Update on Federal Activities

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Update on Federal Activities William Bailey, DDS, MPH Chief Dental Officer, USPHS Acting Director, Division of Oral Health, CDC April 15, 2012 National Center for Chronic Disease Prevention and Health Promotion Place Descriptor Here

This presentation has not been cleared for dissemination and does not represent the opinion of the Centers for Disease Control and Prevention or the Department of Health and Human Services.

The United States Public Health Service Leadership and excellence in public health practice The advancement of public health science Rapid and effective response to public health needs

Seven Uniformed Services of the United States DOD Armed Military Non-DOD Armed Military (DHS) Non-DOD Non-Armed Can Be Militarized (HHS) (DOC)

Federal Agencies Utilizing Commissioned Corps Officers (Not all agencies and programs are represented)

Categories of Commissioned Corps Officers Over 6,400 officers in 800 locations, worldwide 11 Professional Categories Medical Dental Nursing Pharmacy Scientist Health Services Engineer Therapist Veterinarian Dietitian Environmental Health

US Duty Stations

Selected HHS-Wide Activities PHS Oral Health Coordinating Committee HHS Oral Health Initiative IOM Roundtable on Health Literacy Workshop on Oral Health Literacy Healthy People 2020 Leading Health Indicator U.S. National Oral Health Alliance Two colloquia held to date Medical Dental Collaboration Prevention and Infrastructure

Oral Health Coordinating Committee Administration on Aging Administration for Families/Office of Head Start Agency for Healthcare Research and Quality Centers for Disease Control and Prevention Centers for Medicare and Medicaid Services Food and Drug Administration Health Resources and Services Administration Indian Health Service National Institutes of Health National Center for Health Statistics Office of the Assistant Secretary for Health Office of the Assistant Secretary for Planning and Evaluation Office of Public Health and Science Office of Minority Health Office of the Surgeon General Office on Women s s Health US Coast Guard Federal Bureau of Prisons

OHCC External Stakeholder Meeting First ever OHCC meeting of this scope 30 organizations, including AACDP Sought potential public / private collaboration in six areas Prevention Access and Workforce Health Literacy Research and Data Financing Models Health Disparities Exploratory in nature Meeting summary being developed for sharing with partners

IOM Workshop on Oral Health Literacy Hosted by IOM Roundtable on Health Literacy Full -day meeting focusing on oral health literacy Speakers representing national, state, local organizations HHS response highlighted: National Action Plan to Improve Health Literacy Health Information Technology for Economic and Clinical Health Act Affordable Care Act Plain Writing Act Health literacy research efforts HHS resources

Oral Health Literacy Foundational Documents

Selected HHS Activities and Resources Health Literacy Plans CDC Action Plan to Improve Health Literacy AHRQ Health Literacy Action Plan Training and Education Clear Communication: NIH Health Literacy Initiative http://www.nih.gov/clearcommunication/healthliteracy.htm CDC Health Literacy Portal http://www.cdc.gov/healthliteracy HRSA Training for Health Care Professionals http://www.hrsa.gov/publichealth/healthliteracy/index.html Resources IHS Health Literacy Tools and Resources http://www.ihs.gov/healthcommunications/index.cfm?module=dsp_hc_health_li teracy CMS Health Literacy Toolkit http://www.cms.gov/writtenmaterialstoolkit/

HHS ORAL HEALTH INITIATIVE PROMOTING AND ENHANCING THE ORAL HEALTH OF THE PUBLIC

HHS Oral Health Initiative http://www.hrsa.gov/publichealth/clinical/oralhealth/hhsinitiative.pdf

Head Start Dental Home Initiative - ACF Active in 46 states and the District of Columbia Over 1000 dentists have agreed to serve as dental homes for Head Start children The Dental Health Initiative has transitioned to the National Health Center Head Start National Center on Health has been awarded to the American Academy of Pediatrics The partners that will be working with AAP specifically on oral health are Georgetown University and ASTDD

CMS Oral Health Strategy Review of successful practices and program innovations Oral Health Strategy announced in April 2011 Two prevention-oriented performance objectives: Work with States to Develop Pediatric Oral Health Action Plan Strengthen Technical Assistance to States and Facilitate State/Tribal Peer-to-Peer Learning Outreach to Providers Outreach to Beneficiaries Partner with other agencies in DHHS CMS Oral Health Strategy. Announced April 11, 2011

IOM Reports on Oral Health- HRSA IOM Report on HHS Role Released April 8, 2011. IOM Report on Oral Health Access Released July 13, 2011

Early Childhood Caries Collaborative IHS Objectives: Increase access to care by 50% in 5 years Increase # of children receiving fluoride by 25% in 5 years Increase # of sealants by 25% in 5 years Increase # of Interim Therapeutic Restorations by 50% in 5 years Baseline data collected and finalized for the basic screening survey -- 71 sites and 8,261 children

Clinical and Translational Science Award Program NIH CTSA Dental Toolkit developed for data entry for dental caries and periodontal disease Standardized data collection and analysis Data comparable across studies or pooled

A Cultural Competency E-Learning Program for Oral Health Professionals - OMH Produce a comprehensive cultural competency e-learning program for oral health professionals Improve quality of care for all their patients Curriculum undergoing review and pilot testing Oral Health E-Learning Initiative Will be posted on the Think Cultural Health Website 2012 Launch

CURRENT HHS OPPORTUNITIES Affordable Care Act HHS Strategic Plan National Prevention Strategy National Partnership for Action National Action Plan to Improve Health Literacy Action Plan to Reduce Racial and Ethnic Health Disparities HHS Oral Health Initiative CMS Oral Health Strategy IHS Early Childhood Caries Collaborative IOM Reports Other

CDC Efforts

CDC Activities Community Water Fluoridation HHS Recommendation for Optimal Level 2010 fluoridation report Online training Surveillance Dental caries Periodontal disease Oral Cancer NOHSS New approaches Infrastructure grants/20 states Infection Control

WHAT IS THE PATH FORWARD? Strategic awareness Strengthening and expanding partnerships Advancing policy Keeping oral health in the media Promoting health literacy Focusing on prevention Improving a bit at a time pursuing excellence

National Center for Chronic Disease Prevention and Health Promotion Place Descriptor Here