the state oral health plan development process · cdc state oral health plan development tools...

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


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


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


State Oral Health PlanISSUES, CHALLENGES, AND OPPORTUNITIES


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.


Oral Health Disparities Among Poor Children and Children of Color: Socioeconomic Status


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)


State Oral Health PlanPLANNING & DEVELOPMENT PROCESSOVERVIEW—TIMELINE, LOGIC MODELING, EVIDENCE-INFORMED


State Oral Health Plan Development Timeline


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


State Oral Health PlanPLANNING PROCESS


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


Planning a State Oral Health PlanInputs & Activities


Overall Planning, Development & Implementation


State Oral Health PlanFRAMEWORKS—DEFINING A MEASURABLE APPROACH


Framework for Comprehensive State OralHealth Plans

Source: Centers for Disease Control and Prevention


A Framework for Action: Surgeon General’s Report


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).


State Oral Health PlanGOALS AND OBJECTIVES


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.


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


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


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.


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.


State Oral Health PlanDEVELOPING STRATEGIES THROUGH PARTNERSHIP—MOVING FROMPLANNING TO ACTION


Strategy Development


Priority Area Components

The Path to Partnership and Implementation


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.


Proposed State Oral Health Plan Strategies


State Oral Health PlanPRIORITIES, GOALS & IMPACT—ACHIEVING THE VISION OF HEALTHY PEOPLE IN HEALTHY COMMUNITIES


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


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


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


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


Achieving the Vision of Healthy People in Healthy Communities

Making California the Healthiest State in the Nation


Contact Information

Jenny [email protected](310) 260-1220


Questions?

the state oral health plan development process · cdc state oral health plan development tools...

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