Oral Health Disparities Collaborative Pilot Colleen Lampron, MPH Colleen Lampron, MPH Oral Health Pilot Co-chair Oral Health Pilot Co-chair Executive Director, National Executive Director, National Network Oral Health Access Network Oral Health Access
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Oral Health Disparities Collaborative Pilot Colleen Lampron, MPH Oral Health Pilot Co-chair Executive Director, National Network Oral Health Access.
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Oral Health Disparities
Collaborative Pilot
Colleen Lampron, MPHColleen Lampron, MPHOral Health Pilot Co-chairOral Health Pilot Co-chair
Executive Director, National Executive Director, National Network Oral Health AccessNetwork Oral Health Access
Overview
Review of Oral Health Collaborative model Discuss Oral Health Disparities Collaborative
Implementation Manual Discuss how you can use this information Review next steps
Acknowledgment
Irene Hilton, DDS, MPH Oral Health Collaborative Pilot Co-Chair Jay Anderson, DDS, MS – Faculty and Visionary Marty Lieberman, DDS – Faculty Francisco Ramos-Gomez, DDS, MPH – Faculty Jim Sutherland, DDS, MPH Pioneering Teams: Community Health Partners, Livingston MT High Plains Community Health Center, Lamar, CO Salud Family Health Centers, Fort Lupton, CO Sunrise Community Health Center, Greeley, CO Tracy Jacobs, BSN IHI Collaborative Director Kevin Little, PHD , Data Guru
Questions
How many of you have participated in a Health Disparities Collaborative?
How many of your Health Centers have participated in a Collaborative?
How many of you were at the sessions on the Oral Health Collaborative last year?
1st organized oral health initiative in the county that has a protocol for treating pregnant women
1st national entity that has a protocol for treating kids at age 1
1st national oral health quality improvement effort for Health Center dental programs
We have the technology, change package, and desire to do this
How do we get there?
Oral Health Disparities CollaborativeImplementation Manual
A tool to give Health Centers the opportunity to replace episodic, reactive care with comprehensive and proactive care, the Oral Health Disparities Collaborative offers the same for health center dental practices
Examples of Resources in the Library
More than 30 resources CAMBRA Risk Assessment – Caries
Management by Risk Assessment – Caries risk assessment tool for children 0-5 years of age.
Example of Flow Child - An example of a process map of the flow of a young child visit. Author: Kevin Little, Ph.D., Martin Lieberman, DDS
Resources in the Library – Team Materials
OHDP Patient Satisfaction Survey – Satisfaction survey for dental patients Author: Developed by the Oral Health Disparities Pilot
CHP Dental Balanced Scorecard – A dashboard of measures to assess program improvement and vitality. Author: Community Health Partners
High Plains CHC: Pedo Caries Risk Assessment – Sticker used for children ages 0-5 during initial exam and prevention visit. We print this onto a full page sticker then cut out so it will fit onto our progress note page. There are 2 entries per page.
Self Management Goal Setting forms
Resources – Research Articles
Research Articles on pregnancy, early childhood oral health, and infant oral care
Oral Health and Pregnancy: A Review Author: Sangeeta Gajendra, B.D.S., M.P.H.;Jayanth V. Kumar, D.D.S., M.P.H.
Clinical Considerations for an Infant Oral Care Program Author: Francisco J. Ramos-Gomez, DDS, MS, MPH, Associate Professor of Pediatric Dentistry, University of California, San Francisco, San Francisco, California
ECC AG-6 step visit – Six steps for the child dental exam including Anticipatory Guidance
Resources – Power Point
Perinatal Oral Health – A powerpoint presentation about oral health in pregnant women. Author: Jay R. Anderson, DMD, MHSA,
Redesign Tools Exercises –Power Point describing how to measure demand and capacity, work analysis, process mapping, waste analysis
Improving Access and Efficiency Dental – A presentation describing the principles behind improving access and practice efficiency in the dental setting. Author: Christine St. Andre, CSI LLC
Oral Health DSD Indicators – A set of 6 Delivery System Design (also called redesign) measures to assess practice efficiency and patient care effectiveness. Author: Christine St. Andre, Colleen Lampron
The Manual
A step-by-step guide to implementing your own oral health collaborative
Includes professionally developed and tested measures
Examples of high leverage changes Explanation of what full integration looks like The tools you need to get there.
Be Aware of Challenges
Extensive training needed for dental staff Competing organizational priorities may limit
commitment MIS/IT/data challenges Capacity issues in dental Prioritization of certain populations an issue Doing this alone may be hazardous to your
mental health
Do Try This at Home
1) Talk to your Medical and Executive Directors about their experience of the oral health collaborative
2) Host a grand round/brown bag learning forum/learning opportunity for medical team about transmissibility, importance of early prevention
3) Build partnerships with medical for referrals and clinical protocols
Next Steps
NNOHA will host conference calls on Thursday, March 13, 2008 at 1:00 Eastern (noon Central, 11:00 mtn, 10:00 pacific)
Manual will be posted on www.nnoha.org Email notification will take place via listserve
and postcard
The need
Oral medicine is changing rapidly Growing recognition of oral systemic
connection Widening gap between oral health of rich
and poor Prevention strategies exist that benefit
the most vulnerable populations – the oral health collaborative implements these