The Children s Partnership The State Oral Health Plan Development Process CPEHN Spring Convening Series on Oral Health Equity Riverside, CA May 4, 2016 Jenny Kattlove Senior Director, Programs
Our Mission 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.
Agenda 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
State Oral Health Plan ISSUES, 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 Plan PLANNING & DEVELOPMENT PROCESS OVERVIEW 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 State Health Improvement Plan CDC Community Clinical Linkage CSTE/ASTDD State-Based Oral Health Surveillance Systems Community-Based Best Practices
State Oral Health Plan PLANNING PROCESS
Planning a State Oral Health Plan Inputs & Activities
State Oral Health Plan FRAMEWORKS DEFINING A MEASURABLE APPROACH
Framework for Comprehensive State Oral Health Plans Source: Centers for Disease Control and Prevention
State Oral Health Plan GOALS AND OBJECTIVES
Goal 1 Priorities Determinants of Health GOAL 1: Improve the oral health of Californians by addressing determinants of health, specifically promoting healthy habits and population-based prevention interventions to attain healthier status in healthy communities. 1. Build community capacity to integrate oral health into the decisionmaking 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 Priorities Community-Clinical Linkages GOAL 2: Align dental health care delivery system, payment systems and community programs to support and sustain community-clinical linkages for increasing utilization of dental services. Examples 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.
Goal 3 Priorities Infrastructure and Capacity GOAL 3: Collaborate with payers, public health, health care systems, foundations, and professional organization and educational institutions to expand infrastructure, capacity and payment systems for supporting prevention and early treatment services. Examples 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.
Goal 4 Priorities Surveillance GOAL 4: Develop and implement a surveillance system to measure key indicators of oral health and identify key performance measure for tracking progress. 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 Priorities Communications/Education GOAL 5: Develop and implement communication strategies to inform and educate the public, providers, and decision makers about oral health information, 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 Plan DEVELOPING STRATEGIES THROUGH PARTNERSHIP MOVING FROM PLANNING TO ACTION
Strategy Development
Proposed State Oral Health Plan Strategies
State Oral Health Plan PRIORITIES, GOALS & IMPACT ACHIEVING THE VISION OF HEALTHY PEOPLE IN HEALTHY COMMUNITIES
Process Oral disease burden document State Oral Health Plan development Oral Health Surveillance System Development of a statewide partnership Plan implementation, tracking, and continuous quality improvement
State Oral Health Plan Goals Equity in Health and Wellness Address determinants of oral health, promote healthy habits and population-based interventions Improve access to continuous high quality, and culturally and linguistically competent care Expand the infrastructure and capacity to promote community based programs through communityclinical linkages
State Oral Health Plan Goals Achieving Success Together Collaborate to expand infrastructure, capacity and payment systems Develop and implement a surveillance system Develop innovative solutions and evaluate outcomes Develop and enhance communication capacity to educate policymakers, public, providers and organizations Track progress and share results
Achieving the Vision of Healthy People in Healthy Communities Making California the Healthiest State in the Nation
Contact Information Jenny Kattlove jkattlove@childrenspartnership.org (310) 260-1220
Questions?