Central District Coordinating Council Quarterly Meeting July 23, - - PowerPoint PPT Presentation
Central District Coordinating Council Quarterly Meeting July 23, 2019 Central District Coordinating Council (DCC) Infrastructure: State Coordinating Council for Public Health (SCC) vote for new Central DCC Representative to the SCC
– vote for new Central DCC Representative to the SCC
Maine Center for Disease Control and Prevention
– vote for new Central DCC Representative to the SCC
Maine Center for Disease Control and Prevention
UNE Substance Use Prevention Handout
Maine Center for Disease Control and Prevention
Nicole Poulin, Office Coordinator, MaineGeneral Health Jim Wood, Transportation Development Director, KVCAP
Maine Center for Disease Control and Prevention
MAINEGENERAL PREVENTION & HEALTHY LIVING
July 23rd, 2019
Jane Allen, Community Health Worker Anne Conners, Program Manager Wendie Lagasse, Public Health Specialist MaineGeneral Health
Maine Center for Disease Control and Prevention
Central DCC District Public Health Improvement Plan 2013-15+
Priority Issue District Need/ Problem/Focus Area Strategy/Activity Status Oral Health Children with no dental care provider Hygiene education for children Screening & preventive care for children & adults Reconstructive care for adults Form DCC Oral Health Workgroup done, ongoing Hold Oral Health Screening Event in Somerset County done (2014) Assess need & locations for future oral health screenings & services shifted focus to Community Health Worker (CHW) model Develop and implement a strategy to increase the number of primary care practices using ‘From the First Tooth’ reviewed MaineGeneral’s strategy, training data, and utilization rates; piloted strategy for increasing participation (2014) used Maine Oral Health Funders grant to conduct district assessment and draft plan (2014) currently Implementing plan (2015- 2019) to expand care in clinical settings & use CHW to work with low socioeconomic status parents Seek resources for increased access, prevention, and services in the district 4-year Maine Oral Health Funders Grant awarded (2015)
Pediatric Oral Health Project
Maine Oral Health Funders, From the First Tooth, Before the First Tooth
Maine Oral Health Funders Central Public Health District From the First Tooth & Before the First Tooth Maine General Medical Center Prevention and Healthy Living Local Dental Providers:
Main St. Dental
Kennebec Valley Dental Waterville Community Dental Center
Somerset Public Health Pediatric, Family Medicine, & OB Practices
Kennebec, Waterville, and Winthrop Pediatrics Maine Dartmouth Family Practice MaineGeneral Midwifery & OB
WIC Nutrition Program Federal funding agencies Sadie and Harry Davis Foundation
Advisory Committee
Strengthening connections between community services, dental practices, primary care Providing education and support to parents and caregivers on
Oral Health Well Water Testing Dental Homes
Audience:
Children Ages 0-9 Parents/Caregivers Pregnant Women
Strategies:
Integrate Oral Health and Primary Care Link Children and Families to Dental Homes Engage and Educate
511 Individuals secured Dental Homes 500+ individuals received Oral Health Education 115 Community Contacts 200+ Outreach Visits Conducted 90 Families Accessed Well Water Testing 13 Families Accessed Transportation
Training included best practices for: Providing an Oral Health Exam Applying Fluoride Varnish Making a Dental Referral
Health Education
Funded by HRSA (U.S. Health Resources and Services Administration) 2015-2019 Provides Oral Health Education for Expectant Mothers and New Parents Links to Community Dental Services
Training for all Medical Staff at
MaineDartmouth Family Medicine MG Midwifery & OB
Quality Improvement including workflows & Plan, Do, Study, Act cycles RX referral sheet
Pilot Site 1: 54% routine dental care 29% early dental care 17 % immediate dental care Pilot Site 2: 45% routine dental care 55% early dental care 2% immediate dental care
Pilot Site 1: 6% Maine Care <21years 58% Maine Care > 21 years 32% private Insurance 4% self-pay Pilot Site 2: 5% Maine Care <21years 15% Maine Care > 21 years 61% private Insurance 19% self-pay
Builds on Maine Oral Health Funders, Central Public Health District, MGMC Partnership One year: Ends May 2020 Creates Pediatric Community Health Worker
Oral Health Work Linkages to Women, Infants and Children (WIC) Program Well-Child Checks
Jane Allen, Community Health Worker, MaineGeneral, jane.allen@mainegeneral.org Anne Conners, Program Manager, MaineGeneral, anne.conners@mainegeneral.org Becca Matusovich, Partnership for Children’s Oral Health, becca@mainepcoh.org Paula Thomson, Central District, paula.thomson@maine.gov
networking break…
Nicole Breton, Director Rural Health, Oral Health, and Primary Care Maine CDC
Maine Center for Disease Control and Prevention
70’s
90’s
1
Structure
Oral Health Program
2
Purchase – mouthrins e
3
School nurses would coordinate all the activities
4
Schools worked with PH Hygienist to conduct sealant program
5
Small mini- grants would distributed for educationa l programs, supplies, such as toothbrush es.
6
Schools would report on the number of children participati ng
7
Report on all activities
basic screening, data collection
Hygienist to do the screenings.
status of their school
This Photo by Unknown Author is licensed under CC BY-NC-ND
throughout school districts
provide dental screenings, fluoride varnish, data collection and dental education
schools**
immediate treatment
children in regards to oral health.
➢No
➢No, we will not be providing grant funds
➢Yes, as long as she is available
school and provides cleanings/sealants? ➢No, this is the screening + fluoride varnish
Becca Matusovich, Director Partnership for Children’s Oral Health
steps
Maine Center for Disease Control and Prevention
Becca Matusovich Central DCC Meeting July 23, 2019
54
A network of Maine organizations and individuals united by a shared mission:
To transform Maine into a state where we meet the
prioritize prevention, and address oral health as a key element of overall health and well-being.
We do this by:
❖Catalyzing collaborative action and innovation ❖Convening action teams to lead priority strategies ❖Generating resources to support initiatives and capacity-building ❖Building relationships and trust across the network
Initial multi-year funding committed by the Sadie and Harry Davis Foundation to provide backbone support and seed implementation funding, other funders so far include Betterment Fund, Northeast Delta Dental, Maine Community Foundation, and the Maine Oral Health Funders
55
Culture that promote s oral health Disease
manage ment
methods Policies that impact
health Navigati
support roles School- based Oral Health Program s More and Better Data From the First Tooth (& BTFT) Commu nity Outreac h & educatio n Dental Homes
56
❖ 4 out of 10 Maine children have cavities by 3rd grade
(2017 MIYHS)
❖About 1/2 of Maine 3rd graders have no sealants on any of their permanent molars (2017 MIYHS) ❖73% of children with private dental insurance and 58% of children with MaineCare had at least one dental visit in 2017, based on claims data
(http://bit.ly/HPIdentalcareuse2016)
❖Budget and staffing cuts have severely limited oral health capacity within Maine CDC and MaineCare
57
% of children under 18 with consistent dental coverage (enrolled for 11 months or more) in 2017:
58
MaineCare 35% Commerc ial… No coverage
year…
Data is from an analysis in process, in collaboration with USM’s Cutler Institute, using dental claims data from the Maine Health Data Organization’s All Payer Claims Dataset for 2017.
59
Data is from an analysis in process, in collaboration with USM’s Cutler Institute, using the dental claims data from the Maine Health Data Organization’s All Payer Claims Dataset for 2017. “Insured children” limited to those with 11+ months of coverage during 2017.
45% 59% 65% 51% 30% 28% 71% 81% 72% 56%
20% 40% 60% 80% 100%
(0-2) (3-5) (6-12) (13-18) (19-20) MaineCare Commercial
Partners hip Council
action teams/ initiatives action teams/ initiatives action teams/ initiatives Backbone support
Staff, consultants, Board, funding action teams/ initiatives
60
61
Sustaining From the First Tooth and Before the First Tooth LD 1399 to restore state oral health positions and expand school oral health program (also supported other oral health bills) Convening OH policy advocates, drawing attention to whole range of
Collaboration with UNE – interprofessional student teams assisting with school oral health clinics, rural health immersion trips Disease management & individualized care – advocating for reimbursement for Silver Diamine Fluoride, aligning MaineCare reimbursement with recommended care under EPSDT Health equity capacity-building grants Data projects - claims analysis, study of current status school oral health services, Head Start study Piscataquis County oral health assessment and community conversations
62
3 Public Health Districts as pilot locations
District oral health assessment/p rofile and stakeholder convenings Supplementin g School Oral Health Program
PH hygienist to serve non-SOHP schools
with UNE interdisciplinary student teams
Testing risk assessment tools and individualized disease management plans
63
In Kennebec & Somerset County, 34 schools are currently participating in the School Oral Health Program
20 schools meet the criteria for the SOHP but are not currently participating.
4 elementary schools don’t meet the 40% FRL criteria and thus wouldn’t be eligible for the SOHP. Also all high schools are not eligible, as well as middle schools that don’t include 5th grade.
Head Start & Early Head Start programs (KVCAP and SKCDC) are reporting a wide range of success on oral health indicators (2017 PIR Report)
22% - 92% of children were established with a dental home 57% - 85% completed a dental exam 70-89% received preventive care 8-14% of preschool children needed treatment but did not receive treatment
64
# MaineCare members <21 enrolled for 11+ months Received at least one dental service Received at least one preventive dental service Kennebec
9,292 64% 62%
Somerset
4,901 62% 58%
Statewide
93,175 60% 56%
# of children <21 with commercial dental insurance for 11+ months Kennebec
6,570 74% 71%
Somerset
1,790 68% 65%
Statewide
73,946 73% 70%
65
Source: All Payer Claims Database
❖Reactions? What questions or ideas do you have? ❖Does the timeline work well for this project over fall 2019 through 2020? ❖Who are important partners and stakeholders to involve in this district? ❖Any other thoughts about next steps?
66
For more information on the Partnership for Children’s Oral Health: www.mainepcoh.org becca@mainepcoh.org
Central DCC District Public Health Improvement Plan 2013-15+
Priority Issue District Need/ Problem/Focus Area Strategy/Activity Status Oral Health Children with no dental care provider Hygiene education for children Screening & preventive care for children & adults Reconstructive care for adults Form DCC Oral Health Workgroup done, ongoing Hold Oral Health Screening Event in Somerset County done (2014) Assess need & locations for future oral health screenings & services shifted focus to Community Health Worker (CHW) model Develop and implement a strategy to increase the number of primary care practices using ‘From the First Tooth’ reviewed MaineGeneral’s strategy, training data, and utilization rates; piloted strategy for increasing participation (2014) used Maine Oral Health Funders grant to conduct district assessment and draft plan (2014) currently Implementing plan (2015- 2019) to expand care in clinical settings & use CHW to work with low socioeconomic status parents Seek resources for increased access, prevention, and services in the district 4-year Maine Oral Health Funders Grant awarded (2015)
Maine Center for Disease Control and Prevention
Maine Center for Disease Control and Prevention