1.  Successful surveillance includes appropriate partnerships, sampling, IRB authorizations and an effective system for documentation.  Once a surveillance schedule is established, gaining entry into the various sites is made easier.  Development of a state surveillance plan has allowed data collection to be planned out and approached strategically, clearly defining timelines and target populations.  Results indicate there are still improvements needed, but the data reveals progress and reflects good collaboration within the oral health community.  Surveillance data allow state leaders to assess the oral health status, identify disparities in receipt of preventive services, and guide decisions to efficiently use resources to improve oral health across the lifespan.. ORAL HEALTH SURVEILLANCE ACROSS THE LIFESPAN-A SUCCESSFUL MODEL Wendy Mosteller, RDH1, Bobbi Muto, MPH, RDH1, Gina Sharps, MPH, RDH1, Richard Crespo, PhD1, Ashley Logan, RDH1, Marsha DeLancey, RDH1, Stephanie Montgomery1 Jason Roush, DDS2,Teresa Marks, BA2 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 Appalachian Regional Commission, the Claude Worthington Benedum Foundation, and the West Virginia Department of Health and Human Resources Oral Health Program Introduction Methods Obstacles and Challenges Results Conclusions The surveillance cohorts are: Universal PreK/Head Start Third Grade Adult Older Adult Perinatal Form a survey advisory committee including representatives from key stakeholder organizations Determine if Institutional Review Board (IRB) approval is necessary  Implementation Phase Develop survey data collection forms and data entry programs Develop survey letters Determine and draw the sample Marshall University worked with an ASTDD consult to discuss initial sampling schemes Identify critical partners Perinatal Surveillance- OB/GYN Offices, Federally Qualified Health Centers Universal Pre-K/Head Start-WV Board of Education, WV Head Start Association, WV School Nurses Association Third Grade- WV Board of Education, WV School Nurses Association Adult-Federally Qualified Health Centers Seniors- WV Area Agencies on Aging, WV Bureau of Senior Services, Congregate Meal Sites Contact the Sites Identify and train dental screeners WV DHHR- Oral Health Program partners with Marshall University in a collaborative agreement, utilizing Regional Oral Health Coordinators to carry out surveillance. Order supplies and equipment  Screening Phase Collect screening data Researchers were trained on iPads for electronic data entry into a Survey Monkey data base. This method has proven the most effective in allowing limited missing data fields and ease of data clean up. Figure 3. 2011-2011 WV Children’s Oral Health Survey 2010-2011 (shown above) Figure 4. WV Oral Health Surveillance Plan and Timeline  Funding  Travel time required to distant, rural sites  Manpower  Limited internet connectivity in remote areas  Better data is needed for infants,adolescents, and individuals with special needs  Monitoring the status of oral diseases among West Virginians is the foundation to improving oral health.  Public health surveillance is the ongoing, systematic collection, analysis, interpretation and dissemination of data regarding a health related event. In turn, data inform policy development and target public health initiatives to improve the health of all West Virginians.  Prior to 2010, West Virginia lacked data or support to advance oral health efforts. The state did not have a full time state dental director, an oral health surveillance system, or a way to assess what few oral health programs were in place.  Three tools that enabled the state to move forward were: Development of a state oral health plan Implementing an oral health surveillance system Creating a data management system for monitoring and evaluating oral health programs  The objectives of this poster are to: Learn how to develop and organize oral health surveillance into manageable tasks Observe how the utilization of technology can assist with collection of surveillance data Acquire the skills to replicate similar surveillance across the lifespan  A successful surveillance system requires planning and forethought. Marshall University Community and School Oral Health Team and the West Virginia Department of Health and Human Resources Oral Health Program (OHP) staff worked closely with an ASTDD consultant to develop tools and methodology creating a series of tasks.  Each task was assigned to one of the partner organizations and followed the surveillance strategy developed by the ASTDD. The tasks were integrated into the phases of the BSS protocol as listed below: Preliminary Planning Phase Implementation Phase Screening Phase Post-Survey Phase . Preliminary Planning Phase Defining clinical parameters and questionnaire information Identify population cohorts. The West Virginia Oral Health Surveillance System (WVOHSS) includes 5 population cohorts. Results cont’d Figure 1. Sample Passive Consent Form and IRB letter Figure 2. Same of survey letter to school and Data collection  Post-Survey Phase Data entry, cleaning, and analysis Report preparation Disseminating report