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Northern Valley Dental Health Coalition . Oral Health in North Dakota . During 2004-2005 school year, a survey of third graders revealed 56% had cavities or fillings – higher than the Healthy People 2010 goal of 42%. In this same survey 17% of young children had untreated dental decay
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Oral Health in North Dakota • During 2004-2005 school year, a survey of third graders revealed 56% had cavities or fillings – higher than the Healthy People 2010 goal of 42%. • In this same survey 17% of young children had untreated dental decay • 68.6% of pregnant women on Medicaid did not see a dentist during their pregnancy, compared to 51.7% of non-Medicaid women
Oral Health in North Dakota • 2004 Behavioral Risk Factor Surveillance System (BRFSS) showed 32% of all adults had not visited a dental professional • 25% of North Dakota adults age 65-74 are edentulous (toothless) - Healthy People 2010 goal is 20% • There were155 deaths from oral/pharynx cancer from1996-2003.
Defining the Dental Access Problem • Only 7% of dentists in the region accept new Medicaid patients. • In 2003, 47% of respondents in a United Way survey identified lack of dental care as a serious problem, up from 26% in 1998. • UND students have reported difficulty finding dental care.
Defining the Dental Access Problem • There are only two community based dental clinics in ND serving uninsured and underinsured patients; Bridging the Dental Gap in Bismarck and Fargo Family Healthcare Center. • Population to dentist ratio in Grand Forks County is 2,400/1 and US rate is 1,800/1.
Patients are traveling to Fargo, and Park River, ND and Park Rapids, Moorhead and Hawley, MN for dental care. Defining the Problem
Northern Valley Dental Health Coalition • Vision – Access to oral health care for all • Mission – to provide availability to quality dental care for people with limited resources living in the Northern Red River Valley • Membership – 44 members from ND and MN
Northern Valley Dental Health Coalition • Established coalition in 2003 • Developed business plan in 2004 • Conducted strategic planning in 2005 • Hired grant writer during 2005 • Hired coordinator March 2006 • Donated dental equipment 2006
Grants Received Dakota Medical Foundation, ND Dept of Health - Oral Health Program John S. and James L. Knight Foundation Donor Advised Fund Otto Bremer Foundation Community Development Block Grant Bricks and Mortar and Program Funding
Grants Received Myra Foundation Wells Fargo ND Dental Foundation Grand Forks Public Health Department Northwest Minnesota Foundation Diane and Jeff Nelson
Progress • Clinic site developed that meets requirement for locating in census tract 101 or 102 in Grand Forks and guidelines for CDBG funding • Sullivan Schein developed plans for clinic design and provided technical assistance • Making plans to open clinic in 2007, dentist hired, recruitment of professionals continues
Future Plans • Operate clinic as a service of Valley Community Health Centers through potential available federal funding • Continue to conduct fundraising and grant writing activities • Establish endowment at Community Foundation of GF, EGF and Region
Expand model to include case management Provide oral health education in schools and community Serve as training site for dental professionals Plans for Future
Challenges • Developing a sustainable model • Dental professional recruitment/retention • Finding a location that meets federal guidelines (HPSA, MUA) • Strengthening relationships with local dentists and dental professionals • Creating community awareness • Developing new partnerships
Expanding scope of practice for dental hygienists and other professionals System changes needed for reimbursement Challenges
Future Challenges • Developing policy solutions to improve oral health outcomes • Implementation of fluoride varnish in community settings • Expanding community engagement
Our dental clinic wish list: • Window treatments, paint, carpet, plumbing fixtures for patient restrooms • Scanex to upgrade to digital x-ray • Office furniture, casework • Fire extinguishers, exit signs • Brochure printing, software • Waiting room subscriptions, toys • Client transportation fund
Questions? Contact: Sharon Ericson, CEO Valley Community Health Centers 701-587-6000 701-587-6140 sharon.ericson@valleychc.org Debbie Swanson, Coalition Chair 701-787-8113 dswanson@grandforksgov.com