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The National Vision for Oral Health The National Vision for Oral Health William Bailey, DDS, MPH RADM, USPHS Chief Dental Officer Acting Director, CDC.

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Presentation on theme: "The National Vision for Oral Health The National Vision for Oral Health William Bailey, DDS, MPH RADM, USPHS Chief Dental Officer Acting Director, CDC."— Presentation transcript:

1 The National Vision for Oral Health The National Vision for Oral Health William Bailey, DDS, MPH RADM, USPHS Chief Dental Officer Acting Director, CDC Division of Oral Health

2 This presentation has not been cleared for dissemination and does not represent the opinion of the Centers for Disease Control and Prevention or the Department of Health and Human Services.

3 What may influence our vision? National Backdrop National Backdrop Debt, Health Reform, Strategic Plans, Reviews, Data IssuesDebt, Health Reform, Strategic Plans, Reviews, Data Issues Competing priorities Competing priorities Infrastructure and capacity Infrastructure and capacity Workforce challenges, succession planning, new modelsWorkforce challenges, succession planning, new models Partnerships Partnerships Communication Communication

4 How far out can we see? HHS Strategic Plan – 5 years HHS Strategic Plan – 5 years HHS Oral Health Initiative – 5 years HHS Oral Health Initiative – 5 years Healthy People 2020 – 10 years Healthy People 2020 – 10 years

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11 Goal 2: Transform Health Care Through its Departmental Oral Health Initiative, HHS is promoting the incorporation of oral healthcare services and oral disease prevention into primary healthcare delivery sites. Through its Departmental Oral Health Initiative, HHS is promoting the incorporation of oral healthcare services and oral disease prevention into primary healthcare delivery sites. HHS will promote policies to integrate oral health into primary care, including prevention and improved health literacy. HHS will promote policies to integrate oral health into primary care, including prevention and improved health literacy. Improved availability of oral health services, including disease prevention, treatment, and health promotion and education should be promoted for poor and underserved populations as well as for the population at large. Improved availability of oral health services, including disease prevention, treatment, and health promotion and education should be promoted for poor and underserved populations as well as for the population at large.

12 Goal 2: Transform Health Care Increase access to primary oral healthcare services and to oral disease preventive services by expanding access to: Increase access to primary oral healthcare services and to oral disease preventive services by expanding access to: health centers, school-based health centers, and Indian Health Service funded health programs that have comprehensive primary oral healthcare services, andhealth centers, school-based health centers, and Indian Health Service funded health programs that have comprehensive primary oral healthcare services, and State and community-based programs that improve oral health, especially for children and pregnant women.State and community-based programs that improve oral health, especially for children and pregnant women.

13 Goal 3: Advance Scientific Knowledge and Innovation Strengthen oral health research Strengthen oral health research Use evidence-based oral health promotion and disease prevention Use evidence-based oral health promotion and disease prevention Clarify the interrelationships between oral disease and other medical diseases Clarify the interrelationships between oral disease and other medical diseases

14 Goal 5: Strengthen the Nations Health and Human Service Infrastructure and Workforce Expand the primary oral healthcare team Expand the primary oral healthcare team Promote models, where appropriate, that: Promote models, where appropriate, that: incorporate new providers,incorporate new providers, expand scope of existing providers, andexpand scope of existing providers, and utilize medical providers to provide evidence-based oral health preventive servicesutilize medical providers to provide evidence-based oral health preventive services

15 The United States Public Health Service Oral Health Coordinating Committee

16 Indian Health Service Office on Disability Food and Drug Administration Agency for Healthcare Research and Quality Administration on Aging Office of Public Health and Science US Coast Guard Federal Bureau of Prisons National Institutes of Health Centers for Disease Control and Prevention National Center for Health Statistics Health Resources and Services Administration Centers for Medicare and Medicaid Services Administration for Families/Office of Head Start Structure - Oral Health Coordinating Committee

17 HHS ORAL HEALTH INITIATIVE 2010 P ROMOTING AND E NHANCING THE O RAL H EALTH OF THE P UBLIC

18 National Oral Health Surveillance Plan Progress Report NIDCR and CDC met with nationally-recognized experts NIDCR and CDC met with nationally-recognized experts Themes emerged from the meeting: Themes emerged from the meeting: Oral health data must serve a multiplicity of need for research and for public health/practice and policy.Oral health data must serve a multiplicity of need for research and for public health/practice and policy. Strengthening communications with advocates and stakeholders will help define goal- directed data-capture methods and data analyses.Strengthening communications with advocates and stakeholders will help define goal- directed data-capture methods and data analyses. The granularity and frequency of oral health surveillance data collection has resource implications.The granularity and frequency of oral health surveillance data collection has resource implications. Movement toward self-reported data collection and other non-invasive data collection may enhance the evenness of oral health data collected across populations.Movement toward self-reported data collection and other non-invasive data collection may enhance the evenness of oral health data collected across populations. Efforts must continue to integrate oral health with systemic health, with implications for both oral health monitoring and oral disease prevention and management.Efforts must continue to integrate oral health with systemic health, with implications for both oral health monitoring and oral disease prevention and management. A summary of the meeting and the background paper have been finalized and are under review prior to submission for publication in a major public health journal. A summary of the meeting and the background paper have been finalized and are under review prior to submission for publication in a major public health journal. Communications and collaborations with CDC, NIDCR and NCHS continue Communications and collaborations with CDC, NIDCR and NCHS continue

19 Innovative State Medicaid Dental Programs Progress Report Review of successful practices and program innovations Review of successful practices and program innovations Partnerships and collaborations among State partners and stakeholders in addressing access to dental services;Partnerships and collaborations among State partners and stakeholders in addressing access to dental services; Collaboration with dental schools and loan repayment programs;Collaboration with dental schools and loan repayment programs; Increased reimbursement;Increased reimbursement; Simplifying administrative processes;Simplifying administrative processes; Grant funding;Grant funding; Educating families;Educating families; Targeting young children; andTargeting young children; and Dental home initiativesDental home initiatives Increase the rate of low income children ages 1-20 enrolled in Medicaid or CHIP who received any preventive dental services by 10 percentage points over a five-year period. Increase the rate of low income children ages 1-20 enrolled in Medicaid or CHIP who received any preventive dental services by 10 percentage points over a five-year period. Increase the rate of low income children ages 6-9 enrolled in Medicaid or CHIP who receive a dental sealant on a permanent molar tooth by 10 percentage points over a five-year period. Increase the rate of low income children ages 6-9 enrolled in Medicaid or CHIP who receive a dental sealant on a permanent molar tooth by 10 percentage points over a five-year period.

20 National Study on Oral Health Access to Services Progress Report Hearings/meetings have been held for the: Assessment of the current oral health care system. Assessment of the current oral health care system. Development of strategies to improve access to and the effectiveness of oral health services to vulnerable populations Development of strategies to improve access to and the effectiveness of oral health services to vulnerable populations Preparation of a strategic plan for addressing issues and improving the particular role of Federally Qualified Health Centers in meeting the oral health needs of the underserved. Preparation of a strategic plan for addressing issues and improving the particular role of Federally Qualified Health Centers in meeting the oral health needs of the underserved. The IOM Oral Health Initiative Committee will recommend actions for DHHS agencies and, if relevant and important, other actors to: The IOM Oral Health Initiative Committee will recommend actions for DHHS agencies and, if relevant and important, other actors to: Design of a future system for providing oral health care for women and children who are most vulnerable to oral disease Design of a future system for providing oral health care for women and children who are most vulnerable to oral disease The report is currently on track for March 2011 submission to HRSA and publication of the final report in August The report is currently on track for March 2011 submission to HRSA and publication of the final report in August 2011.

21 National Study on an Oral Health Initiative Progress Report Hearings/meetings have been held for the: Assessment of the current oral health care system. Assessment of the current oral health care system. Examination of preventive care interventions, their use and promotion, including greater health literacy; Examination of preventive care interventions, their use and promotion, including greater health literacy; Review of the elements of a national oral health initiative encompassing regulations, statutes, programs, research, data, financing, and policy Review of the elements of a national oral health initiative encompassing regulations, statutes, programs, research, data, financing, and policy The IOM Oral Health Initiative Committee will recommend actions for HHS agencies and, if relevant and important, other actors to Improve and expand the HHS Oral Health Initiative The IOM Oral Health Initiative Committee will recommend actions for HHS agencies and, if relevant and important, other actors to Improve and expand the HHS Oral Health Initiative The report is currently on track for March 2011 submission to HRSA and publication of the final report in August The report is currently on track for March 2011 submission to HRSA and publication of the final report in August 2011.

22 Overall Goal: Reduce the prevalence of ECC among 0-5 year old AI/AN children by 25% by FY Increase dental access for 0-5 year old AI/AN children by 10% in FY 2010 and 50% by FY Increase the number of children 0-5 years old who received a fluoride varnish treatment by 10% in FY 2010 and 25% by FY Increase the number of sealants among children 0-5 years old by 10% in FY 2010 and 25% by FY Increase the number Interim Therapeutic Restorations provided for children ages 0-5 by 10% in FY 2010 and 50% by FY The Early Childhood Caries Initiative Progress Report

23 ECC Initiative Packet Together we can prevent ECC!!! Available now!

24 Clinical and Translational Science Program Creation of Dental Network Toolkit Progress Report A clinical data management system to support: A clinical data management system to support: Dental Clinical TrialsDental Clinical Trials Patient RegistriesPatient Registries Longitudinal & Observational StudiesLongitudinal & Observational Studies Key functionality included: Key functionality included: Study configuration - Protocol details, visit schedules, site specific definitions, eligibility determination & treatment assignmentStudy configuration - Protocol details, visit schedules, site specific definitions, eligibility determination & treatment assignment Case Report Form (eCRF) management - online form design, custom and standard eCRFs from central libraryCase Report Form (eCRF) management - online form design, custom and standard eCRFs from central library Electronic data capture - custom field validation, complex conditional logic, automated data queriesElectronic data capture - custom field validation, complex conditional logic, automated data queries Integration of external data feeds - laboratory and reading center importsIntegration of external data feeds - laboratory and reading center imports Data extract and reporting - CDISC ODM data interchange, standard and ad hoc reportsData extract and reporting - CDISC ODM data interchange, standard and ad hoc reports

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26 Oral health educational materials have been added to materials distributed by OWH staff at all exhibits and in Oral health educational materials have been added to materials distributed by OWH staff at all exhibits and in The OWH fact sheet on oral health and the OWH pregnancy module is in the final stages of revision for publication and distribution to the public at exhibits and also via the website. The OWH fact sheet on oral health and the OWH pregnancy module is in the final stages of revision for publication and distribution to the public at exhibits and also via the website.www.womenshealth.gov Quick Health Data Online (QHDO), a database through providing state- and county-level data has updated its list of oral health data sources and subcategories to increase the number of oral health indicators for the database. Quick Health Data Online (QHDO), a database through providing state- and county-level data has updated its list of oral health data sources and subcategories to increase the number of oral health indicators for the database. An added link to QHDO provides data on womens dental visits and dental cleaning as one of eleven indicators focusing on preventive measures women can take to improve their physical and mental health and prevent disease. An added link to QHDO provides data on womens dental visits and dental cleaning as one of eleven indicators focusing on preventive measures women can take to improve their physical and mental health and prevent disease. Oral Health as Part of Womens Health Across the Lifespan Progress Report

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29 Healthy People 2020 There are 4 Overarching Goals:There are 4 Overarching Goals: Attain high quality, longer lives free of preventable disease, disability, injury, and premature death. Attain high quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health for all. Achieve health equity, eliminate disparities, and improve the health for all. Create social and physical environments that promote good health for all. Create social and physical environments that promote good health for all. Promote quality of life, healthy development and healthy behaviors across all life stages. Promote quality of life, healthy development and healthy behaviors across all life stages.

30 HP 2020 Oral Health Objectives Objectives Retained as is from HP 2010: Oral Health HP2020 1: Increase the proportion of oral and pharyngeal cancers detected at the earliest stage. (21.6)Oral Health HP2020 1: Increase the proportion of oral and pharyngeal cancers detected at the earliest stage. (21.6) Oral Health HP2020 2: Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water.Oral Health HP2020 2: Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water. Oral Health HP2020 3: Increase the proportion of children and adults who use the oral health care system each year. (21.9)Oral Health HP2020 3: Increase the proportion of children and adults who use the oral health care system each year. (21.9) Oral Health HP2020 4: Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year. (21.12)Oral Health HP2020 4: Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year. (21.12) Oral Health HP2020 5: Increase the number of States and the District of Columbia that have an oral and craniofacial health surveillance system. (21.16)Oral Health HP2020 5: Increase the number of States and the District of Columbia that have an oral and craniofacial health surveillance system. (21.16)

31 Objectives Retained but Modified from HP 2010: Oral Health HP2020 6: Reduce the proportion of children and adolescents who have dental caries experience in their primary or permanent teeth. (21.1) Oral Health HP2020 6: Reduce the proportion of children and adolescents who have dental caries experience in their primary or permanent teeth. (21.1) Oral Health HP2020 7: Reduce the proportion of children, adolescents, and adults with untreated dental decay. (21.2) Oral Health HP2020 7: Reduce the proportion of children, adolescents, and adults with untreated dental decay. (21.2) Oral Health HP2020 8: Increase the proportion of adults who have never had a permanent tooth extracted because of dental caries or periodontal disease. (21.3/21.4) Oral Health HP2020 8: Increase the proportion of adults who have never had a permanent tooth extracted because of dental caries or periodontal disease. (21.3/21.4) Oral Health HP2020 9: Reduce Periodontitis (21.5b) Oral Health HP2020 9: Reduce Periodontitis (21.5b) Oral Health HP : Increase the proportion of children who have received dental sealants on their molar teeth. (21.8a/b) Oral Health HP : Increase the proportion of children who have received dental sealants on their molar teeth. (21.8a/b) HP 2020 Oral Health Objectives

32 HP 2020 Objectives Objectives Retained but Modified from HP 2010: Oral Health HP : Increase the proportion of school-based health centers with an oral health component. (21.13a/b) Oral Health HP : Increase the proportion of school-based health centers with an oral health component. (21.13a/b) Oral Health HP : Increase the proportion of local health departments and Federally Qualified Health Centers, that have an oral health component. (21.14) Oral Health HP : Increase the proportion of local health departments and Federally Qualified Health Centers, that have an oral health component. (21.14) Oral Health HP : Increase the number of States, and DC that have a system for recording and referring infants and children with cleft lips and cleft palates to craniofacial anomaly rehabilitative teams. (21.15) Oral Health HP : Increase the number of States, and DC that have a system for recording and referring infants and children with cleft lips and cleft palates to craniofacial anomaly rehabilitative teams. (21.15) Oral Health HP : Increase the number of health agencies that have a public dental health program directed by a dental professional with public health training. (21.17a/b) Oral Health HP : Increase the number of health agencies that have a public dental health program directed by a dental professional with public health training. (21.17a/b)

33 HP 2020 Objectives New Objective to HP 2020: Oral Health HP : (Developmental) Increase the proportion of adults who receive preventive screening and counseling from dental professionals. Oral Health HP : (Developmental) Increase the proportion of adults who receive preventive screening and counseling from dental professionals. Increase the proportion of adults who received information from a dentist or dental hygienist focusing on reducing tobacco usage or smoking cessationIncrease the proportion of adults who received information from a dentist or dental hygienist focusing on reducing tobacco usage or smoking cessation Increase the proportion of adults who received an annual cancer screening from a dentist or dental hygienist. (Formerly 21.7)Increase the proportion of adults who received an annual cancer screening from a dentist or dental hygienist. (Formerly 21.7) Increase the proportion of adults who are tested or referred for glycemic control from a dentist or dental hygienistIncrease the proportion of adults who are tested or referred for glycemic control from a dentist or dental hygienist

34 34 Resources: Healthy People Listserve Healthy People Listserve HP 2020 Resources

35 Vision for the Future – Other Possibilities National Oral Health Plan National Oral Health Plan Quality measures Quality measures Improved communication and collaboration between public and private entities Improved communication and collaboration between public and private entities Increased focus on older adults Increased focus on older adults Utilizing Health Information Technology to improve care Utilizing Health Information Technology to improve care

36 Questions?


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