1. Update on the IHS ECC Collaborative: 3 ½ years Tuesday, June 4, 2013 Albuquerque Area Dental Chiefs/Prevention Coordinators Meeting

2. Refresher

3. Overall Goal & Prevalence Reduce ECC prevalence by 25% in 5 years 2010 National BSS Data: – 54.1% of 1-5 year-olds had caries experience – 2-5 year-olds had an average of 3.9 teeth decayed or filled, 3X higher than Hispanics and 4X higher than the U.S. general population – 21.2% of 1 year-olds & 43.7% of 2 year-olds had caries experience

4. ECC Collaborative Objectives 1.Increase dental access for 0-5 year old AI/AN children 25% in five years. 2.Increase the number of children 0-5 years old who received a fluoride varnish treatment by 25% in five years.

5. ECC Collaborative Objectives 3.Increase the number of sealants among children 0-5 years old by 25% in five years. 4.Increase the number of Interim Therapeutic Restorations (ITRs) provided for children ages 0-5 by 50% in five years.

6. ECC Collaborative Virtual Learning Community Program The goal of the Virtual Learning Community is to increase awareness and knowledge about ECC and ECC best practices. 39 sites participated in FY 2012 15 sites are participating in FY 2013

7. What have we learned?

8. Keys to Success A local champion is mandatory Successful programs have good case management There has been a real paradigm shift with glass ionomers It takes a team effort

9. Best Practices: What Works? Identifying local champions: examples included dental staff, public health nurses, and tribal policy makers. A dedicated case manager. Marketing ITRs to your own dental staff and getting them comfortable with young children. Working routinely with the well-child or WIC clinics.

10. What are the outcomes thus far?

11. How do the first 3 ½ years of the ECC Collaborative compared to our baseline period (FY 2005-09)?

12. How does this compare to our ECC Collaborative goals? ECC Collaborative Goal – Increase by… Results (3 ½ years) – Increased by… Access to Dental Care25%10.5% Dental Sealants25%63.0% Fluoride Patients25%66.4% ITRs50%92.5%

13. How are we doing on 2 year-olds?

14. 0-2 year-old summary Access to dental care for 0-2 year-olds has INCREASED by 7.5%! Sealants for 0-2 year-olds have INCREASED by 72.6%! The number of 0-2 year-olds receiving fluoride has INCREASED by 57.9%! The number of ITRs in 0-2 year-olds has INCREASED by 238.5%!

15. Are we continuing to show improvements or have we peaked?

16. Challenges & the Future

17. What can you do?

18. Challenges 0-2 year-old access needs to increase 0-2 year-old access needs to increase!

19. Future Sesame Street collaboration ECC Rx pads Video vignettes BSS, fall of 2014 End of the five year initiative is Sept. 30, 2014

20. www.ihs.gov/doh/ecc Together, we can make a difference! Thanks for all you are doing to promote oral health in 0-5 year- olds!