Oral Health in Central Virginia REGIONAL FOCUS FOR MAXIMUM IMPACT - - PowerPoint PPT Presentation
Oral Health in Central Virginia REGIONAL FOCUS FOR MAXIMUM IMPACT Oral Health and Overall Health Readiness to Learn Osteoporosis Employment Stroke Alzheimers Social Isolation Diabetes Menopause Premature Birth Failure to Thrive Heart
REGIONAL FOCUS FOR MAXIMUM IMPACT
Readiness to Learn Employment Social Isolation Diabetes Premature Birth Heart Disease Osteoporosis Stroke Alzheimer’s Menopause Failure to Thrive Renal Disease
▪ No dental benefits ▪ Dually eligible (Medicare AND Medicaid) – some limited cleanings and extraction benefit
▪ Prevention services are free ▪ Yearly cap
Exchange Dental Benefit
▪ Pediatric
▪ Adult
Population FPL Family of 3 Dental Benefit
Preg Women & Children Comprehensive Medicaid 133% $25,390 FAMIS 200% $38,180 Elderly & Disabled 80% $15,272 Extraction only Working Parents 30% $5,727 Extraction only Childless Adults NOT ELIGIBLE
▪ Stakeholders from throughout the state, from a variety of orgs, agencies & P.O.V. ▪ Simple, easy to understand, data-based visual that provides a snapshot of oral health in the state & a path to improvement ▪ To provide a guide for progress, serve as a tool for advocacy, education & measurement ▪ LOTS of research, conversation & consensus ▪ Only helpful if it serves as a framework for state, regional & local efforts
Prevention
dental visits
Collaboration
participation - referrals
Health Status
decay
Coverage
Safety Net Workforce Disparities
Population groups
health care needs
Geographic area
(e.g., city/county, census tract, neighborhood) are difficult to obtain
Rarely measured constructs
language on health behaviors and access to care
Amelia County Brunswick County Buckingham County Charles City County Charlotte County Chesterfield County Colonial Heights City Cumberland County Dinwiddie County Emporia City Goochland County Greensville County Halifax County Hanover County Henrico County Hopewell City Lunenburg County Mecklenburg County New Kent County Nottoway County Petersburg City Powhatan County Prince Edward County Prince George County Richmond City Surrey County Sussex County
Region 4: Central Virginia
Chesterfield, Henrico & Richmond have the largest populations of Hispanics and Latinos:
identifies as Hispanic or Latino
White 61% Black 30% Asian 4%
Multi Race 3%
Other 2%
White Black Asian Native American / Alaska Native Native Hawaiian / Pacific Islander Some Other Race Multiple Races Charles City 42.03% 48.22% 0.27% 6.60% 0.11% 0.18% 2.58% Chesterfield 68.73% 22.71% 3.43% 0.26% 0.04% 2% 2.82% Colonial Heights 79.66% 13.06% 3.50% 0.75% 0% 1.74% 1.30% Dinwiddie 64.48% 32.96% 0.45% 0.14% 0% 0.76% 1.21% Goochland 78.79% 17.81% 1.33% 0.19% 0% 0.23% 1.66% Hanover 86.44% 9.30% 1.47% 0.16% 0.01% 0.70% 1.91% Henrico 58.59% 29.56% 7.37% 0.29% 0.07% 1.54% 2.58% Hopewell 52.70% 38.09% 1.46% 0.14% 0% 4.24% 3.37% New Kent 81.64% 12.25% 0.77% 0.75% 0% 0.55% 4.03% Petersburg 18.15% 77.07% 1.32% 0.06% 0.02% 1.27% 2.10% Powhatan 85.04% 12.26% 0.54% 0.30% 0.06% 0.25% 1.54% Richmond 44.03% 48.62% 2.21% 0.52% 0.02% 1.14% 3.46% Report Area 61.80% 29.86% 3.78% 0.35% 0.04% 1.47% 2.69% Virginia 68.98% 19.25% 5.97% 0.27% 0.06% 2.22% 3.25% United States 73.60% 12.61% 5.13% 0.81% 0.17% 4.70% 2.98%
Locality ty Health th Outcomes comes Rank Health th Factor
s Rank Goochland County 14 14 11 11 Powhatan County 15 15 17 17 Hanover County 19 19 7 Chesterfield County 25 18 New Kent County 26 22 Henrico County 34 23 Colonial Heights City 64 46 Dinwiddie County 85 90 Charles City County 96 104 Richmond City 109 123 Hopewell City 123 129 Petersburg City 132 133
Health Outcomes: how long people live and how healthy people feel while alive. Health Factors: health behaviors, clinical care, social and economic, and physical environment factors.
Locality ty Ad Adult t Smoki king ng Excessiv cessive e Drinki king ng Diabe betes es Moni nitor
ing Un Uninsured sured Populat ation ion Income
Inequa uality ty Ratio io Drinki king ng Water Violat atio ions ns Limited ed Access cess to Health thy y Food Premat ature e Age- Ad Adjust usted ed Mortal ality ty Diabetes es Charles City 18% 14% 86% 18% 4.5 Yes 1% 330 14% Chesterfield 15% 16% 87% 11% 3.6
280 9% Colonial Heights 15% 16%
4.0
420 12% Dinwiddie 17% 16% 86% 13% 3.9 No 6% 400 11% Goochland 13% 18% 89% 7% 4.4 No 4% 360 12% Hanover 13% 17% 89% 9% 3.7 No 2% 300 9% Henrico 16% 16% 88% 12% 4.2 No 4% 300 10% Hopewell City 19% 15% 88% 15% 4.8
600 14% New Kent 15% 18% 92% 12% 3.2 Yes 0% 320 10% Petersburg City 22% 18% 82% 15% 5.1
680 16% Powhatan County 14% 19% 88% 12% 3.8 No 2% 270 11% Richmond City 20% 12% 83% 18% 4.4
450 10%
Localities constantly face pressure from anti-fluoridation activists
▪ Oral health data summaries in folders
▪ Regional comparisons on certain indicators ▪ Health department and
administrative data: ▪ Claims and encounters ▪ Visual data
▪ Emergency department data – opioid use
▪ Attendee list in your folders ▪ Almost everyone lives and works in central Virginia ▪ A range of target populations & issues ▪ Many of you already working together across jurisdictions, populations, & issues
Which population groups are you most interested in addressing the
All Special Populations Adolescents Very Young Children Elementary Older Adults Working Age Adults
High-risk adolescents Pregnant teens Homeless Low-income veterans Post-partum women
39 32 28 12 8 7 5 5 10 15 20 25 30 35 40 45 Access Awareness Behavioral All Barriers Workforce Collaboration Not sure
What are the greatest barriers to achieving good oral health among the populations group(s) you serve?
Ac Access ss
Cost Minimal/no coverage Geographic isolation Language/culture Few care providers Transit
Aware renes ness
Don’t understand importance
Behavior vioral al
Not utilizing dental services Poor nutrition Tobacco, alcohol, or drug use Fear
Workf rkforce
Training Supply/demand mismatch
Collabo laboratio ration
Lack of collaboration/integrated practice Few or ineffective partnerships address systemic barriers
What (do you think) are the greatest barriers to achieving good oral health among the population groups you serve?
Early Dental Visits Fluoride
▪Water ▪Varnish ▪Toothpaste
Sealants Diet, Oral Hygiene
Systems Change
▪ Place ▪ Workforce ▪ Coverage ▪ Education ▪ Collaboration ▪ Payment