Anne Varcasio , R.D.H., M.A. Public Health Specialist Bureau of Dental Health

1. New York State School-Based Comprehensive Oral Health Services Project Collaboration with North Country Family Health CenterA Program to Promote Quality Oral Health Services for School Children Who Need Care the Most Anne Varcasio, R.D.H., M.A. Public Health Specialist Bureau of Dental Health New York State Department of Health Albany, NY

2. Continuous Quality Improvement Part 1: Performance management to improve processes for delivery and provision of dental services • Looks at program processes and operation. • Uses 5domains to run a quality program. • Sources: Goals of grant and HRSA’s integration evaluation matrix. Part 2: Outcome Evaluations • Data driven. • Improvement in oral health status.

3. Performance Management and Quality Improvement Plan Five major domains: • Integration between school-based health and dental programs. • Quality assurance. • Services provided. • Data collection and evaluation. • Program sustainability.

4. Measuring Performance Review the activities and task within the five domains every 3 months. Activities/tasks assessed as being: fully met/partially met/not met.

5. Performance Tool in Action Quarterly review Activity A response to test

6. Disseminating Results Using a Summary Form Example of Performance Management CQI Overall Summary

7. Reporting PerformanceQuarters 1, 2, and3 for Each Domain

8. Focus on Partially or Not Met Activities At the end of each domain this is an opportunity to reflect upon PM and NM in each domain (integration, quality assurance, services, data collection and evaluation, and sustainability) to identify barriers, consider future plans, and if assistance is required to complete an activity. Example:

9. Improvement Processes UsedPlan, Do, Study, Act

10. Improvement Processes UsedFADE

11. Outcome Evaluations and Quality Indicators • Data-driven. • Improvement in oral health status (improvement in health). Photo credit: tedeytan | Foter | Creative Commons

12. Quality Indicators % of enrolled students who are caries free. % of enrolled students who received at least one sealant. % of available students enrolled in the school-based dental program. % of students having at least one dental visit. % of students with treatment plans completed in 12 months. Photo credit: US Army | Foter | Creative Commons

13. Lessons Learned • Participation of key agency staff in addition to school-based dental and health staff is necessary for program study and change. • Differences between school-based dental and health programs highlight limitations and opportunities.

14. Project Participation • Agency-wide participation is required. • Key players include • Medical director • Dental director • Executive director • Marketing director • Information technology specialist • Fiscal administrator

15. Limitations for Integration of Dental and Health

16. Limitations for Integration of School–Based Dental and Health

17. Integration Opportunities

18. Where We Are Now

19. Questions?