oral health capacity and infrastructure in the states lynn douglas mouden, dds, mph director, office...

Oral Health Capacity and Infrastructure in the States

Lynn Douglas Mouden, DDS, MPHLynn Douglas Mouden, DDS, MPHDirector, Office of Oral HealthDirector, Office of Oral Health

Arkansas Department of HealthArkansas Department of Health

Immediate Past President, ASTDDImmediate Past President, ASTDD

Institute of Medicine (IOM)

Future of Public Health (Future of Public Health (1988)1988)

AssessmentAssessment

Policy DevelopmentPolicy Development

AssuranceAssurance

Guidelines forState and Territorial

Oral Health Programs

Produced by theAssociation of State and Territorial Dental

Directors (ASTDD)and Approved by the

Association of State and Territorial Health Officials (ASTHO)

Revised July 2001

Guidelines forState and Territorial

Oral Health Programs

Produced by theAssociation of State and Territorial Dental

Directors (ASTDD)and Approved by the

Association of State and Territorial Health Officials (ASTHO)

Revised July 2001

State oral health programs will be better prepared to achieve State oral health programs will be better prepared to achieve

HP 2010 Oral Health Objectives for their state and for the HP 2010 Oral Health Objectives for their state and for the

nation when they have:nation when they have:

competence in surveillancecompetence in surveillance

a full-time dental directora full-time dental director

skilled staffskilled staff

a state oral health plana state oral health plan

the support of policymakersthe support of policymakers

strong public/private partnerships and strong public/private partnerships and

community coalitionscommunity coalitions

and an ability to obtain funds for servicesand an ability to obtain funds for services

(from “Guidelines” ASTDD/ASTHO 2001)(from “Guidelines” ASTDD/ASTHO 2001)

Ten Essential Elements to Build C & I


Establish and maintain a state-based oral health Establish and maintain a state-based oral health surveillance systemsurveillance system..

Assessment on the Cheap

ArkansasArkansas 1999 and 20001999 and 2000

300 children, total cost <$1,000300 children, total cost <$1,000 (not including Director’s salary)(not including Director’s salary)

20012001 600 children, total cost <$1,000600 children, total cost <$1,000 (not including Director’s salary)(not including Director’s salary)

20032003 7,000 children, 7,000 children, totaltotal cost $27,000 cost $27,000

Obtain existing

dataAnalyze existing

data

Identify gaps

Primary data

collection

Report

Disseminate

Analyze collected

data

Update

Update

Surveillance SystemSurveillance System

Arkansas Oral Health Arkansas Oral Health Burden DocumentBurden Document



Establish and maintain a state-based oral health surveillance system.Establish and maintain a state-based oral health surveillance system.


Provide Provide leadershipleadership to address oral health problems. to address oral health problems.

Oral Health Leadership

Total number of State Dental DirectorsTotal number of State Dental Directors

39 Full-time39 Full-time 4 Part-time4 Part-time 6 Acting6 Acting 1 Vacant1 Vacant

Job postings: Arizona, Connecticut, Job postings: Arizona, Connecticut, Iowa, Kansas, Michigan, Oregon, South Iowa, Kansas, Michigan, Oregon, South Carolina, VermontCarolina, Vermont





Provide leadership to address oral health problems.Provide leadership to address oral health problems.

Develop and maintain a Develop and maintain a state oral health improvement planstate oral health improvement plan..






Develop and maintain a state oral health improvement plan.Develop and maintain a state oral health improvement plan.

Develop and promote Develop and promote policiespolicies for better oral health and to improve health for better oral health and to improve health systems.systems.

Arkansas Policy Changes

2000 – private water source testing2000 – private water source testing

2001 – Act 715, budget cuts2001 – Act 715, budget cuts

2004 – general supervision2004 – general supervision

2004 – fluoridation mandate???2004 – fluoridation mandate???







Develop and promote policies for better oral health and to improve health Develop and promote policies for better oral health and to improve health systems.systems.

AssuranceAssurance

Provide oral health Provide oral health communications and educationcommunications and education to policymakers and to policymakers and the public.the public.

Tobacco Prevention

and Cessation

Family Violence Prevention

Artwork and acronym used by permission of the P.A.N.D.A. CoalitionArtwork and acronym used by permission of the P.A.N.D.A. Coalitiondeveloped by Delta Dental of Missouri, copyright 1992developed by Delta Dental of Missouri, copyright 1992

P P revent revent

A A buse and buse and

N N eglecteglect through through

D D ental ental

A A warenesswareness

got teeth?got teeth? get fluoride!get fluoride!








AssuranceAssurance

Provide oral health communications and education to policymakers and Provide oral health communications and education to policymakers and the public.the public.

Build Build linkageslinkages with partners interested in reducing the burden of oral with partners interested in reducing the burden of oral diseases.diseases.

Linkages

Advisory committeesAdvisory committees

Legislative panelsLegislative panels

Faith-based organizationsFaith-based organizations

and….and….

Coalitions!

Arkansas Academy of General DentistryArkansas Academy of General DentistryArkansas Advocates for Children and FamiliesArkansas Advocates for Children and Families

Arkansas Cancer Research CenterArkansas Cancer Research CenterArkansas Center for Health ImprovementArkansas Center for Health Improvement

Arkansas Child Abuse, Rape and Domestic Violence CommissionArkansas Child Abuse, Rape and Domestic Violence Commission Arkansas Dental Assistants’ AssociationArkansas Dental Assistants’ Association

Arkansas Department of Education Office of Comprehensive Health Arkansas Department of Education Office of Comprehensive Health EducationEducation

Arkansas Department of Health, Office of Oral HealthArkansas Department of Health, Office of Oral HealthArkansas Department of Health, Office of Rural Health and Primary CareArkansas Department of Health, Office of Rural Health and Primary Care

Arkansas Department of Human ServicesArkansas Department of Human ServicesArkansas Department of Human Services, Division of Medical ServicesArkansas Department of Human Services, Division of Medical Services

Arkansas Department of Higher EducationArkansas Department of Higher EducationArkansas Foundation for Medical CareArkansas Foundation for Medical Care

Arkansas Head Start AssociationArkansas Head Start AssociationArkansas Health Care Access FoundationArkansas Health Care Access Foundation

Arkansas School Nurses AssociationArkansas School Nurses Association Arkansas State Board of Dental ExaminersArkansas State Board of Dental Examiners

Arkansas State Dental AssociationArkansas State Dental Association Arkansas State Dental Hygiene AssociationArkansas State Dental Hygiene Association

Community Dental Clinic (Ft. Smith)Community Dental Clinic (Ft. Smith)Community Health Centers of Arkansas, Inc.Community Health Centers of Arkansas, Inc.

Delta Dental Plan of ArkansasDelta Dental Plan of ArkansasDonald W. Reynolds Center on AgingDonald W. Reynolds Center on Aging

Healthy Connections, Inc.Healthy Connections, Inc. Interfaith Clinic of EldoradoInterfaith Clinic of Eldorado

Partners for Inclusive CommunitiesPartners for Inclusive CommunitiesPulaski Technical College Dental Assisting Department Pulaski Technical College Dental Assisting Department

UALR Share AmericaUALR Share America UAMS College of Public HealthUAMS College of Public Health

UAMS Dental Hygiene DepartmentUAMS Dental Hygiene DepartmentVision 2010Vision 2010








AssuranceAssurance


Build linkages with partners interested in reducing the burden of oral Build linkages with partners interested in reducing the burden of oral diseases.diseases.

Integrate, coordinate, and implement Integrate, coordinate, and implement population-based interventionspopulation-based interventions..

Population-based Interventions








AssuranceAssurance


Build linkages with partners interested in reducing the burden of oral Build linkages with partners interested in reducing the burden of oral diseases.diseases.

Integrate, coordinate, and implement population-based interventions.Integrate, coordinate, and implement population-based interventions.

Build Build community capacitycommunity capacity to implement community-level interventions. to implement community-level interventions.

Community Capacity


AssessmentAssessment Establish and maintain a state-based oral health surveillance system.Establish and maintain a state-based oral health surveillance system.

Policy DevelopmentPolicy Development Provide leadership to address oral health problems.Provide leadership to address oral health problems. Develop and maintain a state oral health improvement plan.Develop and maintain a state oral health improvement plan. Develop and promote policies for better oral health and to improve health Develop and promote policies for better oral health and to improve health

systems.systems.

AssuranceAssurance Provide oral health communications and education to policymakers and Provide oral health communications and education to policymakers and

the public.the public. Build linkages with partners interested in reducing the burden of oral Build linkages with partners interested in reducing the burden of oral

diseases.diseases. Integrate, coordinate, and implement population-based interventions.Integrate, coordinate, and implement population-based interventions. Build community capacity to implement community-level interventions.Build community capacity to implement community-level interventions. Develop Develop health systems interventionshealth systems interventions to facilitate quality dental care to facilitate quality dental care

services.services.

Health Systems Interventions

School-based health centersSchool-based health centers Head start collaborations – Head start collaborations –

forums, screening AND referralforums, screening AND referral

“ “Take Five”Take Five”


AssessmentAssessment Establish and maintain a state-based oral health surveillance system.Establish and maintain a state-based oral health surveillance system.

Policy DevelopmentPolicy Development Provide leadership to address oral health problems.Provide leadership to address oral health problems. Develop and maintain a state oral health improvement plan.Develop and maintain a state oral health improvement plan. Develop and promote policies for better oral health and to improve health Develop and promote policies for better oral health and to improve health

systems.systems.

AssuranceAssurance Provide oral health communications and education to policymakers and Provide oral health communications and education to policymakers and

the public.the public. Build linkages with partners interested in reducing the burden of oral Build linkages with partners interested in reducing the burden of oral

diseases.diseases. Integrate, coordinate, and implement population-based interventions.Integrate, coordinate, and implement population-based interventions. Build community capacity to implement community-level interventions.Build community capacity to implement community-level interventions. Develop health systems interventions to facilitate quality dental care Develop health systems interventions to facilitate quality dental care

services.services. Leverage Leverage resourcesresources to adequately fund public health functions. to adequately fund public health functions.

Resources

ASTDDASTDD HRSAHRSA

SPRANS GrantsSPRANS Grants SOHCS GrantsSOHCS Grants

RWJRWJ PipelinePipeline State Action for Oral Health Access State Action for Oral Health Access

CDCCDC Capacity and Infrastructure Capacity and Infrastructure

Cooperative AgreementsCooperative Agreements

CDC State Oral Health Program CDC State Oral Health Program Infrastructure and Capacity GrantsInfrastructure and Capacity Grants

13 Recipients13 Recipients Alaska, Arkansas, Colorado, Alaska, Arkansas, Colorado,

Illinois, Michigan, Nevada, New Illinois, Michigan, Nevada, New York, North Dakota, Oregon, Rhode York, North Dakota, Oregon, Rhode Island, South Carolina, Texas and Island, South Carolina, Texas and the Republic of Palauthe Republic of Palau

Average award ~ $200,000 / yearAverage award ~ $200,000 / year

CDC State Oral Health Program CDC State Oral Health Program Infrastructure and Capacity GrantsInfrastructure and Capacity Grants

AssessmentAssessment Surveillance SystemSurveillance System Burden DocumentBurden Document

Policy DevelopmentPolicy Development LeadershipLeadership State Oral Health PlanState Oral Health Plan Statewide Oral Health CoalitionStatewide Oral Health Coalition Systems and Policy ChangeSystems and Policy Change

AssuranceAssurance Fluoridation Program Management and PromotionFluoridation Program Management and Promotion Sealant Program ManagementSealant Program Management

National National Exposure Exposure

Oral Health in Oral Health in America: America:

A Report of the A Report of the Surgeon GeneralSurgeon General

May 2000May 2000

National Call to Action on Oral Health

A Template for Action

The The SpringboardSpringboard

Simple Physics

oral health capacity and infrastructure in the states lynn douglas mouden, dds, mph director, office...

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