1.  The development of the perinatal assessment tool was a vital precursor leading to the addition of data collection of the perinatal population. Data collected from the surveillance will be used to measure and monitor the burden of oral disease in the perinatal population and to evaluate public policy. PERINATAL ORAL HEALTH SURVEILLANCE: EXPECTING A NEW ADDITION Bobbi Muto MPH, RDH 1, Gina Sharps MPH, RDH 1, Richard Crespo PhD 1, Jason Roush DDS 2 Wendy Mosteller RDH 1, Teresa Marks BA 2, Ashley Logan RDH 1, Stephanie Montgomery 1 1Joan C. Edwards School of Medicine, Marshall University, Huntington, WV, USA 2 WV Oral Health Program, OMCFH-WV DHHR, Charleston, WV, USA Funding provided by the Health Resources and Services Administration Introduction Discussion Results Conclusions Methods  Marshall University Community and School Oral Health Team and the West Virginia Department of Health and Human Resources Oral Health Program staff worked closely with an ASTDD consultant to develop tools and methodology.  The surveillance strategy followed the BSS protocol developed by the ASTDD including the following components: Preliminary Planning Phase Implementation Phase Screening Phase Post-Survey Phase Obstacles and Challenges  Low numbers of women at WIC sites due to on-line educational opportunities available to WIC participants  Protocol was amended to expand the surveillance population to include women in the post-partum period up to 90 days in order to boost sample numbers.  In early 2009, West Virginia established a goal within its strategic plan to develop a public health infrastructure to address oral health.  Oral health is one of the National Performance Measures in the federal Maternal Child Health Bureau’s Block Grant and is a state priority of the West Virginia Office of Maternal, Child and Family Health (OMCFH).  Following recommendations from the Oral Health Programs of the Association of State and Territorial Dental Directors (ASTDD) a course was set to establish the suggested surveillance system with input from the ASTDD. The surveillance system is led by Marshall University.  West Virginia was among the first states to develop and institutionalize a perinatal assessment tool to supplement the Basic Screening Survey (BSS) protocol developed by the ASTDD.  The objectives of this poster are:  To describe the development of a perinatal assessment tool  Share the perinatal assessment tool with states and other organizations interested in the implementation of perinatal oral health surveillance  Facilitate the ability for states to collect data on the perinatal population in a consistent manner and compare data with other organizations and agencies  Recognizing the need to capture community level oral health status and dental care access data for the perinatal population, the perinatal assessment tool was created with two basic components: 1.Direct observation of a person’s mouth, and 2.Questions asked of, or about, the individual being screened Reference Guide for Screeners Results cont’d  Marshall University obtained Institutional Review Board (IRB) approval and worked with the ASTDD and the Program Epidemiologist to establish sample sizes to assure reliability and validity of the data.  ASTDD consultant generated stratified random sample for the perinatal oral health surveillance.  The sample consisted of the following women’s care sites statewide- 16 sites in total: 8 Women, Infant and Children (WIC) sites 8 Direct service sites 4 Federally-Qualified Health Centers (FQHCs) 4 University Hospital Prenatal Care sites  Regional Oral Health Coordinators employed by Marshall University were/are responsible for surveillance efforts utilizing the BSS protocols. Data were collected utilizing iPad into a Survey Monkey data base Electronic data entry allowed for real-time monitoring of missing data fields and ease to clean data  The Marshall University Community and School Oral Health Team researchers were calibrated and a one page reference sheet with a brief description of indicators was created to assist in the calibration discussions.  Each researcher was provided with a laminated copy of the reference guide to assist them during their on-site data collection.  The perinatal oral health surveillance will be conducted every three years and integrated into West Virginia Oral Health Surveillance System (WVOHSS).  Data will be utilized to explore a systems change framework that will engage community stakeholders and health care providers on the integration of oral health into routine prenatal care.  Use of data will drive strategies such as an increase in the percentage of expecting mothers receiving oral health education, increases in preventive and restorative care; an increase in the number of children who visit the dentist by age one; a reduction in the incidence of early childhood caries; and an increase in the percentage of expecting mothers with a dental home.