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Virginia's Bright Smiles for Babies

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					          Virginia’s Bright
          Smiles for Babies

        Achieving Success – Lessons Learned
        Prior to TOHSS

        TOHSS Grantee Meeting, March 2008
        Elizabeth Barrett, DMD, MSPH




Overview
 SOHCS grant achievements


 TOHSS grant goals and objectives


 Keys to Virginia’s success with the
  SOHCS grant
     Staff
     Stakeholders
     Timing




                                              1
Introduction

 Purpose of State Oral Health
  Collaborative Systems Grant (SOHCS)
      Develop the infrastructure capacity to
       increase access and utilization of oral
       health services among high-risk infants
       and young children, resulting in improved
       oral health outcomes




Achievements
 Developed and implemented the Bright Smiles
  for Babies (BSB) program
      Parental education, oral screening and fluoride
       varnish application

 Established staff positions to fulfill grant
  objectives
      Maternal and Early Child Oral Health (MECOH)
       Coordinator
      Division Epidemiologist

 Screenings and fluoride varnish to high-risk
  children (Early Head Start, Head Start, local
  health departments)




                                                         2
Achievements
 Education and training regarding prevention
  and early oral health care for providers and
  parents
      Trained 350 health professionals
      Educated nearly 2,000 parents

 Establishment of a medical code for Medicaid
  reimbursement of fluoride varnish

 Regulatory changes for dental hygienists to
  apply varnish without individual patient order




                                                   3
Goals and Objectives for
TOHSS Grant
 Increase age-one dental visits


 Expand BSB program
      Collaboration with existing programs that target
       low-income children
           Women, Infants and Children (WIC)


 Expand BSB program components to
  professionals and agencies that serve children
  with special health care needs




Key Factors for Success: Staff

 Establish and hire a full time MECOH
  Coordinator
      Leadership role in developing and promoting
       program, conducting trainings/education, and
       raising public awareness about prevention


 Hire a Division Epidemiologist
   Develop study design/protocols, survey
     instruments, data collection, data analysis and
     program evaluation component




                                                          4
Key Factors for Success:
Stakeholders
 Existing partnerships
    Virginia Dental Association
    Virginia Commonwealth University School of
     Dentistry
    Statewide dental coalition (VIADC)


 Developing/strengthening partnerships
   Early Head Start
   Virginia Dental Hygienists’ Association
   Virginia Department of Medical Assistance
    Services and Doral Dental
   Comprehensive Health Investment Project of
    Virginia




Key Factors for Success: Timing
(Public/Professional Environment)

 Growing interest in early oral health and
  general oral health in the media
 Support from national/state professional
  organizations
      American Academy of Pediatrics (AAP) and
       American Academy of Pediatric Dentistry
       policies regarding the importance of a dental
       home and age one dental visits
      Statewide promotion of BSB program by
       Virginia Chapter of AAP
           Virginia Chapter of the AAP




                                                       5
Key Factors for Success: Timing
(Acknowledgement of Access to
Care as a Major Problem in VA)
 Surgeon General’s report in 2000
 Inception of state coalition
 Participation in National Governors’
  Association “Policy Academy on Improving
  Oral Health Access and Outcomes for
  Children”
 Expansion of coalition – goals consistent
  with those of SOHCS grant
 NHANES – increase in caries in 2 - 5 y.o.




Key Factors for Success: Timing
(Preexisting Programs)
 North Carolina’s “Out of the Mouth of
  Babes”
 Shared their materials
 Didn’t have to start from scratch




                                              6
Key Factors for Success: Timing
(Agency Personnel Factors)
 Supportive Maternal and Early Child
  Health Director
      Pediatrician
      More data-driven (epidemiologist)
 Dental Director
      Planner/Ready when opportunity knocks
      e.g., Dental vans




Key Factors for Success: Timing
(Partnerships)
 Existing partnerships were crucial
 State coalition – willingness to work
  together toward a common goal
  (improving access)
 “Timing is only good if you have the
  relationships in place to make things
  happen.”




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