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- 1. Katya Mauritson, DMD, MPH (c) Oral Health Unit Director Colorado Department of Public Health and Environment May 16, 2012
- 2. Special focus on 3 Winnable Battles Mental Health and Substance Abuse Obesity Oral Health
- 3. Oral Health Why this matters Periodontal disease is linked to cardiovascular disease, diabetes and stroke Colorado kids miss about 7.8 million school hours every year because of mouth pain An estimated 42 percent of working-age Coloradans and approximately 67 percent of Colorado adults over 65 years of age do not have dental benefits
- 4. Oral Health The economic burden •In FY09-10, 6,076 Colorado children received hospital-based dental care costing Medicaid $8,249,949 •Children’s Hospital has four operating rooms dedicated to treating severe dental caries that are full 8 hours a day, 5 days a week – it is one of the top three reasons for OR use at Children’s •CDC: approximately$108 billion spent on dental services annually (2010)
- 5. Percent of Colorado parents reporting that their child (age 1 through 5) first went to the dentist by 12 months of age, 2006-2010 5 Goal: 4.6% by 2016 4 3.4 2.9 2.8 Percent 3 2.1 2 1.6 1 0 2006 2007 2008 2009 2010 Source: Colorado Child Health Survey, Health Statistics Section, CDPHE
- 6. Percent of 3rd grade children in Colorado with sealants, Oral Health Basic Screening Survey 50 Goal: 39% by 2016 40 37.1 35.2 Percent 29 30 20 10 0 2001-2002 2003-2004 2006-2007 Sealants = Percentage of 3rd Grade Students with dental sealants on at least one permanent molar tooth Source: Oral Health Program, Colorado Department of Public Health and Environment
- 8. Health Equity NATIONAL INFLUENCES GOVERNMENT POLICIES U.S. CULTURE & CULTURAL NORMS + = ACCESS , HEALTH PREGNANCY ECONOMIC PHYSICAL SOCIAL MENTAL UTILIZATION BEHAVIORS & HEALTH & QUALITY QUALITY OF LIFE OPPORTUNITY ENVIRONMENT FACTORS CONDITIONS CARE EARLY • Nutrition • Mental health • Health MORBIDITY CHILDHOOD • Income Built • Participation • Employment Environment • Social • Physical status insurance • Education •Recreation support activity • Stress coverage MORTALITY •Food • Tobacco use • Substance • Received CHILDHOOD • Housing • Leadership •Transportation • Skin Cancer abuse needed care • Political LIFE EXPECTANCY • Injury • Functional • Provider influence Environmental status availability • Organization • Oral health ADOLESCENCE quality • Preventive al networks • Sexual health •Housing care • Violence •Water • Racism • Obesity ADULTHOOD •Air • Cholesterol Safety • High Blood Pressure OLDER ADULTS Public Health’s Role in Addressing the Social Determinants of Health •Advocating for and defining public policy to achieve health equity •Data collection, monitoring and surveillance •Coordinated interagency efforts •Population based interventions to address health factors •Creating organizational environments that enable change •Community engagement and capacity building Colorado Department of Public Health - Social Determinants of Health Workgroup
- 9. Oral Health Effective strategies •Water fluoridation and school sealant programs •Ensure effective implementation of the Affordable Care Act: •Recruit, train and enable general dentists that currently do not accept children on Medicaid to begin accepting Medicaid patients •Train dental providers to care for young children and pregnant women following Cavity Free at Three protocols • Recruit and train culturally competent dental providers • Oral health promotion strategies
- 10. Oral Health Oral health collaborative: CDPHE, DHS, HCPF, external partners • Dental benefits • CHP+ eligibility • Sealant work group • Fluoridation work group • Messaging summit • Data summit • Communications
- 11. Questions?
Editor's Notes
- MH: Nearly $75 million in direct and hospital costs, and more than $1.33 billion in lost productivityObesity: Health care for conditions related to obesity costs Coloradans more than $1.6 billion each year
- Kaiser study on Diabetes: cost savings in 3 years if dental benefit
- By 2016,75 percent or more of the population served by community water systems receives optimally fluoridated water;increase to 4.6 percent the percentage of Colorado infants who get a dental checkup by age 1 year;Increase to 39 percent the percentage of Colorado third-graders who have dental sealants on permanent molars.
- Dr. Bill Moss from Pew’s CDHP, talk about this access being an equity issueOverlay with poverty map
- PCO: SDOH, CWF, CF3CF3, ECC, Healthy Teeth Happy Babies, water treatment plants, schoolsKey Public and Private PartnersColorado Partnership for Children’s Oral Health Oral Health ColoradoDelta Dental of Colorado FoundationCaring for Colorado Foundation CDA, CCHN, CDHA, CDPHE, HCPFExpansions of CHP+ and Medicaid (dental benefits) Health Insurance Exchange include dental care for children Expand school-based dental sealant programs
- Community Water FluoridationTrending downwardHP 2020 goal: 79.6%Sealants as preventionCo 38 of 50 C- receiving preventive dental visits30th for CWF and losing ground (down from 2002 we were 24th at above 75%)Oral Health Unit & CDPHE work:BSS: child, Headstart and older adulsBurden DocumentData SummitGrant, legislative, informational communications: mobilize when defluoridating