1. OUR CURRENT REALITY Upper Peninsula Children’s Oral Health Summit NMU Conference Center May 17, 2014 --Kayla West, MBA

11. Coverage & Financing Safety Net Workforce Prevention Surveillance 5 Buckets Focusing on “Systems”

12. Remember the 1980’s—Haven’t we been here before? 2000 US--Former Surgeon General David Satcher’s “Silent Epidemic” 2000 SOM--Healthy Kids Dental for Medicaid Children (22 counties) 2000 SOM—Community Dental Clinics North – 21 counties 2000 SOM—4 th Year Dental Student Externships State Office of Oral Health Fluoride Equipment Grants Varnish! Michigan, Varnish! Michigan – Babies Too! SEAL! Michigan 2003 SOM—Michigan Oral Health Coalition 2004 Michigan Community Dental Clinics, Inc. 2012 US—Affordable Care Act 2014 SOM—Medicaid Expansion With Adult Dental Benefits

14. Driving Distances – 30 Minute Radius

19. Distribution of Safety Net Dental Clinics Uninsured adults only

20. Which Safety Net Dental Clinics Will See Children in 2015?

21. Dr. Brian Anderson--Hospital Cases (10/12 – 4/14) Number of Cases by YearNumber of Cases by Age

22. Distribution of Hospital Cases for Children

23. Hospital Cases—Dr. Brian Anderson $ Billed vs. $ Reimbursed Billed vs. % Reimbursed

24. Fluoridation of community water supplies is “One of the greatest public health advances of the last century.” (Centers for Disease Control and Prevention) 33% of the UP population has access to fluoridated community water systems. Sources: Kayla West (Oral Health for All Coalition). Map by Eric Anderson, PHD, Senior Planner, County of Marquette Data from John Clark, DEQ.

25. Do Health Departments Apply Fluoride Varnish in MIHP and WIC Programs? Yes

26. Marquette County, Pop. 67,906 (2012 ) FRL = Free/Reduced Lunch Community Water System With Fluoride Community Water System No Fluoride Marquette **Cherry Creek = 378, 27% FRL Vandenboom = 20, 10% FRL Sandy Knoll = 376, 38% FRL Superior Hills = 294, 27% FRL Gravereat = 122, 46% FRL Middle = 860, 29% FRL High School = 1042, 38% FRL North Star = 271, 62% FRL RESA = 60 42% FR Total Students: 3,423 Powell K-8 = 46, 52% FRL Ishpeming Birchview = 310, 55% FRL Middle = 254, 48% FRL High School = 266, 36% FRL Total Students: 830 Republic- Michigamme K-12 = 136, 63% FRL Wells K-8 = 12, 75% FRL Gwinn Sawyer West Ishpeming, NICE Aspin Ridge = 823, 32% FRL Westwood = 345, 19% FRL Total Students: 1,168 Sawyer Elem = 285, 87% FRL Gwinn Elem = 263, 59% FRL Middle = 262, 70% FRL High = 386, 51% FRL Total Student Pop. = 1,196 Negaunee Lakeview = 738, 33% FRL Middle = 326, 32% FRL High School = 421, 30% FRL Total Students: 1,485

27. I’m sure glad the hole isn’t in our end….. Source: Russell Ackoff (http://www.youtube.com/watch?v=UdBiXbuD1h4)

28. END OF OVERVIEW

29. LUCE COUNTY Case Study of a “Positive Deviant”