Nuts and Bolts: Incorporating Comprehensive Oral Health Services into School-Based Health Centers Reality or Pipe Dream?

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Nuts and Bolts: Incorporating Comprehensive Oral Health Services into School-Based Health Centers Reality or Pipe Dream? Session Objectives 1 Iden6fy&characteris6cs&of&programs&that&are&successfully& integra6ng&comprehensive&oral&health&services&into&schoold based&health&centers&(sbhcs)& 2 Discuss&challenges&faced&by&programs&that&are&successfully& integra6ng&comprehensive&oral&health&services&into&sbhcs& 3 Understand&how&to&sustain&a&comprehensive&oral&health& program&in&sbhcs&by&maximizing&access&to&oral&health&care,& improving&oral&health&outcomes,&and&mee6ng&financial&goals& 4 Learn&about&the&development&of&a&resource&manual&to& support&the&integra6on&of&comprehensive&oral&health& services&into&sbhcs& 1

Speakers Sarah Wovcha, J.D., M.P.H. Children s Dental Services Anne Varcacio, R.D.H., M.A. Bureau of Dental Health, New York State Department of Health Mark Doherty, D.M.D., M.P.H. Safety Net Solutions, DentaQuest Institute Beth Lowe, R.D.H., M.P.H. National Maternal and Child Oral Health Resource Center, Georgetown University Resources to Support the Integration of Comprehensive Oral Health Services into School-Based Health Centers Beth Lowe, R.D.H., M.P.H. National Maternal and Child Oral Health Resource Center American Association for Community Dental Programs April 26, 2014 2

School-Based Comprehensive Oral Health Services Pilot Project Funded by the Health Resources and Services Administration, Maternal and Child Health Bureau Integrate comprehensive oral health services into an existing SBHC Increase access to oral health service Ensure delivery of high-quality education and preventive and restorative services Targeted to children and adolescents from underserved populations that are at high risk for dental caries, including children and adolescents enrolled in Medicaid or the Children s Health Insurance Program School-Based Comprehensive Oral Health Services Grantees 4-year project FY 11 FY 15 11 grantees in 5 states California (4) Colorado (2) Connecticut (1) Minnesota (1) New York (3) 3

Assessing the Integration of Oral Health Services into Primary Care Matrix designed to assess integration Four integration categories Delivery-system design Interdisciplinary care Patient/community education and self-management Sustainability Each category has multiple variables Each variable has multiple attributes/ characteristics Assessing the Integration of Oral Health Services into SBHCs 4

Monthly Resource Announcement Collaboration (medical, dental, behavioral) Electronic medical records Integration (definition, levels, characteristics) Provider education and training Policies, procedures, and protocols Quality improvement and outcome and performance measures Sustainability Proposed Guide Overview Community planning Buy-in from partners (SBHC, school district, principal, school nurse, teachers, students, parents) Advisory and planning committees Long-term community involvement Business planning Market analysis and needs assessment Governance, management, and integration structure Operations Financial projections and sustainability Marketing 5

Proposed Guide Data collection, reporting, and evaluation State or other overseeing body requirements Types of evaluation Coalition-building and advocacy Difference between coalition-building and advocacy Who to consider when advocating Advocacy strategies Other issues/topics to include? Thank You! Beth Lowe, R.D.H., M.P.H. National Maternal and Child Oral Health Resource Center Phone: (202) 687-1864 E-mail: eal38@georgetown.edu 6

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