1. Early Childhood Dental Network https://vimeo.com/167136515

3. Nancy Franke Wilson, M.S. Executive Director

4. Minnesota Oral Health Coalition
Founded in 2009
Cooperative agreement between Minnesota Department of Health and Centers for Disease Control and Prevention
First Executive Director
501c3 status

5. Why Oral Health?
Even though dental caries (tooth decay) is nearly 100 percent preventable, it is the most common chronic childhood disease and is five times more common than asthma.
Four times more people sought treatment for non-traumatic oral emergencies at hospitals as compared to those seeking treatment for traumatic conditions.
According to the first Surgeon General's Report on Oral Health in 2000, the health of the mouth and surrounding craniofacial (skull and face) structures is central to a person’s overall health and well-being.

6. Why Oral Health?
Health access issue: Studies show that access to adequate health care, and dental care in particular, is affected by education level, income, race, and ethnicity.
Social-economic issue: The poorest children (schools with >75% of children on Free and Reduced Lunch) were almost twice as likely to experience tooth decay and almost three times more likely to have their tooth decay go untreated than students in more affluent schools
Children of color were 12 percent more likely to experience caries and 7 percent more likely to have untreated caries when compared to white children.

7. Why Oral Health
59% children with Medicaid coverage did not receive any dental services by or under the supervision of a dentist during FFY2011
Minnesota ranks dead last when it comes to the Medicaid payment rate for pediatric dental services
According to a study published in the American Journal of Public Health, dental visits or dental problems account for 117,000 hours of school lost per 100,000 children
In adults, tooth decay and periodontal (gum) disease are the most common reasons for tooth loss.

8. Why Oral Health?
Studies have found that maternal oral health has significant implications for birth outcomes and baby’s oral health. Periodontitis has been associated with poor pregnancy outcomes
In Minnesota rural dentists are aging and fewer dentists are taking their place
The 46 most rural counties have 13 percent of the state’s population, but only 9 percent of the state’s practicing dentists

9. What Can Be Done? What works?
Fluoride Varnish: Increasing awareness and availability
Dental Sealants: Minnesota’s 64% school-based sealant rate far exceeds the national average of 32%(2010)
Dental Therapist: In 2009, Minnesota signed into law two new types of “mid-level” dental providers; dental therapist and advanced dental therapist
Dental Hygienists collaborative agreement
MDH Oral Health Data Portal:

10. What Can Be Done? What Works?
Loan forgiveness for dentists committed to rural areas
Fluoridated Water: 78% of Minnesotans receive fluoridated water compared to 64% of people across the nation (2010). Almost all Minnesotans have access to fluoridated water through the public water system (2010)
Help Minnesota Smile

11. There is good news!
Minnesota’s 64% school-based sealant rate far exceeds the national average of 32% (2010)
78% of Minnesotans receive fluoridated water compared to 64% of people across the nation (2010)
Almost all Minnesotans have access to fluoridated water through the public water system (2010)
We have a statewide oral health coalition and many, many partners!

12. Why a Coalition? Awareness Independent Data Diverse Trusted Inclusive
Grassroots
Patient-centered
Quality
Awareness
Data
Trusted
Membership
State-wide
Oral health for all
Indoor clean air act, seat belts, fluoridation, immunizations, healthy food

13. Oral Health Coalitions
State Coalitions
No Coalition

14. Partnerships Other Stakeholders
Provider Organizations, Hygienists and Assistant’s
U of M Dental School, MN Dental Association
MN Oral Health Zones, ECDN
Delta Dental of MN Foundation
Minnesota Oral Health Coalition

15. Impact Nearly 400 members and growing Constant Contact, social media
Policy Consensus Tool
Policy Initiatives
Minnesota Oral Health Directory
On-line training and tools
Conference
Host of statewide oral health events
Organizational development and sustainability

16. Recent & Current Projects
MOHC 2016 Conference
Public Health Leaders Network
Oral Health Directory
Fluoride Varnish Training Video
Convening of Policy Partners

17. Policy Consensus Tool: Policies ranked by opportunity and feasibility:
Increase/adequate reimbursement to sustain a network of providers to deliver care.
Create appropriate incentives (i.e. loan forgiveness) for providers to serve high needs/low access patient population.
Funding for oral health data to determine needs and provision of care.
Health Disparities – Develop policy that recognizes the social determinants of health as it relates to oral health and cultural barriers to care.
Take advantage of potential integration of dental and medical care and financing.

18. Minnesota State Oral Health Plan
1. Public Health Structure Goal 1: Minnesota oral health infrastructure is stable and sustained.
2. Prevention and Education Goal 2: Strategies are implemented that reduce oral disease and mitigate risks. Goal 3: Oral health literacy is increased across all ages and cultures.

19. Minnesota State Oral Health Plan
3. Health Care Integration and Access to Oral Health Care Goal 4: Professional integration is enhanced between oral health care providers and other providers in the broader health care system. Goal 5: Access is increased to preventive, restorative, and emergency oral health care services. Goal 6: The dental workforce is prepared for and addresses the oral health needs of all Minnesotans.

20. Minnesota State Oral Health Plan
4. Surveillance Goal 7: Access to population statistics, population-level oral health surveillance information, and aggregate data on oral health indicators is readily available to all.

21. Join the Minnesota Oral Health Coalition
Easy on-line application
Visit our website to join now

22. Minnesota Oral Health Coalition
Nancy Franke Wilson, M.S. Executive Director Phone