the state oral health plan development process · cdc state oral health plan development tools...
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www.childrenspartnership.org @kidspartnership
The Children’s Partnership
Jenny KattloveSenior Director, Programs
CPEHN Spring Convening Series on Oral Health EquityFresno, CAApril 28, 2016
The State Oral Health Plan Development Process
www.childrenspartnership.org @kidspartnership
The Children’s Partnership is a strategy and policy center working to ensure that all children, especially those at risk of being left behind, have the opportunities and resources they need to grow up healthy and lead productive lives. We develop bold ideas, create scalable programs, and drive meaningful action to help all children thrive.
Our Mission
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Issues, Challenges, and Opportunities
State Oral Health Plan—Planning & Development Process
Advisory Committee/Staff Roles and Responsibilities
State Oral Health Plan Goals, Objectives, and Strategies
Implementation
Opportunities for Public and Community Engagement
Agenda
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State Oral Health PlanISSUES, CHALLENGES, AND OPPORTUNITIES
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Oral Health Disparities Among Poor Children and Children of Color: Race/Ethnicity
In California, Latino children, other minority children, and poor children experience more tooth decay, untreated tooth decay, and have more urgent dental care needs than non-Latino white children.
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Oral Health Disparities Among Poor Children and Children of Color: Socioeconomic Status
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Children’s Oral Health—Bottom Line
If you are a child living in California, the poorer you are, the more likely it is that your teeth hurt all the time—this is especially likely if you are Latino, or a member of some other racial or ethnic minority.
Source: California Smile Survey (2006)
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State Oral Health PlanPLANNING & DEVELOPMENT PROCESSOVERVIEW—TIMELINE, LOGIC MODELING, EVIDENCE-INFORMED
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State Oral Health Plan Development Timeline
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An Evidence-Informed & Best Practices Approach
CDC State Oral Health Plan
Development Tools
ASTHO—Developing a StateHealth Improvement Plan
CDC Community–ClinicalLinkage
CSTE/ASTDD—State-Based Oral
Health Surveillance Systems
Community-Based Best Practices
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An Evidence-Informed & Best Practices Approach
CDC State Oral Health Plan
Development Tools
ASTHO—Developing a StateHealth Improvement Plan
CDC Community–ClinicalLinkage
CSTE/ASTDD—State-Based Oral
Health Surveillance Systems
Community-Based Best Practices
www.childrenspartnership.org @kidspartnership
An Evidence-Informed & Best Practices Approach
CDC State Oral Health Plan
Development Tools
ASTHO—Developing a StateHealth Improvement Plan
CDC Community–ClinicalLinkage
CSTE/ASTDD—State-Based Oral
Health Surveillance Systems
Community-Based Best Practices
www.childrenspartnership.org @kidspartnership
An Evidence-Informed & Best Practices Approach
CDC State Oral Health Plan
Development Tools
ASTHO—Developing a StateHealth Improvement Plan
CDC Community–ClinicalLinkage
CSTE/ASTDD—State-Based Oral
Health Surveillance Systems
Community-Based Best Practices
www.childrenspartnership.org @kidspartnership
State Oral Health PlanPLANNING PROCESS
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California Wellness Plan 2014A Roadmap to Prevention
Goal: Equity in health and well-being
Focus areas:
Healthy communities
Optimal health systems linked withcommunity prevention
Accessible and usable healthinformation
Prevention, sustainability andcapacity
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Planning a State Oral Health PlanInputs & Activities
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Overall Planning, Development & Implementation
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State Oral Health PlanFRAMEWORKS—DEFINING A MEASURABLE APPROACH
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Framework for Comprehensive State OralHealth Plans
Source: Centers for Disease Control and Prevention
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A Framework for Action: Surgeon General’s Report
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A Framework for Public Health Action: The Health Impact Pyramid
Source: T. Frieden, “A Framework for Public Heath Action: The Health Impact Pyramid,” American Journal of Public Health (2010).
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State Oral Health PlanGOALS AND OBJECTIVES
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Goal 1 PrioritiesDeterminants of Health
GOAL 1: Improve the oral health of Californians by addressing determinantsof health, specifically promoting healthy habits and population-basedprevention interventions to attain healthier status in healthycommunities.
1. Build community capacity to integrate oral health into the decision-making process for health policies and programs.
2. Provide dental health professionals with the protocol and tools to screen for social determinants and link patients to community resources.
3. Maintain and expand evidence-based programs and best practice approaches.
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Goal 2 PrioritiesCommunity-Clinical Linkages
GOAL 2: Align dental health care delivery system, payment systems andcommunity programs to support and sustain community-clinical linkagesfor increasing utilization of dental services.
1. Maintain and expand community-clinical linkage programs in targeted sites such as WIC programs, Head Start, preschools and schools.
2. Leverage the HRSA’s Perinatal and Infant Oral Health Quality Improvement grant to identify and address barriers to care.
3. Incorporate oral health into diabetes management protocols and include an annual dental examination as a recommendation.
4. Integrate tobacco cessation counseling and oral cancer screening as part of dental visit protocol.
5. Provide information and support to facilities and dental practitioners regarding care delivery models and the availability of training.
Examples
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Goal 3 PrioritiesInfrastructure and Capacity
GOAL 3: Collaborate with payers, public health, health care systems,foundations, and professional organization and educational institutions toexpand infrastructure, capacity and payment systems for supportingprevention and early treatment services.
1. Increase the capacity to provide dental services to young children.
2. Expand the dental student loan repayment program.
3. Encourage community health workers and home visitors to promote oral health and address barriers to care.
4. Increase the number of FQHCs that provide dental services in community sites.
5. Develop a guide to use for funding non-clinical dental public health program activities and address building dental scopes of work language into county level agreements.
Examples
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Goal 4 PrioritiesSurveillance
GOAL 4: Develop and implement a surveillance system to measure keyindicators of oral health and identify key performance measure for trackingprogress.
1. Develop a five-year surveillance plan consistent with the National Oral Health Surveillance System (NOHSS) to provide current data on diseases/conditions, risk/protective factors, and use of dental services.
2. Gather and use data to guide oral health needs assessment, policy development and assurance functions.
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Goal 5 PrioritiesCommunications/Education
GOAL 5: Develop and implement communication strategies to inform andeducate the public, providers, and decision makers about oral healthinformation, programs, and policies.
Develop a communication plan that:
1) increases oral health awareness and visibility through innovative marketing approaches;
2) identifies and shares best practices for in-person communication, online communication, and community outreach;
3) streamlines provider and patient oral health resources through standardized collection, evaluation, promotion of best-practices, toolkits, and resources;
4) increases coordination, consistency, and reach of oral health messages in multiple languages; and
5) generates positive media coverage through promotion of key findings and outcomes of the State Oral Health Plan.
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State Oral Health PlanDEVELOPING STRATEGIES THROUGH PARTNERSHIP—MOVING FROMPLANNING TO ACTION
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Strategy Development
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Priority Area Components
The Path to Partnership and Implementation
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Opportunities for Public andCommunity Engagement
Community-clinical linkages1 connect health care providers, community organizations, and public health agencies to collectively improve access to preventive and chronic care services.
Public/Community/Clinical Engagement
P A R T N E R S H I P
1 Agency for Healthcare Research and Quality, “Clinical-Community Linkages,” http://www.ahrq.gov/professionals/ prevention-chronic-care/improve/community.
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Proposed State Oral Health Plan Strategies
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State Oral Health PlanPRIORITIES, GOALS & IMPACT—ACHIEVING THE VISION OF HEALTHY PEOPLE IN HEALTHY COMMUNITIES
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Priorities
Oral disease burden document
State Oral Health Plan development
Oral Health Surveillance System
Development of a statewide partnership
Plan implementation, tracking, and continuousquality improvement
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State Oral Health Plan GoalsEquity in Health and Wellness
Address determinants of oral health, promotehealthy habits and population-based interventions
Improve access to continuous high quality, andculturally and linguistically competent care
Expand the infrastructure and capacity to promotecommunity based programs through community-clinical linkages
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State Oral Health Plan GoalsAchieving Success Together
Collaborate to expand infrastructure, capacity andpayment systems
Develop and implement a surveillance system
Develop innovative solutions and evaluateoutcomes
Develop and enhance communication capacity toeducate policymakers, public, providers andorganizations
Track progress and share results
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Collective Impact
Common agenda
Shared measurement systems and approaches toevaluating progress
Mutually reinforcing activities
Continuous, consistent, and open communication
“Backbone” support organization(s) to convene andcoordinate, including dedicated staff
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Achieving the Vision of Healthy People in Healthy Communities
Making California the Healthiest State in the Nation
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Contact Information
Jenny [email protected](310) 260-1220
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Questions?