2. Colorado Oral Health Network & Web-based Resources HRSA HDC National Primary Oral Health Care Conference August 8, 2005 Colleen Lampron, MPH

3. The oral health network development experience of the Colorado Oral Health Network.

4. Resources available related to primary oral health via www.cchn.org/oralhealth www.cchn.org/oralhealth

5. Background & History  Rose Community Foundation Oral Health Policy Grant (2000)  CHP+ dental benefit (2001)  There was a strong need for all safety net clinics to work together

6. Why an oral health network?  21 Health Center dental clinics serving 49,000 patients each year  18 other non-profit dental clinics serve an additional 15,000 patients  Experienced with the needs of children, and the underserved  Safety net dental clinics are different than private practice

7. Steps in the planning process  Invited all safety net dental clinics to the table.  Formed 4 committees – Needs Assessment; Models that Work; Recruitment and Purchasing; Funding  Completed Strategic Planning process for an oral health network  Worked on implementation of CHP+ dental benefit, oral health policy.

8. Needs Assessment Goal: Develop a short, user friendly, document (with lots of pictures and graphs), depicting the oral health environment in Colorado and suggesting strategies to meet the needs of the underserved.

9. Needs Assessment DATA INVENTORY TOPICS  Oral Health Status  Caries Experience in Children  Untreated Dental Caries in Children  Sealant Prevalence  Periodontal Disease in Adults  Oral Cancer Incidence  Edentulous Adults  Oral Health Risk  Fluoridation  Tobacco Use  Access  Number of Dentists  Medicaid Participation  Medicaid Eligible Children  CHP + Eligible Children  OAP Eligible Seniors

10. Results of the planning process 1. Strengthen existing and potential oral health safety net operations 2. Integrate medical and oral health practices within safety net operations 3. Form partnerships with private providers, schools, businesses, etc

11. Outcomes and Impacts COHN Mission Statement: To increase access to oral health care in Colorado and improve the oral health outcomes of traditionally underserved populations.

12. Outcomes/impacts 50% increase in users from 2001 to 2005 Stronger safety net COHOP Data for Clinical Quality Resident Experts Partnerships and Resources

13. Barriers and Lessons learned  Expensive to build a dental clinic  Building from the ground up requires special skills  Partnerships take time to develop, and must be maintained  As environments change, network must change

14. Future challenges COHN guiding principles  Significant increases in the capacities of oral health providers to offer oral health services to traditionally underserved populations.  Measurable improvements in the oral health and outcomes of underserved patients to include quality improvement.  Strengthen the financial viability of oral health providers who make it a priority to offer services to underserved populations.

15. Resources  CCHN Dental Budget Templates – www.cchn.orgwww.cchn.org  Advanced Oral health resources www.cchn.org/activities/oral_health  COHOP http://www.cchn.org/activities/cohop.asphttp://www.cchn.org/activities/cohop.asp  Henry Schein – Kathleen Titus(916) 772-0424

16. www.cchn.org

17. http://www.cchn.org/activities/oral _health-budget.asp

18. Dental Budget Templates

19. Dental Forms Library

20. Patient Education Materials Low-literacy Patient Education Materials: Developed by the Colorado Oral Health Network Dentures and Partials; Spanish; Russian; French Diabetes and Your Teeth; Spanish; Russian; French Oral Cancer; Spanish; Russian; French Patient Etiquette; Spanish; Russian; French Periodontal Disease; Spanish; Russian; French Pregnancy and Oral Health; Spanish; Russian; French Preterm LBW Babies; Spanish; Russian; French Root Canal; Spanish; Russian; French Tooth Removal/Dry Socket; Spanish; Russian; French Your Baby's Teeth; Spanish; Russian; French Other Online Resources Available Dentures and PartialsSpanishRussianFrench Diabetes and Your TeethSpanishRussianFrench Oral CancerSpanishRussianFrench Patient EtiquetteSpanishRussianFrench Periodontal DiseaseSpanishRussianFrench Pregnancy and Oral HealthSpanishRussianFrench Preterm LBW BabiesSpanishRussianFrench Root CanalSpanishRussianFrench Tooth Removal/Dry SocketSpanishRussianFrench Your Baby's TeethSpanishRussianFrench Other Online Resources Available

21. Dental Forms Library Organizational Chart (handout)

22. Dental Operations Manual

23. Dental Operations Manual Organization Chart (handout)

24. Starting a Dental Clinic Resources

25. Children’s Oral Health Outcomes Partnership

26. COHOP Outcome Measures 1.Percentage of 1 and 2-year old patients with a documented exam of the teeth and gums. 2.Percentage of 1 and 2-year old patients with a documented assessment of feeding habits that put the teeth and gums at risk. 3.Percentage of 1 and 2-year old patients with documentation of the appropriate dietary counseling given to address tooth decay.

27. COHOP Outcome Measures 4.Percentage of 1 and 2-year old patients with documentation of parent being instructed to brush child ’ s teeth as soon as they erupt. 5.Percentage of 1 and 2-year old patients that have documentation of adequate fluoride intake. 6.Percentage of 2-year old patients referred to the dentist. 7.Optional Measure: Percentage of 1-year old patients referred to the dentist.

28. Colorado Oral Health Network

29. “You cannot be healthy without oral health.” Surgeon General’s Report on Oral Health

30. THANK YOU! Questions/comments, contact me: Colleen@cchn.org (303) 861-6156,ext. 224