April 16, 2004. During this "Visioning Summit", the Oral Health Strategic Planning Executive Committee met to create a draft vision, mission and values statement that would be presented to the full group for their meeting the next month. Electronic input from the system described above assured inclusion from a variety of community leaders across the Commonwealth.

On May 20 and 21, 2004, Kentucky's initial Oral Health Strategic Planning Meeting was held at the Hilton Suites of Lexington Green. Participating in this two-day event were providers and consumers of oral health care from across the state. Included were representatives from the provider community, academics, business leaders, the faith community and consumers, as well as state and local public health staff. In all, over 100 individuals attended the two-day event.

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The primary purpose of this event was to have participants critique and finalize the Mission and Vision Statements, to review the electronic input (SWOT Analysis) and to identify sub-committees, which would form and continue to work on the Strategic Plan. Both the online survey and the first convening of stakeholders sought to prepare a situation analysis of the current status of oral health in Kentucky. Through this process the strengths of the oral health system, opportunities for improvement, and threats were identified.

At the conclusion of the two-day meeting, eight subcommittees formed:

Oral Health Strategic Planning Sub-Committees

• Advocacy • Economic Development

• Public Health Education • Funding

• Partnerships and Collaboration • Prevention and Treatment

• School-based Collaboration • Workforce

Over the next few months, goals were identified by the members of each workgroup and are provided below. Details as to objectives, critical success factors and potential barriers to success for each of these goals follow this section.

Advocacy

- Develop and administer government policy and programs that address oral health as a full component of overall health for eligible populations

- Elevate the importance of oral health in the public discourse about health status in Kentucky

Economic Development

- Communicate that good oral health has economic value

- Communicate that dentistry is a business and has economic impact on communities

- Build communities with high quality health infrastructures to attract and retain employers

- Increase the number of dental professionals to underserved areas to assure access to care

Funding

- Increase available funding for oral health to increase access to care


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Partnerships and Collaboration

- Solicit, develop and nurture relationships with other organizations and associations to expand awareness of and the focus on oral health

- Assist dental professionals to recognize signs of domestic violence observed in their patients and to implement policies and procedures to reduce this burden on both patients and providers

Public Health Education

- Increase oral health wellness through education and disease prevention

- Increase oral health wellness through coordinated state-wide educational activities

- Increase oral health wellness through coordinated state-wide media

Prevention and Treatment

- Provide lifelong maintenance of oral wellness through coordinated, integrated and comprehensive services

School-based Coordination

- Assure that all children receive regular dental education and care as a part of an integrated program

Workforce

- Assess the past, present and future status of the dental workforce in Kentucky and develop a work-plan to address identified needs - Increase collaboration with and between dental professionals and other medical professionals in Kentucky

Thanks must be given to all participants in the Kentucky Oral Health Strategic Planning Process and to our federal funders. Coordinators would particularly like to thank Mark E. Nehring, D.M.D., M.P.H., Chief Dental Officer, Division of Child, Adolescent and Family Health, Maternal and Child Health Bureau, Health Resources Service Administration, for his dedication to state oral health programs throughout the nation.


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Statewide Oral Health Plan Healthy Kentucky Smiles: A Lifetime of Oral Health!

ral disease is a major health problem for Kentuckians. Much of this problem can be prevented through primary prevention efforts, including community water fluoridation, the application of dental sealants and fluoride varnish, oral cancer screenings, and routine dental care as well as oral health education and health promotion.

In 1987, the Office of Oral Health conducted a statewide oral health survey (Kentucky Oral Health Survey - KOHS) consisting of an interview component and a clinical screening component. Findings were alarming. Dental caries were a significant problem, with 26 percent of adult Kentuckians 18 to 64 years of age having untreated decay, compared to 6 percent on a national survey conducted by the National Institute of Dental Research in the same year. Additionally, KOHS found that 34 percent of Kentuckians had not visited a dentist within the past 12 months. This number became more disturbing when, nine years later, the 1996 BRFSS reported that the measure had increased to 38 percent. Children fared no better than adults with respect to oral health outcomes. In 1987, 30 percent of children aged 0-4 had caries. In the 5-9 age range, 58 percent of children had a decayed filled surface in a primary tooth (dfs) and 34 percent had a decayed filled surface in a permanent tooth (DFS). Twenty-eight percent of children aged 0-4 had untreated decay while this number rose to 38 percent (dfs) and 27 percent (DFS) for the 5-9 aged children. Kentucky adolescents proved to have even worse oral health. Eighty-four percent of 14-17 year olds had one or more caries (filled or unfilled), while 67 percent had untreated cavities in primary and permanent teeth. This information was a catalyst for additional surveys specific to three populations; children, adults and elders, to be implemented in the current decade, described below. Oral Health Surveys for Children and Adults While Kentucky can be justifiably proud that ninety percent of all Kentucky's 4.1 million residents receive optimally fluoridated water, oral disease still affects the quality of life of many citizens. To meet the needs for data acquisition and analysis in the area of oral health, two surveys have been completed during this period; the Kentucky Children's Oral Health Profiles 2001 (University of Kentucky College of Dentistry) and the Kentucky Adult Oral Health Survey 2002 (University of Louisville School of

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Dentistry). A third survey, the Elder Oral Health Survey, is currently near completion (University of Kentucky College of Dentistry) and results will be reported in Spring 2006. Findings from these two surveys showed some improvement in the oral health of Kentucky's adults and children but significant disparities continue to exist.

The graph at left demonstrates disparities in the need for urgent or early dental care for children. The need for urgent care was most pronounced in Eastern Kentucky but the area of greatest need for early care occurred in Louisville, Kentucky's largest city. Another interesting result was seen when data was summarized to examine type of insurance utilized by Kentucky families for children's oral care. The graph below illustrates that the penetration of Medicaid/KCHIP enrollees was far greater in Eastern Kentucky than in other areas of the state;

certainly a result of aggressive enrollment over the past decade. The conundrum that exists is that most of Eastern Kentucky is considered a dental health professional shortage area; even those able to pay for dental care experience barriers to accessing such care. If more dental providers were available to serve Kentucky's most rural areas and if they accepted Medicaid and KCHIP patients, many more children on public assistance might receive regular dental care. Adults in Kentucky's rural areas have many oral health challenges as well, including periodontal disease, oral pain and untreated decay, dissatisfaction with the appearance of teeth and edentulism.

The occurrence of periodontal disease was most pronounced in Eastern Kentucky, where nearly 35 percent of the population indicated red, swollen or tender gums. Western Kentucky followed with nearly 25 percent of its populace indicating the presence of these symptoms. Untreated pain and decay was a frequently reported problem as well. Again, Eastern Kentucky carried the greatest burden for untreated decay (31.1 percent) while most other regions reported that this oral health problem affected approximately 18 percent of their population.

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2001 Regional Comparison of Medicaid/KCHIP or "None" as Type of Insurance Used by Children

Medicaid or KCHIP None

Source: Kentucky's Children's Oral Health Profiles 2001, Oral Health Program, Kentucky Department for Public Health in partnership with the University of Kentucky College of Dentistry. Sample of Kentucky 3rd and 6th graders; n = 5962. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.

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2001 Regional Comparison of Urgent and Early Care Needs by Children

Need for Urgent Care Need for Early Care

Source: Kentucky's Children's Oral Health Profiles 2001, Oral Health Program, Kentucky Department for Public Health in partnership with the University of Kentucky College of Dentistry. "Urgent Care" defined as treatment needed within twenty-four hours. "Early Care" defined as treatment needed within several weeks. Sample of Kentucky 3rd and 6th graders; n = 5962. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.

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2002 Regional Comparison of Indicators for Periodontal Disease in Adults

Bleeding Gums Red, swollen or tender gums



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But untreated pain was consistent in nearly all regions of the state, with totals ranging from a high of 28.5 percent (Eastern Kentucky) to a low of 20.8 percent (Northern Kentucky). Edentulism, or the loss of teeth without replacement, was again most concentrated in the eastern portion of the state. In that area, 23.7 percent of adults surveyed said that they had not replaced any missing teeth as compared to approximately 16 percent in Northern, Western, and Central Kentucky. The Louisville region had only 6.2 percent of their adult population reporting no replacement. Finally, dissatisfaction with the ability to chew and with appearance of teeth was measured by the adult oral

health survey. Approximately 15 percent of adults in the eastern part of the state cited dissatisfaction with the ability to chew, with other regions reporting approximately 9 percent for this measure. Data were more consistent between regions for dissatisfaction with the appearance of teeth as illustrated with the table to the left. The Louisville region, however, was again the lowest at 8.6 percent. This document provides a fraction of the results realized by the two surveys discussed above. For more information about data collected by either of

these surveys or Kentucky's Elder Survey, please contact the Kentucky Department for Public Health, Oral Health Program at 502-564-3246. Summary of Progress:Summary of Progress:Summary of Progress:Summary of Progress:

While the data presented in the earlier section paints a dire picture of the oral health status of many Kentuckians, particularly those residing in our rural areas, much progress has been made over the past few years in the area of prevention of oral disease. This progress has been achieved through partnerships developed throughout the Commonwealth; partnerships that range from local community health departments to Kentucky's universities, from the medical community and private business to Kentucky's diverse faith communities and schools from Pikeville to Paducah. First, the "front-line" of public health, Kentucky's local health departments have joined together with the state health department to address some of these concerns at the community level. The KIDS SMILE Children's Oral Screening and Fluoride Varnish Application Program has increased the number of children (aged 0 to 5) who have received oral health screenings and topical applications of fluoride varnish since its inception in FY04. Certified local health department nurses have provided over 67,000 dental varnish applications and oral screenings throughout the state as of March 2006. Fluoride varnish kits are provided at no charge to local health department partners through a contract with the University of Kentucky, College of Dentistry.

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2002 Regional Comparison of Adult Dissatisfaction with Ability to Chew and Appearance of Teeth

Dissatisfied with ability to chew Dissatisfied with appearance of teeth



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Also in collaboration with local health departments, Kentucky has begun a sealant program for the purpose of encouraging these front-line public health agencies and local dental professionals to work together to combat childhood decay in permanent molars.

In 2003, Kentucky received its first round of funding from the Health Resources Services Administration, Maternal and Child Health Bureau, through the Oral Health Collaborative Systems Grant program, supporting oral health infrastructure activities at the state level. This funding, currently at $65,000 per year, has allowed for Kentucky to undertake a Dental Professional Workforce Study, completed in collaboration with the University of Louisville, School of Dentistry and the School of Public Health and Information Sciences. Additional programs funded through this venue include the Children's Oral Health Surveillance System, an on-going visual screening of Kentucky 3rd and 8th graders, providing data not only on oral health status but also including height and weight, providing the ability to calculate Body Mass Index. Beyond the immediate influence of state government and in partnership with Kentucky's flagship universities, the vision to improve regional access to oral health care throughout the Commonwealth has also enjoyed success. Regional Centers for Oral Health Care are now operational in two Kentucky cities, Hazard and Madisonville. Other sites throughout Kentucky's rural areas are planned for the future. Community support for these ventures has been unprecedented, affirming the need for care that many rural Kentucky communities face and their realization that good oral health care has positive economic benefits. In addition to providing direct oral health care services, these regional oral health care centers provide cutting-edge preventative, restorative and education programs to community members, addressing issues such as periodontal care during pregnancy and the benefits of regular oral health care for those suffering from early childhood caries, diabetes and cardiovascular disease. On a smaller scale, local communities have collaborated to bring oral health services to their citizens across the state. Faith communities and local providers have joined together to open clinics in churches, schools and hospitals, during the evening and on the weekends.. Dental professionals have volunteered their time and expertise to serve children and those who have "fallen through" the safety net. And mobile dental units are planned for many communities, bringing the services to the people. All of these partners came together in 2004 to develop this document which was also made possible through funding provided by Kentucky's Oral Health Collaborative Systems Grant. Bringing together so many of Kentucky's key professionals in the area of oral health, education, rural outreach and strategic planning has been a wonderful process for state oral health staff. We wish to thank all who contributed to this document which will surely make a difference in the health of all Kentuckians.


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Mission

Assure Oral Health for Kentucky

Vision

Healthy Kentucky Smiles: A Lifetime of Oral Health

Values We Believe:

1. Oral health is an integral part of an overall preventive health lifestyle. 2. Oral health is an essential component of overall health. 3. Professional oral care is an important part of the health care delivery system. 4. Access to care is essential.

5. The pursuit of health is a right. 6. Oral health is an economic development issue. 7. People have a personal responsibility for their own wellness.

a. Individuals are responsible for their own well-being. b. Parents and caregivers have a responsibility.

8. We all (the community) have a responsibility to promote health in our communities. 9. The profession has an obligation to work toward the improvement of oral health for all. 10. Prevention is the “cornerstone” of community health. 11. Oral health is achievable. 12. Oral health education is important in the training of all health care providers and oral health

consumer education is imperative. 13. Poverty is a barrier to health (oral) and access. 14. Oral health problems are systemic societal problems. 15. Oral Health primary prevention should start early in life. 16. Children’s oral health is a foundation for a healthy lifetime. 17. Volunteerism is practiced by many Kentucky dentists, through faith-based and non-faith-based

venues and by their acceptance of patients with public insurance. 18. Oral Health assessment is a basis to drive scarce resource allocation.


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Situation Assessment The following Strengths, Weaknesses, Threats and Opportunities were identified by the statewide stakeholders.

STRENGTHS

1. Dental Schools and other universities in Kentucky provide outreach and a high quality of care.

2. Early childhood funding through Kentucky's Federal Tobacco Settlement creates numerous opportunities.

3. Partnerships with state/local health departments, faith-based communities, Area Health Education Centers (AHEC), Schools and Colleges of Dentistry and Medicine, dental education programs, various professional healthcare groups and extension services, local clinics, as well as community, civic and local government groups, media, The Kentucky Department for Education, a variety of professional associations, Family Resource Centers, the Kentucky Dental Association (KDA), the Kentucky Dental Health Association (KDHA), private foundations, the Kentucky School of Osteopathic Medicine and more.

4. Water fluoridation levels in Kentucky are among the highest in the nation.

5. State-level programs, including dental sealants, fluoride varnish application, spit tobacco cessation, tobacco cessation and the provision of fluoride supplements.

6. Cross training potential for oral health knowledge (for educators, health providers and through the HANDS Voluntary Home Visitation Program staff)

7. Mobile clinics (in some areas) with portable equipment for outreach care.

8. Quality dental providers and quality dental care in many parts of the Commonwealth.

9. The general supervision of hygienists and expanded function laws.

10. The Children's and Adult's Oral Health Surveys, accomplished in 2001 and 2002 respectively.

11. Kentucky's current administration is willing to talk about taxing for improved health and who personally have interest in health issues.

12. Kentucky's First Lady is supportive and interested in health issues.

13. The existence of Family Resource and Youth Service Centers (FRYSC); an excellent way to provide outreach to communities across Kentucky.


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STRENGTHS Cont.

14. Head Start, Healthy Start and other Early Childhood Development initiatives

15. The fact that other health professionals are beginning to see the importance of, and receiving training in oral health issues.

16. Excellent leadership from the State Administrator of the Oral Health Program.

17. Partnership with American Association of Retired Persons (AARP).

18. The ability of nurses (RN's and LPN's) to screen children and apply fluoride varnish in local health departments.

19. The fact that strong state oral health initiatives have led to local initiatives. People are beginning to recognize the problem and want to improve oral health.

20. Existing clinics offer health care to disparate populations but many more are needed.

21. Family orientation and the importance of family in Kentucky offers opportunities for oral health education and advocacy.

22. The existence of the Health Education through Extension Leadership (HEEL) Program – which reaches beyond university walls to improve health outcomes and reduce the burden of chronic disease for all Kentuckians at the local, regional, and state levels.

23. A strong history of collaborations and coalitions on which to build.

CHANGE OPPORTUNITIES/WEAKNESSES

1. Appropriate funding for insurance plan benefits, more appropriate reimbursement for services. (54)

a. Medicaid adequately funded

b. Parity and private insurance

c. Adequate and appropriate funding for local health departments oral health efforts

2. Advocacy for oral health (34)

a. Develop strong advocacy groups – local, regional, and state.

b. Utilize corporate partnerships to provide visibility to the importance of oral health and increase the opportunities for social marketing and advocacy.


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CHANGE OPPORTUNITIES/WEAKNESSES Cont.

3. Workforce Issues: (23)

a. Not enough providers for low-income citizens.

b. Need for providers in rural areas ‘maldistribution’.

c. Dentists may not want to serve children – need for pediatric dentists.

d. Need for "provider buy-in" by dental professionals – i.e. sealants as prevention.

e. Age of current dental provider cohort who may retire in the next decade or before.

f. An updated workforce policy and the need for a dental healthcare workforce plan.

g. The need for a healthcare workforce plan for physicians, nurses, nutritionists and health educators, as well as other medical professionals.

h. Not enough training for health care providers, misallocation of providers.

i. Additional year requirement for dental students (5th year) for the purpose of

public service experience.

4. Create mid-level practitioner and increase expanded functions. (22)

a. Mid-level practitioner in schools.

5. Cultural issues (20)

a. Education, values, disparities in Kentucky with regard to health and health care.

b. Education on the importance of oral health is needed (for children, parents, grandparents).

6. Tear down “silos” (provider groups-funding sources). (18)

7. More aggressive prevention strategies (example - varnish, sealants). (18)

8. Regional safety nets are needed. (14)

a. Safety net resources.

9. Oral health integrated into overall health – Community Healthcare System. (10)


19


10. Focus public attention on the positive side of oral health. (8)

a. Increase public awareness of “healthy” food choices (particularly in schools).

b. Impact school nutrition – vending machines.

c. Increase public awareness of the negative effects of tobacco use.

d. Decrease use and delay onset of tobacco use.

e. Spit tobacco education – a real problem for kids in school that are using it.

11. Utilize under-utilized resources such as: (8)

a. AHECs and HANDs staff, (generally more cross-training).

b. Need to increase the variety of health providers who are oral health advocates. HANDS, home health, university curriculums (for nurses, physicians, etc.).

c. School nurse participation with oral health.

d. Community health centers and clinics.

12. Create interdisciplinary curricula in academic medical centers; impress upon all disciplines the necessity for integrated approach. (5)

13. Case management – need for a "dental home”. (2)

14. Financial incentives (loans, scholarships, equipment) for distribution of providers;

a. to attract providers

b. for students in dental school

c. county-level advocacy for dental providers to locate in rural areas.

15. Economic development benefits.

a. Community awareness.

b. Tie wellness with economic progress and stability.

16. Dental school link with College of Agriculture and Extension Service.

17. Impact of oral health on preterm low birth weight infants and periodontal care for pregnant women.


20


18. Tobacco tax for oral health.

19. Special needs for geriatric population.

20. Lack of access to optimal oral health sources.

21. Lack of statewide oral health infrastructure.

22. Dental education current lacks diversity and needs empathy training. Teaching methods using standardized patients might improve this experience.

23. Educate Medicaid patients on how to be better patients and reduce "red-tape" for dentists to increase provider participation.

24. Too few mobile dental units in areas of need.

25. Need reliable indicators of oral health.

26. Must link strategies to Healthy Kentucky 2010.

27. More data is needed to look at population-based oral health issues. Medicaid and private providers have so much information that we don’t have access to.

28. Need focus groups of low income people to determine barriers.

29. Need more oral health educators for health promotion and disease prevention in schools.

(#) indicates the number of priority votes this issue/initiative received from the planning committee.


21

THREATS

1. Kentucky has a culture of toothlessness – people do not want care because of fear or perceptions.

2. The disease state is often just used to obtain medications.

3. Non-integrated and limited oral health system; Medicaid and dentists oppose each other.

4. Existing manpower is not being used effectively, provider shortages are imminent.

5. Continued economic down-turn pervasive.

6. Attitude toward oral health – public and policy makers.

a. Lack of organization which is a barrier to advocacy

b. Resulting lack of funding.

c. “It’s all about turf”.

7. Shift in funding focus – “whimsy” of categorical funding.

8. Inertia abounds.

9. Lack of “buy-in” as to seriousness of the issue by many people.

10. Discussion becomes divisive.

11. “Splintering” effect of advocates who disagree.

12. Failure to respond to cultural changes in Kentucky.

13. Continuation of unfunded federal mandates.

14. Lack of availability of care for children with special needs.

15. Ignorance of oral mechanisms of disease – need for more education.


22

THREATS cont.

16. Most Kentucky counties are Dental HPSA's but are not officially delegated as such.

17. Medicaid dental fraud cases are not receiving adequate attention.

18. Lack of public health perspective among dentists.

19. Inaccurate interpretation of provider utilization by payer source.

20. Oral health should be better supported financially by all branches of State Government.


23232323

Advocacy The advocacy work group identified the following goals and objectives for the statewide plan:

Goal 1.0 Develop and administer government policy and programs that address oral health as a full component of overall health for eligible populations.

• Organize an oral health legislative campaign to heighten oral health awareness by January 2007.

• Develop an Oral Health Advocacy Network to enhance the "switchboard effect" for oral health issues.

• Increase oral health state funding from $ 2 million in 2005 to $ 6 million by July 1, 2010. (Funding)* • Increase Kentucky Medicaid fees from the present levels to the 75th

percentile of usual and customary fees by January 1, 2010. (Funding) • Review of public health statutes and policies that may be perceived as

barriers to integration of oral health into primary care at the local level. (Partnerships)

• Require dental screening upon entry into early care and education by passage of necessary legislation by February 2007. (School-Based Coordination)

Goal 2.0 Elevate the importance of oral health in the public discourse about health status in Kentucky.

• Develop a single, strong, powerful message that connects oral health as an important component of overall physical health by October 2007.

* Some objectives will be accomplished by working in conjunction with one or more of the other workgroups as listed in parenthesis.

Advocacy

A


24242424

The Advocacy Workgroup

Larry Hill, Chair

Lacey McNary, Co-Chair Bob Brooks Susan Fister Charles Ross

Katrina Thompson Sharon Turner

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

25 2525

25

Stra

tegi

c In

itiat

ive

Are

a ~

Adv

ocac

y G

oal 1

.0

Dev

elop

and

adm

inis

ter

gove

rnm

ent p

olic

y an

d pr

ogra

ms t

hat a

ddre

ss o

ral h

ealth

as a

full

com

pone

nt o

f ove

rall

heal

th fo

r el

igib

le p

opul

atio

ns.

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

1.1

Org

aniz

e an

ora

l hea

lth le

gisl

ativ

e ca

mpa

ign

to h

eigh

ten

oral

hea

lth

awar

enes

s by

Janu

ary

2007

.

Adv

ocac

y W

orkg

roup

K

entu

cky

Den

tal H

ealth

Coa

litio

n K

entu

cky

Den

tal A

ssoc

iatio

n K

entu

cky

Ora

l Hea

lth P

rogr

am

• K

entu

cky

mus

t hav

e a

legi

slat

ure

that

is w

illin

g an

d ab

le to

revi

ew

oral

hea

lth is

sues

.

• G

roup

s wor

king

at t

he le

gisl

ativ

e le

vel m

ust a

ppro

ach

this

co

llabo

rativ

ely

and

in a

n or

gani

zed

man

ner.

•

The

plan

mus

t be

supp

orte

d by

the

KD

A

• M

oney

•

Polit

ics

• Ec

onom

y an

d w

ar e

ffor

ts.

• M

agni

tude

of t

he ta

sk a

t han

d.

• Le

gisl

ativ

e an

d pu

blic

inte

rest

. •

Fund

s to

lobb

ying

(fou

ndat

ions

ca

n no

t fun

d th

is e

ffor

t).

1.2.

Dev

elop

an

Ora

l Hea

lth A

dvoc

acy

Net

wor

k to

enh

ance

the

“sw

itchb

oard

eff

ect”

for o

ral h

ealth

is

sues

. A

dvoc

acy

Wor

kgro

up

Ken

tuck

y D

enta

l Hea

lth C

oalit

ion

Ken

tuck

y D

enta

l Ass

ocia

tion

Ken

tuck

y D

enta

l Hyg

ieni

st A

ssoc

iatio

n

• V

ario

us g

roup

s mus

t col

labo

rate

. •

Coo

rdin

atio

n by

lead

gro

up fo

r ad

voca

cy n

etw

ork

man

agem

ent.

• V

olun

teer

s with

div

erse

ba

ckgr

ound

s nec

essa

ry a

s

ad

voca

tes.

•

Var

ious

way

s to

com

men

t (i.e

. in

tern

et, p

hone

, writ

ten)

mus

t be

avai

labl

e.

• N

eed

a co

ordi

nato

r. •

Apa

thy

amon

g vo

lunt

eers

. •

Lack

of c

oord

inat

ion

of sy

stem

. •

Lack

of s

uppo

rt fr

om o

ther

ad

voca

cy g

roup

s.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

26 2626

26

Stra

tegi

c In

itiat

ive

Are

a ~

Adv

ocac

y G

oal 1

.0

Dev

elop

and

adm

inis

ter

gove

rnm

ent p

olic

y an

d pr

ogra

ms t

hat a

ddre

ss o

ral h

ealth

as a

full

com

pone

nt o

f ove

rall

heal

th fo

r el

igib

le p

opul

atio

ns. (

cont

inue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

1.3

Inc

reas

e th

e or

al h

ealth

stat

e fu

ndin

g fr

om $

2 m

illio

n in

200

5 to

$

6 m

illio

n by

July

1, 2

010.

K

entu

cky

Ora

l Hea

lth P

rogr

am

• A

legi

slat

ive

spon

sor m

ust b

e id

entif

ied

and

oral

hea

lth

educ

atio

n m

ust t

ake

plac

e pr

ior

to th

e su

bmis

sion

of a

bill

.

• Th

e D

PH a

nd S

trate

gic

Plan

ning

W

orkg

roup

mus

t hav

e a

busi

ness

pl

an fo

r pro

gram

im

plem

enta

tion.

• M

ajor

den

tal a

ssoc

iatio

ns a

nd

coal

ition

s mus

t sup

port

this

in

itiat

ive.

• D

iscu

ssio

n an

d vi

ews m

ust b

e ta

ken

into

con

side

ratio

n pr

ior t

o th

e le

gisl

ativ

e se

ssio

n.

• A

lso

barr

iers

stat

ed in

Obj

ectiv

e 1.

1.

1.4.

Incr

ease

Ken

tuck

y M

edic

aid

fees

fr

om th

e pr

esen

t lev

els t

o th

e 75

th

perc

entil

e of

usu

al a

nd c

usto

mar

y fe

es (a

s re

porte

d by

the

Am

eric

an D

enta

l A

ssoc

iatio

n fo

r Ken

tuck

y's r

egio

n) b

y Ja

nuar

y 1,

201

0.

Ken

tuck

y D

enta

l Ass

ocia

tion

Ora

l Hea

lth P

rogr

am

• R

equi

res a

dditi

onal

fund

ing.

The

le

gisl

atur

e m

ust b

e w

illin

g to

ad

dres

s thi

s soc

ieta

l pro

blem

by

prov

idin

g th

e ad

equa

te fu

ndin

g ne

cess

ary

to su

ppor

t thi

s pro

gram

.

• Le

gisl

ativ

e A

ctio

n R

equi

red.

1.5.

Rev

iew

of p

ublic

hea

lth st

atut

es a

nd

polic

ies t

hat m

ay b

e pe

rcei

ved

as b

arrie

rs

to in

tegr

atio

n of

ora

l hea

lth in

to p

rimar

y ca

re a

t the

loca

l lev

el.

Ora

l Hea

lth P

rogr

am

Partn

ersh

ip a

nd C

olla

bora

tion

Wor

kgro

up

Adv

ocac

y W

orkg

roup

• In

clus

ion

of c

ruci

al p

rofe

ssio

ns in

re

view

pro

cess

. •

Syst

emat

ic re

view

incl

udin

g ol

der

stat

utes

.

• U

norg

aniz

ed p

roce

ss.

• La

ck o

f sup

port

from

var

ious

he

alth

pro

fess

iona

l ass

ocia

tions

. •

Gen

eral

unw

illin

gnes

s to

chan

ge

curr

ent s

tatu

tes,

even

if

inco

nsis

tenc

ies a

re id

entif

ied.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

27 2727

27

Stra

tegi

c In

itiat

ive

Are

a ~

Adv

ocac

y G

oal 1

.0

Dev

elop

and

adm

inis

ter

gove

rnm

ent p

olic

y an

d pr

ogra

ms t

hat a

ddre

ss o

ral h

ealth

as a

full

com

pone

nt o

f ove

rall

heal

th fo

r el

igib

le p

opul

atio

ns. (

cont

inue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

1.6.

Req

uire

den

tal s

cree

ning

upo

n en

try

into

ear

ly c

are

and

educ

atio

n by

pas

sage

of

nec

essa

ry le

gisl

atio

n by

Feb

ruar

y 20

07.

Ken

tuck

y D

enta

l Coa

litio

n O

ral H

ealth

Pro

gram

K

entu

cky

Den

tal A

ssoc

iatio

n K

entu

cky

Den

tal H

ygie

nist

Coa

litio

n

• G

athe

r edu

catio

n an

d or

al h

ealth

da

ta to

doc

umen

t nee

d.

•

Gat

her d

ata

on b

enef

its o

f exa

ms

as o

ppos

ed to

scre

ens.

Als

o cr

iteria

for o

ptim

al sc

hedu

le fo

r sc

reen

ing

thro

ugh

the

child

hood

pe

riod.

• U

nder

stan

d w

ho is

aff

ecte

d by

the

regu

latio

n.

• Le

gisl

atio

n sh

ould

incl

ude

lang

uage

that

requ

ires f

ollo

w-u

p tre

atm

ent i

f ind

icat

ed.

•

Iden

tify

a sp

onso

r for

the

bill.

• Ef

forts

shou

ld b

e tie

d to

en

hanc

emen

t of t

reat

men

t sys

tem

. •

Com

mun

ity c

ontro

l of t

he “

mod

el

of c

are

and

treat

men

t”.

•

Is K

entu

cky’

s den

tal w

orkf

orce

ab

le to

pro

vide

trea

tmen

t?

•

Wha

t abo

ut c

ount

ies w

here

few

or

no p

rovi

ders

are

loca

ted?

To e

nsur

e su

cces

s with

legi

slat

ors,

the

follo

win

g w

ould

be

criti

cal:

•

Doc

umen

tatio

n of

nee

d •

Expl

anat

ion

of c

oord

inat

ed e

ffor

t •

How

scre

enin

g le

ads t

o tre

atm

ent

whi

ch th

en le

ads t

o po

sitiv

e ou

tcom

es.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

28 2828

28

Stra

tegi

c In

itiat

ive

Are

a ~

Adv

ocac

y G

oal 2

.0

Ele

vate

the

impo

rtan

ce o

f ora

l hea

lth in

the

publ

ic d

isco

urse

abo

ut h

ealth

stat

us in

Ken

tuck

y.

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

2.1.

Dev

elop

a si

ngle

, stro

ng, p

ower

ful

mes

sage

that

con

nect

s ora

l hea

lth a

s an

impo

rtant

com

pone

nt o

f ove

rall

phys

ical

he

alth

by

Oct

ober

200

7.

Adv

ocac

y W

orkg

roup

K

entu

cky

Den

tal H

ealth

Coa

litio

n K

entu

cky

Den

tal A

ssoc

iatio

n K

entu

cky

Den

tal H

ygie

nist

Ass

ocia

tion

O

ral H

ealth

Pro

gram

• In

tegr

atio

n of

mis

sion

, vis

ion,

and

va

lues

stat

emen

ts in

to o

vera

ll m

essa

ge.

•

Mes

sage

mus

t be

appr

opria

te fo

r al

l lev

els o

f citi

zenr

y an

d cl

early

de

fine

the

impo

rtanc

e of

opt

imal

or

al h

ealth

.

• Ti

me

nece

ssar

y fo

r dis

cuss

ion

and

fund

ing

to a

llow

for c

omm

ittee

m

eetin

gs.

•

Faci

litat

or m

ay b

e ne

cess

ary

to

assi

st g

roup

thro

ugh

the

proc

ess o

f cr

aftin

g a

stat

emen

t.

• In

volv

emen

t with

com

mun

icat

ion

prof

essi

onal

s to

assu

re m

essa

ge

clar

ity.


29292929

Economic Development The economic development work group identified the following goals and objectives for the statewide plan:

Goal 3.0: Communicate that good oral health has economic value.

• Determine the lifetime earning potential based on a healthy, aesthetic dentition; i.e. "A Smile-Value Study" undertaken by the University of Louisville, School of Dentistry by 2008.

• Require oral examination by dentists for welfare-to-work programs and other entitlements related to employment by 2010.

• Provide "Medicaid" or oral rehabilitation services for adults seeking employment by 2010.

• Reduce lost job productivity, secondary to absence from work due to dental disease of employees and/or their family members.

Goal 4.0: Communicate that dentistry is a business and has economic impact on communities.

• Demonstrate that dental offices are also employers in a community. • Recognize that dentistry has high set-up and operational costs. • Recognize the importance and value of a maintained and sustainable dental

practice to a community. • Encourage and recruit dental professionals to a community.

Goal 5.0: Build communities with high quality health infrastructures to attract and retain employers.

• Prepare state and local profiles, including oral health providers and services, and make these available to potential employers and the local citizenry.

Economic Dvlp

E


30303030

• Educate community economic development professionals and business leaders about the value of oral health as an integral part of business recruitment.

• Encourage local economic development efforts to determine health care interests of present and potential employers.

Goal 6.0: Increase the number of dental professionals to underserved areas to assure access to care.

• Call for the expansion of the National Health Service Corps to increase opportunities to additional sites by 2010.

• Reinstitute the National Health Service Corps provision of equipment for commissioned officers opening practices in underserved areas by 2010.

• License foreign-trained dentists that are willing to practice only in underserved areas.

• Create a variety of mid-level dental practitioners for extension of services to underserved areas.

• Complete the Kentucky Oral Health Workforce Analysis Study to determine where the dental manpower needs are by 2007. *(Workforce)


The Economic Development Workgroup

Lee Mayer, Chair Marybeth Crouch, Co-Chair

Jill Butters Charlene McGrath Julie Watts McKee Marquetta Poynter

Karkie Tackett David Willis

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

31 3131

31

Stra

tegi

c In

itiat

ive

Are

a ~

Eco

nom

ic D

evel

opm

ent

Goa

l 3.0

C

omm

unic

ate

that

goo

d or

al h

ealth

has

eco

nom

ic v

alue

. O

bjec

tive

Who

, Wha

t, W

hen

Cri

tical

Suc

cess

Fac

tors

and

Act

iviti

es

Bar

rier

s to

Succ

ess

3.1

Det

erm

ine

the

lifet

ime

earn

ing

pote

ntia

l bas

ed o

n a

heal

thy,

aes

thet

ic

dent

ition

; i.e

. "A

Sm

ile-V

alue

Stu

dy"

unde

rtake

n by

the

Uni

vers

ity o

f Lo

uisv

ille

Scho

ol o

f Den

tistry

by

2008

. U

L Sc

hool

of D

entis

try

• B

ase

stud

y sh

ould

rela

te to

ea

rnin

g po

tent

ial i

n th

e sa

me

way

as

edu

catio

nal l

evel

atta

ined

in

fluen

ces f

utur

e ea

rnin

g.

• La

ck o

f fun

ding

.

3.2

Req

uire

ora

l exa

ms b

y de

ntis

ts fo

r w

elfa

re-to

-wor

k pr

ogra

ms a

nd o

ther

en

title

men

ts re

late

d to

em

ploy

men

t by

2010

. K

entu

cky

Den

tal A

ssoc

iatio

n K

entu

cky

Den

tal H

ygie

nist

s Ass

ocia

tion

Ken

tuck

y O

ral H

ealth

Pro

gram

• Sh

ould

be

stru

ctur

ed si

mila

rly to

cu

rren

t phy

sica

l and

dru

g ex

ams.

• La

ck o

f fun

ding

. •

Coo

pera

tion

of re

cipi

ents

. •

Coo

pera

tion

of p

rovi

ders

.

3.3

Pro

vide

"Med

icai

d" o

r Ora

l R

ehab

ilita

tion

serv

ices

for a

dults

seek

ing

empl

oym

ent b

y 20

10.

Ken

tuck

y D

enta

l Ass

ocia

tion

Ken

tuck

y D

enta

l Hyg

ieni

sts A

ssoc

iatio

n K

entu

cky

Den

tal H

ealth

Coa

litio

n

• C

oope

ratio

n fr

om th

e K

entu

cky

Dep

artm

ent o

f Edu

catio

n-R

ehab

ilita

tion.

(N

ote:

The

se

serv

ices

wer

e pr

evio

usly

pr

ovid

ed).

• La

ck o

f fun

ding

. •

Lack

of p

rovi

ders

.

3.4

Red

uce

lost

job

prod

uctiv

ity

seco

ndar

y to

abs

ence

from

wor

k du

e to

de

ntal

dis

ease

of e

mpl

oyee

s and

/or

fam

ily m

embe

rs.

• Ed

ucat

e w

ork

forc

e on

ora

l hea

lth

and

prev

entio

n.

• En

cour

age

purc

hase

and

use

of

dent

al in

sura

nce.

• N

o in

sura

nce.

•

Lack

of p

rovi

ders

.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

32 3232

32

Stra

tegi

c In

itiat

ive

Are

a ~

Eco

nom

ic D

evel

opm

ent

Goa

l 4.0

C

omm

unic

ate

that

den

tistr

y is

a b

usin

ess a

nd h

as e

cono

mic

impa

ct o

n co

mm

uniti

es

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

4.1

Dem

onst

rate

that

den

tal o

ffice

s are

als

o em

ploy

ers i

n a

com

mun

ity a

nd k

eep

dolla

rs a

t hom

e.

Ken

tuck

y D

enta

l Ass

ocia

tion

Ora

l Hea

lth P

rogr

am

• Pr

esen

t dat

a fr

om th

e A

mer

ican

D

enta

l Ass

ocia

tion

artic

le a

bout

th

e va

lue

and

impa

ct o

f the

de

ntis

try p

rofe

ssio

n.

• Is

olat

ion

of d

entis

try fr

om th

e re

st

of th

e bu

sine

ss a

nd/o

r hea

lth c

are

com

mun

ity.

4.2

Rec

ogni

ze th

at d

entis

try h

as h

igh

set-

up a

nd o

pera

tiona

l cos

ts.

Ken

tuck

y D

enta

l Ass

ocia

tion

Ora

l Hea

lth P

rogr

am

• Th

e lo

cal C

ham

ber o

f Com

mer

ce

and

finan

cial

com

mun

ity

mem

bers

mus

t sup

port

this

pr

ojec

t.

• Is

olat

ion

of th

e pr

ofes

sion

.

• Th

e co

nnot

atio

n of

"ric

h de

ntis

ts".

4.3

Rec

ogni

ze th

e im

porta

nce

and

valu

e of

a m

aint

aine

d an

d su

stai

nabl

e de

ntal

pr

actic

e to

a c

omm

unity

. K

entu

cky

Den

tal A

ssoc

iatio

n O

ral H

ealth

Pro

gram

• Pe

ople

like

to se

e th

e "s

ame"

de

ntis

ts, n

ot a

lway

s a n

ew o

ne.

Si

mila

rly, t

hey

pref

er lo

cal

phys

icia

ns to

one

s cyc

ling

thro

ugh.

• Fi

nanc

es

• Q

ualit

y of

Life

. •

Get

ting

grad

uate

s to

retu

rn to

rura

l ar

eas a

nd e

cono

mic

ally

dep

ress

ed

neig

hbor

hood

s.

4.4

Enco

urag

e an

d re

crui

t den

tal

prof

essi

onal

s to

a co

mm

unity

. O

ral H

ealth

Pro

gram

K

entu

cky

Boa

rd o

f Den

tistry

• G

ive

econ

omic

ince

ntiv

es to

de

ntal

pro

fess

iona

ls p

ract

icin

g in

a

com

mun

ity w

ith a

den

tal

prof

essi

onal

shor

tage

. (i.

e. lo

an

repa

ymen

t, M

edic

aid

paym

ents

) •

Cre

ate

ente

rpris

e zo

nes.

• Fi

nanc

es

• Q

ualit

y of

Life

. •

Livi

ng c

ondi

tions

. •

Legi

slat

ion

requ

ired.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

33 3333

33

Stra

tegi

c In

itiat

ive

Are

a ~

Eco

nom

ic D

evel

opm

ent

Goa

l 5.0

B

uild

com

mun

ities

with

hig

h qu

ality

hea

lth in

fras

truc

ture

s to

attr

act a

nd r

etai

n em

ploy

ers.

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

5.1

Prep

are

stat

e an

d lo

cal p

rofil

es,

incl

udin

g or

al h

ealth

pro

vide

rs a

nd

serv

ices

, and

mak

e th

ese

avai

labl

e to

po

tent

ial e

mpl

oyer

s and

the

loca

l ci

tizen

ry.

Mon

itor c

hang

ing

dem

ogra

phic

s of K

entu

cky

coun

ties.

Ora

l Hea

lth P

rogr

am

Econ

omic

Dev

elop

men

t Wor

kgro

up

Ken

tuck

y D

enta

l Ass

ocia

tion

• R

equi

res a

com

bine

d ef

fort

of a

ll lo

cal a

nd st

ate

agen

cies

, pr

ovid

ers.

Em

ploy

ees w

ant

serv

ices

and

em

ploy

ers w

ant

heal

thy

empl

oyee

s.

• U

tiliz

e K

entu

cky

Stat

e D

ata

Cen

ter f

or o

n-go

ing

mon

itorin

g ac

tiviti

es o

f tar

get p

opul

atio

ns.

• La

ck o

f int

eres

t. •

No

one

assi

gned

to ta

ke o

n th

is

proj

ect.

• M

ay n

ever

hav

e be

en th

ough

t of

as a

recr

uitm

ent t

ool.

5.2

Educ

ate

com

mun

ity e

cono

mic

de

velo

pmen

t pro

fess

iona

ls a

nd b

usin

ess

lead

ers a

bout

the

valu

e of

ora

l hea

lth a

s an

inte

gral

par

t of b

usin

ess r

ecru

itmen

t. O

ral H

ealth

Pro

gram

Ec

onom

ic D

evel

opm

ent W

orkg

roup

K

entu

cky

Den

tal A

ssoc

iatio

n

• Pr

ovid

e tra

inin

g us

ing

mat

eria

ls

deve

lope

d fr

om p

revi

ous o

bjec

tive

(5.1

).

• M

ust c

omm

unic

ate

valu

e an

d im

porta

nce

of o

ral h

ealth

as a

par

t of

ove

rall

heal

th.

5.3

Enco

urag

e lo

cal e

cono

mic

de

velo

pmen

t eff

orts

to d

eter

min

e he

alth

ca

re in

tere

sts o

f pre

sent

and

pot

entia

l em

ploy

ers.

Econ

omic

Dev

elop

men

t Wor

kgro

up

Ora

l Hea

lth P

rogr

am

Ken

tuck

y D

enta

l Ass

ocia

tion

• A

rea

deve

lopm

ent d

istri

cts a

nd

recr

uite

rs sh

ould

che

ck su

ch

inte

rest

s.

• C

an th

e co

mm

unity

pro

vide

the

requ

ired

bene

fits?

• If

the

reas

on fo

r thi

s que

stio

n is

no

t cle

ar to

em

ploy

ers,

this

cou

ld

be a

bar

rier t

o an

acc

urat

e re

spon

se.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

34 3434

34

Stra

tegi

c In

itiat

ive

Are

a ~

Eco

nom

ic D

evel

opm

ent

Goa

l 6.0

I

ncre

ase

the

num

ber

of d

enta

l pro

fess

iona

ls to

und

erse

rved

are

as to

ass

ure

acce

ss to

car

e.

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

6.1

Cal

l for

the

expa

nsio

n of

the

Nat

iona

l H

ealth

Ser

vice

Cor

ps to

incr

ease

op

portu

nitie

s to

addi

tiona

l site

s by

2010

. K

entu

cky

Den

tal A

ssoc

iatio

n W

orkf

orce

Dev

elop

men

t Wor

kgro

up

Ken

tuck

y O

ral H

ealth

Pro

gram

• D

enta

l Hea

lth P

rofe

ssio

nal

Shor

tage

Are

a de

sign

atio

ns n

eed

to b

e up

date

d to

refle

ct th

e tru

e ac

cess

-to-c

are

need

s acr

oss

Ken

tuck

y.

•

Gua

rant

ee re

crui

tmen

t to

high

-ne

ed lo

catio

ns th

roug

h lo

an

repa

ymen

t off

ers u

pon

sign

-up.

• B

urea

ucra

cy

• La

ck o

f fun

ding

for s

taff

ing

to

wor

k on

HPS

A d

esig

natio

ns.

• Po

litic

s ass

ocia

ted

with

HPS

A

desi

gnat

ions

.

6.2

Rei

nstit

ute

the

Nat

iona

l Hea

lth

Serv

ice

Cor

ps p

rovi

sion

of e

quip

men

t for

co

mm

issi

oned

off

icer

s ope

ning

pra

ctic

es

in u

nder

serv

ed a

reas

by

2010

.

• H

isto

ry o

f suc

cess

in K

entu

cky,

pa

rticu

larly

for v

ery

rura

l pr

actic

es.

Two

dent

al o

pera

torie

s an

d st

art-u

p eq

uipm

ent u

sed

to b

e pr

ovid

ed.

• La

ck o

f fun

ding

.

6.3

Lice

nse

fore

ign

train

ed d

entis

ts th

at

are

will

ing

to p

ract

ice

only

in

unde

rser

ved

area

s. K

entu

cky

Den

tal A

ssoc

iatio

n

• So

me

stat

es a

llow

this

now

, es

peci

ally

for p

artic

ular

po

pula

tions

and

loca

litie

s.

• Le

gisl

atio

n ne

cess

ary.

•

Am

eric

an D

enta

l Ass

ocia

tion.

•

Are

cre

dent

ials

suff

icie

nt?

• A

dequ

ate

train

ing

in fo

reig

n sc

hool

s?

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

35 3535

35

Stra

tegi

c In

itiat

ive

Are

a ~

Eco

nom

ic D

evel

opm

ent

Goa

l 6.0

I

ncre

ase

the

num

ber

of d

enta

l pro

fess

iona

ls to

und

erse

rved

are

as to

ass

ure

acce

ss to

car

e.

(c

ontin

ued)

O

bjec

tive

Who

, Wha

t, W

hen

Cri

tical

Suc

cess

Fac

tors

and

Act

iviti

es

Bar

rier

s to

Succ

ess

6.4

Cre

ate

a va

riety

of m

id-le

vel d

enta

l pr

actit

ione

rs fo

r ext

ensi

on o

f ser

vice

s to

unde

rser

ved

area

s. K

entu

cky

Den

tal A

ssoc

iatio

n U

nive

rsity

of K

entu

cky

Col

lege

of D

entis

try

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of D

entis

try

• Th

is h

as o

ccur

red

in o

ther

co

untri

es a

nd in

rem

ote

area

s of

Ala

ska.

•

AD

A a

nd A

DH

A w

ould

hav

e to

be

coo

pera

tive.

• In

tern

al p

oliti

cs/s

cope

of p

ract

ice

issu

es.

• Tr

aini

ng, s

uper

visi

on, s

anct

ioni

ng

prac

tice

loca

tions

. •

Publ

ic in

terp

reta

tion.

6.5

Com

plet

e th

e K

entu

cky

Ora

l Hea

lth

Wor

kfor

ce A

naly

sis S

tudy

to d

eter

min

e w

here

the

need

s are

by

late

200

7.

Ora

l Hea

lth P

rogr

am

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of D

entis

try

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of P

ublic

Hea

lth

and

Info

rmat

ion

Scie

nces

• C

omm

issi

oned

by

the

Dep

artm

ent

for P

ublic

Hea

lth a

nd u

nder

take

n by

the

Uni

vers

ity o

f Lou

isvi

lle,

Col

lege

of D

entis

try st

artin

g Fa

ll of

200

4.

• N

eeds

to b

e co

mpl

eted

with

in th

e th

ree-

year

per

iod

of th

e H

RSA

gr

ant s

uppo

rting

the

proj

ect (

Ora

l H

ealth

Col

labo

rativ

e Sy

stem

s G

rant

).

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

36 3636

36

in

tent

iona

l blan

k pa

ge


37373737

Funding The funding work group identified the following goals and objectives for the statewide plan: Goal 7.0: Increase available funding for oral health to increase access to care.

• Carve out dental Medicaid Program and establish a single payer system for dental services by December 2006.

• Increase Kentucky Medicaid fees from the present levels to the 75th percentile of usual and customary fees by January 1, 2010.

• Increase oral health state funding from $ 2 million in 2005 to $ 6 million by July 1, 2010.

• Investigate additional federal grants specific to oral health access to care and collaborative partnerships annually; particularly for special populations.

• Investigate private foundation funding opportunities in oral health improvement for disparate populations.

The Funding Workgroup

Fred Howard, Chair

Tim Feeley, Co-Chair Mary Sue Flora Cliff Maesaka Mike Porter

Funding

F

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

38 3838

38

Stra

tegi

c In

itiat

ive

Are

a ~

Fun

ding

G

oal 7

.0

Inc

reas

e av

aila

ble

fund

ing

for

oral

hea

lth to

incr

ease

acc

ess t

o ca

re.

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

7.1.

C

arve

out

den

tal M

edic

aid

Prog

ram

an

d es

tabl

ish

a si

ngle

pay

er s

yste

m fo

r de

ntal

serv

ices

by

Dec

embe

r 200

6.

Ora

l Hea

lth P

rogr

am

• Su

ppor

t of G

over

nor,

Secr

etar

y of

H

ealth

and

Hum

an S

ervi

ces a

nd

Stat

e Le

gisl

atur

e.

• Su

ppor

t of t

he p

rofe

ssio

n.

• La

ck o

f sup

port

of G

over

nor,

Secr

etar

y of

Hea

lth a

nd H

uman

Se

rvic

es a

nd S

tate

Leg

isla

ture

.

7.2.

Incr

ease

Ken

tuck

y M

edic

aid

fees

fr

om th

e pr

esen

t lev

els t

o th

e 75

th

perc

entil

e of

usu

al a

nd c

usto

mar

y fe

es (a

s re

porte

d by

the

Am

eric

an D

enta

l A

ssoc

iatio

n fo

r Ken

tuck

y's r

egio

n) b

y Ja

nuar

y 1,

201

0.

Ken

tuck

y D

enta

l Ass

ocia

tion

Ora

l Hea

lth P

rogr

am

• R

equi

res a

dditi

onal

fund

ing.

The

le

gisl

atur

e m

ust b

e w

illin

g to

ad

dres

s thi

s soc

ieta

l pro

blem

by

prov

idin

g ad

equa

te fu

ndin

g ne

cess

ary

to su

ppor

t thi

s pro

gram

.

• Le

gisl

ativ

e ac

tion

requ

ired.

7.3.

Incr

ease

in o

ral h

ealth

stat

e fu

ndin

g fr

om $

2 m

illio

n in

200

5 to

$ 6

mill

ion

by

July

1, 2

010.

K

entu

cky

Den

tal A

ssoc

iatio

n O

ral H

ealth

Pro

gram

• Th

e D

epar

tmen

t for

Pub

lic H

ealth

an

d St

rate

gic

Plan

ning

W

orkg

roup

mus

t hav

e a

solid

pl

an fo

r util

izat

ion

of th

e ad

ditio

nal f

undi

ng a

nd a

bus

ines

s pl

an fo

r pro

gram

impl

emen

tatio

n.

• M

ajor

den

tal a

ssoc

iatio

ns a

nd

coal

ition

s mus

t go

into

the

legi

slat

ive

sess

ion

supp

ortin

g th

is

initi

ativ

e.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

39 3939

39

Stra

tegi

c In

itiat

ive

Are

a ~

Fun

ding

G

oal 7

.0

Inc

reas

e av

aila

ble

fund

ing

for

oral

hea

lth to

incr

ease

acc

ess t

o ca

re.

(con

tinue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

7.4.

Inv

estig

ate

fede

ral g

rant

s spe

cific

to

oral

hea

lth a

cces

s to

care

and

co

llabo

rativ

e pa

rtner

ship

s ann

ually

; pa

rticu

larly

for s

peci

al p

opul

atio

ns.

O

ral H

ealth

Pro

gram

K

entu

cky

Den

tal A

ssoc

iatio

n

• A

dequ

ate

stat

e de

ntal

pro

gram

th

at c

an d

irect

thes

e pr

ogra

ms.

•

Lack

of a

cen

tral r

esou

rce

that

can

pu

rsue

and

dire

ct th

ese

effo

rts.

7.5.

In

vest

igat

e pr

ivat

e fo

unda

tion

fund

ing

oppo

rtuni

ties i

n or

al h

ealth

im

prov

emen

t for

dis

para

te p

opul

atio

ns.

Ora

l Hea

lth P

rogr

am

• U

tiliz

atio

n of

an

orga

niza

tion

such

as t

he K

entu

cky

Den

tal

Hea

lth C

oalit

ion

to fi

nd th

ese

reso

urce

s and

to d

irect

thei

r use

.

• K

entu

cky

Den

tal H

ealth

Coa

litio

n la

cks a

dequ

ate

staf

f to

carr

y ou

t th

is fu

nctio

n.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

40 4040

40

inte

ntio

nal b

lank

page


41414141

Partnerships and Collaboration

The Partnerships and Collaboration work group identified the following goals and objectives for the statewide plan: Goal 8.0: To solicit, develop and nurture relationships with other organizations and associations to expand awareness of and expand the focus on oral health.

• Determine what organizations are currently providing (and interested in providing) regarding oral health care in Kentucky. Publish this assessment by September 2007.

• Identify agencies and organizations not currently involved but whose involvement would be beneficial to the provision of oral health services or advocacy efforts by September 2007.

• Establish at least five local and regional strategic oral health partnerships to develop coordinated oral health efforts by January 1, 2010.

• Identify potential community partners throughout Kentucky who are willing to invest in oral health wellness and disease prevention initiatives by March 2007.

• Develop a curriculum for the provision of basic oral health education, screening techniques and referral skills for non-dental professionals in Kentucky.* (Workforce)

• Review public health statutes and policies that may be perceived as barriers to integration of oral health into primary care at the local level.

• Provide multicultural oral health wellness resources to community partners by Fall 2007. (Public Health Education)

• Encourage community partners to coordinate oral health educational activities at established state-wide regional and local programs by July 2007. (Public Health Education)

Collaboration

C


42424242

Goal 9.0: To assist dental professionals to recognize signs of domestic violence observed in their patients, and to implement policies and procedures to reduce this burden on both patients and providers.

• Development and implementation of a continuing education program and resource materials to increase the recognition of domestic violence by dental professionals by December 2006. (DPH Special Initiative)


The Partnerships and Collaboration Workgroup

David Bolt, Chair Baretta Casey, Co-Chair

Morris Norfleet, Co-Chair

Mike Byrne Sandy Cleveland Dudley Conner Sandy Goodlett

Bob Henry David Hinson

Judy McCrackin Loretta Maldaner Rosie Miklavcic Carol Phebus

Linda Grace Piker Bonnie Tanner

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

43 4343

43

Stra

tegi

c In

itiat

ive

Are

a ~

Par

tner

ship

s and

Col

labo

ratio

n G

oal 8

.0

To

solic

it, d

evel

op a

nd n

urtu

re r

elat

ions

hips

with

oth

er o

rgan

izat

ions

and

ass

ocia

tions

to

expa

nd a

war

enes

s of a

nd e

xpan

d th

e fo

cus o

n or

al h

ealth

. O

bjec

tive

Who

, Wha

t, W

hen

Cri

tical

Suc

cess

Fac

tors

and

Act

iviti

es

Bar

rier

s to

Succ

ess

8.1

Det

erm

ine

wha

t org

aniz

atio

ns a

re

curr

ently

pro

vidi

ng (a

nd in

tere

sted

in

prov

idin

g) re

gard

ing

oral

hea

lth c

are

in

Ken

tuck

y an

d to

pub

lish

this

ass

essm

ent

and

dire

ctor

y by

Sep

tem

ber 2

007.

O

ral H

ealth

Pro

gram

Pa

rtner

ship

and

Col

labo

ratio

ns W

orkg

roup

• St

aff o

r con

tract

or ti

me

to c

ompl

ete

the

asse

ssm

ent a

nd p

ublis

h th

e di

rect

ory.

• Fu

ndin

g is

nec

essa

ry fo

r thi

s pr

ojec

t.

• La

ck o

f fun

ding

.

• La

ck o

f per

sonn

el.

• La

ck o

f vol

unte

er a

nd st

aff t

ime

to

acco

mpl

ish

this

task

.

8.2.

Ide

ntify

age

ncie

s and

org

aniz

atio

ns

not c

urre

ntly

invo

lved

but

who

se

invo

lvem

ent w

ould

be

bene

ficia

l to

the

prov

isio

n of

ora

l hea

lth se

rvic

es o

r ad

voca

cy e

ffor

ts b

y Se

ptem

ber 2

007.

O

ral H

ealth

Pro

gram

Pa

rtner

ship

and

Col

labo

ratio

ns W

orkg

roup

• C

oord

inat

ion

with

oth

er h

ealth

se

rvic

es m

ust b

e m

aint

aine

d.

•

Age

ncie

s mus

t be

will

ing

to w

ork

with

ora

l hea

lth im

prov

emen

t ef

forts

and

real

ize

the

impo

rtanc

e of

thei

r rol

e in

the

initi

ativ

e.

• K

now

ledg

e of

ora

l hea

lth b

y ot

her

prov

ider

s mus

t be

impr

oved

and

th

e w

ill to

wor

k co

oper

ativ

ely

mus

t be

pres

ent.

8.3.

Est

ablis

h at

leas

t fiv

e lo

cal a

nd

regi

onal

stra

tegi

c or

al h

ealth

par

tner

ship

s to

dev

elop

coo

rdin

ated

ora

l hea

lth e

ffor

ts

by Ja

nuar

y 1,

201

0.

O

ral H

ealth

Pro

gram

Pa

rtner

ship

and

Col

labo

ratio

ns W

orkg

roup

• M

ust s

tart

with

loca

l sup

port.

• C

omm

itmen

t is n

eces

sary

from

the

loca

l dire

ctor

s and

org

aniz

atio

ns.

• D

entis

ts a

nd a

uxili

ary

staf

f mus

t be

invo

lved

.

• B

elie

f or r

ealiz

atio

n of

den

tal

need

s by

dent

ists

in c

omm

uniti

es

as w

ell a

s loc

al p

olic

y m

aker

s.

• Th

e w

ill to

impr

ove

oral

hea

lth

stat

us in

the

com

mun

ity m

ust

exis

t.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

44 4444

44

Stra

tegi

c In

itiat

ive

Are

a ~

Par

tner

ship

s and

Col

labo

ratio

n

G

oal 8

.0

To

solic

it, d

evel

op a

nd n

urtu

re r

elat

ions

hips

with

oth

er o

rgan

izat

ions

and

ass

ocia

tions

to e

xpan

d aw

aren

ess o

f and

exp

and

the

focu

s on

oral

hea

lth. (

cont

inue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd

Act

iviti

es

Bar

rier

s to

Succ

ess

8.4.

Ide

ntify

pot

entia

l com

mun

ity

partn

ers t

hrou

ghou

t Ken

tuck

y w

ho a

re

will

ing

to in

vest

in o

ral h

ealth

wel

lnes

s an

d di

seas

e pr

even

tion

initi

ativ

es b

y M

arch

200

7 Pu

blic

Hea

lth E

duca

tion

Wor

kgro

up

DPH

Ora

l Hea

lth P

rogr

am

Stud

ent I

nter

n (T

BD

)

• O

btai

nmen

t of e

mai

l add

ress

es

of h

ealth

edu

cato

rs in

loca

l co

unty

hea

lth d

ept’s

as w

ell a

s un

iver

sitie

s, A

HEC

’s, a

nd

othe

r com

mun

ity e

duca

tors

. •

Partn

er w

ith K

DH

C, K

DH

A,

KD

A.

• Pa

rtner

with

HEE

L pr

ogra

m.

• Sa

tisfy

ing

stak

ehol

ders

. •

Lack

of f

undi

ng.

• La

ck o

f man

pow

er.

• Fe

w p

artn

ers w

ith n

eede

d ex

perti

se.

8.5.

D

evel

op a

cur

ricul

um fo

r the

pr

ovis

ion

of b

asic

ora

l hea

lth

educ

atio

n, sc

reen

ing

tech

niqu

es a

nd

refe

rral

skill

s for

non

-den

tal

prof

essi

onal

s in

Ken

tuck

y.

Ora

l Hea

lth P

rogr

am

Uni

vers

ity o

f Ken

tuck

y C

olle

ge o

f Den

tistry

• C

oope

ratio

n be

twee

n de

ntal

pr

ofes

sion

al o

rgan

izat

ions

and

m

edic

al p

rofe

ssio

nals

. •

Incl

usio

n in

the

curr

icul

um

deve

lopm

ent p

roce

ss b

y pr

ovid

ers i

n va

rious

pr

ofes

sion

s.

• La

ck o

f par

ticip

atio

n by

oth

er m

edic

al

prof

essi

onal

s.

• C

urric

ulum

mus

t be

incl

usiv

e in

nat

ure

•

Con

tinui

ng E

duca

tion

Cre

dits

for v

ario

us

pro

fess

ions

mus

t be

secu

red.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

45 4545

45

Stra

tegi

c In

itiat

ive

Are

a ~

Par

tner

ship

s and

Col

labo

ratio

n

G

oal 8

.0

To

solic

it, d

evel

op a

nd n

urtu

re r

elat

ions

hips

with

oth

er o

rgan

izat

ions

and

ass

ocia

tions

to e

xpan

d aw

aren

ess o

f and

exp

and

the

focu

s on

oral

hea

lth. (

cont

inue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd

Act

iviti

es

Bar

rier

s to

Succ

ess

8.6

Rev

iew

of P

ublic

Hea

lth S

tatu

tes

and

polic

ies t

hat m

ay b

e pe

rcei

ved

as

barr

iers

to in

tegr

atio

n of

ora

l hea

lth

into

prim

ary

care

at t

he lo

cal l

evel

. O

ral H

ealth

Pro

gram

Pa

rtner

ship

and

Col

labo

ratio

n W

orkg

roup

A

dvoc

acy

Wor

kgro

up

• In

clus

ion

of c

ruci

al p

rofe

ssio

ns

in re

view

pro

cess

. •

Syst

emat

ic re

view

incl

udin

g ol

der s

tatu

tes.

• D

isor

gani

zed

proc

ess.

• La

ck o

f sup

port

from

var

ious

hea

lth

prof

essi

onal

ass

ocia

tions

. •

Unw

illin

gnes

s to

chan

ge c

urre

nt st

atut

es if

in

cons

iste

ncie

s ide

ntifi

ed.

8.7.

Pro

vide

mul

ticul

tura

l ora

l hea

lth

wel

lnes

s res

ourc

es to

com

mun

ity

partn

ers b

y Fa

ll 20

07

DPH

Ora

l Hea

lth P

rogr

am

• Id

entif

y co

mm

unity

wor

kers

w

orki

ng o

n di

vers

ity p

roje

cts.

• Id

entif

y le

ader

s in

mul

ticul

tura

l com

mun

ity.

• Sa

tisfy

ing

stak

ehol

ders

. •

Lack

of f

undi

ng.

• La

ck o

f man

pow

er.

• Fe

w p

artn

ers w

ith n

eede

d ex

perti

se.

8.8.

Enc

oura

ge c

omm

unity

par

tner

s to

coor

dina

te o

ral h

ealth

edu

catio

nal

activ

ities

at e

stab

lishe

d st

ate-

wid

e,

regi

onal

and

loca

l pro

gram

s by

July

20

07.

Publ

ic H

ealth

Edu

catio

n W

orkg

roup

D

PH O

ral H

ealth

Pro

gram

• M

ajor

pro

gram

s inc

lude

C

hild

ren’

s Den

tal H

ealth

M

onth

, Spe

cial

Oly

mpi

cs a

nd

Ken

tuck

y St

ate

Fair.

• In

volv

emen

t of s

tate

den

tal

heal

th-e

duca

tor c

ruci

al.

• La

ck o

f ent

husi

asm

. •

Tim

e –

sacr

ifice

•

Lack

of m

anpo

wer

. •

Poss

ible

pro

blem

with

ince

ntiv

es fo

r pa

rtner

s – w

hat a

re th

ey?

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

46 4646

46

Stra

tegi

c In

itiat

ive

Are

a ~

Par

tner

ship

s and

Col

labo

ratio

n

G

oal 9

.0

To

assi

st d

enta

l pro

fess

iona

ls to

rec

ogni

ze si

gns o

f dom

estic

vio

lenc

e ob

serv

ed in

thei

r pa

tient

s, an

d to

impl

emen

t pol

icie

s and

pro

cedu

res t

o re

duce

this

bur

den

on b

oth

patie

nts a

nd p

rovi

ders

. O

bjec

tive

Who

, Wha

t, W

hen

Cri

tical

Suc

cess

Fac

tors

and

Act

iviti

es

Bar

rier

s to

Succ

ess

9.1.

Dev

elop

men

t and

impl

emen

tatio

n of

a c

ontin

uing

edu

catio

n pr

ogra

m a

nd

reso

urce

mat

eria

ls to

incr

ease

the

reco

gniti

on o

f dom

estic

vio

lenc

e by

de

ntal

pro

fess

iona

ls b

y D

ecem

ber

2006

. U

nive

rsity

of K

entu

cky

Col

lege

of D

entis

try

Ken

tuck

y O

ral H

ealth

Pro

gram

K

entu

cky

Dom

estic

Vio

lenc

e A

ssoc

iatio

n K

entu

cky

Just

ice

and

Publ

ic S

afet

y C

abin

et

Ken

tuck

y D

enta

l Ass

ocia

tion

• C

ontin

uing

edu

catio

n w

orks

hops

an

d su

ppor

ting

educ

atio

nal

mat

eria

ls w

ill b

e of

fere

d an

nual

ly to

Ken

tuck

y pr

ofes

sion

al d

enta

l ass

ocia

tions

. •

Ora

l hea

lth/d

omes

tic v

iole

nce

tool

kits

(inc

ludi

ng a

reso

urce

di

rect

ory)

will

be

deve

lope

d an

d di

ssem

inat

ed to

den

tal

prof

essi

onal

s. •

Con

tinua

tion

of fu

ndin

g.

• D

enta

l ass

ocia

tions

and

coa

litio

ns m

ust

supp

ort t

his i

nitia

tive.

• D

enta

l pro

fess

iona

ls m

ay n

ot re

cogn

ize

thei

r rol

e in

iden

tifyi

ng th

e si

gns a

nd

sym

ptom

s of d

omes

tic v

iole

nce.

•

Cur

rent

ly, t

here

are

no

man

dato

ry

dom

estic

vio

lenc

e co

ntin

uing

edu

catio

n re

quire

men

ts fo

r Ken

tuck

y de

ntal

pr

ofes

sion

als.

• La

ck o

f ade

quat

e fu

ndin

g fo

r mat

eria

l an

d co

urse

dev

elop

men

t.


47474747

Prevention and Treatment The prevention and treatment work group identified the following goals and objectives for the statewide plan:

Goal 10.0: Provide lifelong maintenance of oral wellness through coordinated, integrated, and comprehensive services.

• Change perceptions of oral health by providing information and training to all health providers and health provider educators beginning in January 2007.

• To reduce oral disease, increase the percentage of Kentucky children who have an identifiable dental home and who have been seen by their dentist before age three by 50% by December 31, 2010.

• Develop criteria for provider ownership of oral health care. • Reduce incidence of oral disease by increasing the use of fluoride varnishes by

25% in children aged 6 to 72 months in Kentucky by December 31, 2007. • Reduce the incidence of oral disease by increasing the use of sealants applied

to permanent molars in children by 25% in Kentucky by December 31, 2007. • Develop pilot communities for children's oral health coalition building

activities by January 1, 2007. • Include oral health clinical guidelines in Kentucky's Medicaid Oral Health

Benefit by Fall of 2007, for the purpose of the prevention of preterm birth and the management of diabetes as well as cardiovascular disease, through improved oral health care.

The Prevention and Treatment Workgroup

Steve Wrightson, Chair Bertie Salyer, Co-Chair

Jo Comley Kathy Fields

Stephanie Poynter Cris Sparks

Garland VanZant

Prevention

P

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

48 4848

48

Stra

tegi

c In

itiat

ive

Are

a ~

Pre

vent

ion

and

Tre

atm

ent

Goa

l 10.

0

Pro

vide

life

long

mai

nten

ance

of o

ral w

elln

ess t

hrou

gh c

oord

inat

ed, i

nteg

rate

d, a

nd

com

preh

ensi

ve se

rvic

es.

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

10.1

Cha

nge

perc

eptio

ns o

f ora

l hea

lth

by p

rovi

ding

info

rmat

ion

and

train

ing

to

heal

th p

rovi

ders

and

hea

lth p

rovi

der

educ

ator

s beg

inni

ng in

Janu

ary

2007

. K

entu

cky

Ora

l Hea

lth P

rogr

am

Ken

tuck

y D

enta

l Ass

ocia

tion

Ken

tuck

y D

enta

l Hyg

ieni

sts A

ssoc

iatio

n U

nive

rsity

of K

entu

cky

Col

lege

of D

entis

try

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of D

entis

try

Ken

tuck

y Pe

diat

ric S

ocie

ty

Are

a H

ealth

Edu

catio

n C

ente

rs

Loca

l Hea

lth D

epar

tmen

ts

• A

ssur

e th

at h

ealth

pro

vide

rs

unde

rsta

nd th

e im

porta

nce

of

good

ora

l hea

lth a

s a p

art o

f ove

r-al

l hea

lth o

f the

ir pa

tient

s and

co

mm

unic

ate

this

to th

eir p

atie

nts.

•

Obt

ain

lists

of p

oten

tial p

rovi

ders

an

d ta

rget

edu

catio

nal s

essi

ons.

•

Loca

l hea

lth d

epar

tmen

ts m

ay

play

a ro

le in

this

out

reac

h to

loca

l pr

ovid

ers.

•

Pilo

t ses

sion

s with

con

tinui

ng

educ

atio

n un

its (C

EU's)

to b

e de

velo

ped

by S

epte

mbe

r 200

6.

• N

eed

to o

pera

tiona

lize

owne

rshi

p an

d pe

rcep

tions

.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

49 4949

49

Stra

tegi

c In

itiat

ive

Are

a ~

Pre

vent

ion

and

Tre

atm

ent

Goa

l 10.

0

Pro

vide

life

long

mai

nten

ance

of o

ral w

elln

ess t

hrou

gh c

oord

inat

ed, i

nteg

rate

d an

d co

mpr

ehen

sive

serv

ices

(con

tinue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

10.2

To

redu

ce o

ral d

isea

se, i

ncre

ase

the

perc

enta

ge o

f Ken

tuck

y ch

ildre

n w

ho h

ave

an id

entif

iabl

e de

ntal

hom

e an

d w

ho h

ave

been

seen

by

thei

r den

tist b

efor

e ag

e th

ree

by 5

0% b

y D

ecem

ber 3

1, 2

010.

K

entu

cky

Ora

l Hea

lth P

rogr

am

Ken

tuck

y D

enta

l Ass

ocia

tion

Ken

tuck

y D

enta

l Hyg

ieni

sts A

ssoc

iatio

n U

nive

rsity

of K

entu

cky

Col

lege

of D

entis

try

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of D

entis

try

Ken

tuck

y Pe

diat

ric S

ocie

ty

Are

a H

ealth

Edu

catio

n C

ente

rs

Loca

l Hea

lth D

epar

tmen

ts

• C

reat

e a

syst

em to

iden

tify

and

track

the

num

ber o

f chi

ldre

n w

ho

go to

a d

entis

t by

age

3.

• Fu

ndin

g •

Staf

fing

• Th

e re

cord

s of p

rivat

e pr

ovid

ers a

re

not c

urre

ntly

acc

essi

ble.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

50 5050

50

Stra

tegi

c In

itiat

ive

Are

a ~

Pre

vent

ion

and

Tre

atm

ent

Goa

l 10.

0

Pro

vide

life

long

mai

nten

ance

of o

ral w

elln

ess t

hrou

gh c

oord

inat

ed, i

nteg

rate

d an

d co

mpr

ehen

sive

serv

ices

(con

tinue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

10.3

Dev

elop

crit

eria

for p

rovi

der

owne

rshi

p of

ora

l hea

lth c

are.

K

entu

cky

Ora

l Hea

lth P

rogr

am

Ken

tuck

y D

enta

l Ass

ocia

tion

Ken

tuck

y D

enta

l Hyg

ieni

sts A

ssoc

iatio

n U

nive

rsity

of K

entu

cky

Col

lege

of D

entis

try

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of D

entis

try

Ken

tuck

y Pe

diat

ric S

ocie

ty

Are

a H

ealth

Edu

catio

n C

ente

rs

Loca

l Hea

lth D

epar

tmen

ts

• C

riter

ia to

incl

ude

that

the

prov

ider

se

e ch

ildre

n, e

duca

te c

hild

ren

and

pare

nts a

nd w

ork

in o

ther

are

as o

f di

seas

e pr

even

tion

or h

ealth

m

aint

enan

ce.

• N

one

iden

tifie

d.

10.4

Red

uce

inci

denc

e of

ora

l dis

ease

by

incr

easi

ng th

e us

e of

fluo

ride

varn

ishe

s by

25%

in c

hild

ren

aged

6 to

72

mon

ths i

n K

entu

cky

by D

ecem

ber 3

1, 2

007.

K

entu

cky

Ora

l Hea

lth P

rogr

am

Ken

tuck

y D

enta

l Ass

ocia

tion

Ken

tuck

y D

enta

l Hyg

ieni

sts A

ssoc

iatio

n U

nive

rsity

of K

entu

cky

Col

lege

of D

entis

try

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of D

entis

try

Ken

tuck

y Pe

diat

ric S

ocie

ty

Are

a H

ealth

Edu

catio

n C

ente

rs

Loca

l Hea

lth D

epar

tmen

ts

• Th

e ap

plic

atio

n of

fluo

ride

varn

ish

is c

urre

ntly

und

erw

ay th

roug

h th

e K

DPH

•

Dat

a tra

ckin

g sy

stem

in p

lace

and

m

onth

ly re

ports

for s

tate

wid

e flu

orid

e va

rnis

h ap

plic

atio

ns

avai

labl

e.

• Pu

blic

/Priv

ate

Partn

ersh

ips a

re

nece

ssar

y to

ach

ieve

goa

l.

• O

ral H

ealth

Pro

gram

staf

fing

mus

t be

mai

ntai

ned

to c

oord

inat

e pr

ogra

ms a

nd m

aint

ain

data

. •

Fluo

ride

Var

nish

is c

urre

ntly

fu

nded

thro

ugh

fede

ral t

obac

co

settl

emen

t dol

lars

.

• C

oope

ratio

n be

twee

n he

alth

pr

ovid

ers c

an in

crea

se th

e sc

ope

of

prov

ider

abi

lity.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

51 5151

51

Stra

tegi

c In

itiat

ive

Are

a ~

Pre

vent

ion

and

Tre

atm

ent

Goa

l 10.

0

Pro

vide

life

long

mai

nten

ance

of o

ral w

elln

ess t

hrou

gh c

oord

inat

ed, i

nteg

rate

d an

d co

mpr

ehen

sive

serv

ices

(con

tinue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

10.5

Red

uce

the

inci

denc

e of

ora

l dis

ease

by

incr

easi

ng th

e us

e of

seal

ants

app

lied

to

perm

anen

t mol

ars i

n ch

ildre

n by

25%

in

Ken

tuck

y by

Dec

embe

r 31,

200

7.

Ora

l Hea

lth P

rogr

am

Ken

tuck

y D

enta

l Ass

ocia

tion

and

Partn

ers

• C

urre

ntly

und

erw

ay th

roug

h th

e K

DPH

. •

Sele

cted

loca

l hea

lth d

epar

tmen

ts

will

rece

ive

fund

ing

for s

eala

nt

appl

icat

ions

. •

Publ

ic/P

rivat

e Pa

rtner

ship

ne

cess

ary

to a

chie

ve fl

uorid

e va

rnis

h ap

plic

atio

n go

al.

• Fu

nded

cur

rent

ly th

roug

h St

ate

Gen

eral

Fun

d do

llars

. F

undi

ng

mus

t be

mai

ntai

ned

and

incr

ease

d.

• C

oope

ratio

n ne

cess

ary

from

loca

l de

ntis

ts a

nd lo

cal h

ealth

de

partm

ents

who

rece

ive

the

fund

ing

for t

his p

rogr

am.

10.6

Dev

elop

pilo

t com

mun

ities

for

child

ren'

s ora

l hea

lth c

oalit

ion

build

ing

activ

ities

by

Janu

ary

1, 2

007.

O

ral H

ealth

Pro

gram

K

entu

cky

Den

tal A

ssoc

iatio

n an

d Pa

rtner

s

• Im

prov

e or

al h

ealth

car

e ac

cess

by

sele

ctin

g th

ree

urba

n an

d th

ree

rura

l com

mun

ities

for o

ral h

ealth

co

aliti

on-b

uild

ing

activ

ities

to

bene

fit c

hild

ren

and

fam

ilies

.

• Lo

ngev

ity o

f the

coa

litio

n.

• C

ompe

ting

prio

ritie

s for

coa

litio

n m

embe

rs.

• H

ealth

illit

erac

y.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

52 5252

52

Stra

tegi

c In

itiat

ive

Are

a ~

Pre

vent

ion

and

Tre

atm

ent

Goa

l 10.

0

Pro

vide

life

long

mai

nten

ance

of o

ral w

elln

ess t

hrou

gh c

oord

inat

ed, i

nteg

rate

d an

d co

mpr

ehen

sive

serv

ices

(con

tinue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

10.7

Inc

lude

ora

l hea

lth c

linic

al g

uide

lines

in

Ken

tuck

y's M

edic

aid

Ora

l Hea

lth

Ben

efit

by F

all o

f 200

7, fo

r the

pur

pose

of

the

prev

entio

n of

pre

term

birt

h an

d th

e m

anag

emen

t of d

iabe

tes a

s wel

l as

card

iova

scul

ar d

isea

se, t

hrou

gh im

prov

ed

oral

hea

lth c

are.

O

ral H

ealth

Pro

gram

U

nive

rsity

of K

entu

cky

Col

lege

of D

entis

try

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of D

entis

try

Ken

tuck

y D

enta

l Ass

ocia

tion

Ken

tuck

y D

enta

l Hyg

ieni

sts A

ssoc

iatio

n K

entu

cky

Prim

ary

Car

e A

ssoc

iatio

n K

entu

cky

Fede

ral C

omm

unity

Hea

lth C

ente

rs

The

HEE

L Pr

ogra

m

Are

a H

ealth

Edu

catio

n C

ente

rs

• A

s of S

prin

g 20

06, a

task

forc

e ha

s be

en e

stab

lishe

d an

d a

draf

t pr

otoc

ol c

reat

ed fo

r the

pre

vent

ion

of p

rete

rm b

irth

thro

ugh

the

man

agem

ent o

f per

iodo

ntal

dis

ease

. Im

plem

enta

tion

of th

ese

clin

ical

gu

idel

ines

has

not

yet

beg

un.

• D

iabe

tes a

nd C

ardi

ovas

cula

r di

seas

e m

anag

emen

t will

incl

ude

the

crea

tion

of re

spec

tive

task

forc

es

and

the

deve

lopm

ent o

f dra

ft cl

inic

al g

uide

lines

with

the

expe

ctat

ion

of im

plem

enta

tion

in

late

200

7.

• R

educ

tion

in th

e le

vel o

f Med

icai

d Fu

ndin

g fo

r Ora

l Hea

lth se

rvic

es.

• La

ck o

f sup

port

by K

entu

cky'

s D

enta

l Com

mun

ity.


53535353

Public Health Education The public health education work group identified the following goals and objectives for the statewide plan: Goal 11.0: Increase oral health wellness through education and disease prevention.

• Identify through an informal survey oral health wellness curriculums and programs currently being utilized in Kentucky by March 2007.

• Identify potential community partners throughout Kentucky who are willing to invest in oral health wellness and disease prevention initiatives by March 2007.

• Provide multicultural oral health wellness resources to community partners by Fall 2007. Goal 12.0: Increase oral health wellness through coordinated state-wide educational activities.

• Review and update the Kentucky Smile Curriculum to be redistributed to Kentucky Schools and community partners by Fall 2005.

• Develop a state-wide reporting system at the Kentucky Department for Public Health for all oral health educational activities being conducted by community partners by Fall 2006.

• Encourage community partners to coordinate/incorporate oral health educational activities at established state-wide, regional and local programs by July 2006.

Goal 13.0: Increase oral health wellness through coordinated state-wide media.

• Strengthen parent involvement in oral health effort through public education and social marketing at the community level.* (School-Based Coordination)

• Encourage community partners to use media outlets to promote oral health educational activities to at the state and local level by Fall 2006.

• Seek support to plan and develop a statewide oral health media campaign by Fall 2007. * Some objectives will be accomplished by working in conjunction with one or more of the other workgroups as listed in parenthesis.

Education

E


54545454

Public Health Education Workgroup

Sharlee Shirley Burch, Chair Dedra DeBerry, Co-Chair

Allison Gray Libby Ritchie

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

55 5555

55

Stra

tegi

c In

itiat

ive

Are

a ~

Pub

lic H

ealth

Edu

catio

n G

oal 1

1.0

Inc

reas

e or

al h

ealth

wel

lnes

s thr

ough

edu

catio

n an

d di

seas

e pr

even

tion.

O

bjec

tive

Who

, Wha

t, W

hen

C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

11.1

. Id

entif

y th

roug

h an

info

rmal

su

rvey

ora

l hea

lth w

elln

ess c

urric

ulum

an

d pr

ogra

ms c

urre

ntly

bei

ng u

tiliz

ed in

K

entu

cky

by M

arch

200

7.

Publ

ic H

ealth

Edu

catio

n W

orkg

roup

D

PH O

ral H

ealth

Pro

gram

St

uden

t Int

ern

(TB

D)

• O

btai

n em

ail a

ddre

sses

of h

ealth

ed

ucat

ors i

n lo

cal c

ount

y he

alth

de

partm

ents

. •

Obt

ain

cont

act i

nfor

mat

ion

for

univ

ersi

ties,

AH

EC’s

, and

oth

er

com

mun

ity e

duca

tors

.

• Sa

tisfy

ing

stak

ehol

ders

. •

Lack

of f

undi

ng.

• La

ck o

f man

pow

er.

• Fe

w p

artn

ers w

ith n

eede

d ex

perti

se.

11.2

. Id

entif

y po

tent

ial c

omm

unity

pa

rtner

s thr

ough

out K

entu

cky

who

are

w

illin

g to

inve

st in

ora

l hea

lth w

elln

ess

and

dise

ase

prev

entio

n in

itiat

ives

by

Mar

ch 2

007

Publ

ic H

ealth

Edu

catio

n W

orkg

roup

D

PH O

ral H

ealth

Pro

gram

St

uden

t Int

ern

(TB

D)

• O

btai

n em

ail a

ddre

sses

of h

ealth

ed

ucat

ors i

n lo

cal c

ount

y he

alth

de

pt’s

as w

ell a

s uni

vers

ities

, A

HEC

’s, a

nd o

ther

com

mun

ity

educ

ator

s. •

Partn

er w

ith K

DH

C, K

DH

A,

KD

A.

• Pa

rtner

with

HEE

L pr

ogra

m.

• Sa

tisfy

ing

stak

ehol

ders

. •

Lack

of f

undi

ng.

• La

ck o

f man

pow

er.

• Fe

w p

artn

ers w

ith n

eede

d ex

perti

se.

11.3

. Pro

vide

mul

ticul

tura

l ora

l hea

lth

wel

lnes

s res

ourc

es to

com

mun

ity p

artn

ers

by F

all 2

007.

D

PH O

ral H

ealth

Pro

gram

• Id

entif

y co

mm

unity

wor

kers

w

orki

ng o

n di

vers

ity p

roje

cts.

• Id

entif

y le

ader

s in

mul

ticul

tura

l co

mm

unity

.

• Sa

tisfy

ing

stak

ehol

ders

. •

Lack

of f

undi

ng.

• La

ck o

f man

pow

er.

• Fe

w p

artn

ers w

ith n

eede

d ex

perti

se.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

56 5656

56

Stra

tegi

c In

itiat

ive

Are

a ~

Pub

lic H

ealth

Edu

catio

n

Goa

l 12.

0 In

crea

se o

ral h

ealth

wel

lnes

s thr

ough

coo

rdin

ated

stat

e-w

ide

educ

atio

nal a

ctiv

ities

. O

bjec

tive

Who

, Wha

t, W

hen

Cri

tical

Suc

cess

Fac

tors

and

Act

iviti

es

Bar

rier

s to

Succ

ess

12.1

. R

evie

w a

nd u

pdat

e th

e K

entu

cky

Smile

Cur

ricul

um to

be

redi

strib

uted

to

Ken

tuck

y Sc

hool

s and

com

mun

ity

partn

ers b

y Fa

ll 20

05.

Uni

vers

ity o

f Ken

tuck

y C

olle

ge o

f Den

tistr

y D

PH O

ral H

ealth

Pro

gram

• C

ompl

eted

by

Shar

lee

Shirl

ey

Bur

ch a

nd H

EEL

Prog

ram

–

avai

labl

e fo

r use

Feb

ruar

y 20

06.

NO

NE

12.2

. Dev

elop

a st

ate-

wid

e re

porti

ng

syst

em a

t the

Ken

tuck

y D

epar

tmen

t of

Publ

ic H

ealth

for a

ll co

mm

unity

ora

l he

alth

edu

catio

nal a

ctiv

ities

by

Fall

2006

. D

PH O

ral H

ealth

Pro

gram

• M

ay a

lread

y ex

ist t

hrou

gh P

SRS

repo

rting

sys

tem

.

• In

volv

emen

t of s

tate

den

tal h

ealth

ed

ucat

or c

ruci

al.

• In

abili

ty to

atta

in in

form

atio

n fr

om c

omm

unity

par

tner

s. •

Lack

of f

undi

ng.

• La

ck o

f man

pow

er.

12

.3. E

ncou

rage

com

mun

ity p

artn

ers t

o co

ordi

nate

/inco

rpor

ate

oral

hea

lth

educ

atio

nal a

ctiv

ities

at e

stab

lishe

d st

ate-

wid

e, re

gion

al a

nd lo

cal p

rogr

ams b

y Ju

ly

2006

. Pu

blic

Hea

lth E

duca

tion

Wor

kgro

up

DPH

Ora

l Hea

lth P

rogr

am

• M

ajor

pro

gram

s inc

lude

C

hild

ren’

s Den

tal H

ealth

Mon

th,

Spec

ial O

lym

pics

Spe

cial

Sm

iles

and

Ken

tuck

y St

ate

Fair.

• In

volv

emen

t of s

tate

den

tal h

ealth

ed

ucat

or c

ruci

al.

• La

ck o

f ent

husi

asm

. •

Tim

e –

sacr

ifice

•

Lack

of m

anpo

wer

. •

Poss

ible

pro

blem

with

ince

ntiv

es

for p

artn

ers –

wha

t are

they

?

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

57 5757

57

Stra

tegi

c In

itiat

ive

Are

a ~

Pub

lic H

ealth

Edu

catio

n

Goa

l 13.

0 In

crea

se o

ral h

ealth

wel

lnes

s thr

ough

coo

rdin

ated

stat

e-w

ide

med

ia.

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

13.1

Stre

ngth

en p

aren

t inv

olve

men

t in

oral

hea

lth e

ffor

t thr

ough

pub

lic

educ

atio

n an

d so

cial

mar

ketin

g at

the

com

mun

ity le

vel.

Ora

l Hea

lth P

rogr

am

Dep

artm

ent o

f Edu

catio

n D

epar

tmen

t for

Med

icai

d Se

rvic

es

• A

ddre

ss a

cces

s/tre

atm

ent n

eeds

of

fam

ilies

who

fall

betw

een

K-

CH

IP a

nd p

rivat

e ca

re p

lans

.

• Te

am w

ith a

lread

y tru

sted

0-4

ea

rly c

hild

hood

com

mun

ity.

prog

ram

s (H

AN

DS,

Ear

ly H

ead

Star

t, et

c).

• Te

am w

ith p

rimar

y sc

hool

and

sc

hool

com

mun

ities

(PTA

, PTO

).

• “I

ncom

e G

ap”

harm

ful t

o tre

atm

ent e

ffor

t. •

Enlig

hten

ed se

lf-in

tere

st o

f pa

rent

s is n

eces

sary

to th

e su

cces

s of

this

eff

ort.

13.2

. En

cour

age

com

mun

ity p

artn

ers t

o us

e m

edia

out

lets

to p

rom

ote

oral

hea

lth

educ

atio

nal a

ctiv

ities

at t

he st

ate

and

loca

l lev

el b

y Fa

ll 20

06

Publ

ic H

ealth

Edu

catio

n W

orkg

roup

D

PH O

ral H

ealth

Pro

gram

• Ex

plor

e fu

ndin

g op

portu

nitie

s for

m

edia

cam

paig

n.

• Ex

plor

e w

eb fo

r fre

e to

use

med

ia

for p

artn

ers.

• La

ck o

f man

pow

er.

• La

ck o

f fun

ding

. •

Lack

of e

nthu

sias

m/b

uy-in

by

partn

ers.

13.3

. See

k su

ppor

t to

plan

and

dev

elop

a

stat

ewid

e or

al h

ealth

med

ia c

ampa

ign

by

Fall

2007

. Pu

blic

Hea

lth E

duca

tion

Wor

kgro

up

UK

Col

lege

of P

ublic

Hea

lth

UL

Scho

ol o

f Inf

orm

atio

n Sc

ienc

es

DPH

Ora

l Hea

lth P

rogr

am

• Ex

plor

e po

ssib

ility

of p

rivat

e fo

unda

tion

or c

orpo

rate

fund

ing.

•

Iden

tify

exis

ting

cam

paig

ns in

ot

her s

tate

s. •

Partn

er w

ith a

cade

mic

inst

itutio

ns

• Pl

an, d

evel

op, d

esig

n, c

reat

e an

d ev

alua

te p

oten

tial c

ampa

igns

.

• N

o fe

dera

l gra

nt e

xist

s for

this

. •

Man

pow

er sh

orta

ge fo

r thi

s typ

e of

rese

arch

.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

58 5858

58

inte

ntio

nal b

lank

page


59595959

School-Based Coordination

The school-based coordination work group identified the following goals and objectives for the statewide plan: Goal 14.0: Assure that all children receive regular dental education and care as a part of an integrated program.

• Require dental screening upon entry into early care and education by passage of necessary legislation by February 2007.

• Develop curriculum and materials for use in early care and education by February 2007.

• Strengthen parent involvement in the oral health effort through public education and social marketing at the community level.

The School-Based Coordination Workgroup

Earl Trevor, Chair Keith Sanders, Co-Chair

Phyllis Berry Carol Blethen Eileen Deren

Paul Dominique Tammy Gay Kelly Goins

Carrie Janszen Jack Morris Rita Moya

Christine Weyman

School-Based

S

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

60 6060

60

Stra

tegi

c In

itiat

ive

Are

a ~

Sch

ool-B

ased

Coo

rdin

atio

n G

oal 1

4.0

A

ssur

e th

at a

ll ch

ildre

n re

ceiv

e re

gula

r de

ntal

edu

catio

n an

d ca

re a

s a p

art o

f an

inte

grat

ed

prog

ram

. O

bjec

tive

Who

, Wha

t, W

hen

Cri

tical

Suc

cess

Fac

tors

and

Act

iviti

es

Bar

rier

s to

Succ

ess

14.1

Req

uire

den

tal s

cree

ning

upo

n en

try

into

ear

ly c

are

and

educ

atio

n by

pas

sage

of

nec

essa

ry le

gisl

atio

n by

Feb

ruar

y 20

07.

Ken

tuck

y D

enta

l Coa

litio

n O

ral H

ealth

Pro

gram

K

entu

cky

Den

tal A

ssoc

iatio

n K

entu

cky

Den

tal H

ygie

nist

Coa

litio

n

• G

athe

r edu

catio

n an

d or

al h

ealth

da

ta to

doc

umen

t nee

d.

•

Gat

her d

ata

on b

enef

its o

f exa

ms

over

scre

ens a

nd c

riter

ia fo

r sc

hedu

le fo

r scr

eeni

ng th

roug

h th

e ch

ildho

od p

erio

d.

•

Und

erst

and

who

is a

ffec

ted

by th

e re

gula

tion

(who

is e

arly

car

e an

d w

ho is

edu

catio

n?).

•

Leg

isla

tion

shou

ld in

clud

e la

ngua

ge th

at re

quire

s fol

low

-up

treat

men

t if i

ndic

ated

.

• Id

entif

y a

spon

sor f

or th

e bi

ll.

• Ef

forts

shou

ld b

e tie

d to

en

hanc

emen

t of t

reat

men

t sys

tem

. •

Com

mun

ity c

ontro

l of t

he “

mod

el

of c

are

and

treat

men

t”.

•

Is K

entu

cky’

s den

tal w

orkf

orce

ab

le to

pro

vide

trea

tmen

t?

•

Wha

t abo

ut c

ount

ies w

here

few

or

no p

rovi

ders

are

loca

ted?

To e

nsur

e su

cces

s with

legi

slat

ors,

the

follo

win

g w

ould

be

criti

cal:

•

Doc

umen

tatio

n of

nee

d.

• Ex

plan

atio

n of

coo

rdin

ated

eff

ort.

• H

ow sc

reen

ing

lead

s to

treat

men

t w

hich

then

lead

s to

posi

tive

outc

omes

.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

61 6161

61

Stra

tegi

c In

itiat

ive

Are

a ~

Sch

ool-B

ased

Coo

rdin

atio

n

Goa

l 14.

0

Ass

ure

that

all

child

ren

rece

ive

regu

lar

dent

al e

duca

tion

and

care

as a

par

t of a

n in

tegr

ated

pr

ogra

m. (

cont

inue

d)

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

14.2

Dev

elop

cur

ricul

um a

nd m

ater

ials

fo

r use

in e

arly

car

e an

d ed

ucat

ion

by

Febr

uary

200

7.

Ora

l Hea

lth P

rogr

am

Uni

vers

ity o

f Ken

tuck

y C

olle

ge o

f Den

tistry

Nec

essa

ry to

mat

ch re

sear

ch-b

ased

cu

rric

ula

to:

• Ea

rly c

hild

hood

stan

dard

s. •

Hea

d St

art o

utco

mes

. •

Prog

ram

of s

tudi

es (i

.e. h

ow is

or

al h

ealth

refle

cted

in C

ATS

te

st?)

• B

arrie

r in

poss

ible

poo

r mat

ch

betw

een

curr

icul

a an

d st

anda

rds,

outc

omes

and

pro

gram

of s

tudi

es.

14.3

Stre

ngth

en p

aren

t inv

olve

men

t in

oral

hea

lth e

ffor

t thr

ough

pub

lic

educ

atio

n an

d so

cial

mar

ketin

g at

the

com

mun

ity le

vel.

Ora

l Hea

lth P

rogr

am

Dep

artm

ent o

f Edu

catio

n D

epar

tmen

t for

Med

icai

d Se

rvic

es

• A

ddre

ss a

cces

s/tre

atm

ent n

eeds

of

fam

ilies

who

fall

betw

een

K-C

HIP

an

d pr

ivat

e ca

re p

lans

.

• Pu

blic

adv

ocac

y th

roug

h so

cial

m

arke

ting

to “

build

dem

and”

for

oral

hea

lth c

are

serv

ices

.

• Te

am w

ith a

lread

y tru

sted

0-4

ea

rly c

hild

hood

com

mun

ity

prog

ram

s (H

AN

DS,

Ear

ly H

ead

Star

t, et

c).

• Te

am w

ith p

rimar

y sc

hool

and

sc

hool

com

mun

ities

(PTA

, PTO

). •

Enco

urag

e pa

rent

to p

aren

t ed

ucat

ion

and

supp

ort.

•

Coo

rdin

atio

n w

ith o

ther

hea

lth

prof

essi

ons w

ho se

rve

child

ren.

• “I

ncom

e G

ap”

harm

ful t

o tre

atm

ent e

ffor

t. •

Enlig

hten

ed se

lf-in

tere

st o

f pa

rent

s is n

eces

sary

to th

e su

cces

s of

this

eff

ort.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

62 6262

62

in

tent

iona

l blan

k pa

ge


63636363

Workforce The workforce work group identified the following goals and objectives for the statewide plan: Goal 15.0: Assess the past, present and future status of the dental workforce in Kentucky and develop a work-plan to address identified needs.

• Complete a workforce study of oral health capacity and publish the results by June 30, 2007.

• Assess results and develop a work plan to address identified needs by December 2007

Goal 16.0: To increase collaboration with and between dental professionals and other medical professionals in Kentucky.

• Develop a curriculum which will provide basic oral health education, screening techniques and referral skills for non-dental professionals in Kentucky.

• Provide continuing education on oral health issues to health professionals throughout the Commonwealth.

Workforce

W


64646464

The Workforce Workgroup

Beverly Largent, Chair Raynor Mullins, Co-Chair

Linda M. Asher Pam Burch

Sue Derouen John Hensley Dan Martin Gina Miller

Gary Munsie Connie Richmond

Kayla Rose

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

65 6565

65

Stra

tegi

c In

itiat

ive

Are

a ~

Wor

kfor

ce

Goa

l 15.

0

To

asse

ss th

e pa

st, p

rese

nt a

nd fu

ture

stat

us o

f the

den

tal w

orkf

orce

in K

entu

cky

and

deve

lop

a w

ork-

plan

to a

ddre

ss id

entif

ied

need

s. O

bjec

tive

W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

15.1

. To

com

plet

e a

wor

kfor

ce st

udy

of

oral

hea

lth c

apac

ity a

nd p

ublis

h th

e re

sults

by

June

30,

200

7.

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of D

entis

try

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of P

ublic

Hea

lth

and

Info

rmat

ion

Scie

nces

O

ral H

ealth

Pro

gram

• D

emog

raph

ics (

age,

gen

der,

prof

essi

onal

de

gree

); cu

rren

t and

pro

ject

ed fu

ture

pr

actic

e pr

ofile

, ret

entio

n is

sues

in

clud

ing

out-o

f-st

ate

licen

sure

and

pa

tient

flow

acr

oss c

ount

y lin

es.

• Fu

ndin

g th

roug

h H

RSA

/MC

HB

Ora

l H

ealth

Col

labo

rativ

e Sy

stem

s Gra

nt.

• U

of L

Sch

ool o

f Den

tistry

stud

y co

ordi

nato

r with

supp

ort f

rom

U o

f L

Scho

ol o

f Pub

lic H

ealth

and

Info

rmat

ion

Scie

nces

.

• Fu

ndin

g co

ntin

uatio

n fr

om

HR

SA/M

CH

B c

ritic

al to

st

udy.

15.2

. To

asse

ss re

sults

and

dev

elop

a w

ork

plan

to a

ddre

ss id

entif

ied

need

s by

Dec

embe

r 200

7.

Ken

tuck

y D

enta

l Ass

ocia

tion

Ken

tuck

y D

enta

l Hyg

ieni

sts A

ssoc

iatio

n B

oard

of D

entis

try

Ora

l Hea

lth P

rogr

am

• H

PSA

Den

tal S

horta

ge a

rea

desi

gnat

ions

•

Plan

ning

for t

he re

tent

ion

and

recr

uitm

ent o

f tea

chin

g pr

ofes

sion

als

and

rese

arch

ers.

• Fu

ndin

g op

portu

nitie

s and

surv

eilla

nce

proj

ects

.

• Le

vel o

f car

e fo

r spe

cific

pop

ulat

ions

(i.

e. p

edia

trics

and

ger

iatri

c).

•

Add

ition

ally

, mid

leve

l pra

ctiti

oner

is

sues

incl

ude

new

role

dut

ies,

year

of

train

ing

and

licen

sure

.

• St

affin

g lim

itatio

ns a

t the

D

epar

tmen

t for

Pub

lic H

ealth

cr

itica

l to

HPS

A d

esig

natio

n ex

pans

ion

effo

rts.

• C

oord

inat

ion

with

oth

er

grou

ps su

ch a

s Ken

tuck

y D

enta

l Ass

ocia

tion

and

the

Ken

tuck

y O

ral H

ealth

C

oalit

ion.

HE

AL

TH

Y

KE

NT

UC

KY

S

MI

LE

S:

A

L

IF

ET

IM

E

OF

O

RA

L

HE

AL

TH

6 6666 666

Stra

tegi

c In

itiat

ive

Are

a ~

Wor

kfor

ce

Goa

l 16.

0

To

incr

ease

col

labo

ratio

n w

ith a

nd b

etw

een

dent

al p

rofe

ssio

nals

and

oth

er m

edic

al

prof

essi

onal

s in

Ken

tuck

y.

Obj

ectiv

e W

ho, W

hat,

Whe

n C

ritic

al S

ucce

ss F

acto

rs a

nd A

ctiv

ities

B

arri

ers t

o Su

cces

s

16.1

. T

o de

velo

p a

curr

icul

um fo

r the

pr

ovis

ion

of b

asic

ora

l hea

lth e

duca

tion,

sc

reen

ing

tech

niqu

es a

nd re

ferr

al sk

ills f

or

non-

dent

al p

rofe

ssio

nals

in K

entu

cky.

O

ral H

ealth

Pro

gram

U

nive

rsity

of K

entu

cky

Col

lege

of D

entis

try

• C

oope

ratio

n be

twee

n de

ntal

pr

ofes

sion

al o

rgan

izat

ions

and

m

edic

al p

rofe

ssio

nals

(inc

ludi

ng

phys

icia

ns, o

steo

path

s, nu

rses

and

nu

rse

prac

titio

ners

as w

ell a

s nu

tritio

nist

s and

hea

lth e

duca

tors

.)

• In

clus

ion

in th

e cu

rric

ulum

de

velo

pmen

t pro

cess

by

prov

ider

s in

var

ious

pro

fess

ions

.

• La

ck o

f par

ticip

atio

n by

oth

er

med

ical

pro

fess

iona

ls.

•

Cur

ricul

um m

ust b

e in

clus

ive

in

natu

re a

nd a

var

iety

of

prof

essi

onal

s mus

t be

tapp

ed to

co

ntrib

ute

to th

e de

velo

pmen

t pr

oces

s.

• C

ontin

uing

Edu

catio

n C

redi

ts fo

r va

rious

pro

fess

ions

mus

t be

secu

red.

16

.2.

To

prov

ide

cont

inui

ng e

duca

tion

on

oral

hea

lth is

sues

to h

ealth

pro

fess

iona

ls

thro

ugho

ut th

e C

omm

onw

ealth

. O

ral H

ealth

Pro

gram

U

nive

rsity

of K

entu

cky

Col

lege

of D

entis

try

Uni

vers

ity o

f Lou

isvi

lle S

choo

l of D

entis

try

• Im

porta

nt to

kee

p or

al h

ealth

in

fron

t of m

edic

al a

nd p

ublic

hea

lth

pers

onne

l as a

par

t of o

n-go

ing

cont

inui

ng e

duca

tion.

Thi

s may

in

clud

e pu

blis

hing

arti

cles

in p

eer-

revi

ewed

jour

nals

(nat

iona

l and

lo

cal)

as w

ell a

s oth

er v

enue

s.

• N

eed

dent

al p

rofe

ssio

nals

to w

rite

artic

les a

nd m

aint

ain

a lis

ting

of

poss

ible

pub

licat

ions

regu

larly

vi

ewed

by

Ken

tuck

y m

edic

al a

nd

publ

ic h

ealth

pro

fess

iona

ls.


67676767

Kentucky Oral Health Stakeholder Group

Strategic Planning Executive Committee Name Title/Affiliation David Bolt, MA Chief Operating Officer/Director of Planning and Business

Development, Lewis County Primary Care Center James C. Cecil, DMD, MPH Administrator, Kentucky Department for Public Health,

Oral Health Program Gerald A. Ferretti, DDS, MS, MPH

University of Kentucky College of Dentistry

Suzanne W. Hubbard, DDS Director, State of Tennessee, Oral Health Services Carrie Janszen, RDH, BSEd Northern Kentucky Health Department Julie Watts McKee, DDS Director, WEDCO District Health Department Morris Norfleet, PhD Mountain Mission Development Corporation Lyle B. Snider, PhD, MPH, RN Regional Public Health Epidemiologist for the Big Sandy

Region Charles Ross, MPS Director, Purchase District Health Department Sharlee Shirley Burch, RDH, MPH

University of Kentucky, College of Dentistry

David Willis, DMD, MBA University of Louisville, School of Dentistry

Strategic Planning Stakeholder Group Name Title/Affiliation David Aker Director, Mountain Missions/Kentucky Baptist Convention Linda Asher University of Kentucky, Kentucky Area Health

Education Center Lois Baker CEO, Mountain Comprehensive Care Center Greg Bausch Northeast Kentucky Area Health Education Center Phyllis Berry Associate Executive Director, Children Inc. Harry Bickel, DMD, MPH Training and Technical Assistance Services, Western Kentucky

University Carol Blethen Kentucky Child Now! Robert Brooks Vice President, Trover Foundation Pam Burch Purchase Area Health Education Center Representative Thomas Burch Kentucky State House of Representatives Jill Butters, RDH, MPH, EdD University of Louisville, School of Dentistry Michael E. Byrne University of Louisville, School of Medicine

Area Health Education Center Baretta R. Casey, MD Vice Chair, East Kentucky Campus; University of Kentucky

Department of Family and Community Medicine C. Lawrence Chiswell, DMD Lexington Community College, Dental Hygiene Program


68686868

Strategic Planning Stakeholder Group (continued) Name Title/Affiliation Sandy Cleveland, RN Kentucky Department for Public Health,

Maternal and Child Health Branch Jo Comley, BA Kentucky Department for Public Health,

Early Childhood Development Branch, HANDS Quality Assurance

Dudley J. Conner Kentucky Public Health Association Julia Costich, JD, PhD Director, Kentucky Injury Prevention and Research Center Marybeth Crouch, RDH Doral Dental Services of Kentucky, LLC James S. Davis, MD Director, Division of Adult and Child Health,

Kentucky Department for Public Health Larry Davis Director, Marshall County Health Department Dedra DeBerry Northwest Area Health Education Center,

Health Education Training Center Senator Julie Denton Kentucky State Senate Eileen M. Deren, RN Louisville Metro Health Department Cindy Derer, DMD Ronald McDonald House Charities of the Bluegrass, Inc. Sue Derouen, RN Operations Manager, Kentucky Board of Nursing Paul Dominique, DMD University of Kentucky, College of Dentistry Charles Douglass Kentucky Department for Medicaid Services Leigh England Trover Foundation Education Division Sue Feeley, DDS Private dental practice, Past President, KY Board of Dentistry The Honorable Timothy E. Feeley

Family Court Judge – 12th Judicial Circuit

Kathy Fields, RN Cumberland Valley District Health Department Susan Fister, PhD, RN Bluegrass Farm-worker Health Center Mary Sue Flora Kentucky Department for Medicaid Services, EPSDT Special

Services Eric Friedlander Director, Commission for Children with Special Health Care

Needs David Gardner Proctor and Gamble Tammy Gay Family Resource Youth Services Center, Richmond, Kentucky Chris Goddard CEO, HealthPoint Family Care, Inc. Kelly Goins University of Kentucky, College of Dentistry Robert D. (Sandy) Goodlett, PhD Office of Family Resource and Youth Service Centers,

Cabinet for Health and Family Services Allison Gray Marshall County Health Department Lawrence Hager President and Founder, The Hager Foundation David Hardison, DMD, MBA Oral Health Resources International, University of Kentucky,

College of Dentistry Robert G. Henry, DMD, MPH Veterans Administration, Department of Veteran Affairs and

University of Kentucky College of Dentistry John Hensley Kentucky Department for Public Health, Health Care Access

Branch Lawrence F. Hill, DDS, MPH Cincinnati Health Department/Greater Cincinnati Oral Health

Council David K. Hinson, PhD First Baptist Church, Frankfort, Kentucky Fred Howard, DMD Kentucky Dental Health Coalition Rick Hulefield Executive Director, Children's Inc. Lucy Jewett South Central Kentucky Area Health Education Center Herman Johnson Director, Cumberland Valley District Health Department Judy Jones, JD Director, University of Kentucky Center for Rural Health Rice C. Leach, MD Commissioner, Kentucky Department for Public Health


69696969

Strategic Planning Stakeholder Group (continued) Name Title/Affiliation Beverly Largent, DMD Private Dental Practice Clifford Maesaka, DDS Delta Dental Plan of Kentucky Loretta Maldaner Director, Purchase Area Health Education Center Marie Markesbery Colgate-Palmolive Dan A. Martin, MD Hopkins County Health Department/Trover Foundation Representative Marylou Marzian Kentucky State House of Representatives Samuel Matheny, MD Kentucky Clinic, Family Medical Center Lee S. Mayer, MS, DMD University of Louisville, School of Dentistry Judy McCrackin, RN Commission for Children with Special Health Care Needs,

Cabinet for Health and Family Services William McElwain, MD Director, Rockcastle Hospital & Respiratory Care Center Charlene McGrath South East Kentucky Area Health Education Center Lacey McNary, MSW Kentucky Youth Advocates Rosie Miklavcic, MPH Director, Franklin County Health Department Debra Miller Kentucky Youth Advocates Gina Miller, RDH, BSDH President, Kentucky Dental Hygienists Association The Honorable Mike Miller Judge Executive, Marshall County Jack N. Morris Hopkins County Health Department Rita Moya Foundation for a Healthy Kentucky M. Raynor Mullins, DMD, MPH Chief, Division of Dental Public Health, University of

Kentucky, College of Dentistry Gary Munsie Director, Kentucky Board of Dentistry Jim Norton, PhD University of Kentucky Area Health Education Center Representative Stephen Nunn Kentucky State House of Representatives Carol Phebus West Area Health Education Center Representative Ruth Ann Palumbo

Kentucky State House of Representatives

Mike Porter Kentucky Dental Association Marquetta Poynter, DMD Kentucky Board of Dentistry Stephanie Poynter, DMD Family Health Centers, Inc. Lois Reynolds Oral Health of America Ken Rich, DMD American Dental Association Connie Richmond, RN Kentucky Public Health Association Libby Ritchie, CDA, EDDA Kentucky Dental Assistants Association Joyce M. Robl, MS, CGC Kentucky Department for Public Health,

Maternal and Child Health Branch Kayla D. Rose, MA Northeast Area Health Education Center Curtis Rowe Kentucky Department for Public Health Melinda G. Rowe, MD, MBA, MPH

Lexington-Fayette Urban County Government

Bertie Kaye Salyer, MA, AME Director, Magoffin County Health Department Michael E. Samuals, Dr.PH Professor of Family Practice and Community Medicine,

University of Kentucky College of Medicine Thomas Samuel, JD, PhD Acting Dean, University of Kentucky, School of Public Health Keith Sanders Hager Educational Foundation Senator Ernesto Scorsone Kentucky State Senate Sherry Senters, DMD Whitehouse Dental Clinic Staci Simpson Western Kentucky University, Institute for Rural Health

Development and Research Judith Skelton, M.Ed, PhD Associate Professor, Oral Health Resources International,

University of Kentucky, College of Dentistry Joseph E. Smith Executive Director, Kentucky Primary Care Association, Inc.


70707070

Strategic Planning Stakeholder Group (continued) Name Title/Affiliation Cris Sparks, RN Kentucky Department for Public Health, Public Health

Nursing Jenny Stiger DMD University of Kentucky, College of Dentistry Katie Kratz Stine Kentucky State Senate John A. Strosnider, DO Pikeville College School of Osteopathic Medicine Evelyn K. Tackett North Center Area Health Education Center Bonnie Tanner, PhD University of Kentucky, Cooperative Extension Service Valorie Tanner McDonald's/Tanner Management Katrina Adams Thompson, MSW Greater Kentucky Chapter, March of Dimes Birth Defects

Foundation Kim Townley, Ph.D. Acting Director, Division of Early Childhood Development,

Kentucky Department of Education Earl Trevor Director, Kentucky Head Start Collaboration Office Adewale Troutman, M.D. Director, Louisville Metro Health Department Sharon P. Turner, DDS, JD Dean, University of Kentucky, College of Dentistry Garland VanZant Director, Woodford County Health Department John Webb, BA Kentucky Child Now! Christine Weyman, MD Lake Cumberland District Health Department Elmer T. Whitler, MA, MPA Director of Research, University of Kentucky,

Center for Excellent in Rural Health Stephen W. Wyatt, DMD University of Kentucky College of Public Health A. Steven Wrightson, MD Assistant Professor and Program Director, University of

Kentucky Department of Family and Community Medicine Susan Zepeda, Ph.D. Executive Director, Foundation for a Healthy Kentucky

University of Kentucky, Strategic Plan Facilitation and Planning Name Position Lori Knutson Project Coordinator, University of Kentucky, College of

Dentistry Cynthia D. Lamberth, MPH Consultant and Facilitator, UK College of Public Health

Kentucky Department for Public Health, Oral Health Program Staff Name Position James C. Cecil, DMD, MPH Administrator, Oral Health Program Freda Chapman Administrative Assistant Lorie Wayne Chesnut, MPH Oral Health Data and Epidemiology, Grant Coordinator Kenneth Gerald Luttrell Community and Rural School Water Fluoridation Program Robert Murphy Manager, Community and Rural School Water Fluoridation

Program Linda Grace Piker, MS, MPH, RD, LD

Fluoride Supplement Program, Oral Health Education and Outreach

healthy kentucky smiles: a lifetime of oral...

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