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							     CHURCHILL, LYON, PERSHING & STOREY COUNTIES'
           Regional ORAL HEALTH COALITION
                                    c/o Oral Health Program
                                4150 Technology Way, Suite 101
                                    Carson City, NV 89706

                     Teleconference Minutes – March 5, 2009
In attendance were:
        Deborah Aquino, BCFCW, OHP
        Lori Benvin, NNDS & NNDHP
        Maria Brannum, CSA Head Start
        Leanna Dyer, CSA Head Start
        Karen Gonzalez, BCFCW, OHP
        Kari Larson, SSSHD
        Bob Talley, NDA
        Laura Webb, LJW Education Services
        Chris Wood, BCFCW, OHP

Welcome
The meeting was called to order at 1:30 pm by Laura Webb, Coalition Chair.

Approval of minutes from 02/05/09 teleconference:
Chris Wood motioned to approve the minutes as drafted. Lori Benvin seconded the
motion and the motion was passed.

Legislative Updates:
Chris Wood stated that Assembly Bill 136 (Placing the State Oral Health Program into
statute) was passed out of the Assembly this morning and is now being referred to the
Senate. [Editors note: This was reported in error; Assembly Bill 136 was voted on by
the Assembly Health and Human Services Committee and sent to the General
Assembly with a recommendation of “do pass.” As of 3/09/09 the Bill is still on the
Assembly daily file.] Ms. Wood recognized a number of people who testified in support
of the bill, including Dr. Talley. Regarding the fluoridation BDR, the Bill language has
not been finalized.

Dr. Talley shared that he had found it interesting to have followed the initiative from its
conception at the Oral Health Summit all the way through having the Bill language and
then being able to testify and have it sent on. The NDA’s lobbyist recommends waiting
until it is closer to the deadline to introduce the Bill on fluoridating the community water
supplies of Washoe County (BDR 924).

Chris asked if anyone on the call had been able to attend Great Basin Primary Care
Association’s (GBPCA) Safety-Net Clinic Legislative Day. Kari Larson shared that she
was there, it went great and Kari was able to meet with two of our legislators;
Assemblyman Tom Grady and Senator Mike McGinness. She also provided
information for Senator Mark Amodei. GBPCA reported that 58 quality appointments
were conducted by the various safety-net clinic advocates. GBPCA is following the
legislative session on their website, at http://www.gbpca.org/legislative/ .
    Meeting of 3-05-09- Draft                                                Page 1 of 11
Oral Health Advisory Committee (OHAC) – VACANCIES:
Chris shared information on the three current vacancies on the state’s Oral Health
Advisory Committee (OHAC). Committee members are appointed by the Administrator
of the State Health Division. A total of thirteen members are appointed to provide
guidance to the Oral Health Program and assist in moving initiatives forward. If AB136
is passed, this advisory committee would have statutory authority. The composition of
the group is intended to reflect our state and include subject matter experts as well as
individuals representing population groups for which oral health is a major concern,
such as seniors and minorities. At the last state OHAC meeting, the group decided it
might be very useful to ask the regional oral health coalitions if they have names that
they would like to submit to be considered for the appointment. One of the things that
this group does is bring information from the community level and share it at the state
level; they also relay information from the state level back to their communities. Chris
added that ideally it would be nice if we had representatives from each of the six
regional oral health coalitions. For the record, two of the openings are to replace
committee members that were active members of this coalition; Jean Childs and
Marlena Booth. The third member leaving is a representative of Saint Mary’s, Mike
Johnson.

Laura asked Chris what the time commitment was for members. Chris responded that
the time commitment, other than the quarterly meetings, varied depending on
committee involvement, etc. It has included grant application reviews and other
document reviews. A quarterly report is prepared for members prior to each meeting
and members are requested to prepare comments and questions for the meeting. Chris
clarified that she didn’t think it was extremely time-consuming and asked Dr. Talley for
his thoughts, as a current member.

Bob Talley shared his point of view about being on the OHAC and helping with trying to
do what’s best for oral health in the state. He has already forwarded some names to
Chris of people for consideration. He discussed how AB136 may require, depending on
how it was worded and interpreted, that each coalition be represented on the
committee.

Chris would like to take the names back to the next OHAC meeting and to select which
names should be forwarded to the Administrator for formal appointment.

Kari shared that she had forwarded Chris’ original email to Raquel with Nevada
Hispanic Services. She also mentioned Vicki Aveiro, school nurse and Silver Springs
Stagecoach Hospital District (SSSHD) Board member and Dr. Nelson, of HAWC Silver
Stage Dental Center and the Schurz Tribe Dental Center, as possibilities.

Chris added that she felt that including the coalitions in the process of suggesting new
members for the Oral Health Advisory Committee has allowed the committee to “cast
the net more widely.”




   Meeting of 3-05-09- Draft                                               Page 2 of 11
Updates from Participants – Any news for the group? What are you working on?
Do you have anything we can help you with?

Maria Brannum from CSA Head Start shared that they are still receiving their second
fluoride varnish applications (for the students) and that they are still working with TMCC
Dental Hygiene Program.

Lori Benvin said that Dr. Guillen and Dr. Henderson’s offices did work with Northern
Nevada Dental Health Program (NNDHP) to obtain children’s names and that both of
their events went very well. There was good media coverage and there were no “no
shows”. Lupe from her office attended both events and assisted with translation. Chris
chimed in that it is great that there are so many events taking place across the state.

[Debbie had to leave the meeting and the group thanked Karen for attending and
assisting with taking the minutes in Debbie’s absence.]

Kari Larson shared that the Fluoride Varnish Activity on February 23rd at Silver Stage
Middle School went very well. They have a new bi-lingual dental assistant, Carolina,
who participated in the event. They had a total of three dental assistants, Dr. Nelson
and Milena. Laura Webb and Debbie Aquino attended on behalf of the coalition to
provide support. Nearly 100 students were screened by Dr. Nelson and 93 of them
received fluoride varnish treatments.

Kari announced that the Dental Coordinator at HAWC Silver Stage Dental Center,
Milena Cummings, has resigned and her last day will be March 26th. HAWC is also
hiring a dental hygienist for one day a week. She updated the participants that during
the first five months of operation the clinic has treated an estimated 430 patients. She
was pleased to report that for one of the months, they showed a profit. [In the absence
of a representative from HAWC, Kari provided the above information on the clinic, in her
role as General Manager of SSSHD, landlord of the dental clinic.]

Dr. Bob Talley told the group about the GKAS event at the dental school on the 21st.
They saw over 200 kids. They probably didn’t complete treatment for as many kids as
they have in the past. Working with the dental school has been fantastic. It was
another successful day. Other than that Dr. Talley has been busy with legislative
activities.

Chris spoke about a new Workforce HRSA Grant. She verified the dental school was
applying for funding to increase the number of students able to do rural rotations. Ms.
Wood just received notice this morning that with funds from the stimulus package the
total grant funds available will double from $5 million to $10 million. This program has
been limited by lack of funding for stipends and travelling expenses for the dental school
students. They have been collecting names of dentists that have agreed to be
preceptors. The grant application is due in April. Chris stated it may be helpful to have
the coalitions prepare letters that offer their support. She will keep us posted.

Leanna Dyer is the new interim Director of CSA Head Start. Leanna stated that the
need for health services for the population Head Start serves is very great and that she
is glad to be at the meeting. Laura welcomed her to the group.

   Meeting of 3-05-09- Draft                                               Page 3 of 11
Laura gave her perspective on the SSMS varnish activity. It was a good turnout and it
was very well organized. She has sent letters to the offices of Dr. Leinassar in Smith
Valley, Dr. Guillen and Dr. Henderson in Fallon, as well as the HAWC Silver Stage
Dental Center to thank them on behalf of the coalition for their participation in
GKAS/NCDHM activities.

Kari reported that the Lyon County Fly-In is coming to the Silver Springs Airport. [The
website is www.LyonCountyFlyIn.com.] In the past there have been booths with
information and Kari inquired if it would be an appropriate venue for the coalition, or its
members. Laura said additional information on the event would be needed to evaluate
whether coalition participation would be warranted.

Chris asked about the status of the school event in Yerington. Laura clarified that
Healthy Smiles Family Dentistry had agreed to hold an event, she believed at the local
Boys and Girls Club. She didn’t have additional information except that she thought
they were scheduling it for March.

Kari asked the attendees about their knowledge of Lyon, Storey and Carson forming
together for a regional health district. Chris shared that there are currently three health
districts in the state: Southern Nevada, Washoe County, and Carson City. The other
remaining counties are covered by the state for services such as health inspections,
community health nursing services, etc. This proposal would create a multi-county
health district that would serve these areas. The concept is still in the initial phases.

Next meeting:
The next coalition teleconference is scheduled for April 2, 2009, from 1:30 pm – 2:30
pm. Please send agenda items to Laura Webb at lwebb@ljweduserv.com.

Following a motion by Chris Wood that was seconded by Kari Larson, the meeting
adjourned at 2:14 pm.




   Meeting of 3-05-09- Draft                                                 Page 4 of 11
Updated: ______03/10/09__________________________


                Oral Health Activities in the Churchill, Lyon, Pershing & Storey Counties’ Service Area
Goal:                 Activity              Churchill                     Lyon                      Pershing                  Storey
                Oral Health Coalition –
                    Hold Regularly Scheduled Meetings (Typically held the first Thursday of each month by teleconference from 1:30 to 2:30.)

                Minutes and Schedule of future meetings published on website, www.nvoralhealth.org.
Collaboration




                Next Coalition                                                      April 2, 2009
                Meeting                                                          1:30 pm – 2:30 pm
                                                            Toll Free Dial in Number: 877-873-8017 Access Code 3932722
                                                       Future Meetings: (Tentative) 05/07/09, 06/04/09, 07/02/09, 08/06/09, 09/03/09, 10/01/09, 11/05/09, 12/03/09
                Mark Your Calendar/
                Upcoming Oral Health
                related Activities
                Funding
                Opportunities:
                Encouraging new         Current Legislation to watch:
                policies and            AB136 – Placing the State Oral Health Program in Statute.
                                        BDR 878 & BDR 913 Various changes regarding the practice of dentistry.
Advocacy




                supporting existing     BDR 924 Requiring the fluoridation of public water systems serving Washoe County
                policies that promote
                optimal oral health.
                Innovative/Other
                Advocacy
                opportunities:




                                                                              Page 5 of 11
Updated: ______03/10/09__________________________


            Oral Health Education     Crackdown on Cancer               WIC Clinics – Early               Crackdown on Cancer               Crackdown on Cancer
            (students, teachers,      (UNLV School of Dental            Childhood Caries prevention       (UNLV School of Dental            (UNLV School of Dental
                                      Medicine): This program           literature with discussion (per   Medicine): This program           Medicine): This program
            Head Start staff, etc.)   provides tobacco education to     Penny V. at WIC – Dayton,         provides tobacco education to     provides tobacco education to
                                      students in high school and       Yerington and Silver Springs)     students in high school and       students in high school and
                                      middle school. It also                                              middle school. It also            middle school. It also
                                      provides oral cancer screenings   Crackdown on Cancer               provides oral cancer screenings   provides oral cancer screenings
                                      to HS students with parental      (UNLV School of Dental            to HS students with parental      to HS students with parental
                                      consent as well as information    Medicine): This program           consent as well as information    consent as well as information
                                      on the self-exam process.         provides tobacco education to     on the self-exam process.         on the self-exam process.
                                      Individual counseling is          students in high school and       Individual counseling is          Individual counseling is
Education




                                      provided for students that use    middle school. It also            provided for students that use    provided for students that use
                                      tobacco. The program was          provides oral cancer screenings   tobacco. The program was          tobacco. The program was
                                      offered to all ninety public      to HS students with parental      offered to all ninety public      offered to all ninety public
                                      high schools and 107 middle       consent as well as information    high schools and 107 middle       high schools and 107 middle
                                      schools throughout the state.     on the self-exam process.         schools throughout the state.     schools throughout the state.
                                                                        Individual counseling is
                                                                        provided for students that use
                                                                        tobacco. The program was
                                                                        offered to all ninety public
                                                                        high schools and 107 middle
                                                                        schools throughout the state.
            Screenings / Health
            Fairs                                                       Potential Event: May 16th &
                                                                        17th Lyon County Fly-In
                                                                        www.LyonCountyFlyIn.com




                                                                            Page 6 of 11
Updated: ______03/10/09__________________________


      New OH Education -    Opportunities: To schedule        Opportunities: To schedule        Opportunities: To schedule        Opportunities: To schedule
         Needs             training sessions (or, if you     training sessions (or, if you     training sessions (or, if you     training sessions (or, if you
                            have other Oral Health            have other Oral Health            have other Oral Health            have other Oral Health
         Opportunities     training/education needs)         training/education needs)         training/education needs)         training/education needs)
                            contact Laurie Nickles, Oral      contact Laurie Nickles, Oral      contact Laurie Nickles, Oral      contact Laurie Nickles, Oral
                            Health Educator for the Oral      Health Educator for the Oral      Health Educator for the Oral      Health Educator for the Oral
                            Health Program (775) 684-         Health Program (775) 684-         Health Program (775) 684-         Health Program (775) 684-
                            4251, or                          4251, or                          4251, or                          4251, or
                            lnickles@health.nv.gov            lnickles@health.nv.gov            lnickles@health.nv.gov            lnickles@health.nv.gov
                            Presentations currently           Presentations currently           Presentations currently           Presentations currently
                            available include:                available include:                available include:                available include:
                            Smiles For Seniors: A new         Smiles For Seniors: A new         Smiles For Seniors: A new         Smiles For Seniors: A new
                            PowerPoint presentation on the    PowerPoint presentation on the    PowerPoint presentation on the    PowerPoint presentation on the
                            importance of oral health and     importance of oral health and     importance of oral health and     importance of oral health and
                            prevention of disease. It         prevention of disease. It         prevention of disease. It         prevention of disease. It
                            targets caregivers in assisted    targets caregivers in assisted    targets caregivers in assisted    targets caregivers in assisted
                            and long-term care facilities.    and long-term care facilities.    and long-term care facilities.    and long-term care facilities.
                            Healthy Teeth for a Healthy       Healthy Teeth for a Healthy       Healthy Teeth for a Healthy       Healthy Teeth for a Healthy
                            Head Start: PowerPoint            Head Start: PowerPoint            Head Start: PowerPoint            Head Start: PowerPoint
                            presentation for Head Start       presentation for Head Start       presentation for Head Start       presentation for Head Start
                            staff and parents of young        staff and parents of young        staff and parents of young        staff and parents of young
                            children covering basic oral      children covering basic oral      children covering basic oral      children covering basic oral
                            health education. (English and    health education. (English and    health education. (English and    health education. (English and
                            Spanish)                          Spanish)                          Spanish)                          Spanish)
                            Healthy Teeth and Fluoride:       Healthy Teeth and Fluoride:       Healthy Teeth and Fluoride:       Healthy Teeth and Fluoride:
                            PowerPoint presentation for       PowerPoint presentation for       PowerPoint presentation for       PowerPoint presentation for
                            Head Start staff and parents of   Head Start staff and parents of   Head Start staff and parents of   Head Start staff and parents of
                            young children covering           young children covering           young children covering           young children covering
                            information about fluoride, the   information about fluoride, the   information about fluoride, the   information about fluoride, the
                            fluoride types and prevention     fluoride types and prevention     fluoride types and prevention     fluoride types and prevention
                            of cavities.                      of cavities.                      of cavities.                      of cavities.
                            Health Smile Happy Child:         Health Smile Happy Child:         Health Smile Happy Child:         Health Smile Happy Child:
                            This PowerPoint presentation      This PowerPoint presentation      This PowerPoint presentation      This PowerPoint presentation
                            includes the definition,          includes the definition,          includes the definition,          includes the definition,
                            identification, risk factors,     identification, risk factors,     identification, risk factors,     identification, risk factors,
                            financial impact, prevention,     financial impact, prevention,     financial impact, prevention,     financial impact, prevention,
                            and the treatment strategies of   and the treatment strategies of   and the treatment strategies of   and the treatment strategies of
                            Early Childhood Caries and the    Early Childhood Caries and the    Early Childhood Caries and the    Early Childhood Caries and the
                            use of fluoride varnish.          use of fluoride varnish.          use of fluoride varnish.          use of fluoride varnish.




                                                                  Page 7 of 11
Updated: ______03/10/09__________________________


      OH Education          Prevent Abuse and Neglect         Prevent Abuse and Neglect         Prevent Abuse and Neglect         Prevent Abuse and Neglect
      (Continued)           through Dental Awareness          through Dental Awareness          through Dental Awareness          through Dental Awareness
                            (PANDA): Provides training        (PANDA): Provides training        (PANDA): Provides training        (PANDA): Provides training
                            courses and materials to dental   courses and materials to dental   courses and materials to dental   courses and materials to dental
                            professionals and others who      professionals and others who      professionals and others who      professionals and others who
                            work with children regarding      work with children regarding      work with children regarding      work with children regarding
                            how to recognize, report and      how to recognize, report and      how to recognize, report and      how to recognize, report and
                            prevent suspected child abuse     prevent suspected child abuse     prevent suspected child abuse     prevent suspected child abuse
                            and neglect.                      and neglect.                      and neglect.                      and neglect.
                            Oral Screening K-12: This         Oral Screening K-12: This         Oral Screening K-12: This         Oral Screening K-12: This
                            course for school nurses,         course for school nurses,         course for school nurses,         course for school nurses,
                            community health nurses, and      community health nurses, and      community health nurses, and      community health nurses, and
                            other healthcare providers        other healthcare providers        other healthcare providers        other healthcare providers
                            includes identifying normal       includes identifying normal       includes identifying normal       includes identifying normal
                            and abnormal hard and soft        and abnormal hard and soft        and abnormal hard and soft        and abnormal hard and soft
                            tissue in the mouth, performing   tissue in the mouth, performing   tissue in the mouth, performing   tissue in the mouth, performing
                            an oral cancer screening, and     an oral cancer screening, and     an oral cancer screening, and     an oral cancer screening, and
                            oral health education             oral health education             oral health education             oral health education
                            information for students,         information for students,         information for students,         information for students,
                            teachers and parents.             teachers and parents.             teachers and parents.             teachers and parents.
                            Anticipatory Guidance             Anticipatory Guidance             Anticipatory Guidance             Anticipatory Guidance
                            Manual for ECC Prevention:        Manual for ECC Prevention:        Manual for ECC Prevention:        Manual for ECC Prevention:
                            The manual provides specific      The manual provides specific      The manual provides specific      The manual provides specific
                            prevention objectives from        prevention objectives from        prevention objectives from        prevention objectives from
                            prenatal through age 24           prenatal through age 24           prenatal through age 24           prenatal through age 24
                            months with educational           months with educational           months with educational           months with educational
                            handouts in both English and      handouts in both English and      handouts in both English and      handouts in both English and
                            Spanish, and dental resource      Spanish, and dental resource      Spanish, and dental resource      Spanish, and dental resource
                            information.                      information.                      information.                      information.
                            Fluoride Varnish Manual:          Fluoride Varnish Manual:          Fluoride Varnish Manual:          Fluoride Varnish Manual:
                            Application protocol, ordering    Application protocol, ordering    Application protocol, ordering    Application protocol, ordering
                            information, insurance billing    information, insurance billing    information, insurance billing    information, insurance billing
                            information, handouts and         information, handouts and         information, handouts and         information, handouts and
                            consent forms in English and      consent forms in English and      consent forms in English and      consent forms in English and
                            Spanish.                          Spanish.                          Spanish.                          Spanish.




                                                                  Page 8 of 11
Updated: ______03/10/09__________________________


             Fluoride Varnish   Community Health Nurse:            Community Health Nurse:           Community Health Nurse:        Community Health Nurse:
                                Fallon:                            Dayton: Would like Fluoride       Lovelock: (vacant)             Virginia City: Would like
                                                                   Varnish training, plus                                           Fluoride Varnish training, plus
                                                                   mentoring and supplies. (M.                                      mentoring and supplies. (S.
                                                                   Holloway)                                                        Plaugher)
                                                                   Fernley: Would like Fluoride
                                                                   Varnish application training,
                                                                   plus mentoring and supplies.
                                                                   (C. Torres)
                                                                   Silver Springs: (Part-time –
                                                                   Denise Engel)
                                                                   Yerington: (Part-time – Joyce
                                                                   Lyn Hakin)
             Sealants           Few “sealant days” provided        Saint Mary’s Dental Sealant
Prevention




                                by private practices. (per Laura   Program: This free program
                                Webb)                              provides oral health education,
                                                                   screening and sealants to
                                Saint Mary’s Dental Sealant        second grade students who
                                Program: This free program         attend targeted, “at-risk”
                                provides oral health education,    elementary schools. In 2006-
                                screening and sealants to          07 only one school in Lyon
                                second grade students who          County was served, Silver
                                attend targeted, “at-risk”         Springs Elementary School.
                                elementary schools. In 2006-
                                07 two schools in Churchill
                                County were served, EC Best
                                and Numa Elementary
                                Schools.
             Xylitol
             Community Water    None of the communities have public water systems with the fluoride levels monitored and adjusted. Many of the residents are on
             Fluoridation       private wells and may have fluoride levels that meet or exceed the recommended level. Residents can have their water tested through
                                the State Lab in Reno (775) 688-1335.




                                                                       Page 9 of 11
Updated: ______03/10/09__________________________


                 Treatment – What is        Children & Youth: Northern        Children & Youth: Northern        Children & Youth: Northern        Children & Youth: Northern
                 currently available for    Nevada Dental Health Program      Nevada Dental Health Program      Nevada Dental Health Program      Nevada Dental Health Program
                                            www.nndental.org                  www.nndental.org                  www.nndental.org                  www.nndental.org
                 the following groups?      Coordinates dental care for low   Coordinates dental care for low   Coordinates dental care for low   Coordinates dental care for low
                      Children &           income children. (775-770-        income children. (775-770-        income children. (775-770-        income children. (775-770-
                         Youth (0-18)       6609)                             6609)                             6609)                             6609)
                      Adults, non-
                         senior (19-64)     3 Private practice dental         Seniors with dental care needs
                                            offices; 2 general; 1             are referred to the Foster
                      Seniors (65+)        general/ortho (per Laura          Grandparent Program. There
                      Uninsured            Webb)                             is a waiting list.

                                                                              All ages: Healthy Smiles
                                                                              Family Dentistry in Yerington
                                                                              (775-463-1800) (Accepts
                                                                              Medicaid/NV CheckUp, offers
Access-to-Care




                                                                              sliding scale for uninsured,
                                                                              also accepts other insurance
                                                                              plans.)

                                                                              All ages:
                                                                              HAWC Silver Stage Dental
                                                                              Center
                                                                              775-577-3344 office
                                                                              775-577-3355
                                                                              (For additional information:
                                                                              Milena Cummings –
                                                                              ssdentalcare@live.com )
                 Other Access-to-Care       NV Covering Kids and              NV Covering Kids and              NV Covering Kids and              NV Covering Kids and
                 issues:                    Families                          Families                          Families                          Families
                     Insurance             Health Care Coverage              Health Care Coverage              Health Care Coverage              Health Care Coverage
                     Offer Sliding Scale   Information and Application       Information and Application       Information and Application       Information and Application
                     Contacts for Pro      Assistance on Medicaid and        Assistance on Medicaid and        Assistance on Medicaid and        Assistance on Medicaid and
                      Bono Treatment        NV Check Up (775-982-7504)        NV Check Up (775-982-7504)        NV Check Up (775-982-7504)        NV Check Up (775-982-7504)
                     Treatment for
                      Dental Care
                      Emergencies
                     Transportation
                     Etc.


                                                                                 Page 10 of 11
Updated: ______03/10/09__________________________



RESOURCE SHARING: (Please use this area for sharing resources that might not fit in another category, i.e.,
employee recruiting services, equipment available to borrow, etc.)

      Two portable dental chairs with lights, tools and side tables, suitable for providing dental screenings and/or fluoride varnish are available
       to borrow from ITCN Head Start. Contact Raylene Friel at itcn-health@sdi.net for information.




NEEDS IDENTIFIED: (Please use this area for sharing needs that might not fit in another category, i.e., employee
recruiting services, equipment needed to borrow, etc.)




                                                                   Page 11 of 11

						
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