A State of Decay: A State Report on Older Adults’ Oral Health
Oral Health America Webinar Series July 10, 2018
Connect with OHA!
/Oral Health America
@Smile4Health
/Oral Health America
@Smile4Health
2018
HOUSEKEEPING INFORMATION •
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Questions are welcome! We’ll allow 10-15 minutes after the presentation for questions. • •
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Webinar is being recorded; for rebroadcast on OHA’s website – OralHealthAmerica.org/webinar
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Your feedback is important to us. Please take our brief webinar evaluation after this session; link will be sent via email. 2018
CE Credit Available
2018
ABOUT ORAL HEALTH AMERICA America’s leading national oral health nonprofit focused on the nation’s oral and overall health for 63 years, with particular emphasis on children and youth, older adults and Americans whose voices are not wellrepresented in oral healthcare conversations. OHA employs strategic partnerships and communications to connect the dots between oral and overall health
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Addresses oral health inequities in our society and identifies possibilities for closing the oral health divide in America. The campaign strives to:
Educate and engage the public, including policymakers, about the importance of oral health for overall health Emphasize the need to prioritize oral disease alongside other chronic health conditions Lead, participate and observe on legislative issues impacting oral health policies critical to OHA, our programs and stakeholders 2018
Bianca Rogers
Natalie Shaffer
Public Affairs Manager
Public Affairs Coordinator
Oral Health America
Oral Health America
Bianca.Rogers@oha-chi.org
Natalie.Shaffer@oha-chi.org
2018
A STATE OF DECAY, VOL. IV ORAL HEALTH AMERICA WEBINAR SERIES JULY 10, 2018
ABOUT OHA For over 60 years, Oral Health America has been the nation’s voice for oral health equity for all. It’s not about a pretty smile — it’s about whole body health. OHA has two signature programs: Smiles Across America® & the Wisdom Tooth Project®
2018
AGENDA ➢Report Overview ➢Policy Recommendations ➢State Spotlights ➢Tools for Advocates
TWEET WITH US! #AStateofDecay @Smile4Health
➢Looking to the Future
2018
WHAT IS A STATE OF DECAY, Vol. IV? OHA’s fourth state-by-state report assessing the status of oral health of America’s 65+ population.
#AStateofDecay 2018
SCIENTIFIC ADVISORY COMMITTEE Caswell A. Evans, DDS, MPH, Chair College of Dentistry University of Illinois at Chicago Lori Kepler Cofano, RDH, BSDH Association of State & Territorial Dental Directors
Tanya Dorf Brunner Oral Health Kansas Mary E. Foley, RDH, MPH Medicaid|Medicare|CHIP Services Dental Association Kathy Phipps, DrPH Association of State & Territorial Dental Directors
Grant A. Ritter, PhD Heller School for Social Policy and Management Brandeis University Donald S. Shepard, PhD Heller School for Social Policy and Management Brandeis University Karen K. Tracy The Gerontological Society of America
Robert J. Weyant, MS, DMD, DrPH School of Dental Medicine University of Pittsburgh
EDITOR AND WRITER L. Michael Posey, BSPharm, MA PENS Pharmacy Editorial & News Services #AStateofDecay 2018
WHY RELEASE A ‘REPORT CARD’?
Establishes Need
Tool for States
Sparks Dialogue
Inspires Action
#AStateofDecay 2018
STATE VARIABLES ADULT MEDICAID DENTAL BEENFIT
COMMUNITY WATER FLUORIDATION
STATE ORAL HEALTH PLAN
DENTAL VISIT
SEVERE TOOTH LOSS
OVERALL STATE SCORE
BASIC SCREENING SURVEY
#AStateofDecay 2018
STATE VARIABLES: METHODOLOGY & SCORING ➢ Six variables, equally weighted, equals State Overall Score ➢ Uses standard scoring – standardizes data for comparative purposes ➢ Scores have one scale; highest ranking 100% and lowest 0%, with others in between #AStateofDecay 2018
2018 KEY RESULTS ORAL HEALTH STATUS
• 33% severe tooth loss • Low-income visit dentist less frequently vs. highincome
ADULT MEDICAID DENTAL BENEFIT
• 9 states cover all • 6 states cover none • (top 13 services used by 65+)
COMMUNITY WATER FLUORIDATION
• 15 states with 90% or more of its communities receiving fluoridated water
STATE ORAL HEALTH PLAN
• 34 states have SOHPs • 31 include older adults • 12 use SMART objectives
BASIC SCREENING SURVEY
• 23 states have never completed a BSS & have no plan to do so • 6 local pilot • 10 statewide
#AStateofDecay 2018
STATE RANKINGS Overall: 5 - Excellent (90-100%) 6 - Good (79-89.9%) 14 - Fair (50-69.9%) 26 - Poor (0-49.9%)
Top Minnesota, Wisconsin, Iowa … and Bottom Louisiana, Tennessee, Mississippi
DOWNLOAD AT ASTATEOFDECAY.ORG
#AStateofDecay 2018
EVOLUTION OF VARIABLES 2016 EDENTULISM
ADULT MEDICAID DENTAL BENEFIT
COMMUNITY WATER FLUORIDATION
STATE ORAL HEALTH PLANS
BASIC SCREENING SURVEY
2018 SEVERE TOOTH LOSS (LOSS OF 6+ TEETH)
ADULT MEDICAID DENTAL BENEFIT
COMMUNITY WATER FLUORIDATION
STATE ORAL HEALTH PLANS
BASIC SCREENING SURVEY
DENTAL VISIT (LAST 12 MONTHS)
#AStateofDecay 2018
CHANGES SINCE 2016
CHANGE
2018
2016
ADULT MEDICAID DENTAL BENEFIT • •
COMMUNITY WATER FLUORIDATION
4 states cover all 8 states cover none (based on top 13 services used by 65+)
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9 states cover all 6 states cover none
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5 more states cover all 2 fewer cover none
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STATE ORAL HEALTH PLAN
BASIC SCREENING SURVEY
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36 states have SOHPs 33 w/ older adults 8 use SMART objectives
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State average of 72.6% covered
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34 states have SOHPs 31 w/ older adults 12 use SMART objectives
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Increase of 2.2 million people covered
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2 fewer SOPHs 4 more w/ SMART objectives
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State average of 71.9% covered
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23 states never completed 12 states competed 5 or less year ago
17 states never completed • 6 local pilot • 10 statewide (b/w 2013-2017)
6 more states w/ BSS
#AStateofDecay 2018
2016 VS. 2018 RESULTS UP AND COMING ➢ California ➢ Oregon ➢ South Dakota ➢ New Hampshire ➢ Kansas ➢ Washington ➢ Massachusetts #AStateofDecay 2018
NEW: NATIONAL ANALYSIS Analysis of severe tooth loss and recent dental visits correlated with sociodemographic factors such as income, education, age, and gender. Key Results: Income ➢ Consistent, linear relationship b/w income and seeing a dentist and for having no severe tooth loss. ➢ As income levels rose, so did the probability of good oral health.
Additional Observances: Gender ➢ Women somewhat more likely to see a dentist in the past year & not have severe tooth loss. Education ➢ Education is indicative of better oral health. Those with high school or less education were less likely to see a dentist & to have severe tooth loss. Marital Status ➢ Divorced, widowed, and separated more likely to have poor oral health than married individuals. ➢ Social isolation, depression, & lack of social support structures could be factors in this relationship, in addition to reduced income. 2018
POLICY RECOMMENDATIONS 1. Reinstate, establish or maintain an extensive adult Medicaid dental benefit 2. Integrate comprehensive dental coverage in Medicare 3. Sustain or expand community water fluoridation 4. Include specific objectives for older adults in all State Oral Health Plans
5. Conduct Basic Screening Surveys of older adults in all states
Tools for Advocacy Available at astateofdecay.org: • Key Messages • How to Talk About Your Score • One-Pager Policy Guide & Template • Social Media & Graphics
2018
MORE THAN A SCORE:STATE SPOTLIGHTS Building on Solid Foundation, Iowa Jumps Into Top 5
Moving Mississippi Forward to a ‘Culture of Health’
Here to Stay! California Leaps to Number 9
Alabama’s Big Leap in 2018 State Rankings 2018
PLAN FOR ONGOING STATE SPOTLIGHTS ➢In High Demand! State Spotlight set to be released every other month ➢Available on astateofdecay.org ➢Spotlights scheduled: ➢June- Arkansas ➢Illinois ➢Maryland
#AStateofDecay 2018
TOOLS FOR ADVOCACY ➢ Key Messages ➢ Sample Press Release ➢ How To Talk About Your Score ➢ Step-by-Step Guide & Template: Policy Priorities One Pager ➢ Social Media & Graphics ➢ Infographic
#AStateofDecay 2018
KEY MESSAGES IF YOU’RE: WRITING A BLOG General background & context for report
Key Theme: States are taking action. #AStateofDecay 2018
HOW TO TALK ABOUT YOUR SCORE IF YOU’RE: APPROACHED BY MEDIA Setup/Intro Provided
Add Tailored Explanation
2018
STEP-BY-STEP GUIDE & TEMPLATE IF YOU’RE: APPROACHING A DECISION-MAKER
Example One-Pager
Step-by-step instructions
#AStateofDecay 2018
SOCIAL MEDIA & GRAPHICS IF YOU’RE: SHARING ON SOCIAL MEDIA
#AStateofDecay astateofdecay.org 2018
LOOKING TO THE FUTURE
? 20th
2013
Anniversary of Surgeon General’s Report 2020
2003
2016 2018 #AStateofDecay 2018
THANK YOU Let’s improve the oral and overall health of all Americans together! Bianca Rogers Public Affairs Manager Bianca.Rogers@oha-chi.org Natalie Shaffer Public Affairs Coordinator Natalie.Shaffer@oha-chi.org
2018
CE Credit Available
Webinar Recording www.oralhealthamerica.org/webinar
2018
Question and Answer Session • Questions are welcome! This session may last for 10-15 minutes. • Write your questions in your control panel on the upper right hand of your screen. • Submit questions at any time.
2018
THANK YOU! Further Questions? Email: Programs@oha-chi.org
Let’s improve the oral and overall health of all Americans together.
2018