Smiles Across America Webinar Series Presents:
The Untapped Potential of School Sealant Programs Matt Crespin, Matt Jacob
April 27, 2017
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/Oral Health America
@Smile4Health
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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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The Untapped Potential of School Sealant Programs © 2017, Children’s Dental Health Project
Thursday, April 27, 2017 Matt Jacob Director, Communications & Outreach Children’s Dental Health Project
www.cdhp.org
The Triple Aim
(Source: “Initiatives: The IHI Triple Aim,” The Institute for Healthcare Improvement, http://www.ihi.org/Engage/Initiatives/TripleAim/pages/default.aspx)
www.cdhp.org
Prevention isn’t reaching many children • Only 1 in 7 children received a preventive dental service (topical fluoride, sealants, or both) • Low-income kids are 20% less likely to get sealants and 2 times more likely to have untreated cavities. (Source: S.O. Griffin et al., Morbidity & Mortality Weekly Report, September 2014, Vol. 63, No. 2; B.A. Dye et al., “Dental Caries and Sealant Prevalence in Children and Adolescents in the United States, 2011-2012,” National Center for Health Statistics, Data Brief no. 191, National Center for Health Statistics, 2015; “Dental Sealants Prevent Cavities,” CDC Vital Signs, October 2016.)
www.cdhp.org
39 states lack SSPs in most of their high-need schools (Source: Figure 1, “States Stalled on States Stalled on Dental Sealant Programs,� a 50-state report by the Pew Charitable Trusts, April 2015)
www.cdhp.org
CDHP’s 2014 report: • Received surveys from 40 states and 23 local SSPs about sealant programs • Examined 5 states with substantial SSPs to explore factors that shape their reach and sustainability: o IL, NY, OH, SC and WI
(Source: “Dental Sealants: Proven to Prevent Tooth Decay,” Children’s Dental Health Project, May 2014, https://s3.amazonaws.com/cdhp/CDHP+Sealant+Report+2014.pdf )
www.cdhp.org
CDHP’s 2014 report: • Called for a work group to update the clinical guidelines by which sealant programs operate • Called for a work group to offer recommendations for strengthening the operations and financial sustainability of SSPs
(Source: “Dental Sealants: Proven to Prevent Tooth Decay,” Children’s Dental Health Project, May 2014, https://s3.amazonaws.com/cdhp/CDHP+Sealant+Report+2014.pdf )
www.cdhp.org
Data = powerful stories • In 2014-15, (with CDC funding) CDHP chose 3 states to offer initial guidance on: – strengthening their collection and analysis of sealant data – packaging these data in ways to demonstrate their impact and cost-effectiveness
• Participating states were Georgia, Maryland and North Dakota
www.cdhp.org
The Sealant Work Group (SWG) Objective: Provide recommendations and products (tools, worksheets, etc.) for strengthening the operations and sustainability of school sealant programs Members: 13 people from diverse regions and backgrounds who have managed, worked in or collaborated with SSPs
www.cdhp.org
The Sealant Work Group (SWG) SWG Chair Matt Crespin: “Our goal is to help make a good program a great program.”
Moving From Good to Great: CDHP Sealant Workgroup Matt Crespin, MPH, RDH Associate Director - Children’s Health Alliance of Wisconsin Chair – CDHP Sealant Workgroup
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Disclosures / Affiliations • AAPHD Council on Legislation – Member • ADA expert panel on clinical recommendations for sealant placement - Member • ADHA Board of Trustees – Dist. VII Trustee and VP candidate • ASTDD School and Adolescent Oral Health Committee – Member • Washington Dental Services Foundation – Consultant This presentation may not necessarily be the view of other organizations I am affiliated with Children’s Health Alliance of Wisconsin
www.chawisconsin.org
SWG Members • Donna Behrens, RN, MPH, BSN • Ginny Spellman Black, MPH, BSN, RN • Mary Pat Burgess, MBA, RDH • Richard Champany, DDS, MPH • Terri Chandler, RDH
Children’s Health Alliance of Wisconsin
• Lori Cofano, RDH • Jodie Hostetter, BSDH, RDH • Anna Karina Mascarenas, BDS, MPH, Dr. PH • Daniel Romo, DDS • Bob Russell, DDS, MPH • Armando Soto-Rojas, DDS, MPH • Merry Jo Thoele, MPH, RDH www.chawisconsin.org
SWG Process • Initial webinars to discuss barriers and issues facing SBSP • Categorized into themes • Met face-to-face in January 2016 • Meet monthly via WebEx • Interim small team meetings by priority • External review • Finalized recommendations and tools Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Outcomes We did… • Make recommendations for improving school-based sealant programs (SBSP) • Develop and provide tools for improving communication, efficiency, reporting, data collection and overall effectiveness of SBSP
Children’s Health Alliance of Wisconsin
We did not… • Make very specific clinical recommendations • Provide recommendations for the initial start of up SBSP • Duplicate the work of others (i.e. Seal America and other panels)
www.chawisconsin.org
To access the report and its related resources: www.cdhp.org/sealants
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
SWG Priorities Collecting and analyzing data
Addressing MA and regulatory hurdles
Promoting evidencebased and promising practices
Communication with families and school staff Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Promoting EB and promising practices • Recommendations regarding consistency • Promoting high quality programs who use EB and promising practices • Equipping programs to be successful
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Communication • Building stronger relationships with schools and families
• Sharing outcomes and expectations • Templates for success
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Collecting and analyzing data • What to collect • How to analyze it • Formulating a story • Spreading the message Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Customizable info graphic
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Addressing MA and regulatory hurdles • Policy implications • Increased program efficiency – Practitioner based – Economic based
• Level the playing field Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Questions and thank you Matt Crespin, MPH, RDH mcrespin@chw.org
Follow the Alliance on Facebook and Twitter: @chawisconsin Children’s Health Alliance of Wisconsin
www.chawisconsin.org
Thank you for participating in the Smiles Across America Webinar Series!
Email: jada.harrison@oralhealthamerica.org
April 27, 2017