Presentation on theme: "Healthy People 2020 Objectives: Michigan’s Oral Health Status Sept"— Presentation transcript:
1Healthy People 2020 Objectives: Michigan’s Oral Health Status Sept Healthy People 2020 Objectives: Michigan’s Oral Health Status Sept. 27, 2011; 12-1 pm EST
2Presented by: Adrienne Nickles, MPH Christine Farrell, RDH, MPA Acknowledgements:-Beverly A Isman, RDH, MPH, ELS-Healthy People Website
3Public Health Surveillance (CDC) Definition: The ongoing, systematic collection, analysis, and interpretation of outcome-specific data for use in the planning, implementation and evaluation of public health practice. It includes the timely dissemination of information derived from these data to persons who can undertake effective preventive and control activities.
4Surveillance of Oral Diseases, Conditions and Behaviors GoalsEstablish and maintain the National Oral Health Surveillance SystemInclude measures of oral health status in existing surveillance systemsIdentify and validate innovative ways to monitor oral health statusPromote states to be self-sufficient in their data collection systems and integrate those data into NOHSSMonitor progress towards Healthy People and beyond
5Healthy People Current News Two events in October: Review of the first decade “Healthy People 2010 Final Review” webinar.National Release of the Healthy People 2020 Leading Health IndicatorsOral Health is proposed to be one of the leading health indicatorsReleased during APHA conference in Washington, DC
6Overview History and Purpose of Healthy People Objectives Development of HP 2020Data Sources Available in MichiganHealthy People 2020 Oral Health Objectives in Michigan
8What is Healthy People?A 10-year national agenda that communicates a vision for improving health and achieving health equity.A set of specific, measurable objectives with targets to be achieved over the decade.These objectives are organized within distinct Topic Areas.
9Federally Led, Stakeholder- Driven Process HHSODPHPFederal InteragencyWorkgroup (28 Federal Agencies)HHS Secretary’s Advisory CommitteeState and Local Governments(50 State Coordinators)Community-Based Organizations, Community Health Clinics, Social Service Organizations, etc.National-Level Stakeholders, Including Members of the Healthy People Consortium (2,200+ Volunteers)Individuals, Families, and Neighborhoods Across America9
10Key Features of Healthy People Creates a comprehensive, strategic framework that unites health promotion and disease prevention issues under a single umbrella.Requires tracking of data-driven outcomes to monitor progress and to motivate, guide, and focus action.Engages a network of multidisciplinary, multisectoral stakeholders at all levels.Guides national research, program planning, and policy efforts to promote health and prevent disease.Establishes accountability requiring all PHS grants to demonstrate support of Healthy People objectives.
11Healthy People 2020 Website: healthypeople.gov Comprehensive one-stop-shop for HP informationTool developed to aid users to implement steps that would enable States, cities, communities, and individuals across the country to combine their efforts to achieve the national objectives
12Evolution of Healthy People Target Year1990200020102020Overarching GoalsDecrease mortality: infants–adultsIncrease independence among older adultsIncrease span of healthy lifeReduce health disparitiesAchieve access to preventive services for allIncrease quality and years of healthy lifeEliminate health disparitiesAttain high-quality, longer lives free of preventable diseaseAchieve health equity; eliminate disparitiesCreate social and physical environments that promote good healthPromote quality of life, healthy development, healthy behaviors across life stages# Topic Areas15222839*# Objectives/ Measures226/NA312/NA467/1,000>580/1200* With objectives12
142020 Topics & Objectives Each Healthy People 2020 objective has a: Healthy People 2020 is organized into 39 topic areas with objectives, and others are evolvingWithin each topic area, you will find 3 tabsEach Healthy People 2020 objective has a:-Reliable data source-Baseline measure-Target for specific improvements to be achieved by the year 2020
19Assessing Oral Health Progress Data Sources National Health and Nutrition Examination Survey (NHANES)National Program of Cancer Registries (NPCR); Surveillance, Epidemiology and End Results (SEER) ProgramMedical Expenditure Panel Survey (MEPS)NASBHC School-based Health Care CensusHRSA BPHC Uniform Data SystemASTDD Annual State SynopsesCDC Water Fluoridation Reporting System (WFRS)Indian Health Service Data System19
20Using HP 2020 in State and Local Oral Health Programs Mobilize programs and coalitionsNeeds assessmentStrategic planningPriority settingGuide program implementationFramework for program evaluationCollaborative efforts with other programsMaking the case for fundingCommit to a national health movementAdd links to HP 2020 on websites20
21How Health Care and Dental Care Providers Can Use Healthy People in their Practices Understand how dental care and oral health services fit into the context of population health.Offer patients relevant counseling, education, and other preventive services.Promote both population-based and individual preventive approachesHelp to reduce barriers to receiving regular and comprehensive oral care.Benchmark and track the progress of a community of patients toward HP objectives.
22Ways To Connect With Healthy People Spread the word about the 2020 objectives.Follow Healthy People on TwitterConnect with Healthy People on LinkedIn.Join the Healthy People listserv.Visit for up-to-date information and announcements.22
24HP 2020 Oral Health Objectives (HP 2010 Objective) Children and AdolescentsOH–1 Dental caries experience (21.1)OH–2 Untreated dental decay in children and adolescents (21.2)AdultsOH–3 Untreated dental decay in adults (21.2)OH–4 No permanent tooth loss (21.3/21.4)OH–5 Destructive periodontal disease (21.5)OH–6 Early detection of oral and pharyngeal cancers (21.6)24
25Oral Health Objectives Cont. Access to Preventive ServicesOH–7 Use of oral health care system (21.10)OH–8 Dental services for low-income childrenand adolescents (21.12)OH–9 School-based centers with an oral healthcomponent (21.13)OH–10 Health centers with oral healthcomponent (21.14)OH–11 Receipt of oral health services at healthcenters (NEW)25
26Oral Health Objectives Cont. Oral Health InterventionsOH–12 Dental sealants (21.8)OH–13 Community water fluoridation (21.9)OH–14 Preventive dental screening and counseling (NEW)Monitoring, Surveillance SystemsOH–15 Systems that record cleft lip or palate and referrals (21.15)OH–16 Oral and craniofacial State-based health surveillance system (21.16)Public Health InfrastructureOH–17 Health agencies with a dental professional directing their dental program (21.17)26
27Oral Health Objectives Cont. New/Developmental Objectives: currently do not have national baseline but have a confirmed nationally representative data sourceOH-11 Patients who receive oral health services at Federally Qualified Health Centers (FQHC) each year.OH-14: Increase the proportion of adults who receive preventive interventions in dental offices.reducing tobacco usage or smoking cessationoral and pharyngeal cancer screening from a dentist or dental hygienist (21.7)adults who are tested or referred for glycemic control from a dentist or dental hygienist.27
29Data Sources Used in Michigan Basic Screening Surveys- Count Your Smiles (3rd Grade Students)- Older Adult Screening (65+ years of age)Behavioral Risk Factor SurveyWater Fluoridation Surveillance SystemYouth Tobacco SurveyMichigan Primary Care Association- Guide to Michigan Community Health CentersMichigan Cancer RegistryCMS Reports
31OH-1 Dental caries experience in primary teeth Currently there are no data sources available to report dental caries status in young children or adolescents.The 2010 CYS survey found that 55.9% of 3rd grade students experienced dental caries in their primary teeth
32OH-2 Untreated dental decay The 2010 CYS survey found that 27.1% of 3rd grade students experienced dental caries in their primary teethCurrently there are no data sources available to report untreated dental decay in young children or adolescents. However, the 2011 Youth Tobacco Survey will provide this data for adolescents.Although it is not required by the HP 2020 objective, this data is available for high school-aged students.
33OH-2 Untreated dental decay Results from the 2007 Youth Tobacco Survey—Public High School Survey2) Do you believe that you have dental cavities or holes in any of your teeth now?This question was also included in the 2011 Youth Tobacco Survey and will include middle school students.
34OH-6 Oral and pharyngeal cancers detected at earliest stage Data source: Michigan Cancer Registry“Earliest stage” was defined as Stage 2.OH-8 Low-income children and adolescents who received any preventive dental service during past yearData was provided by the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Report(Form CMS-416)
35OH-10 Local Health Departments (LHD) and Federally Qualified Health Centers (FQHC) that have an oral health componentFQHC data was obtained from a report from the Michigan Primary Care AssociationLHD data was collected by contacting each site via phone.LHDs with oral health prevention or care programs within their building, not specific to any age group, income level, or insurance status were included in the numerator.
36OH-11 Patients who receive oral health services at Federally Qualified health Centers (FQHCs) each yearOH-11 Dental SealantsData was from the 2010 Count Your Smiles Basic Screening Survey
37OH-13 Population served by optimally fluoridated water systems
39OH-16 Oral and craniofacial health surveillance system OH-15 States with system for recording and referring infants with cleft lip and palate (developmental)Part of the Michigan Birth Defects RegistryOH-16 Oral and craniofacial health surveillance systemThe Michigan Oral Health Surveillance System has enabled measurements of several health outcomes described in the Michigan OH Surveillance Logic Model, National Oral Health Surveillance system, and Healthy People OH objectives
40Unavailable Baseline Data OH-3 Untreated dental decayOH-4 Permanent tooth extracted because of caries or periodontal diseaseOH-5 Moderate to severe periodontitis, adults ages 45-74OH-7 Oral health care system use in the past year by children, adolescents and adultsOH-9 School-based health centers (SBHC) with an oral health component (Currently collecting this data)OH-14 Adults who receive preventive interventions in dental offices (developmental)OH-17 State and local dental programs directed by public health professionals