1. Indian Health Service: A Systems Approach to Health Care Candace Jones, MPH Director, OHP/DP, IHS

2. How are data collected? Annual Workload Data Health Outcomes Codes Periodic Oral Health Surveys

3. How are data used? Program Management Reports to the Congress Requests from advocacy groups

4. Pediatric Performance Measures in IHS Increase utilization of dental care system Increase sealants in 8 and 14 year olds

5. Pediatric Performance Measures in IHS Reduce caries experience & untreated decay Increase access to community water fluoridation

6. Utilization of Health Care System - Ages 2-17 years

7. Sealant Use in Indian vs. U.S. Children

8. Caries Experience – Indian vs. U.S. 2-4 Year- Old Children

9. Caries Experience – Indian vs. U.S. 6-8 Year-Old Children

10. Caries Experience – Indian vs. U.S. 15 Year-Old Adolescents

11. Access to Community Water Fluoridation

12. A Systematic Approach To Health Care Delivery Prenatal care includes dental Well Baby Check-ups & Referrals Women, Infant and Children Nutrition Programs on reservation

13. A Systematic Approach To Health Care Delivery Early Head Start & Head Start priorities Schools on reservations Community Health Aids & Representatives Public Health Nurses

14. Summary Great oral health disparities exist Integrated services approach is useful Community and public health perspective emphasized Partnerships are key