John partner in oral health 4-11-12

Progress Through PartnershipsOral Health in Maryland, 2007- 2012

Office of Oral HealthMaryland Department of

Health and Mental HygieneBaltimore, MD

John Welby, MS, Literacy Campaign Project Director

4.11.12

Maryland Receives National Recognition

The PEW Center on the States “The State of Children's Dental Health” Report Card:

Maryland awarded an “A” for oral health. Maryland received the highest grade in the country for its innovative efforts in serving low-income children

Deamonte Driver, 12Died February 25, 2007

Maryland Takes Action

Maryland Secretary of Health and Mental Hygiene John M. Colmers creates the Dental Action Committee (DAC)

The DAC was charged with providing recommendations to increase access to oral health care for all Maryland children.

Fix the States Dental Crisis

DAC Partners Come Together

Advocates for Children and Youth, Carroll County Health Department, Doral Dental USA, Head Start, Maryland Academy of Pediatrics, Maryland Academy of Pediatric Dentistry, Maryland Assembly on School-Based Health Care, Maryland Association of County Health Officers, Maryland Community Health Resources Commission, Maryland Dental Hygienists Association, Maryland Dental Society, Maryland Medicaid Advisory Committee, Maryland Office of Oral Health, Maryland Medical Care Programs (Medicaid), Maryland Oral Health Association, Maryland State Dental Association, Maryland State Department of Education Medicaid Matters-Maryland, Mid-Atlantic Association of Community Health Centers, Morgan State University, National Dental Association, Parent’s Place of Maryland, Priority Partners MCO, Public Justice Center, United Healthcare MCO, University of Maryland Dental School

Recommendations of the DAC

Create a single payer Medicaid program Increase Medicaid reimbursement rates Enhance dental public health infrastructure Establish a public health level dental hygienist Create and implement oral health messaging Conduct dental screening in schools Provide training to dental and medical

providers

Accomplishments of the DAC

Single Payer – Maryland Healthy Smiles, DentaQuest Increase reimbursement – FY 09 State budget, three-year plan to

increase rates Enhance PH infrastructure – $1.5 million established safety net dental

clinics across the state Establish public health dental hygienist – October 2008 legislature

establishes dental hygienists roll in public health setting Develop appropriate messaging - Congress funds $1.2 million statewide

Oral health Literacy Program Conduct dental screening in schools – Launched PG county

demonstration project Offer training to dental and medical providers – Fluoride varnish program

What we learned from the DAC

Opportunity to develop trust and common understanding among diverse stakeholders

Promoted information exchange Created community with commitment to a

common goal Broke down barriers and animosities Pooled resources and political capital

DAC – A Model forMoving Forward in Maryland

2009 – DAC becomes MDAC Committee becomes Coalition

Independent (does not report to state) Broader focus (all oral health) Flexibility (numbers, relationships, resources) Advocacy (lobbying becomes possible, advocates

take the lead) Fund raising capability (self sustaining) More diverse partners (community involvement)

MDAC Initiatives Carried out DAC recommendations Develop and Launch Maryland Oral Health Plan Communicate through media

Annual Deamonte Driver Press Conference Deamonte Driver Dental Van Project Events Maryland Oral Health Heroes Events

First Maryland Oral Health Summit Advocate and lobby for legislative and regulatory changes Healthy Teeth, Healthy Kids: The Maryland Oral Health Literacy

Campaign (corporate support) Grants:

CDC DentaQuest Kaiser MOHA

The Maryland Oral Health Literacy Campaign

Healthy Teeth, Healthy Kids

Partnerships developed for: Strategic guidance Political support Enhance outreach Funding In-kind Donations Broaden Marketing Enhance Outreach

OOH Strategic Alliance with MDAC

Healthy Teeth, Healthy Kids: Maryland Oral Health Literacy Campaign Campaign Brands under MDAC Allows for-profit and non-profit partners Leverage funds to enhance campaign impact and

sustain efforts Opportunity to expand MDAC brand awareness Reach more people Greater impact Enhance awareness and access to oral health care

Healthy Teeth, Healthy KidsStrategic Partnership Council

Strategic Partnership Council 120 Participants Statewide

June 23, 2011

Included were: primary care physicians, ob/gyn, pediatricians, nurse practitioners, physician assistant, dentists, pediatric dentists, dental hygienists, WIC, head start, early head start, birthing centers, nurses, Maryland State Dental Association, Maryland Dental Action Coalition, Maryland Oral Health Association, Maryland Pharmacist Association, Maryland Dental Hygienist Organization, Maryland Academy of Pediatrics, The Nurse Practitioner Association of Maryland, Maryland Academy of Family Physicians, Advocates for Children and Youth, managed care organizations, FQHC, DentaQuest, community health clinics, children’s organizations, hospitals, social workers, state government departments, state, county and city health departments, higher education organizations, University of Maryland Dental School, Maryland School of Public Health, Medicaid, CHIP, medical schools, newborn nursery, child care centers, foundations, Mid-Atlantic Association of Community Health Centers, Community Health Integrated Partnership

The Maryland Oral Health Literacy Campaign

Healthy Teeth, Healthy Kids

Strategic Partnership Council: Validate/modify assumptions & parameters

Discuss barriers and opportunities

Identify strategy and tactics

Pledge a commitment of support

SPC – Commitments

Distribute information, materials, kits

Educate others, staff, patients

Add or post information

Design and produce materials

Contribute funds

Update curriculum

Provide experts or expertise

Progress in Maryland

Increased access to Medicaid services by 63% Increased dentist participation in Medicaid by

80% CDC ranked Maryland #1 in fluoridated water Before 2008 only half of MD counties have

access to public health dental services. Since 2008 every county in MD

PEW grade of “A” for access to care for children

What We Have Learned Partnerships in Oral Health

Have a goal bigger than yourself Commitment Leave ego at the door Create a sense of urgency Importance of

Trust Cooperation Compromise Openness

Luck

http://healthyteethhealthykids.org/tv-ad/TV Ad

Thank You

Office of Oral HealthMaryland Department of

Health and Mental HygieneBaltimore MD