Indian Health Service: A Systems Approach to Health Care Candace Jones, MPH Director, OHP/DP, IHS
How are data collected? Annual Workload Data Health Outcomes Codes Periodic Oral Health Surveys
How are data used? Program Management Reports to the Congress Requests from advocacy groups
Pediatric Performance Measures in IHS Increase utilization of dental care system Increase sealants in 8 and 14 year olds
Pediatric Performance Measures in IHS Reduce caries experience & untreated decay Increase access to community water fluoridation
Utilization of Health Care System - Ages 2-17 years
Sealant Use in Indian vs. U.S. Children
Caries Experience – Indian vs. U.S. 2-4 Year- Old Children
Caries Experience – Indian vs. U.S. 6-8 Year-Old Children
Caries Experience – Indian vs. U.S. 15 Year-Old Adolescents
Access to Community Water Fluoridation
A Systematic Approach To Health Care Delivery Prenatal care includes dental Well Baby Check-ups & Referrals Women, Infant and Children Nutrition Programs on reservation
A Systematic Approach To Health Care Delivery Early Head Start & Head Start priorities Schools on reservations Community Health Aids & Representatives Public Health Nurses
Summary Great oral health disparities exist Integrated services approach is useful Community and public health perspective emphasized Partnerships are key