Welcome to Oral Health Boot Camp. Stonewall Jackson Resort, Roanoke WV August 5 & 6, 2015

Transcription

1 Welcome to Oral Health Boot Camp Stonewall Jackson Resort, Roanoke WV August 5 & 6, 2015

2 Boot Camp noun : a camp where people who have recently joined the U.S. Army, Navy, or Marine Corps receive their basic training : a short but very difficult training program : a program or situation that helps people become much better at doing something in a short period of time

3 Purpose To build alignment with the Local Community Level Oral Health Coalitions and the WV Oral Health Coalition, and bring together a unified team focused on a path forward toward realizing the 2020 vision: To improve oral health across the lifespan and eradicate dental disease in children.

4 Thank YOU for agreeing to be a leader Strengthen our leadership skills Develop our communication skills Increase our knowledge about oral health Return to your local community with a plan

5 Brene Brown

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7 7 Keys to Becoming a Great Leader Provide Inspiration Teach and Learn Be Bold Be Humble Listen To Your People Strike a Balance Tackle Challenges HAVE COURAGE Courage to try and fail and try again, and again

8 Leaders Must Have Courage It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat. -Theodore Roosevelt, Paris, France, April 23, 1910

9 Seven Practices of Facilitative Leadership

10 Interior Condition of a Facilitative Leader

11 Leadership for Oral Health Equity

12 When we change the conversation, we change the future. Juanita Brown

13 Equity

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17 Oral Health Equity Currently, the oral health provisions in health care reform that stand to provide dental coverage for 5.3 million underserved and uninsured children are not funded. Also unfunded are school oral health education programs, state sealant programs, and workforce expansion projects. The health care reform law is funded through Congress appropriations process. Think About it.. Dental Coverage for All...Everyone has a toothbrush....all Dentist Accept Medicaid What issues still remain?

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19 Oral Health 101 The Basics Ashley Logan, MU Staff/Regional Oral Health Coordinator

20 Oral Health 101 Poor Oral Health impacts Overall Health and Well Being The single most common chronic childhood disease is dental caries. Social/economic impact - 51 million school hours are lost each year to dental-related illness. The most common dental diseases (dental cavities and periodontal disease) are preventable!!

21 Highlights from the US Surgeon General s Report Oral Infection is associated with Diabetes, Heart Disease, Stroke, Bacterial Endocarditis, Respiratory Disease and adverse Birth Outcomes Psycho-Social Implications: Reduced Self-Esteem, Job eligibility

22 Untreated Cavities Can Lead to. Extreme Pain Spread of Infection Difficulty chewing, poor nutrition, below average weight Costly dental treatment Additional decay and malocclusion in permanent dentition Consequences of untreated Decay in the School Aged Population : Missed School Days Impaired Speech development Inability to Concentrate Reduced Self-esteem

23 Boy Dies After Bacteria From Tooth Spread to Brain Source: Washington Post, February 28, 2007, Page B01, Mary Otto

24 A Silent Epidemic

25 The Reality

26 Etiology of Dental Decay

27 From Healthy to Disease Healthy Diseased

28 Dental Plaque - What Is It? Plaque is a sticky film of food, saliva, and germs. Plaque loves to settle at the gum line. The goal of your daily tooth brushing and flossing is to clean away plaque. When plaque is not removed, it hardens into tartar.

29 Warning Signs and Symptoms Bleeding gums when you brush or floss is not normal; even if your gums don t hurt, get them checked Red, swollen, or tender gums Gums that have pulled away from teeth making teeth appear longer Pus between the teeth and gums Bad breath Teeth that are loose or moving away from each other Changes in the way you bite Changes in the fit of partials, dentures, or bridges

30 From Gingivitis to Gum Disease Bacteria multiply and multiply and multiply some more. Gums separate from the teeth, forming pockets. Often, this destructive process has very mild symptoms. Eventually, teeth become loose, leading to extractions.

31 How To Prevent Gum Disease Use a soft toothbrush. Angle the brush against the gum line. Brush in little circles and then brush down. Brush 2 teeth at a time. Brush the gums. Change your toothbrush every 3 months. Use an electric toothbrush if possible. Make and keep dental visits (especially cleaning appointments).

32 How to Take Care of YOUR TEETH Brush and brush often 3 X day/after every meal Floss the teeth you want to keep Visit your dentist Avoid food & drinks high in sugar Don t use your teeth as a tool

33 What about West Virginia? Decay index is 59% higher than national average for schoolaged children -38% have untreated decay (66% have decay by age 8) 1 of 5 Medicaid covered children receive a single dental visit each year 84% of WV youth have dental cavities by high school graduation WV leads the nation in edentulous adults (adults with no natural teeth)

34 History of Oral Health in WV No State dental plan -No School Sealant Program -Limited Scope of Practice for RDH -Less than.5 FTE Dental Director - F on Report Card -Worst in the Nation No Data to Prove Otherwise 2007 Death of a Child in MD Legislative Study Examines OH Crisis in WV -WV Not Eligible for Federal Funds -Seed Money and Huge Oral Health Movement within WV ] ] WV Oral Health Advisory Created - SCOH School Project ARC/Benedum & Marshall Partnership -Public Health Supervision and General Practice State Oral Health Plan Development -Expansion of Oral Health Activities -1 st ever statewide Oral Health Surveillance -DHHR Leadership Supports Oral Health ] ] ] ] State Oral Health Plan -Schoolbased Sealant Program in 26 Counties -Oral Health Coalition -Fulltime Dental Director -DentaQuest Grant - C on Report Card Present -Expansion of OH Activities -Over 36 Grantees for Schoolbased OH -State Surveillance Plan -Funding HRSA, CDC, etc. -Mandate School OH Exam -Plethora of Positive OH Movement YOU!!!

35 Let s see how much you learned.

36 What can you do to prevent tooth decay? Is a hard or soft bristle toothbrush recommended? Poor oral health is related to poor birth outcome?

37 Questions? Discussions? Comments?

38 WV Oral Health Coalition & Where the Local Community OHC fit Barb Thaxton, RDH, MS- WV Oral Health Coalition Coordinator

39 WHAT IS A COALITION? A coalition is a set of organizations that have chosen to work together for some shared purpose.

40 OUR MISSION: TO PROMOTE AND ADVOCATE FOR OPTIMAL ORAL HEALTH FOR ALL WEST VIRGINIA RESIDENTS

41 WE ARE EDUCATIONAL INSTITUTIONS COMMUNITY MEMBERS DENTAL AND MEDICAL PROVIDERS HEALTH AND CHARITABLE FOUNDATIONS PUBLIC HEALTH DEPARTMENTS ELECTED GOVERNMENT OFFICIALS SCHOOL, SCHOOL NURSES, AND SCHOOL CLINICS

42 OUR FOCUS: Provide adult oral health access to the uninsured Implement a multiple disciplinary plan for oral health Expand Medicaid to include adult restorative procedures Change the culture of oral health in West Virginia

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45 WHAT CAN YOU DO? Promote dental education by increasing community awareness of dental needs in your county/area.

46 GET YOUR MESSAGE OUT: CHURCH GROUPS EDUCATIONAL MATERIALS

47 RESOURCES: Website:

48 BREAK Return at 2:15 Food & Drinks out in the hallway

49 3 Targeted Best Practices Wendy Mosteller MU Staff/Regional Oral Health Coordinator Age 1 dental visit Community water fluoridation Fluoride varnish

50 Best Practice best practice noun Definition of BEST PRACTICE : a procedure that has been shown by research and experience to produce optimal results and that is established or proposed as a standard suitable for widespread adoption

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52 Age 1 dental visit The academies of the American Dental Association (ADA), the American Academy of Pediatric Dentistry (AAPD), and the American Association of Pediatrics (AAP) all recommend that a child visit the dentist for the first time 6 months after the eruption of the first tooth or by age one, whichever comes first.

53 Importance of Age 1 dental visit The single most common chronic childhood disease is dental caries. Social/economic impact - 51 million school hours are lost each year to dental-related illness. One of the single most expensive uncontrolled diseases of childhood exceeding 12 billion dollars Dental cost 40% lower in the 1 st five years of life for those children who have had an age 1 dental visit

54 First Dental Visit

55 Knee-to-Knee Technique

56 Barriers All of the dental community not on board with Age 1 visit Lack of dental insurance Lack of Age 1 dental visit education with the parents Unwillingness of guardians to transport children

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58 What is community water fluoridation? Fluoridation is the adjustment of the fluoride in drinking water to the optimal level for reducing tooth decay.

59 Community Water Fluoridation (CWF) One of ten great public health achievements of the twentieth century (CDC) Water fluoridation has nearly a year history of success Water fluoridation has both topical and systemic benefits

60 Fluoride Is Naturally Occurring Fluorite (from which Fl is derived) is the 13 th most abundant element and is naturally released into water Fluoride is a vital mineral for proper bone and tooth formation Small amounts of fluoride are found naturally in most foods and varying amounts in water. Not all communities have sufficient naturally occurring fluoride

61 Fluoridation is Cost-effective Every $1 invested in water fluoridation Saves $ in unnecessary dental costs

62 Fluoridation is Effective Fluoridation reduces tooth decay about 25%

63 Barriers Junk Science Organized anti-fluoride organization Finances of local PSD s/municipalities

64 What is Fluoride Varnish? Is a highly concentrated form of fluoride which is applied to the tooth's surface as a type of topical fluoride therapy. Applying fluoride varnish is to retard, arrest, or reverse the process of tooth decay in children at high to medium risk for dental caries. Studies have shown 25-45% reductions in the decay rate with the use of fluoride varnish. Suitable for infants and young children WV Cavity Free by Three: Fluoride Varnish Manual for Healt

65 Target Group Suitable for infants and young children Apply to children at-risk of tooth decay, beginning with first tooth. Apply 2-4 times/year for maximum benefit. Can apply varnish on the same schedule as childhood immunizations. WV Cavity Free by Three: Fluoride Varnish Manual for Health

66 Barriers How to deliver this product to infants and preschool children before they develop ECC. Lack of education with parents and both medical/dental personnel Insurance reimbursement WV Cavity Free by Three: Fluoride Varnish Manual for Health

67 Questions/Discussion

68 The West Virginia Oral Health Program Improving health, one smile at a time.

69 Objectives Discuss history of oral health in West Virginia; Discuss current program initiatives; Define/discuss the importance of collective impact on coalition/project success.

70 History of Oral Health in WV 2000 Pre-Employment Project 2004 Donated Denture Project 2010 First full-time State Dental Director and State Plan ( ) 2011 DentaQuest funding for oral health surveillance 2012 First federal award HRSA Dental Workforce 2013 Federal awards - CDC Oral Disease Prevention Project & HRSA PIOHQI Project 2014 First Coalition Coordinator First Burden of Oral Disease 2015 Second State Plan ( ) 70

71 Perinatal & Children s Initiatives 71

72 HRSA Perinatal & Infant Oral Health Quality Improvement (PIOHQI) Pilot Project WV is only one of three states currently awarded Completed first ever Perinatal Basic Screening Survey (BSS) in WV Goals Make oral health part of routine prenatal care Age 1 dental visits Pregnant women with gum disease have only a 1 in 7 chance of giving birth to a healthy child of normal size. -American Academy of Oral Systemic Health Establish dental home 72

73 West Virginia Children s Oral Health Data Over 1 in 2 (56%) of children entering school have had a caries experience (cavity). Over 1 in 5 children (21%) have active, untreated decay upon school entry.

74 National Children s Oral Health Data More time is lost when students miss school because of toothaches. An estimated 51 million school hours per year are lost due to dental related illness. Vs. Overall, children with good oral health spend more time in school learning.

75 CDC Oral Disease Prevention Project (ODPP) Goal is to increase the number of public school students with sealants (evidence-based prevention); WVBE Policy 2423 Health Promotion and Disease Prevention: partnership with WVDE and OHP 75

76 Fluoride Community water fluoridation; Fluoride rinse programs; Fluoride varnish by medical providers.

77 State Oral Health Plan 2.0 ( ) Access to care: Improve access to standardized, comprehensive, continuous oral health services and eliminate disparities for all West Virginians. Education: Promote educational opportunities and experiences for the public, health professionals, and policy-makers to increase knowledge of oral health and its correlation to overall health. Prevention: Provide sustainable maintenance of oral wellness through coordinated, integrated and comprehensive services. Surveillance and Evaluation: Enhance the utilization of the existing statewide surveillance system to measure key indicators of oral health and expand the system to address other data gaps. Infrastructure and Strategic Partnerships: Solicit, develop, and nurture relationships with other organizations and associations to enhance oral health information and knowledge, as well as to capitalize on unique strengths and resources.

78 Collective Impact IT WORKS! Definition Collective impact is the commitment of a group of actors from different sectors to a common agenda for solving a specific social problem, using a structured form of collaboration. 5 conditions: 1. Common agenda 2. Common measures 3. Mutually reinforcing activities 4. Continuous communication 5. Backbone support

79 Collaboration v. Collective Impact Collaboration Convene around programs/initiatives Collective Impact Work together to move outcomes Prove Improve Addition to what you do Advocate for ideas Is what you do Advocate for what works

80 Path to success for oral health and MANY more!

81 We Need YOUR Help! How can you help? Know the facts: 1 in 2 WV children enter school having had a cavity 1 in 5 WV children have active, untreated decay at school entry Nationally, 51 million school hours are LOST yearly due to dental related illness Support WVBE Policy 2423 Contact the West Virginia Department of Education, Oral Health Program or Coalition for more information 81

82 Thank you! For more information, contact: Teresa Marks Oral Health Program Manager 82

83 EVENING AGENDA Adjournment at 4pm if full amount of time is needed Meet at the boat dock by 5:50pm 6:00pm Evening Boat Cruise departs 7:00-9:00pm Barbeque on the Patio Two Fun Activities for the Evening - Selfie Scavenger Hunt - Who is it? Lists will be handed out as we board the cruise. Prizes will be given out during dinner. All are welcome to participate.

84 Work Time- Assignment Environmental Scan/Community Assessment

85 Community Partners and Support CRITICAL for- Establishment Development Expansion Successful

86 Community Wheel Partnership Assessment

87 Partnership Assessment 1. List the organizations that you currently partner with. 2. Identify at least 4 new organizations that you plan to partner with and/or strengthen your relationship with those organizations. 3. Develop your strategy and plan of action for building relationships.

88 See Everyone at 5:50pm!