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Tools for State Oral Health Programs - Plans and Policy 44150.0 APHA Annual Meeting

Tools for State Oral Health Programs - Plans and Policy 44150.0 APHA Annual Meeting San Francisco, CA October 30, 2012 Marcy Frosh Children’s Dental Health Project. Who We Are – Why We’re Here.

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Tools for State Oral Health Programs - Plans and Policy 44150.0 APHA Annual Meeting

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  1. Tools for State Oral Health Programs - Plans and Policy 44150.0 APHA Annual Meeting San Francisco, CA October 30, 2012 Marcy Frosh Children’s Dental Health Project

  2. Who We Are – Why We’re Here The Children’s Dental Health Project (CDHP) collaborates with CDC,ASTDD, and many others to provide State Oral Health Programs and partners with capacity-building : • Tools • Training • Resources

  3. Re: Centers for Disease Control and Prevention (CDC) Funding The tools described are supported by CDC Cooperative Agreement No. 5U58DP002285-04 to the Children’s Dental Health Project. It contents are solely the responsibility of the authors and do not necessarily represent official CDC views. CDC/HHS award recipients are prohibited from using federal funds for lobbying related to the enactment of proposed or pending legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before the U.S. Congress or any state government (June 2012).

  4. Today’s Presentation Objectives: • Describe resources developed for states through a CDC-CDHP collaboration • Explain how states have used the resources to improve their oral health infrastructure, capacity, collaborations and preventive services 3. Discuss how these resources could be used in their states or applied to other programs

  5. Resources Described: • Policy Assessment & “Tracker” Tools • Community Water Fluoridation Database • State Oral Health Plan Comparison Tool • State Oral Health Coalition Comparison Tool

  6. Oral Health Policy Assessment Tool Described The Tool’s PURPOSE and AUDIENCE are: . . . to assist State Oral Health programs, coalitions, and partners with a process for aggregating stakeholder input on systems and policy-related public health priorities for oral health. Users have available a guide with background and worksheets for a two-part tool, along with a template to monitor and track policies already on the books.

  7. Model use of the Tool occurs when: • Organizers use planning templates • An ad hoc committee identifies invitees for broad-based; diverse participation • The Policy Tracker (or other) template is used to gather or update past policies (more)

  8. Model use of the Tool occurs when: • Stakeholders meet for a ½-day facilitated session as a whole and in break-out groups • Every stakeholder contributes, and input is aggregated through numerical scoring • Five (5) priority problems are matched with solutions and tested for feasibility • Action plan checklist is reviewed • Surveys + facilitator’s report are completed

  9. Evaluation from more than 20 states: Process gets high marks for: • enhanced stakeholder communication! • transparency! - utility in updating state oral health plans, policy committee work, & other planning! - increased stakeholder satisfaction that time is being used strategically

  10. Goal for 2012 and Beyond:Policy Tracker & Policy Tool Used Together • CDC-funded states (20) are on their 2nd round of Tool use, and ALL states can apply for facilitation through CDHP • Adding Policy Tracker information will benefit experienced and new participants alike

  11. How the “Policy Tracker” Works Even without a 50-state oral health policy database . . . States can use a template devised by CDHP and adapted by Maryland (available on ASTDD & CDHP websites) to track and crosswalk: • Professional policies – (e.g., Perinatal Guidelines) • Public policies - laws, regulations on the books (e.g., statewide fluoridation mandate) • Programmatic policies (e.g., MOU between Departments of Oral Health and Environment)

  12. Maryland’s Methods: User-friendly features to: Organize past legislation (utilizing General Assembly website; other resources) Update easily on Excel (or Access) Identify instances of public / programmatic / professional overlap

  13. . . . and another tool -- FLUID! The “Fluoride Legislative User Information Database” (FLUID) is an online legal and policy database available at www.fluidlaw.org Search community water fluoridation: • Case Law • Policies (50 states and selected local) • Federal Actions

  14. FLUID is supported by CDC • Original project at CUNY Hunter College School of Nursing • Database completed and now managed by CDHP in partnership with American University Washington College of Law’s (WCL) Health Law and Policy Project • Law review article “Community Water Fluoridation Around the Nation: Significant Case Law and Legislation” accepted for publication in the Spring 2013 issue of the WCL Health Law and Policy Brief

  15. FLUID search example: • Scenario: Information and citations are needed to respond to a question on how current fluoride concentration levels in state legislation compare with new CDC recommended levels. • Research on FLUID can provide: • Legal history • Status of the CDC recommendation

  16. . . . and another tool The “State Oral Health Plan Comparison Tool” provides information on all available plans, based on 24 categories. The tool (updated in 2012): • hyperlinks directly to all available state oral health plans • hyperlinks to the specific language within the oral health plan pertaining to a particular category • Provides ready reference for cross-state comparisons to promote the development and improvement of the oral health plans within each state

  17. Also in State Oral Health Plan Comparison Tool Database: Summary analysis (updated in 2012), such as: • “While many state plans generally mention at-risk or vulnerable populations (often in the introductory sections), fewer raise specific oral health goals and objectives that aim to address the oral health needs of those populations” • Chart added (2012) with provisions from the ACA that support distinct categories within the State Oral Health Plans

  18. . . . and the last tool described today A new: State Oral Health Coalition Comparison Tool will provide original coalition source material on: • Coalition structure • Coalition activities • Coalition operations

  19. CDHP – ANOHC Partnership Activity …building on ANOHC’s groundbreaking Membership Survey

  20. What’s the need? • States have specifically identified a need for more information about oral health coalitions • State programs and coalitions are interested in comparing and contrasting • Quick & easy research tool “…that approach could work for our Oral Health Coalition too!”

  21. Conceptualization of Comparison Tool Look for a web interface (late 2012) that is: Clean Simple Informative Children’s Dental Health Project | 1020 19th Street NW, Suite 400 Washington, DC 20036 | 202.833.8288 | www.cdhp.org

  22. For more on these and other resources: Visit us at: Children’s Dental Health Project 1020 19th St., NW, #400 Washington, DC 20036 Call: 202-833-8288 Email Marcy Frosh: mfrosh@cdhp.org

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