Grantee Meeting Minutes - April 11, 2006


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Grantee Meeting Minutes - April 11, 2006

  1. 1. Oral Health Initiative Grantee Launch Meeting April 11, 2006Welcome, Introductions and Meeting PurposeTangerine Brigham, Community Health Program Officer, welcomedgrantees to the launch meeting of the Oral Health Initiative AdvisoryCommittee. Grantees made introductions and reviewed the meeting’ spurpose.Overview of Oral Health InitiativeGrantee received an overview of the OHI. Specifically, the granteesreviewed the Initiative’ s planning process, objectives, components andimplementation activities. Grantees received a PowerPoint presentationwith detailed information on each of these aspects. Grantees alsoreceived summary information on the OHI Advisory Committee. TheCommittee serves three functions: o Provide advice on Initiative implementation o Provide feedback and suggestions to ensure that Initiative meets its objectives • Service expansion • Delivery system • Advocacy and system reform • Education and communication o Provide guidance on Initiative’ s priority funding areasGrantees were directed to Tab 4 that provides additional information onthe Advisory Committee.OHI ProjectsGrantees were directed to Tab 3 of the Orientation Binder whichprovides summary information on the OHI projects. In summary, eight 1
  2. 2. projects have received funding to date totaling $680,000. Six grants arefor implementation and two are for planning. A grant was awarded ineach of the five counties within the Foundation’ s service area. Five ofthe grants are collaborative efforts and three are single agencies(principally local health departments). The grants cover all of theOHI’ s priority areas with the majority focusing on access to care,education/health promotion and provider training. A majority of thegrantees either focus exclusively on children or have children withinthe targeted aged group.Grantees stressed to need to ensure that funded projects did not workin isolation, but gained knowledge from other grantees. With respectto cross collaboration and sharing lessons learned, grantees made someof the following suggestions: o provide regular opportunities for grantees to meet and share project experiences – both challenges and successes, o provide a forum for grantees to share materials/data (e.g., benefits of care coordination and role in increasing reimbursement, avenues to reduce no-show rates, best practice models for medical/dental coordination, internal referral procedures used by grantees, mechanisms for recruiting volunteers, etc.) and for TSFF to share materials that can be readily accessed by all grantees via the Internet or another electronic medium, o provide grantees with the contact information and summary projects of all OHI participants.Grantees expressed interest in TSFF helping address long-termsustainability and in the OHI effort tracking the work of the DentalPipeline.Brainstroming: Public Policy/Advocacy and Public Education/StrategicCommunicationsPublic Policy and AdvocacyGrantees indicated that the current system for delivering and financingdental services is broken and is in need of repair. It was noted that aCalifornia Dental Association survey taken five years ago found thatdental providers are less willing to accept patients with public dental 2
  3. 3. insurance due to: (1) bureaucracy, (2) patient no-show rate and (3) lowreimbursement rates. It was noted that the following are issues thatneeded policy and advocacy focus:Policy Issue RecommendationDelivery System • Develop and adopt, if appropriate, new models of care coordination • Develop system where dental hygienists can function as oral health coordinators and emphasize prevention in oral health. • Document the case/care management component to assist in advocacy for reimbursement.Fluoridation Increase access to fluoridated water in the five counties. This recommendation has both fiscal and policy implications.Health Develop mechanisms to increase dental health literacyPromotion and among parents/guardians and dental health consumers.EducationPublic Program Explore mechanisms to developed standardizedSimplification reporting and reimbursement forms for Denti-Cal, Healthy Families, etc.Reimbursement • Obtain reimbursement for care management services(State-funded • Increase reimbursement rates from/to Delta DentalPrograms) (i.e., from the State to Delta Dental and from Delta Dental to providers) • Reduce bureaucracy surrounding reimbursement for services. • Obtain reimbursement for oral health education. • Provide funding for the Head Start required dental exam which is currently an unfunded mandate.With respect to reimbursement, it was stated that effective July 2006,the application of fluoride varnish will be a reimbursable service underMedi-Cal/Denti-Cal.Other issues raised during this discussion were the need to ensure thathealth promotion materials are translated into appropriate languagesgiven the demographic make-up of the communities served by grantees. It 3
  4. 4. was also mentioned that transportation is often times a critical factorfor may potential dental patients and that the lack of accessibletransportation negatively contributes to high no-show rates.Public Education and Strategic CommunicationsGrantees noted the challenges inherent in developing a publiceducation/communications strategy for oral health: oral health competes for “ airtime” with other health and social services issues that appear moreurgent in nature, general public does not perceive of oral health diseaseas an infectious and communicable disease, or understand theramifications of chronic diseasesSome of the ideas that grantees surfaced were: o developing a public education message that highlights the impact of oral health on physical and mental health, o creating a volunteer base for public education and prevention using the health worker/ promotora/lay person model, o working with California New Media to determine if they can be of assistance in helping craft and/or placing oral health prevention messages for ethnic media, o determining if a consortium of funders would be interested in the notion of social marketing, o using the media to make the direct link between nutrition and dental health, o working with the Bay Area Dental Deputy Directors group to determine what common public education strategies have been employed across the nine counties.The University of Pacific noted that it has received a grant to trainsocial workers on how to conduct risk assessments and provide oralhealth education.As grantees discussed the communications component, there was arealization the oral health was in need of the “ tipping point” – thatmoment when an issue is placed on a larger stage and gains a largerfollowing. For both the policy and communications activities, grantees 4
  5. 5. suggested a convening of funders to discuss how to more effectivelyframe oral health issues for the public and for policy stakeholders.Grant MonitoringGrantees will be required to report on their progress in achieving theirgoal(s) and outcomes. A standardized reporting template will bedeveloped which will also support the overall OHI evaluation. Inaddition, grant monitoring will also include site visits for all granteeswho received implementation funds. Site visits will be done on an annualbasis. Finally, on an annual basis, grantees will provide a financialreport on the use of grant funds.OHI EvaluationTSFF staff provided an overview of the OHI evaluation. The evaluationis designed to determine the following: o whether the Initiatives objectives were met in, o whether grantees achieved their outcomes, o whether funded projects can be replicated and under what conditions, o what conditions are needed to sustain funded programs, and o ascertain the Foundations ability in launching and managing the Initiative.The evaluation will be structured to include: o formative and summative components, o quantitative (i.e., outcome) and qualitative (i.e., process) evaluation, o an evaluation instrument and methodology (i.e., data elements, data collection and analysis), o mechanisms to assess grantee interventions, intermediate outcomes (during life of grant) and long range impact, and o technical assistance to grantees.Grantees reviewed the timeline for selecting an evaluator. TSFF staffindicated that grantees would be informed as soon as an evaluator hadbeen approved by the Foundation’ s Board of Trustee. 5
  6. 6. TSFF staff stated that the OHI evaluation had been discussed with theAdvisory Committee and that the Committee strongly recommended thatTSFF expand its role to include helping ensure sustainability of theprojects (if appropriate) after funding ends and that TSFF be evaluatedon its ability to assist in this area.Grant Agreement IssuesIt was announced that the Foundation had mailed out all the grantagreements last week and that grantees should review the grant andsign if appropriate. Funds will be disbursed after the signed grantagreement is received by the Foundation. Any questions regarding thegrant agreement should be directed to either Ms. Brigham ( Catherine Mercado ( Grantee Meetings UsefulGrantees felt that it was useful to meet on a regular basis and that itwould be important to use grantee meetings to: share information,discuss best practices, discuss challengesNext MeetingThe next meeting of OHI Grantees will be August 22, 2006 from 11:00 am– 3:00 pm at The San Francisco Foundation. An agenda and meeting packet will be sent out prior to the meeting.Materials Distributedo Oral Health Initiative Grantee Orientation Bindero OHI Powerpoint PresentationGrantees in AttendanceContra Costa Oral Health Project o Padmini ParthasarathyGeriatric Oral Health Access Program o Rolande Tellier o Jon Roth, CAEHealthy Kids, Healthy Teeth Expansion o Sandi GoldsteinMarin County Oral Health Coordination Project o Sandra Rosenblum 6
  7. 7. Oral Health Policy Development o Dr. Paul GlassmanPractice Management System o Patricia BarreraPre- and Post-Natal Oral Health Project o Ann Marie Silvestri, DDSSan Francisco Kids and Infant Oral Care Program o Dr. Carolyn Brown 7