Returning the Mouth to the Body: Integrating Oral Health into ...

Returning the Mouth to the Body: Integrating Oral Health into ...

NPM 13 Community of Learning Strengthening Title V Evidence-Based or Informed Strategy Measures Webinar June 9, 2017 Funding This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (DHHS) under grant #H47MC00048 in the amount of $3,000,000 over 5 years. This information or content and conclusions are those of the authors and should not be considered as the official position or policy of HRSA, DHHS, or the U.S. government, nor should any endorsements be inferred. 2

General Reminders This webinar will be recorded and archived on ASTDDs website. Questions will be addressed after the speakers are finished. When we are ready for questions, if you wish to ask one, please click on the Set Status icon, which is the little man with his arm raised on either the upper left or the top of your screen. Click on raise hand. We will then call on you to ask your question over the phone. Please respond to the polling questions during the webinar. 3 Learning Objectives To be aware of the opportunity for states to revise their Title V state action plans.

To understand evidence-based or informed strategy measures (ESMs). To learn tips for strengthening strategies. To illustrate how two states are strategically addressing NPM 13A and 13B. To be aware of next steps for the NPM 13 Community of Learning project. 4 Agenda Overview of Title V state action plans for addressing NPM 13A (dental visits for women during pregnancy) and NPM 13B (preventive dental visit for children and adolescents) Tips for strengthen strategies Examples of how states are addressing NPM 13 Alabama NPM 13A Iowa NPM 13B

Next steps for the NPM 13 Community of Learning coordinated by OHRC and ASTDD Questions and answers 5 Presenters Reginald Louie, D.D.S., M.P.H. Sherry Goode, R.D.H. Melissa Godwin, L.I.C.S.W. Tracy Rodgers, B.S., C.P.H., R.D.H. Katrina Holt, M.P.H., M.S., R.D., FAND

6 Title V State Action Plans On July 15 of each year (July 17, 2017), states and jurisdictions are required to submit a Title V MCH Block Grant application/annual report. As part of this annual application, a state may refine its action plan. States may add new or revise existing program strategies and ESMs. 7 Evidence-Based or Informed Strategy Measures ESMs assess the impact of the Title V programs strategies contained in the state action plan.

ESMs should be measurable and meaningful (relate to NPM, based on or informed by evidence of effective practice). Evidence informed is meant to convey that there is information suggesting that a strategy could be effective in addressing a NPM. Evidence-informed strategies may include emerging practices and expert opinion. 8 Tips for Strengthening Strategies The Evidence Continuum The purposeful and systematic use of the best available evidence to inform the assessment of various options and related decision making in practice, program development, and policy making. Source: Strengthen the Evidence.

http://semch.org/rating-the-evidence.html 9 Source: Robert Wood Johnson Foundation. What Works for Health. 10 NPM 13A ExampleAlabama Strategy 13.2: Increase the percentage of women who had a dental visit during pregnancy. ESM: Increase the proportion of at-risk pregnant women who report receiving a preventive dental visit during pregnancy by piloting the First Steps Program.

The success of this ESM is based upon: Development and strengthening of relationships between state and local community partners. Maternity patients Buy in to receiving dental and maternity care coordination services. Buy in from the maternity patient, ADPH care coordinators, and community partners. Ongoing evaluation of the program and its outcomes. 11 NPM 13A ExampleAlabama Additional Strategies Link to or create new partnerships at local, regional,

state levels. Identify and access data sources linked to prenatal care. Identify new dental providers who will serve at risk pregnant women. Increase statewide messaging to support this ESM. Partnerships Montgomery County Gift of Life Family Coaching Program WIC program Early Head Start and Head Start programs Alabama Medicaid March of Dimes Pay It Forward

ADPH Perinatal Alabama Dental Association District dental societies Non-profit dental programs UAB School of Dentistry 12 NPM 13B ExampleIowa Strategies ESMs Provide targeted outreach for Number of medical practices medical-dental integration. receiving an outreach visit from an I-Smile coordinator. Inform, educate, and disseminate

scientific evidence about importance of prenatal dental screening and treatment. Assure statewide care-coordination network that includes dental home referral, tracking, and follow-up for children. Expand preventive school-based sealant programs. 13 NPM 13B ExampleIowa State

Partnership with Medicaid Quarterly I-Smile coordinator meetings Contract management, technical assistance, & quality assurance (data, care coordination documentation) Health promotion for birthing hospitals Facebook page for Moms Partnership with Delta Dental of Iowa Foundation Hospital systems and fluoride varnish applications at well-child visits

School-based sealant program expansion Local Complete a needs assessment and improvement plan Face-to-face outreach to medical & dental offices Develop new partnerships

Required services for infants, children, and pregnant women at WIC Care coordination services for families to facilitate access to care Statewide school-based sealant program Participation in community events 14 Next Steps 15 NPM 13 Community of Learning Activities Webinars

Discussion list Consultation Resources: NPM 13 Evidence Review Brief and Review Full Reportavailable summer 2017http ://semch.org/evidence-reviews.html 16 Contacts Questions Related to Revising State Action Plans Maternal and Child Health Bureau Division of State and Community Health Gor Yee Lum, M.P.H. Regional MCH Consultant NPM 13 Liaison-lead Phone: (415) 437-8497 E-mail: [email protected]

Cherri Pruitt, M.P.A. Regional MCH Consultant NPM 13 Liaison Co-lead Phone: (303) 844-7872 E-mail: [email protected] 17 Contacts Questions Related to Oral Health Activities Sherry Goode, R.D.H. Acting Dental Director Alabama Department of Public Health Phone: (334) 206-2904 E-mail: [email protected] Harry Goodman, D.M.D., M.P.H. Consultant Phone: (443) 243-7143

E-mail: [email protected] Melissa Godwin, L.I.C.S.W. CCRS Coordinator Bureau of Family Health Services Alabama Department of Public Health Phone: (334) 206-5943 Email: [email protected] Katrina Holt, M.P.H., M.S., R.D., FAND Director National Maternal and Child Oral Health Resource Center Phone: (202) 784-9551 E-mail: [email protected] Reginald Louie, D.D.S., M.P.H. Public Health Consultant Phone: (510) 583-8120 E-mail: [email protected]

Tracy Rodgers, B.S., R.D.H., C.P.H. Executive Officer Iowa Department of Public Health Phone: 515-782-6404 email: [email protected] 18 Questions and Answers If you wish to ask a question, please click on the Set Status icon which is the little man with his arm raised on either the upper left or the top of your screen. Click on raise hand. We will then call on you to ask your question over the phone. Evaluation Questions 19

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