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Emanuel Finn, DDS, MS Chief, Oral Heath Division DC Department of Health Washington DC. District of Columbia Income and Household Size by Ward. Household Income, 2003 estimates from http://dcbiz.dc.gov/info/pdf/Demographics.pdf Avg. Household Size, 1998 estimates.
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Emanuel Finn, DDS, MSChief, Oral Heath DivisionDC Department of HealthWashington DC
District of Columbia Income and Household Size by Ward Household Income, 2003 estimates from http://dcbiz.dc.gov/info/pdf/Demographics.pdf Avg. Household Size, 1998 estimates 4/30/06
Dental Administration • Currently DC DOH has embarked on a five year plan to establish a dental infrastructure • Clinical services administered by PBC/DCGH until May 2001 • May 2001- DCGH & PBC abolished • Clinical services privatized through a DCDOH Managed Care contract 4/30/06
W. K Kellogg Foundation • Community Voices Collaborative • The Kellogg Foundation working though the DC Community Voices Collaborative • Funded an oral health initiative which has revived public oral health activities in the District and at the DC DOH 4/30/06
Public Oral Health in DC • Last Oral Health Needs Assessment conducted in DC was in 1985 • Survey of post treatment interviews at the PBC clinics • No local baseline data was available • No dental directive at DC DOH or any local agency for more than a decade and a half • The school-based dental program folded in 1981 • DC water supply system is 100% fluoridated 4/30/06
Oral Health Assessment • Used ASTDD “Seven Step Model” • Survey of Communities in the various city wards • Survey of DC Based Dental Practices • Oral Health Screening of 2nd & 3rd Graders • Focused groups in the Latino, Elderly, HIV/AIDS & Parents of CSHCNs 4/30/06
Oral Health Assessment Form • Convenient for parents and providers • Improved collection of data to better assist DOH in developing and improving the healthcare delivery system in the District of Columbia • OHA forms available for public use in Summer 2004 • The outcome: • A standardized enrollment process for entry into all DC Public Schools, Head Start, Childcare, camp, after school and sports/athletic programs 4/30/06
Oral Health Leadership Summit • First ever in DC- July 2003 • Theme: Building on a Framework for Improving Oral Health in DC • Summit Goals • Broaden ownership for oral health in DC • Increase awareness of scope of oral health problems in DC • Discuss & develop: • Prevention and access strategies for oral health in DC • Strategies that enhance the coordination, distribution or replication of successful efforts • Funded by W. K. Kellogg Foundation and the Association of State and Territorial Dental Directors 4/30/06
Inaugural School 4/30/06
Promoting Oral Health Program • Panelist on the WTUSA-TV 9 Andrea Roane Show - discussion on children’s health in the District • Presented at: • National Primary Oral Health Conference (Dallas) • PHS Region II Dental Coalition Meeting (Florida) • National Oral Health Conference regarding DC Oral Health Program (Milwaukee) • 2004 NASBHC Annual Conference (New Orleans) 4/30/06
DC Oral Health Coalition • Formed Summer 2004 • Goals • Increase recognition to public oral health • Advancing advocacy and resource development • Initiate legislative grassroots action • Initiate & engage in multidisciplinary discussions/forums • Develop recommendations to improve oral health • Subcommittees: • Oral Health Promotion, Prevention & Consumer Education • Media, Reimbursement & Improvement • Policy & Infrastructure Development 4/30/06
Public/Private Partnerships • Colgate Palmolive Bright Smiles/Bright Futures Program • DCDS (GKASD), HDA, NDA, Robert T. Freeman Dental Society, ASTDD, HRSA, MCOs 4/30/06
Where Do We Go From Here? Certainly Up!!! Disaster Preparedness- Katrina, Bioterroism, Avian Flu epidemic!!! Oral cancer cessation in the District Access issues!!!! More partnerships 4/30/06
Are We Airborne Yet? • 2ND Oral Health Summit – November 2005 (Shaping the Future: From Cavities to Oral Cancer) • Bioterrorism & Dentistry Plan in DC • City Council has made more $$ available for adult Medicaid services • Need more $$$$ for School Program • Oral Health Plan 4/30/06
Question & Answer Do I have the bourgeois (publicdental health) blues in a bourgeois town? - Huddie (Leadbelly) Ledbetter, December 1938 a) maybe b) sometimes c) most times d) all the time e) never 4/30/06
Questions/Comments 4/30/06