Smiles Across America Webinar Series
Cultivating Oral Health Champions by Dr. Pierre Cartier, DMD, MPH
February 8th, 2017
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/Oral Health America
@Smile4Health
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CE Credit Available
ORAL HEALTH AMERICA’S MISSION IS TO CHANGE LIVES BY CONNECTING COMMUNITIES WITH RESOURCES TO DRIVE ACCESS TO CARE, INCREASE HEALTH LITERACY AND ADVOCATE FOR POLICIES THAT IMPROVE OVERALL HEALTH THROUGH BETTER ORAL HEALTH FOR ALL AMERICANS, ESPECIALLY THOSE MOST VULNERABLE.
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• 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.
Cultivating “Oral Health Champions” Pierre M. Cartier, DMD, MPH DC Department of Health Community Health Administration
The Complex Phenomenon of “Oral Health”
Role of Driving Determinants
Interplay Between Biological and Non-Biological Factors: Caries and Perinatal Oral Health
Interplay Between Biological and NonBiological Factors
Oral Health Champions Initiative
Key Goals of Oral Health Champions Initiative Increase Oral Health Awareness and Knowledge in Community
Increase Residents’ Engagement in Oral and General Wellness
Increase Oral Health SelfAdvocacy Capacity
Change Community Context (“Discussion”) Around Oral Health and General Wellness
Levels of Impact Individual
Household Institutional
Community
Audience: Educators and Social Service Target Audience
Objectives
Education and Social 1) Services Personnel Early Childhood Educators Head Start Family 2) Engagement Staff Social Workers School Leaders 3) Public Health Outreach Personnel 4)
5)
Increase awareness of nonclinical contributors to oral health Enhance understanding of oral conditions and their prevention Increase attendees’ confidence in identifying and referring individuals and families at high risk for oral conditions Heighten awareness of oral health-related resources in community Provide strategies for engaging public regarding oral health
Topics Covered • Oral Health’s Influence on Individuals, Institutions, and Communities • Invitation to Become an “Oral Health Champion” • Overview of Oral Conditions that Affect Families • Tips for Identifying High-Risk Families • Discussion of Community Oral Healthcare Resources • Strategies for Engaging Individuals and Communities
Audience: Healthcare Professionals Target Audience
Objectives
Topics Covered
Healthcare Personnel Primary Care Physicians Oral Health Professionals Nurses (Including School Nurses) Physician Assistants Health profession students
1)
• Population Health Applied to Dental Medicine • Invitation to Become “Oral Health Champion” • Overview of Oral Conditions and Prevention Tied to specific population(s) that providers address • Relationship of Oral Health to Overall Health • Tips for Identifying High-Risk Individuals • Discussion of Community Oral Healthcare Resources • Strategies for Engaging Individuals and Communities
2)
3)
4)
5)
Increase awareness of nonclinical contributors to oral health Enhance understanding of oral conditions and their prevention Increase attendees’ confidence in identifying individuals and families at high risk for oral conditions Heighten awareness of oral health-related resources in community Provide strategies for engaging public regarding oral health
Venues Where Presentations Have Been Offered
Pre-Existing Oral Health Knowledge Knowledge Item
Agree or Strongly Agree
Neutral
Disagree or Strongly Disagree
“Dental decay and gum diseases may be spread to other family members.”
41%
15%
35%
“The frequency of snacking, as well as stickiness of foods, are key factors related to tooth decay risk.”
78%
7%
15%
“Infants should have a dental exam by 12 months of age.”
67%
7%
26%
“Tooth decay in primary (baby) teeth is not of high concern because they eventually fall out.”
4%
7%
89%
“It is safe for women to receive routine dental treatment during pregnancy.”
26%
19%
56%
“Medicaid covers transportation to dental appointments.”
51%
23%
27%
“Sending a child to bed with a bottle of fruit juice will not cause tooth decay.”
4%
0%
96%
Topics Typically Covered in Pre-Existing Efforts Topic Covered Importance of Establishing a “Dental Home�
Percentage of Respondents 75% - 80%
Common Oral Conditions and Causes
50% - 80%
Nutrition to Prevent Oral Conditions
40% - 50%
Prevention of Oral Conditions
25% - 60%
Tooth Decay Prevention Gum Disease Prevention
25% - 40% 0% - 25%
Options for Accessing Oral Healthcare
25% - 40%
Perinatal and Infant Oral Health
20% - 25%
Preventive Dental Medicine (e.g. Sealants)
0% - 20%
What About Referrals to Oral Health Providers? Response Yes No
Percentage of Respondents 50% - 80% 20% - 50%
What Issues Do They Frequently Encounter? • Early Childhood Caries • Caries in Multiple Family Members • Nutrition (e.g. Carbohydrate Consumption) • Families Without a Dental Home Concerns Related to Paying for Treatment • Transportation to Dental Appointments • Families Without Access to Homecare Supplies
Successes • Increased awareness of issues that client-facing personnel encounter. • Opportunity to address knowledge gaps among influential personnel. • Cultivation of “Internal” Oral Health Champions. • Increased demand for trainings from stakeholders
Challenges • Maintenance of regular contact with some audiences • Competing priorities of participants • Completion of surveys • Time commitments
Continued Development of Program
So You Are Interested in Starting A Similar Program? • Identify the needs in your community What are the key issues you are encountering? Consider surveys
• Identify potential change agents and their needs Surveys useful in ascertaining knowledge and needs
• Design outreach programming Include resources (including tech assistance)
Continued Evaluation is Important • When designing your program, identify evaluation metrics • Include evaluation process Plan-Do-Study-Act (PDSA)
Other Importance Advice … • Change does not occur overnight • Strive for “small wins” that you can build upon • Also start small, don’t be too ambitious! • Remember that your target population is likely dynamic
Resources
Resources
Resources
Questions?
Contact Information Pierre M. Cartier, DMD, MPH DC Department of Health – Community Health Administration Phone: (202) 442-9127 pierre.cartier@dc.gov