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Children’s Dental Health Project | 1020 19 th Street NW, Suite 400 Washington, DC 20036 | 202.833.8288 | www.cdhp.org Responding to the Call: Moving from.

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Presentation on theme: "Children’s Dental Health Project | 1020 19 th Street NW, Suite 400 Washington, DC 20036 | 202.833.8288 | www.cdhp.org Responding to the Call: Moving from."— Presentation transcript:

1 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Responding to the Call: Moving from State Oral Health Plan (and Policy Tool) to Action February 11, 2011 Marcy Frosh Colin Reusch Children’s Dental Health Project

2 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | TWO BIG THEMES : 1.Continue planning and priority setting with attention to: Key elements for successful strategic “management” 2.Continue role as INNOVATORS with focus on: How State Oral Health Plan/Policy Tool objectives are met

3 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Theme #1: Implementing a Strategic Plan What the experts tell us: A 2005 study of strategic planning was conducted by municipal governments Study revealed factors useful in predicting the success of strategic planning in the public sector. Source: Poister, Theodore H. and Gregory Streib (2005). Elements of strategic planning and management in municipal government: status after two decades. Public Administration Review, 65(1),

4 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Study findings Factors can be classified under one of five key components of the strategic planning process: – Stakeholder Involvement – Planning Elements – Budgeting Process – Performance Management – Performance Measurement

5 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | A few factors have the MOST impact Of all the factors identified, 7 were found to account for nearly half of the overall impact of a strategic plan.

6 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | 7 Factors that Dominate – #’s 1-4 Performance Management: 1.Objectives for department heads and managers come from the overall strategic plan. 2.Annual evaluations of department heads are based on accomplishing strategic goals and objectives. 3.Performance data is tracked over time to assess results of strategic plan. 4.Performance measures associated with the strategic plan are regularly reported to the public.

7 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | 7 Factors that Dominate – #’s 5-7 Budgeting Process 5.Budget requests and resource allocations are closely tied to strategic goals and objectives. Planning Elements 6.Feasibility assessment of proposed strategies is conducted (NOTE: This is an important element of the Oral Health Policy Tool and any strategic plan) Stakeholder Involvement 7. Citizens and other external stakeholders are involved in developing the strategic plan.

8 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | CDC Cooperative Agreement helped you to “dress for success” CDC has provided a “blueprint” for : Logic model for a state plan Sample components Review index tool Framework and flow charts Funds work with Oral Health Policy Tool

9 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | New phase: Strategic Management Strategic Management Strategic planning + Performance Management – Both are processes that are repeated – Regular revisiting and evaluation are critical – Engage stakeholders at each level – Performance of management and ground-level staff equally important – Key: produce and learn from measurement data

10 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | What about moving on Identified Policy Priorities?

11 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Fits under State Oral Health Plan (SOHP) + Policy Tool “priorities”? Both SOHP + Policy Tool appear to support action on Preventive Services for Children State Oral Health Plan “Vision Element” suggests making MANDATORY the currently OPTIONAL Dental Component in the MDEC Early Childhood Screening program standards. Policy Tool Priority #1 – Children ages 0-5

12 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Making the case for early prevention Tap INNOVATIVE data collection ideas from a August 2009 MN Oral Health Stakeholder Meeting: collect oral health related data on school-aged children.* What number of school days lost to dental concerns? School readiness is a cross-cutting concern! Survey parents on understanding of the importance of preventive dental care? Address root causes – do parents believe they can influence? Identify dental activities are already occurring in the school (dental volunteers, sealants, etc.)? What lessons can be learned? And for earlier ages: What are primary care doctors doing on prevention; e.g. varnishing? * MN example: Bloomington, MN study ( ) revealed 1 in 4 students with visible dental health needs

13 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Policy change CURRENT: Minnesota Statutes 121A.17 SCHOOL BOARD RESPONSIBILITIES. (d) A board may offer additional components such as nutritional, physical and dental assessments

14 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Challenges If, for example, there is a focus on a School-Entry Screening only: Challenges: Very limited evidence of effectiveness of screening because data on referral & treatment has not been available Clear evidence that onset of dental disease happens well before school age (Policy Tool exercise may have focused on this as part of priority setting)

15 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Performance Indicators (e.g., comparing values or positions) For Example: 1) Support a policy that will identify # of children screened, referred and treated – Baseline 1200 – Target 5000 – Actual )Support a policy that will identify extent of utilization of expanded pediatric preventive oral services for ages 0-5 – Baseline 1200 – Target 5000 – Actual 2100 Describes more than one dimension! Inputs/outputs described at different stages of performance!

16 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Theme #2 - Is this innovative? It COULD be ! SC is one of the few states innovating with a “screening” law pilot program* that focuses and measures implementation with high-risk children and includes referral & treatment What innovative things can be done to address prevention for kids ages 0 to 5? *See SC’s “Word of Mouth” publication at:

17 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | How can stakeholders be STRATEGIC about innovating on new policy initiatives? It can’t hurt to follow a CHECKLIST! See list of 16 checklist items in PART II of The Policy Tool Guidebook: Steps for Creating a Success Health Policy Tool Session (2009). Access at

18 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Checklist to move from plan to action... A few examples

19 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | 1-State the Priority Initiative Frame policy as a SMART objective. Know your goal with absolute clarity. – What do you want to accomplish? – What do you want the policymaking authority to do? Specific Measurable Achievable Realistic Timed

20 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | 9-Identify Others’ Success Stories Identify efforts from other states that have succeeded in attaining what you seek. How similar and different were those efforts from yours? What were the lessons learned? Policymakers are favorably disposed to replicating successful efforts from other states!

21 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | 13- Check to ensure what’s allowed Regularly update yourself on specific rules on advocacy and communications in your state -- NEW ADMINISTRATIONS HAVE NEW RULES! Comply with AR-12 Lobbying Restrictions (PA 3022): CDC Grantees must avoid using CDC funds from being used to influence or promote pending legislation.

22 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | 14-Refine Your Policy Action Plan Work with coalition members, partners, and messengers to: – Have a unified voice! – Agree on exactly who will do what, when, and with whom to carry out the plan. – Determine how and by whom the process will be tracked, re- evaluated, modified, and sustained.

23 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | 16- Be prepared with alternatives

24 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | What do colleagues from other states say is most important? Assemble a passionate Policy Committee that demonstrates entrepreneurial spirit, builds trust, and stays accountable to the Coalition!

25 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Given these ideas... What would you add?

26 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Let’s recap our 2 BIG THEMES : 1.Continue planning and priority setting with attention to: Moving from strategic planning to strategic management 2.Continue Minnesota’s role as INNOVATORS with focus on: Innovate in moving State Oral Health Plan/Policy Tool objectives forward

27 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Resources State Oral Health Plan Comparison Tool. Children’s Dental Health Project (2010). Link to CDHP/ASTDD. “State Laws on Dental Screening” for School-Aged Children. (2008) Link to: Poister, Theodore H. and Gregory Streib (2005). Elements of strategic planning and management in municipal government: status after two decades. Public Administration Review, 65(1), Kates, Jennifer, Katherine Marconi and Thomas E. Mannle. Developing a performance management system for a Federal public health program: the Ryan White CARE ACT Titles I and II. Evaluation and Program Planning, 2001, vol. 24, issue 2, pages

28 Children’s Dental Health Project | th Street NW, Suite 400 Washington, DC | | Thank you so much! Visit CDHP at:


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