ASTDD: Members' Breakfast Summary of State/Territorial Activity


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  • Key Activities: 1,2,3
  • 1. Increase access to oral health care. Increase the numbers and efficiency of MA providers through the use of Expanded Function Dental Assistants. 2. Underserved Populations or Low-income, uninsured, CHIP and MA recipients The Robert Wood Johnson Grant has targeted recruitment of EFDA trainees from clinics and practices that see a significant number of these patients. It is hoped these students will return to area of recruitment to be employed. 3. Partnered with Harcum College and Luzerne County Community College (Urban vs. Rural) The effectiveness of our efforts will be tested in contrasting populations. Urban and rural settings have unique barriers which may not respond identically to this initiative. 4. Trained EFDAs The total numbers of EFDAs trained is 86. Total projected EFDAs trained under grant is over 100. 5. Educated 150 dentists on the advantages of using EFDAs The Grant has provided the opportunity for over 250 dentists and dental students to learn of the advantages of this mode of practice. Dentists were provided free CE. 6. Pennsylvania EFDA Association The newly formed Pennsylvania EFDA Association is headquartered at Harcum College, in rent-free space. 7. Compare the effectiveness and success of the EFDA Training Program By measuring employment levels of graduates, utilization of EFDA skills, increased accessibility of oral health care and decreased travel times in the areas affected by the Grant, we hope to find that we have contributed to the solution of the problem of access to oral health care in Pennsylvania. S/HRR/OralHealth/ASTDDMembersBreafastNotesOnly2006
  • Train non-dental primary health care providers on early childhood caries, risk assessment, and detection of dental problems. Create a referral system to increase access to pediatric dental services. Help understand the importance of oral health and the role medical professionals can play in its maintenance and improvement. Perform caries risk assessment and oral health screening. Understand strategies to prevent tooth decay. Provide oral health related anticipatory guidance. Met with Dept. of Social Services to discuss reimbursement for fluoride varnish application by medical professionals. Foresee questions from the dental hygiene assn?
  • ASTDD: Members' Breakfast Summary of State/Territorial Activity

    1. 1. ASTDD: Members’ Breakfast Summary of State/Territorial Activity April 30, 2006
    2. 2. Estimating Frequency of Dental Visits, Children < 3 years, Alabama 2006 <ul><li>Purpose – Treated and untreated caries , among children < 3 years in dental office. $1.5 million expended by AL Medicaid for dental care of 1-3 year olds. “ If you’ve waited to age 3, you’ve waited too late” . “No one ever told me how to take care of my 2-year olds’ teeth .” </li></ul><ul><li>Method – Questionnaire developed, to be piloted and sent to 72 pediatric and xx Medicaid child providers. Staff complete form Monday and Tuesday for 6 weeks for every child < 3 examined. Instructions given to complete questionnaire; FAX back each form end of selected days. </li></ul><ul><li>Outcomes – demographic characteristics, +/- institutional vs homebound child, principal caregiver. As percent of all < 3 year old examined: </li></ul><ul><ul><li>caries experience , and </li></ul></ul><ul><ul><li>no decay / some decay / severe decay . (terms defined) </li></ul></ul><ul><li>Collaboration with dental school (student research project), AL-AAPD, Medicaid Agency </li></ul><ul><li>Limitation – some estimate (underestimate) of children having received dental care at this age, though excludes children with/without caries who have not seen a dentist. </li></ul><ul><li>Dissemination of results in ALDA/Medicaid newsletter/other publication </li></ul><ul><li>Project to start summer or fall, 2006 </li></ul>
    3. 3. ALASKA: Adult Dental Medicaid Enhancement <ul><li>Purpose : Expand coverage to include preventive and restorative dental services for adults enrolled in Medicaid up to a $1,150 annual cap </li></ul><ul><li>Target Population : Adults enrolled in Medicaid (including pregnant women) </li></ul><ul><li>Partnerships : Alaska Mental Health Trust Authority – new Alaskans for Dental Access Coalition (ADAC) </li></ul><ul><li>Cap : $1,150 level would cover an upper/lower denture over 2 years </li></ul><ul><li>Key Feature : Assists financing of tribal programs, financial support to new CHC dental programs and access for adults with disabilities (Trust Beneficiaries) </li></ul><ul><li>Key Feature of Efforts : New partnerships and resources </li></ul><ul><li>Outcome : Legislative Results - update </li></ul><ul><li>Next Steps/Future Direction : If the bills pass it would be implemented 4 th quarter FY2007 – if not, ADAC will develop strategies for next session. </li></ul>
    4. 4. New Hampshire – NH Statewide Sealant Project (NHSSP) <ul><li>Purpose: Create a sustainable statewide school sealant project and compare school-based with school-linked and Ohio models </li></ul><ul><li>Target Population: 2 nd and 3 rd graders </li></ul><ul><li>Key Features: </li></ul><ul><ul><li>Dr. Margherita Fontana presented sealant science in NH </li></ul></ul><ul><ul><li>NHDS recruited 83 volunteer dentists for school exams </li></ul></ul><ul><ul><li>349 2 nd & 3 rd grade students in 170 schools received sealants; 69 were referred for urgent care </li></ul></ul><ul><li>Accomplishments: </li></ul><ul><ul><li>Engaged communities & dental professionals to support evidence-based dental sealant application </li></ul></ul><ul><li>Next Steps: Complete Years 2 & 3, Evaluate, Sustain sealant initiative in 4 pilot communities. </li></ul>
    5. 5. Arizona – Transmission Campaign
    6. 6. Arkansas – Fluoride: The Natural State of Water <ul><li>Create awareness of fluoridation as an adjunct to the natural occurrence of fluoride </li></ul><ul><li>Target Population – Runners, Walkers, Readers, dogs? </li></ul><ul><ul><li>Stop the Pop => F:TNSoW </li></ul></ul><ul><ul><li>“ Oral Health: Something to Smile About “ </li></ul></ul><ul><ul><li>Medical Mile Mural Wall </li></ul></ul>
    7. 7. State of California Community Water Fluoridation Program <ul><li>Increase the number of Californians drinking fluoridated water from 30% to 65% </li></ul><ul><li>All Californian’s, especially high risk, low income children </li></ul><ul><li>Passage of AB 733 and SB 96 California’s Fluoridation Laws </li></ul><ul><li>Development of Partnerships </li></ul><ul><li>Securing the necessary private/public funds. </li></ul><ul><li>Anti-law suits, CA courts uphold AB 733 </li></ul><ul><li>By early 2007, 65% of Californians should have access to fluoridated water </li></ul><ul><li>Continued guidance to communities in the process of fluoridating </li></ul><ul><li>Securing federal, state, local and private funds </li></ul><ul><li>Maintaining fluoridation oral health partnerships and coalitions </li></ul><ul><li>Developing additional state laws mandating oral health prevention. </li></ul>
    8. 8. Colorado: Mercury-Free Colorado Oral Health Program Role <ul><li>Integrate “dental” into Mercury Environmental Problem Solving Team </li></ul><ul><li>Target Population: Colorado Dentists </li></ul><ul><li>1. Liaison between CDA and Health Dept. </li></ul><ul><li>2. Presentations at component meetings regarding </li></ul><ul><li>voluntary use of amalgam separators </li></ul><ul><li>3. Development of Hg Manual for Dental Offices </li></ul><ul><li>Accomplishment: Support of the CO Dental Assoc/Integration between “health and environment” </li></ul><ul><li>Next Steps: Oral Health Director as “point person” </li></ul>
    9. 9. CONNECTICUT Basic Screening Survey <ul><li>Purpose: </li></ul><ul><ul><li>To Gather Baseline Oral Health Data on Preschool and Elementary School Children in CT </li></ul></ul><ul><li>Target: </li></ul><ul><ul><li>Head Start, Kindergarten and Third Graders </li></ul></ul><ul><li>Features: </li></ul><ul><ul><li>Statewide and Regional Representation </li></ul></ul><ul><ul><li>Decay, Location of Decay, Rampant Decay, Sealants </li></ul></ul><ul><li>Accomplishments: </li></ul><ul><ul><li>Broad-Based Support </li></ul></ul><ul><ul><li>Advisory Committee Established and Convened </li></ul></ul><ul><li>Next Steps: </li></ul><ul><ul><li>Sample Selection </li></ul></ul>
    10. 10. District of Columbia – Dental Professionals’ Role in Bioterrorism & Other Catastrophic Events <ul><li>Purpose – To determine the role that dental professionals can play in response to bioterrorism and other catastrophic events </li></ul><ul><li>Target Population – District of Columbia residents & Metropolitan area </li></ul><ul><li>Key Feature of Efforts – Collaboration with DC DOH’s Emergency Health & Medical Services Administration </li></ul><ul><li>Accomplishments : </li></ul><ul><ul><li>Participated in emergency response team at 55th Inauguration of the President of the United States on January 20, 2005 </li></ul></ul><ul><ul><li>Provided dental treatment to Hurricane Katrina evacuees </li></ul></ul><ul><ul><li>Key note speaker at DC DOH’s 2 nd Oral Health Summit was Dr. Michael Colvard (Director, Disaster Emergency Medicine Readiness Center &Assistant Professor , College of Dentistry, University of Illinois) </li></ul></ul><ul><li>Next Steps : </li></ul><ul><ul><li>Collaborate with Howard University College of Dentistry to develop curriculum to prepare dental professionals to respond to bioterrorism and other catastrophic events </li></ul></ul><ul><ul><li>Train dental professionals to effectively respond during times of crisis </li></ul></ul>
    11. 11. Idaho – Head Start Oral Health Initiative <ul><li>Purpose : To promote oral health and increase access to dental care for Idaho children </li></ul><ul><li>Target : Low-income children and families </li></ul><ul><li>Kick-off: Nov ‘04 HS Oral Health Forum  Oral Health Plan </li></ul><ul><li>Follow-up: Mtgs, trainings, grants, screenings/fluoride varnish </li></ul><ul><li>Collaborations : ASTDD, IHSA, IHSCP, HS Programs, Delta Dental, IOHA, RBS Caring Foundation, State/District Hlth Depts. </li></ul><ul><li>Outcome : Increased funding and priority for oral health, increased knowledge about best practices, increased services  PIR data </li></ul><ul><li>Next Steps: 2006 Idaho Head Start Smile Survey – Oral Health & Wellness Track at 2006 Idaho Health Care Conference – Continue Collaborations - Bright Futures Guides/Training – ECC Prevention & Fluoride Varnish Project – Perinatal Oral Health Project </li></ul>
    12. 12. Illinois: Collecting Workforce Data Through Licensure Renewal <ul><li>Purpose </li></ul><ul><ul><li>Respond to state oral health plan </li></ul></ul><ul><ul><li>Key concern for Communities, Deans, ISDS </li></ul></ul><ul><ul><li>Goal: FTE equivalency by county </li></ul></ul><ul><ul><li>Feed IOHSS </li></ul></ul><ul><li>Target population – Clinically Active DDS/RDH </li></ul><ul><li>Key Features - Collaboration </li></ul><ul><li>Accomplishments – 62% RR DDS; 70% RDH </li></ul><ul><li>Next Steps – SB 2395 </li></ul><ul><ul><li>Department may require completion of a census by all licensed dentists in order to obtain relevant information regarding the availability of dental services within the State </li></ul></ul>
    13. 13. SEAL INDIANA: Indiana University School of Dentistry’s State-wide Mobile Dental Sealant Program In Cooperation with Indiana State Department of Health <ul><li>DATA: March 2003 – March 2006 </li></ul><ul><li>9,220 children examined to date </li></ul><ul><li>14,214 sealants placed </li></ul><ul><li>6,213 fluoride varnish </li></ul><ul><li>Programs at 464 sites in Indiana </li></ul><ul><ul><li>Title I Schools, Community Health Centers, Head Start Programs, Seasonal Migrant Programs </li></ul></ul><ul><li>52% 6-18 yrs have untreated decay </li></ul><ul><ul><li>35% 6-18 yrs have non-urgent decay </li></ul></ul><ul><ul><li>17% 6-18 yrs have severe carious lesions </li></ul></ul><ul><li>Payment </li></ul><ul><ul><li>54% Medicaid / Hoosier Healthwise </li></ul></ul><ul><ul><li>25% sliding fee scale </li></ul></ul><ul><ul><li>17% agency </li></ul></ul><ul><ul><li>3% no charge </li></ul></ul>
    14. 14. Iowa – 2005 Senior Smiles Project <ul><li>Purpose: Train public health nurses in three Iowa counties to assess the oral health status of home bound senior citizens, provide basic home care instructions, and appropriate intervention </li></ul><ul><li>Target Population: 146 senior adults participating in the Medicaid Elderly Waiver Program age 65 and older </li></ul><ul><li>Key features of efforts: </li></ul><ul><ul><li>Collaborative effort between IDPH, DEA, U of I Dental School </li></ul></ul><ul><ul><li>Adapted screening tools, Oral Health Assessment Tool (OHAT), Oral Hygiene Care Plan (OHCP) for effectiveness evaluation </li></ul></ul><ul><li>Outcome: OHAT showed improvement in oral health status from the first screening to the second, 83% of participants were referred to a dentist </li></ul>
    15. 15. Kansas <ul><li>AEGD Program </li></ul><ul><li>Dr. Katherine Weno </li></ul>
    16. 16. KENTUCKY KIDS Smile Program <ul><li>Purpose (Objective) - KIDS Smile Program </li></ul><ul><li>Target Population – Children ages 0 thru 5 yrs </li></ul><ul><li>Key Feature of Efforts – Non dental providers </li></ul><ul><li>Key Feature of Efforts – State-wide </li></ul><ul><li>Key Feature of Efforts – Tobacco Settlement </li></ul><ul><li>Accomplishment/Outcome – 57K visits, 1250 nurses, physicians, others trained </li></ul><ul><li>Next Steps/Future Direction – add other non dental providers, clinical & admin eval </li></ul>
    17. 17. MAINE – State Oral Health Plan <ul><li>Purpose: Develop a collaborative statewide oral health improvement plan that engages all partners </li></ul><ul><li>Target Population: Policy-makers and stakeholders </li></ul><ul><li>Key Feature: Collaborative process; broad base of diverse stakeholders; some new players </li></ul><ul><li>Accomplishment: To be incorporated by reference in State Health Plan (first time) </li></ul><ul><li>Next Steps: Plan is in final draft stages; once final, will develop implementation plan; presentation planned at statewide conference in fall 2006 </li></ul>
    18. 18. Commonwealth of Massachusetts “ Early Oral Health Assessment Project” <ul><li>Early dental assessment and education for families with children at high-risk for dental disease </li></ul><ul><li>Families and Children participating in Early Intervention and WIC </li></ul><ul><li>Non-Dental Professionals </li></ul><ul><li>Periodic Oral Health Assessments </li></ul><ul><li>Dental Tool Kit </li></ul><ul><li>Consultation/Referral to “Oral Health Across the Commonwealth Program”/Tufts Special Needs Dental Program </li></ul>
    19. 19. Michigan Infrastructure Development <ul><li>Objective: To develop a sustainable infrastructure </li></ul><ul><li>Accomplishments: </li></ul><ul><ul><li>Personnel growth </li></ul></ul><ul><ul><li>Coalition, State Oral Health Plan, Disease Burden Document </li></ul></ul><ul><ul><li>“ Count Your Smiles Survey”, Fluoride Varnish/WIC Program </li></ul></ul><ul><ul><li>Budget redistribution to oral health </li></ul></ul><ul><li>Next Steps: </li></ul><ul><ul><li>Increase integration of oral health throughout MDCH </li></ul></ul>
    20. 20. Minnesota – Oral Health Data Book Project <ul><li>Goal – produce a MN Oral Health Data book in print and web formats </li></ul><ul><li>Used by communities for targeted oral health program planning </li></ul><ul><li>Key Feature – MN specific </li></ul><ul><li>Key Feature – availability via web </li></ul><ul><li>Key Feature – aid in identifying dental program gaps </li></ul><ul><li>Accomplishment – will be completed mid-summer </li></ul><ul><li>Future direction – develop oral health programs based on identified data needs </li></ul><ul><li>Funded – HRSA through its Children’s Oral Healthcare Access Program (Thank you HRSA!) </li></ul>
    21. 21. Mississippi – Public Water Fluoridation Program <ul><li>Increase proportion of population on fluoridated water (Range = 0.7 – 1.3 PPM Fluoride) </li></ul><ul><li>PWS that serve 1000 residents or more </li></ul><ul><li>Health foundation partnership to give funds to PWS ( </li></ul><ul><li>Risk reduction surveillance using WRFS </li></ul><ul><li>Access for health providers to ‘My Water’s Fluoride’ </li></ul><ul><li>26 new programs = pop. increase from 42% to 50.5% </li></ul><ul><li>The Mississippi Gulf Coast / Clean Water State Revolving Loan Program (? legislation) </li></ul>
    22. 22. Nevada – Oral Health Coalitions <ul><li>6 Regional Oral Health coalitions and a State Oral Health Advisory Committee </li></ul><ul><li>Develop and implement community-based strategies to improve oral health, reduce disparities </li></ul><ul><li>Shared website www. nvoralhealth .org </li></ul><ul><li>Accomplishments/Outcomes – Smiles Across America LV, 1DAY, Head Start resources, LTC/SNF-Assisted Living curriculum, CE for volunteering, data collection of special needs population </li></ul><ul><li>Next Steps/Future Direction – Coalition workshop, 2006 State Oral Health Summit </li></ul>
    23. 23. New Jersey: Dental Clinic Directory 2006 <ul><li>Purpose : To provide a central source of information on NJ public dental clinic services. </li></ul><ul><li>Target Population : Public, health and social service professionals </li></ul><ul><li>Available on NJDHSS website, hard copies </li></ul><ul><li>Living document </li></ul><ul><li>Future Direction : Annual updates </li></ul>Dial a Smile 1 2 3 4 5 6 7 8 9 0 # *
    24. 24. New York State –Guidelines for Oral Health Care During Pregnancy and Early Childhood <ul><li>Target Population – Prenatal oral health and child health professionals </li></ul><ul><li>Purpose - To develop and recommend scientifically sound guidelines that are practical and provide the greatest opportunities for improving the oral health of pregnant women and children. </li></ul><ul><li>NYS DOH convened an expert panel of health care professionals who are involved in promoting the health of pregnant women and children. </li></ul><ul><li>The panel reviewed literature, identified existing intervention practices and guidelines, assessed issues of concern and developed recommendations. </li></ul><ul><li>Group relied on expert consensus when controlled studies were not available to address specific issues and concerns. </li></ul><ul><li>Accomplishment/Outcome – Separate recommendations for prenatal, oral health and child health professionals were developed by the panel. </li></ul><ul><li>Next Steps/Future Direction – Guidelines have been submitted for publication approval. </li></ul><ul><li>Presentation: Pregnancy and Oral Health: Evidence and Opportunity, Wednesday, May 3, 2006; 2:15-3:15 pm. </li></ul>
    25. 25. North Carolina: Reinstitute Fluoride Mouthrinse Program <ul><li>Purpose (Objective): Reduce inequities between high and low risk children </li></ul><ul><li>Target Population: 78,000 children in elementary schools at or above 40% free/reduced lunch </li></ul><ul><li>Key Feature of Efforts: Focus on high risk children </li></ul><ul><li>Key Feature of Efforts: Decrease school requirements </li></ul><ul><li>Accomplishment/Outcome: Request for funds is being reviewed for the Governor’s expansion budget </li></ul><ul><li>Next Steps/Future Direction: Obtain funding </li></ul>
    26. 26. North Dakota Basic Screening Survey Results <ul><li>Purpose: Surveillance </li></ul><ul><li>53 schools included in a probability sample </li></ul><ul><li>3 rd graders; 50 schools; 1,015 children; 73% participation rate </li></ul><ul><li>2010 Sealant Objective: Met (53%), for American Indians (AI) sealant rate much lower (43%) </li></ul><ul><li>Caries experience 54%, AI caries experience 82% </li></ul><ul><li>Drank soda or other sugared beverages 79%, AI 88% </li></ul><ul><li>ND has drafted a burden document, scheduled for release in the fall. Build case for American Indian sealant pilot project. </li></ul><ul><li>ND Oral Health Coalition, drafting legislation to allow non-dental providers to apply fluoride varnish. </li></ul>
    27. 27. Oregon- A Targeted Approach to Sealant Promotion <ul><li>Purpose: Promote school based local sealant projects </li></ul><ul><li>Population: 2 nd and 3 rd graders in schools with 50% FRL program </li></ul><ul><li>Key Features: Sealant Strategic Plan, Targeted Counties, County Synopsis, Promotion Materials (fact sheet, cost savings analysis, cover letter, dental sealant manual upon request) </li></ul><ul><li>Outcomes: All sites have responded with interest </li></ul><ul><li>Next Steps: 1) Technical assistance to sites, 2) Seeking ongoing State GF for Sealant Program </li></ul>
    28. 28. PENNSYLVANIA: Expanded Function Dental Assistants (EFDAs) <ul><li>1. Increase access to oral health care </li></ul><ul><li>2. Underserved Populations or Low-income, </li></ul><ul><li>uninsured, CHIP and MA recipients </li></ul><ul><li>3. Partnered with Harcum College and Luzerne County </li></ul><ul><li>Community College (Urban vs. Rural) </li></ul><ul><li>4. Trained 86 EFDAs </li></ul><ul><li>5. Educated 250 dentists and dental students on the </li></ul><ul><li>advantages of using EFDAs </li></ul><ul><li>6. Pennsylvania EFDA Association established </li></ul><ul><li>7. The effectiveness and success of the EFDA </li></ul><ul><li>Training Program </li></ul>
    29. 29. Rhode Island – State Oral Health Summit, March 2006 <ul><li>Objective: Convene broad group of stakeholders to develop a new 5-year OH plan for RI </li></ul><ul><li>Target Population: All Rhode Islanders </li></ul><ul><li>Key Features: </li></ul><ul><ul><li>Acknowledge accomplishments of 2001 Senate OH Commission; consider current OH issues in RI </li></ul></ul><ul><ul><li>Solicit stakeholder feedback - Draft OH Plan </li></ul></ul><ul><ul><li>[101 partners representing 53 organizations] </li></ul></ul><ul><li>Next Steps: Final 2006 RI Oral Health Plan </li></ul><ul><li>Other: Anti-fluoridation legislation, 2006; </li></ul><ul><li>CSHCN OH Forum [Fall 2006]; BSS 3 rd grade [Spring 2007] </li></ul>
    30. 30. South Carolina – More Smiling Faces RWJF Funded Pilot Project <ul><li>Goal: Increase access to oral health care </li></ul><ul><li>Population: Children < 6 and CSHCNS <20 </li></ul><ul><li>Strategies: </li></ul><ul><ul><li>Created integrated network in 6 rural counties </li></ul></ul><ul><ul><li>Provided Pediatric OH Training for medical/dental providers </li></ul></ul><ul><ul><li>Linked child from medical home to dental home with a patient navigator </li></ul></ul><ul><ul><li>Provided community education and outreach </li></ul></ul><ul><li>Measurable Goal: Increased Medicaid utilization for both target populations significantly </li></ul><ul><li>Future:Integration into MCH Integrated Systems, Medical schools, dental residency program, Head Start, etc. </li></ul>
    31. 31. South Dakota – Partners for Prevention <ul><li>HRSA Healthy Tomorrow’s Partnership grant </li></ul><ul><li>Train Primary Healthcare Providers </li></ul><ul><li>Physicians, PAs, Nurse Practitioners, CHNs </li></ul><ul><li>Pediatric dentists provided initial training </li></ul><ul><li>Referral system? </li></ul><ul><li>Discuss Medicaid reimbursement with DSS? </li></ul><ul><li>Question – partner with? Donated Dental Services, DH school, FQHC, Care Mobile </li></ul>
    32. 32. Tennessee – Cavity Free in Tennessee <ul><li>Purpose- To train public health nurses to perform a dental screening and apply fluoride varnish to at-risk children in health department medical clinics </li></ul><ul><li>Target Population- Children 0-5 yrs of age seen in health dept medical clinics </li></ul><ul><li>Statewide training of nurses by dental staff </li></ul><ul><li>July 04 - June 05: 8,747 children had a dental screening and fluoride varnish application by public health nurses </li></ul>
    33. 33. Texas – Texas Health Steps Dental Program/ Update of Medicaid Dental Policies <ul><li>Objective: Align Medicaid dental policies with current dental practices </li></ul><ul><li>Target Population </li></ul><ul><ul><li>Approximately 2,600 enrolled dental providers </li></ul></ul><ul><ul><li>2.7 million Texas children enrolled in Texas Health Steps </li></ul></ul><ul><li>Proactive review of Medicaid dental policies </li></ul><ul><li>Medicaid dental provider stakeholders’ involvement </li></ul><ul><ul><li>Identification of issues/concerns and solutions </li></ul></ul><ul><li>Updated diagnostic, preventive, therapeutic, and Doctor of Dentistry policies; orthodontic in process </li></ul><ul><li>Continue quarterly stakeholder meetings and ad hoc workgroups </li></ul>
    34. 34. Utah - “ Mind Your Mouth” media campaign (2 nd Year) First dental visit by one year of age <ul><li>Purpose: Educate public and dentists of the importance of first dental visit by age one </li></ul><ul><li>Target Population: Parents/caregivers, dentists </li></ul><ul><li>Key Feature of Efforts: TV and radio spots </li></ul><ul><li>Key Feature of Efforts: Urban and rural areas </li></ul><ul><li>Key Feature of Efforts: Spanish translation </li></ul><ul><li>Accomplishment/Outcome: To be determined </li></ul><ul><li>Next Steps/Future Direction </li></ul><ul><ul><li>3 rd year: Continuation of first dental visit by age one </li></ul></ul>
    35. 35. Vermont – Community Water Fluoridation <ul><li>Burlington and Montpelier, VT </li></ul><ul><li>Board of Health and City Council votes </li></ul><ul><li>Petition by Fluoride Action Network and Safe Water Advocates of Burlington </li></ul><ul><li>Collaboration - VDH, VSDS, VMS, VDHA </li></ul><ul><li>Landslide victory for fluoridation…. 71%-29% </li></ul><ul><li>Consideration for statewide mandatory fluoridation effort </li></ul>
    36. 36. Washington State – Oral Health Burden Document <ul><li>Purpose: To provide data, guidance and education for decision makers </li></ul><ul><li>Target: dental professionals, legislators, communities, local health departments </li></ul><ul><li>Key Feature of Efforts: internal DOH data, data from partners, final input from partners </li></ul><ul><li>Accomplishments: more visibility to OH issues, new partners, more credibility to OH Program, better coordination of efforts, system view </li></ul><ul><li>Next Steps: basis for State OH Plan (through local and state coalitions) </li></ul>
    37. 37. Wyoming Early Childhood Caries Prevention <ul><li>Purpose: Reduce early childhood caries incidence </li></ul><ul><li>Target Population: Pre-school children </li></ul><ul><li>Key feature of efforts: Screening, education, referral and follow-up </li></ul><ul><li>Key Feature of effort: Public Health Hygienists in eight counties </li></ul><ul><li>Outcomes: Demonstrated reduction in number of cases requiring hospital care </li></ul><ul><li>Next Steps/Future Direction: Extend program to include all Wyoming counties in two years </li></ul>