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Overview: Pediatric Oral Health Burton L. Edelstein DDS MPH Children’s Dental Health Project
Claim “ Parents Report More Unmet Dental Need than Any Other Health Care Need for their Children”
Problem Statement Oral Concerns Are –Prevalent –Significant –Consequential Oral Health Is Sentinel to MCH
Dental Unmet Need is #1 –3.3 Times > Medical –4.4 Times > Eyeglass –4.8 Times > Rx
NHIS One-in-18 Children With Dental Need Substantiation: –Urban Institute, Survey of America’s Families: –one-in-13 Children
NHIS - CSHCN Unmet Need Insured Medical2.2 Dental6.2 Mental0.9 Eye, RX3.1 Uninsured 10.5 23.9 3.4 12.3
NHANES III Tooth Decay Most Prevalent Chronic Disease of Children –5 Times More Common than Asthma
NHANES - HP 2000
Oral Health Issues Caries –Most Common Chronic Disease Cleft Lip/Palate –4th Leading Birth Defect Trauma & Abuse –75% Involve Face, Head, Neck
Oral Health Issues Tobacco –Smoking –Smokeless Dental Arch - Facial G & D –Orthodontics –Compromising Malocclusions
Dental is Sentinel Unmet Need Coverage Enrollment Access Disparities Safety Net
Dental & CSHCN Workforce Capacity Coverage Rampant Dental Disease Lack of Priority –Compromised Medical Care
Dental & Families Biology –Caries is Infectious & Transmissible -- from Mothers! Behavior –Dental Pain Changes Children’s Behavior & Performance
MCH Pyramid Infrastructure Population Based Services –Dental Enabling Services Direct Health Care
Federal Activities Healthy People 2000/2010 –Goal Statement Surgeon General’s Activities –Report, “Oral Health in America” –Workshop/Conference Departmental Initiatives
DHHS HRSA-HCFA Oral Health Initiative MCHB - HS - WIC Project NIH - HRSA Disparity Grants HCFA-HRSA Medicaid Grants Secretary’s Initiative
AMCHP Publication “Putting Teeth in Children’s Oral Health Policy & Programs: the State of Children’s Oral Health & Role of State Title V Programs” AMCHP December 1999
Title V Oral Health Performance Measures John Rossetti, DDS, MPH Chief Dental Officer HRSA/MCHB.
Children’s Oral Health & Dental Care Burton L. Edelstein DDS MPH Children’s Dental Health Project, Washington DC Columbia University, New York NY CityMatCH/NACHO.
Community Health Assessment – Three Perspectives on Community Health Graves County.
The State and Local Area Integrated Telephone Survey Presented by Marcie Cynamon Stephen Blumberg.
Oral Health Initiative John Rossetti, DDS, MPH HRSA/Chief Dental Officer Dee Raisl HCFA/Regional Maternal and Child Health Specialist Jim Sutherland, DDS,
Changes in Socioeconomic Disparities in Primary Tooth Caries in the United States: NHANES 1988 to 2004 Takenaka TH *1, Cunha-Cruz J 2, Leggott PJ 1 1 Department.
Colorado Oral Health Network & Web-based Resources HRSA HDC National Primary Oral Health Care Conference August 8, 2005 Colleen Lampron, MPH.
HRSA’s Oral Health Goals and the Role of MCH Stephen R. Smith Senior Advisor to the Administrator Health Resources and Services Administration.
Dental Health in the Classroom By: Maria, Charles, and Josh The Bad!! The Good.
Healthy Youth, Healthy Future: MCH Needs Assessment for Children and Adolescents.
1.Diabetes 2.Substance Abuse/Alcoholism 3.Injuries 4.Breast and Cervical Cancer 5.Dental 6.Mental Health 7.Cancer (all other) 8.Sanitation.
An Assessment of First Dental Visits Between Birth and the 1 st Year, Utah Shaheen Hossain, PhD Karen L. Zinner, MPH Peggy A. Bowman RDH, BA.
K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 Access to Dental Care: Issues and Challenges Diane Rowland, Sc.D. Executive Vice.
Measures of Child Well-Being from a Decentralized Statistical System: A View From the U.S. National Center for Health Statistics Stephen J. Blumberg, Ph.D.
Framework and Recommendations for a National Strategy to Reduce Infant Mortality July 9, 2012.
Enhancing Surveillance with the Colorado Child Health Survey Jodi Drisko, MSPH Jason Gannon Alyson Shupe, MSW, PhD Colorado Department of Public Health.
Page 1 Non-profit, non-partisan. Founded in Dedicated to improving health and human services for all New Yorkers. Emphasis on low-income and vulnerable.
The State and Local Area Integrated Telephone Survey Marcie Cynamon Chief, Survey Planning and Special Surveys Branch National Center for Health Statistics.
Mississippi State Oral Health Plan Building Bridges to Improve Oral Health Dr. Nicholas Mosca Dental Director, Mississippi Department of Health Mississippi.
Potential of Medicaid and SCHIP Expansions To Increase Insurance Coverage for CSHCN Amy Davidoff, Ph.D. Alshadye Yemane, B.A. The Urban Institute American.
Overview of MCHB Programs Michael C. Lu, MD, MPH Associate Administrator Maternal and Child Health Bureau Health Resources and Services Administration.
Future Research Agenda for MCH: Children with Special Health Care Needs November 10, 2004 Washington, DC Deborah Allen, ScD Boston University School of.
Utah’s Health Care Safety Net Summit— July-December, 2006 Review of Dental Providers and Services Presented by Kevin McCulley Association for Utah Community.
Crisis as Catalyst: The Affordable Care Act and Public Health in Philadelphia September 24, 2010 Nan Feyler, JD., MPH Chief of Staff Philadelphia Department.
New Mexico Results for Oral Health The National Survey of Children with Special Health Care Needs Rohini Singh, MPH candidate Tulane University School.
Infant Oral Health and Early Childhood Caries: Issues & Promising Approaches from the Field Jim Crall, DDS, ScD Director, MCHB National Oral Health Policy.
Oral Health in Maine: Facts & Figures, August 2005 Judith A. Feinstein, MSPH Director, Maine Oral Health Program ME Center for Disease Control & Prevention.
Effects of the State Children’s Health Insurance Program on Children with Chronic Health Conditions Amy J. Davidoff, Ph.D. Genevieve Kenney, Ph.D. Lisa.
Smiles Within Reach: Building A Sustainable Oral Health Program Jared I. Fine, DDS MPH Santa Barbara County Children’s Oral Health Summit June 25, 2010.
Maryland’s Children with Special Health Care Needs (CSHCN): Priority Issues and Data Meredith Pyle - Office for Genetics and Children with Special Health.
HSCI 678 Intro to US Health System Organization of the US Health Services System Chapter 4 T L Koehlmoos, PhD, MHA Adjunct Professor.
Maryland Oral Health Literacy Social Marketing Campaign Social Marketing Campaign Office of Oral Health Maryland Dental Action Coalition Baltimore, MD.
Practical Solutions to Oral Health Data Challenges Kathryn K. Peppe, RN, MS Mark D. Siegal, DDS, MPH Ohio Department of Health.
Unit 6: Social Factors in Health. Education Surgeon General’s report (1964) called Smoking and Health. Recommended daily allowances or daily values.
Snapshot of America’s Children 2015 AAPD Pediatric Oral Health Research and Policy Center.
Measuring Years of Healthy Life: Use of Summary Measures in The Healthy People Initiative Ritu Tuteja, MPH National Center for Health Statistics.
HEALTH INEQUITIES EXPERIENCED IN RURAL V URBAN Alicia Haywood Policy & Advocacy Manager.
COMMUNITY HEALTH ASSOCIATES OF SPOKANE LOCATED IN SPOKANE WASHINGTON.
P.R. Federal Grants and Contracts Training Summit - February 3 & 4, Puerto Rico Department of Health Federal Grants Programs.
Effects of Expanding Preventive Dental Care in Medical Offices for Young Children Covered by Medicaid Sally C. Stearns, PhD R. Gary Rozier, DDS Jeongyoung.
THE OFFICE OF DATA AND PROGRAM DEVELOPMENT (ODPD) Presentation at the MCHB Partnership Meeting February 2009 Michael D. Kogan, Ph.D. Maternal and Child.
Is There Differential Retention of Children with Special Health Care Needs in SCHIP? Ms. Tamarie Macon, Dr. Jane Miller, Dr. Dorothy Gaboda, Ms. Theresa.
Robin A. Cohen, PhD National Center for Health Statistics National Conference on Health Statistics August 7, 2012 Financial burden of medical care: Looking.
1 Measuring the Oral Health of Washington’s Children Challenges and Practical Solutions.
GehshanView Graph # 0 Benefits and Service Delivery Issues Under CHIP Shelly Gehshan Forum for State Health Policy Leadership, NCSL September, 1998.
Maternal and Child Health Bureau DECEMBER SLAITS Survey on Children with Special Health Care Needs Bonnie Strickland, Ph.D. MCHCOM.COM Webcast December.
Considerations for Program Development School-Based Dental Health By: Erica M. Allen Intern, Center for Health and Health Care in Schools Candidate for.
Mel Downey-Piper, MPH, CHES February 20, State of Durham County’s Health report.
Health Reform Highlights for Children with Special Health Care Needs May 19, 2010.
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