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STATEWIDE ORAL HEALTH STRATEGIC PLAN The Commonwealth of Kentucky - 2006
Healthy Kentucky Smiles: A lifetime of Oral Health
S T A T E W I D E O R A L H E A L T H S T R A T E G I C P L A N
For the Commonwealth of Kentucky 2006
Cabinet For Health and Family Services
KENTUCKY DEPARTMENT FOR PUBLIC HEALTH HEALTH CARE ACCESS BRANCH
ORAL HEALTH PROGRAM 275 EAST MAIN STREET, HS2W-B75 FRANKFORT, KENTUCKY 40621-0001 (502) 564-3246 (502) 564-8389 FAX
This project is supported through a grant from the Maternal and Child Health Bureau by the U.S. Department of Health and Human Services' Health Resources and Services Administration.
Table of ContentsTo all Kentuckians: ................................................................ 1 Introduction............................................................................ 3
What can we do as a public health organization to stem the tide of Early Childhood Caries? ................... 4 So, why do Kentuckians lose their teeth? .................. 4
Executive Summary............................................................... 7 Statewide Oral Health Plan.................................................. 11
Oral Health Surveys for Children and Adults............ 11 Mission ................................................................................. 15 Vision.................................................................................... 15 Values ................................................................................... 15 Situation Assessment.......................................................... 16
Strengths..................................................................... 16 Change Opportunities/Weaknesses .......................... 17 Threats......................................................................... 21
Advocacy.............................................................................. 23 Economic Development ...................................................... 29 Funding................................................................................. 37 Partnerships and Collaboration.......................................... 41 Prevention and Treatment................................................... 47 Public Health Education ...................................................... 53 School-Based Coordination................................................ 59 Workforce ............................................................................. 63 Kentucky Oral Health Stakeholder Group.......................... 67
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
1 May 2006
ERNIE FLETCHER, MD GOVERNOR
MARK BIRDWHISTELL, MPA SECRETARY
CABINET FOR HEALTH AND FAMILY SERVICES KENTUCKY DEPARTMENT FOR PUBLIC HEALTH
HEALTH CARE ACCESS BRANCH ORAL HEALTH PROGRAM
275 EAST MAIN STREET, HS2W-B75 FRANKFORT, KENTUCKY 40621-0001 (502) 564-3246 (502) 564-8389 FAX
JAMES.CECIL@KY.GOV
JAMES C. CECIL, III, DMD,MPH
To all Kentuckians: Kentucky’s Oral Health Strategic Plan is a living document that outlines the paths that the citizens of Kentucky can decide to take to improve and enhance the oral and general health status of Kentuckians. The Plan is an example of an incredible product of working partnerships with a broad array of experts and others interested in the health status of our citizens. The Plan was developed by more than 100 individuals meeting over a two-day period (and in numerous follow-up sessions) to create this guide for oral health in Kentucky’s future. The framers of this extraordinary document came from all facets of Kentucky life and the guide represents the consensus view of that expansive coalition of those interested in oral health in Kentucky. The Plan will be reviewed annually by an Executive Committee of the original participants in the planning process using a consensus development process similar to the original. The review will result in well-considered modifications to the Plan that coincide with the changes, opportunities and challenges experienced by the Commonwealth over time. Since this is every Kentuckians guide and Plan, please contact the Kentucky Oral Health Program administrator at 502-564-3246 if you have recommendations for making the Plan the best possible. All suggestions will be considered by the Executive Committee for inclusion in future editions. Thank you for using this Plan and I hope you will continue to make appropriate updates to this important, living, and flexible guidepost. Use this Plan to make a difference in Kentucky’s oral and general health status! Sincerely,
James C. Cecil, III DMD, MPH Administrator, Kentucky Oral Health Program
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Introduction Assure Oral Health in Kentucky
n December 19, 2003 the “Mortality and Morbidity Weekly Report” reported that Kentucky, from data from the 2002 Behavioral Risk Factor Surveillance System (BRFSS) survey, was number one in toothlessness among our older adult citizens (> 65 years of age). In fact, 42.3% of Kentuckians 65 years and older were toothless – they had lost all their natural teeth. This total
did drop slightly in 2004 with 38.1% of older adults edentulous. Other 2002 BRFSS data indicated that 26.6% of Kentuckians of all ages had lost 6 or more teeth due to tooth decay or gum disease (17.6% nationwide). For states neighboring Kentucky, the total toothlessness rates were: Tennessee 36.0%; Indiana 24.7%; Ohio 23.6%; West Virginia 41.9%; Illinois 24.0%; and Virginia 21.3%. What’s wrong with toothlessness? Some people contend that it is not only a health issue (not able to eat a balanced diet, speech is difficult),
but also a quality of life issue (appearance, self esteem, self confidence) as well as an economic development issue (toothless individuals have difficulties in finding employment and advancement). The self-reported data on toothlessness are discouraging particularly as the public health system in Kentucky has worked so diligently over the past three decades to have the second highest rate of citizens exposed to optimally fluoridated water (90%) in the country – second only to Minnesota. The reality, though, is that fluoridation of public water supplies prevents about 60% of tooth decay in children. Therefore, there are a large number of children who still are at-risk for tooth decay even if exposed to fluoridated community water supplies. Community water Fluoridation is a first step in preventing toothlessness – preventing toothlessness is a lifetime endeavor and it is easy. The prevalence of Early Childhood Caries (ECC - formerly called Baby Bottle Tooth Decay) is noted to be very high in Kentucky compared to national studies; the prevalence has increased dramatically from surveys in 1987 to 2001 – particularly among poor and near poor Kentuckians.
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Percent of Edentulous Kentuckians - BRFSS Data 2000 - 2004
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What can we do as a public health organization to stem the tide of Early Childhood Caries? Since ECC begins with the eruption of the first baby (primary) tooth about ages 7 months to one year of age, it makes sense that a prevention intervention should start at the time of the first tooth’s eruption. In Kentucky, most family dentists do not see children until after age four or five – their training just does not
prepare them to deal with very young children. But, family physicians and pediatricians, as well as health departments and other nurses, do see these very young children several times during the first few years of life – as many as 10 times before a child might see a dentist. The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentists (AAPD) both recommend that children have their first visit to a dentist about age one – the eruption of the first baby tooth. Starting in FY 03-04 as part of the KIDS NOW program for children of early childhood, local health
department nurses have had the opportunity to participate in training that would ready them to: twice yearly screen children at their usual visits to health departments, apply a prevention agent (fluoride varnish), provide a preventive oral health message to the caregiver (home care instructions), and make a proper referral to a dentist if necessary. This program is called KIDS SMILE and is funded from the tobacco settlement funds for children 0 through 5 years of age. The Kentucky Board of Nursing has declared that the KIDS SMILE program is within the scope of practice of Registered Nurses in Kentucky. Once implemented, the activities of KIDS SMILE should take only two minutes to administer. At this writing more than 600 health department and other nurses have had the training; more than 4000 children have participated; and evaluation of the clinical outcomes began in April 2006. As time goes on, the hope is that all at-risk children in Kentucky will be able to participate in KIDS SMILE to stem the tide of ECC. This is the second step in preventing toothlessness – stop the infection before it becomes too bad. So, why do Kentuckians lose their teeth? Children usually lose their teeth due to untreatable dental decay – an infection that causes the teeth to cavitate (have a cavity) if the microbes of the infection are constantly nourished with fermentable carbohydrates (sugars, other substances). Dental decay occurs over a long period of time (one to two years or more) and is preventable with good home care, i.e. daily use of fluoride toothpaste and rinses, regular visits to the dentist, and maintaining a balanced diet. This is step three in preventing toothlessness – maintain a clean mouth to manage the infection of tooth decay in baby teeth.
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2001 Regional Comparison of Urgent and Early Care Needs by Children
Need for Urgent Care Need for Early Care
Source: Kentucky's Children's Oral Health Profiles 2001, Oral Health Program, Kentucky Department for Public Health in partnership with the University of Kentucky College of Dentistry. "Urgent Care" defined as treatment needed within twenty-four hours. "Early Care" defined as treatment needed within several weeks. Sample of Kentucky 3rd and 6th graders; n = 5962. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.
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In Fiscal Year 02-03, the Kentucky Department for Public Health began funding dental sealant programs whereby local health departments would partner with local dentists and hygienists, local elementary schools and provide dental sealants to children in the 2nd, 3rd, and 6th grades. The 6-year and 12-year, adult molars have erupted into the mouth at about these grade levels. The Centers for Disease Control and Prevention list sealants as being an evidence-based prevention intervention that is highly effective in preventing tooth decay in permanent molars – fully 80% of decay in elementary children occurs in the pits and fissures on the top surfaces of permanent molar teeth. So far, 18 local health departments have engaged their communities and are providing sealant programs in their health departments with the collaboration of dentists, hygienists, and schools. This is the fourth step in preventing toothlessness – smoothing out the tops of teeth with a painless, simple, plastic coating to keep decay from starting in the pits and fissures of permanent molars. Adults usually lose their teeth due to periodontal diseases. Periodontal diseases are caused by an infection of several species of microbes that slowly, over a very long period of time (5 plus years), erode the tissues (gums, bone, ligaments) that support the teeth in the mouth. The infection of periodontal disease is insidious, usually painless until late in the disease, is detected by bleeding gums and pocketing around the teeth at the gum line, and causes offensive mouth odors. These diseases can be prevented through good, daily home care (flossing and brushing), use of antiseptic mouth rinses, early intervention by regular visits to and cleanings by a dentist or dental hygienist, and maintaining a balanced diet and lifestyle – everything in moderation. Step five in preventing toothlessness – maintaining periodontal health. If steps one to five are initiated before or at very early stages in the establishment of these oral infections, we can keep our permanent teeth all our natural lives. We do not necessarily need to have a third set of “store bought” plastic teeth. Kentucky not only has a high prevalence of oral infections but access to preventive and restorative oral health care is a challenge.
Access to care was highlighted in an issue brief written by Kentucky Youth Advocates in December of 2003, Open Wide or Lock Jaw? Children's Dental Health Access in Kentucky. Findings included the fact that only one-third of eligible children received any dental services through Medicaid and the Kentucky Children's Health Insurance Program (KCHIP) in 2002. In that same year, low-income children did not have adequate access to dentists with 2,169 licensed dentists in 2002 and only 871 Medicaid enrolled dentists billing Medicaid for services.
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Percent of Adults with Self-Reported Symptoms of Periodontal Disease by Region: Kentucky 2002
Bleeding Gums Red, swollen or tender gums
Source: Kentucky Adult Oral Health Survey 2002. Oral Health Program, Kentucky Department of Public Health in partnership with the University of Louisville School of Dentistry. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.
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The problem of access to care was also significant for adults. BRFSS data from 2002 and 2004 shows slight improvement with nearly 70% of Kentucky adults visiting the dentist once each year.
Few of Kentucky's 120 counties are formally
designated as Dental Health Professional Shortage Areas although the majority qualifies. Provider shortages are rampant throughout the state with more dentists retiring, relocating to metropolitan areas and reducing their clinic hours each year.
These issues and more were brought before
Kentucky's Oral Health Stakeholder Group in a series of meetings over the past two years. The resulting
document, Healthy Kentucky Smiles: A Lifetime of Oral Health, highlights the many challenges faced by Kentucky's dental health providers, partners and citizens. The planners of this document wish to recognize that changing demographics are reconstructing the fiber of Kentucky's citizenry. As the group known as the "Baby-Boomers" age, oral health issues associated with the elder population will become increasingly prominent. Kentucky's racial and ethnic populations are also rapidly diversifying, creating new challenges associated with access to oral health care and cultural competency. Children with special health care needs are in great need of preventive and restorative services, yet few pediatric dentists are available within the state to provide these services. Those that do choose to practice in Kentucky rarely choose to do so in the rural regions. New research regarding possible associations with periodontal disease and preterm birth highlight the need for pregnant women to have access to oral health care, yet this population is affected by a shortage or maldistribution of dental providers. Cultural sensitivity and humility are values that planners identified as critical to the development of this document. Activities are underway to reach the aforementioned and other special populations because we believe that oral health is an essential component of overall health and that pursuit of health is a right afforded to all citizens of Kentucky. Following is a description of the process used to develop issues raised by Kentucky's Statewide Oral Health Strategic Plan.
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Executive Summary A lifetime of Healthy Smiles!
trategic planning for a statewide Oral Health Plan began in 2004 with the identification of stakeholders. These individuals in the community were invited to respond to an online survey about oral health in Kentucky. Over one hundred and fifty people were invited to participate in this process on a web page set up by the University of Kentucky (UK) College of Public Health. Participants were requested to answer
the following open-ended questions.
1. What are the strengths in the provision of oral health services in Kentucky?
2. Are there other additional factors that would help us have a positive impact on the achievement of oral health?
3. What can Kentucky do to improve oral health for all citizens?
4. What can Kentucky do to influence the negative factors affecting oral health?
5. What is your vision of oral health in Kentucky?
6. What do you think the purpose or calling of the oral health initiative in Kentucky should be?
7. What are your beliefs, values, or judgments about oral health regarding what is worthy, important or desirable?
Electronic submissions for these questions were collected for approximately one month. Tabulation was completed through the UK College of Public Health. Approximately fifty individuals anonymously completed the survey. Individuals invited to participate were the same group that would be invited to the statewide visioning meeting.
The second step was to conduct a one-day meeting of key oral health leaders within the state on April 16, 2004. During this "Visioning Summit", the Oral Health Strategic Planning Executive Committee met to create a draft vision, mission and values statement that would be presented to the full group for their meeting the next month. Electronic input from the system described above assured inclusion from a variety of community leaders across the Commonwealth.
On May 20 and 21, 2004, Kentucky's initial Oral Health Strategic Planning Meeting was held at the Hilton Suites of Lexington Green. Participating in this two-day event were providers and consumers of oral health care from across the state. Included were representatives from the provider community, academics, business leaders, the faith community and consumers, as well as state and local public health staff. In all, over 100 individuals attended the two-day event.
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The primary purpose of this event was to have participants critique and finalize the Mission and Vision Statements, to review the electronic input (SWOT Analysis) and to identify sub-committees, which would form and continue to work on the Strategic Plan. Both the online survey and the first convening of stakeholders sought to prepare a situation analysis of the current status of oral health in Kentucky. Through this process the strengths of the oral health system, opportunities for improvement, and threats were identified.
At the conclusion of the two-day meeting, eight subcommittees formed:
Oral Health Strategic Planning Sub-Committees
• Advocacy • Economic Development
• Public Health Education • Funding
• Partnerships and Collaboration • Prevention and Treatment
• School-based Collaboration • Workforce
Over the next few months, goals were identified by the members of each workgroup and are provided below. Details as to objectives, critical success factors and potential barriers to success for each of these goals follow this section.
Advocacy
- Develop and administer government policy and programs that address oral health as a full component of overall health for eligible populations
- Elevate the importance of oral health in the public discourse about health status in Kentucky
Economic Development
- Communicate that good oral health has economic value
- Communicate that dentistry is a business and has economic impact on communities
- Build communities with high quality health infrastructures to attract and retain employers
- Increase the number of dental professionals to underserved areas to assure access to care
Funding
- Increase available funding for oral health to increase access to care
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Partnerships and Collaboration
- Solicit, develop and nurture relationships with other organizations and associations to expand awareness of and the focus on oral health
- Assist dental professionals to recognize signs of domestic violence observed in their patients and to implement policies and procedures to reduce this burden on both patients and providers
Public Health Education
- Increase oral health wellness through education and disease prevention
- Increase oral health wellness through coordinated state-wide educational activities
- Increase oral health wellness through coordinated state-wide media
Prevention and Treatment
- Provide lifelong maintenance of oral wellness through coordinated, integrated and comprehensive services
School-based Coordination
- Assure that all children receive regular dental education and care as a part of an integrated program
Workforce
- Assess the past, present and future status of the dental workforce in Kentucky and develop a work-plan to address identified needs - Increase collaboration with and between dental professionals and other medical professionals in Kentucky
Thanks must be given to all participants in the Kentucky Oral Health Strategic Planning Process and to our federal funders. Coordinators would particularly like to thank Mark E. Nehring, D.M.D., M.P.H., Chief Dental Officer, Division of Child, Adolescent and Family Health, Maternal and Child Health Bureau, Health Resources Service Administration, for his dedication to state oral health programs throughout the nation.
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Statewide Oral Health Plan Healthy Kentucky Smiles: A Lifetime of Oral Health!
ral disease is a major health problem for Kentuckians. Much of this problem can be prevented through primary prevention efforts, including community water fluoridation, the application of dental sealants and fluoride varnish, oral cancer screenings, and routine dental care as well as oral health education and health promotion.
In 1987, the Office of Oral Health conducted a statewide oral health survey (Kentucky Oral Health Survey - KOHS) consisting of an interview component and a clinical screening component. Findings were alarming. Dental caries were a significant problem, with 26 percent of adult Kentuckians 18 to 64 years of age having untreated decay, compared to 6 percent on a national survey conducted by the National Institute of Dental Research in the same year. Additionally, KOHS found that 34 percent of Kentuckians had not visited a dentist within the past 12 months. This number became more disturbing when, nine years later, the 1996 BRFSS reported that the measure had increased to 38 percent. Children fared no better than adults with respect to oral health outcomes. In 1987, 30 percent of children aged 0-4 had caries. In the 5-9 age range, 58 percent of children had a decayed filled surface in a primary tooth (dfs) and 34 percent had a decayed filled surface in a permanent tooth (DFS). Twenty-eight percent of children aged 0-4 had untreated decay while this number rose to 38 percent (dfs) and 27 percent (DFS) for the 5-9 aged children. Kentucky adolescents proved to have even worse oral health. Eighty-four percent of 14-17 year olds had one or more caries (filled or unfilled), while 67 percent had untreated cavities in primary and permanent teeth. This information was a catalyst for additional surveys specific to three populations; children, adults and elders, to be implemented in the current decade, described below. Oral Health Surveys for Children and Adults While Kentucky can be justifiably proud that ninety percent of all Kentucky's 4.1 million residents receive optimally fluoridated water, oral disease still affects the quality of life of many citizens. To meet the needs for data acquisition and analysis in the area of oral health, two surveys have been completed during this period; the Kentucky Children's Oral Health Profiles 2001 (University of Kentucky College of Dentistry) and the Kentucky Adult Oral Health Survey 2002 (University of Louisville School of
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Dentistry). A third survey, the Elder Oral Health Survey, is currently near completion (University of Kentucky College of Dentistry) and results will be reported in Spring 2006. Findings from these two surveys showed some improvement in the oral health of Kentucky's adults and children but significant disparities continue to exist.
The graph at left demonstrates disparities in the need for urgent or early dental care for children. The need for urgent care was most pronounced in Eastern Kentucky but the area of greatest need for early care occurred in Louisville, Kentucky's largest city. Another interesting result was seen when data was summarized to examine type of insurance utilized by Kentucky families for children's oral care. The graph below illustrates that the penetration of Medicaid/KCHIP enrollees was far greater in Eastern Kentucky than in other areas of the state;
certainly a result of aggressive enrollment over the past decade. The conundrum that exists is that most of Eastern Kentucky is considered a dental health professional shortage area; even those able to pay for dental care experience barriers to accessing such care. If more dental providers were available to serve Kentucky's most rural areas and if they accepted Medicaid and KCHIP patients, many more children on public assistance might receive regular dental care. Adults in Kentucky's rural areas have many oral health challenges as well, including periodontal disease, oral pain and untreated decay, dissatisfaction with the appearance of teeth and edentulism.
The occurrence of periodontal disease was most pronounced in Eastern Kentucky, where nearly 35 percent of the population indicated red, swollen or tender gums. Western Kentucky followed with nearly 25 percent of its populace indicating the presence of these symptoms. Untreated pain and decay was a frequently reported problem as well. Again, Eastern Kentucky carried the greatest burden for untreated decay (31.1 percent) while most other regions reported that this oral health problem affected approximately 18 percent of their population.
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2001 Regional Comparison of Medicaid/KCHIP or "None" as Type of Insurance Used by Children
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Source: Kentucky's Children's Oral Health Profiles 2001, Oral Health Program, Kentucky Department for Public Health in partnership with the University of Kentucky College of Dentistry. Sample of Kentucky 3rd and 6th graders; n = 5962. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.
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2001 Regional Comparison of Urgent and Early Care Needs by Children
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Source: Kentucky's Children's Oral Health Profiles 2001, Oral Health Program, Kentucky Department for Public Health in partnership with the University of Kentucky College of Dentistry. "Urgent Care" defined as treatment needed within twenty-four hours. "Early Care" defined as treatment needed within several weeks. Sample of Kentucky 3rd and 6th graders; n = 5962. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.
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2002 Regional Comparison of Indicators for Periodontal Disease in Adults
Bleeding Gums Red, swollen or tender gums
Source: Kentucky Adult Oral Health Survey 2002. Oral Health Program, Kentucky Department of Public Health in partnership with the University of Louisville School of Dentistry. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.
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But untreated pain was consistent in nearly all regions of the state, with totals ranging from a high of 28.5 percent (Eastern Kentucky) to a low of 20.8 percent (Northern Kentucky). Edentulism, or the loss of teeth without replacement, was again most concentrated in the eastern portion of the state. In that area, 23.7 percent of adults surveyed said that they had not replaced any missing teeth as compared to approximately 16 percent in Northern, Western, and Central Kentucky. The Louisville region had only 6.2 percent of their adult population reporting no replacement. Finally, dissatisfaction with the ability to chew and with appearance of teeth was measured by the adult oral
health survey. Approximately 15 percent of adults in the eastern part of the state cited dissatisfaction with the ability to chew, with other regions reporting approximately 9 percent for this measure. Data were more consistent between regions for dissatisfaction with the appearance of teeth as illustrated with the table to the left. The Louisville region, however, was again the lowest at 8.6 percent. This document provides a fraction of the results realized by the two surveys discussed above. For more information about data collected by either of
these surveys or Kentucky's Elder Survey, please contact the Kentucky Department for Public Health, Oral Health Program at 502-564-3246. Summary of Progress:Summary of Progress:Summary of Progress:Summary of Progress:
While the data presented in the earlier section paints a dire picture of the oral health status of many Kentuckians, particularly those residing in our rural areas, much progress has been made over the past few years in the area of prevention of oral disease. This progress has been achieved through partnerships developed throughout the Commonwealth; partnerships that range from local community health departments to Kentucky's universities, from the medical community and private business to Kentucky's diverse faith communities and schools from Pikeville to Paducah. First, the "front-line" of public health, Kentucky's local health departments have joined together with the state health department to address some of these concerns at the community level. The KIDS SMILE Children's Oral Screening and Fluoride Varnish Application Program has increased the number of children (aged 0 to 5) who have received oral health screenings and topical applications of fluoride varnish since its inception in FY04. Certified local health department nurses have provided over 67,000 dental varnish applications and oral screenings throughout the state as of March 2006. Fluoride varnish kits are provided at no charge to local health department partners through a contract with the University of Kentucky, College of Dentistry.
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2002 Regional Comparison of Adult Dissatisfaction with Ability to Chew and Appearance of Teeth
Dissatisfied with ability to chew Dissatisfied with appearance of teeth
Source: Kentucky Adult Oral Health Survey 2002. Oral Health Program, Kentucky Department of Public Health in partnership with the University of Louisville School of Dentistry. For more information on the survey design and methods, please contact the Oral Health Program at 502-564-3246.
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Also in collaboration with local health departments, Kentucky has begun a sealant program for the purpose of encouraging these front-line public health agencies and local dental professionals to work together to combat childhood decay in permanent molars.
In 2003, Kentucky received its first round of funding from the Health Resources Services Administration, Maternal and Child Health Bureau, through the Oral Health Collaborative Systems Grant program, supporting oral health infrastructure activities at the state level. This funding, currently at $65,000 per year, has allowed for Kentucky to undertake a Dental Professional Workforce Study, completed in collaboration with the University of Louisville, School of Dentistry and the School of Public Health and Information Sciences. Additional programs funded through this venue include the Children's Oral Health Surveillance System, an on-going visual screening of Kentucky 3rd and 8th graders, providing data not only on oral health status but also including height and weight, providing the ability to calculate Body Mass Index. Beyond the immediate influence of state government and in partnership with Kentucky's flagship universities, the vision to improve regional access to oral health care throughout the Commonwealth has also enjoyed success. Regional Centers for Oral Health Care are now operational in two Kentucky cities, Hazard and Madisonville. Other sites throughout Kentucky's rural areas are planned for the future. Community support for these ventures has been unprecedented, affirming the need for care that many rural Kentucky communities face and their realization that good oral health care has positive economic benefits. In addition to providing direct oral health care services, these regional oral health care centers provide cutting-edge preventative, restorative and education programs to community members, addressing issues such as periodontal care during pregnancy and the benefits of regular oral health care for those suffering from early childhood caries, diabetes and cardiovascular disease. On a smaller scale, local communities have collaborated to bring oral health services to their citizens across the state. Faith communities and local providers have joined together to open clinics in churches, schools and hospitals, during the evening and on the weekends.. Dental professionals have volunteered their time and expertise to serve children and those who have "fallen through" the safety net. And mobile dental units are planned for many communities, bringing the services to the people. All of these partners came together in 2004 to develop this document which was also made possible through funding provided by Kentucky's Oral Health Collaborative Systems Grant. Bringing together so many of Kentucky's key professionals in the area of oral health, education, rural outreach and strategic planning has been a wonderful process for state oral health staff. We wish to thank all who contributed to this document which will surely make a difference in the health of all Kentuckians.
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Mission
Assure Oral Health for Kentucky
Vision
Healthy Kentucky Smiles: A Lifetime of Oral Health
Values We Believe:
1. Oral health is an integral part of an overall preventive health lifestyle. 2. Oral health is an essential component of overall health. 3. Professional oral care is an important part of the health care delivery system. 4. Access to care is essential.
5. The pursuit of health is a right. 6. Oral health is an economic development issue. 7. People have a personal responsibility for their own wellness.
a. Individuals are responsible for their own well-being. b. Parents and caregivers have a responsibility.
8. We all (the community) have a responsibility to promote health in our communities. 9. The profession has an obligation to work toward the improvement of oral health for all. 10. Prevention is the “cornerstone” of community health. 11. Oral health is achievable. 12. Oral health education is important in the training of all health care providers and oral health
consumer education is imperative. 13. Poverty is a barrier to health (oral) and access. 14. Oral health problems are systemic societal problems. 15. Oral Health primary prevention should start early in life. 16. Children’s oral health is a foundation for a healthy lifetime. 17. Volunteerism is practiced by many Kentucky dentists, through faith-based and non-faith-based
venues and by their acceptance of patients with public insurance. 18. Oral Health assessment is a basis to drive scarce resource allocation.
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Situation Assessment The following Strengths, Weaknesses, Threats and Opportunities were identified by the statewide stakeholders.
STRENGTHS
1. Dental Schools and other universities in Kentucky provide outreach and a high quality of care.
2. Early childhood funding through Kentucky's Federal Tobacco Settlement creates numerous opportunities.
3. Partnerships with state/local health departments, faith-based communities, Area Health Education Centers (AHEC), Schools and Colleges of Dentistry and Medicine, dental education programs, various professional healthcare groups and extension services, local clinics, as well as community, civic and local government groups, media, The Kentucky Department for Education, a variety of professional associations, Family Resource Centers, the Kentucky Dental Association (KDA), the Kentucky Dental Health Association (KDHA), private foundations, the Kentucky School of Osteopathic Medicine and more.
4. Water fluoridation levels in Kentucky are among the highest in the nation.
5. State-level programs, including dental sealants, fluoride varnish application, spit tobacco cessation, tobacco cessation and the provision of fluoride supplements.
6. Cross training potential for oral health knowledge (for educators, health providers and through the HANDS Voluntary Home Visitation Program staff)
7. Mobile clinics (in some areas) with portable equipment for outreach care.
8. Quality dental providers and quality dental care in many parts of the Commonwealth.
9. The general supervision of hygienists and expanded function laws.
10. The Children's and Adult's Oral Health Surveys, accomplished in 2001 and 2002 respectively.
11. Kentucky's current administration is willing to talk about taxing for improved health and who personally have interest in health issues.
12. Kentucky's First Lady is supportive and interested in health issues.
13. The existence of Family Resource and Youth Service Centers (FRYSC); an excellent way to provide outreach to communities across Kentucky.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
17
STRENGTHS Cont.
14. Head Start, Healthy Start and other Early Childhood Development initiatives
15. The fact that other health professionals are beginning to see the importance of, and receiving training in oral health issues.
16. Excellent leadership from the State Administrator of the Oral Health Program.
17. Partnership with American Association of Retired Persons (AARP).
18. The ability of nurses (RN's and LPN's) to screen children and apply fluoride varnish in local health departments.
19. The fact that strong state oral health initiatives have led to local initiatives. People are beginning to recognize the problem and want to improve oral health.
20. Existing clinics offer health care to disparate populations but many more are needed.
21. Family orientation and the importance of family in Kentucky offers opportunities for oral health education and advocacy.
22. The existence of the Health Education through Extension Leadership (HEEL) Program – which reaches beyond university walls to improve health outcomes and reduce the burden of chronic disease for all Kentuckians at the local, regional, and state levels.
23. A strong history of collaborations and coalitions on which to build.
CHANGE OPPORTUNITIES/WEAKNESSES
1. Appropriate funding for insurance plan benefits, more appropriate reimbursement for services. (54)
a. Medicaid adequately funded
b. Parity and private insurance
c. Adequate and appropriate funding for local health departments oral health efforts
2. Advocacy for oral health (34)
a. Develop strong advocacy groups – local, regional, and state.
b. Utilize corporate partnerships to provide visibility to the importance of oral health and increase the opportunities for social marketing and advocacy.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
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CHANGE OPPORTUNITIES/WEAKNESSES Cont.
3. Workforce Issues: (23)
a. Not enough providers for low-income citizens.
b. Need for providers in rural areas ‘maldistribution’.
c. Dentists may not want to serve children – need for pediatric dentists.
d. Need for "provider buy-in" by dental professionals – i.e. sealants as prevention.
e. Age of current dental provider cohort who may retire in the next decade or before.
f. An updated workforce policy and the need for a dental healthcare workforce plan.
g. The need for a healthcare workforce plan for physicians, nurses, nutritionists and health educators, as well as other medical professionals.
h. Not enough training for health care providers, misallocation of providers.
i. Additional year requirement for dental students (5th year) for the purpose of
public service experience.
4. Create mid-level practitioner and increase expanded functions. (22)
a. Mid-level practitioner in schools.
5. Cultural issues (20)
a. Education, values, disparities in Kentucky with regard to health and health care.
b. Education on the importance of oral health is needed (for children, parents, grandparents).
6. Tear down “silos” (provider groups-funding sources). (18)
7. More aggressive prevention strategies (example - varnish, sealants). (18)
8. Regional safety nets are needed. (14)
a. Safety net resources.
9. Oral health integrated into overall health – Community Healthcare System. (10)
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
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CHANGE OPPORTUNITIES/WEAKNESSES Cont.
10. Focus public attention on the positive side of oral health. (8)
a. Increase public awareness of “healthy” food choices (particularly in schools).
b. Impact school nutrition – vending machines.
c. Increase public awareness of the negative effects of tobacco use.
d. Decrease use and delay onset of tobacco use.
e. Spit tobacco education – a real problem for kids in school that are using it.
11. Utilize under-utilized resources such as: (8)
a. AHECs and HANDs staff, (generally more cross-training).
b. Need to increase the variety of health providers who are oral health advocates. HANDS, home health, university curriculums (for nurses, physicians, etc.).
c. School nurse participation with oral health.
d. Community health centers and clinics.
12. Create interdisciplinary curricula in academic medical centers; impress upon all disciplines the necessity for integrated approach. (5)
13. Case management – need for a "dental home”. (2)
14. Financial incentives (loans, scholarships, equipment) for distribution of providers;
a. to attract providers
b. for students in dental school
c. county-level advocacy for dental providers to locate in rural areas.
15. Economic development benefits.
a. Community awareness.
b. Tie wellness with economic progress and stability.
16. Dental school link with College of Agriculture and Extension Service.
17. Impact of oral health on preterm low birth weight infants and periodontal care for pregnant women.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
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CHANGE OPPORTUNITIES/WEAKNESSES Cont.
18. Tobacco tax for oral health.
19. Special needs for geriatric population.
20. Lack of access to optimal oral health sources.
21. Lack of statewide oral health infrastructure.
22. Dental education current lacks diversity and needs empathy training. Teaching methods using standardized patients might improve this experience.
23. Educate Medicaid patients on how to be better patients and reduce "red-tape" for dentists to increase provider participation.
24. Too few mobile dental units in areas of need.
25. Need reliable indicators of oral health.
26. Must link strategies to Healthy Kentucky 2010.
27. More data is needed to look at population-based oral health issues. Medicaid and private providers have so much information that we don’t have access to.
28. Need focus groups of low income people to determine barriers.
29. Need more oral health educators for health promotion and disease prevention in schools.
(#) indicates the number of priority votes this issue/initiative received from the planning committee.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
21
THREATS
1. Kentucky has a culture of toothlessness – people do not want care because of fear or perceptions.
2. The disease state is often just used to obtain medications.
3. Non-integrated and limited oral health system; Medicaid and dentists oppose each other.
4. Existing manpower is not being used effectively, provider shortages are imminent.
5. Continued economic down-turn pervasive.
6. Attitude toward oral health – public and policy makers.
a. Lack of organization which is a barrier to advocacy
b. Resulting lack of funding.
c. “It’s all about turf”.
7. Shift in funding focus – “whimsy” of categorical funding.
8. Inertia abounds.
9. Lack of “buy-in” as to seriousness of the issue by many people.
10. Discussion becomes divisive.
11. “Splintering” effect of advocates who disagree.
12. Failure to respond to cultural changes in Kentucky.
13. Continuation of unfunded federal mandates.
14. Lack of availability of care for children with special needs.
15. Ignorance of oral mechanisms of disease – need for more education.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
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THREATS cont.
16. Most Kentucky counties are Dental HPSA's but are not officially delegated as such.
17. Medicaid dental fraud cases are not receiving adequate attention.
18. Lack of public health perspective among dentists.
19. Inaccurate interpretation of provider utilization by payer source.
20. Oral health should be better supported financially by all branches of State Government.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
23232323
Advocacy The advocacy work group identified the following goals and objectives for the statewide plan:
Goal 1.0 Develop and administer government policy and programs that address oral health as a full component of overall health for eligible populations.
• Organize an oral health legislative campaign to heighten oral health awareness by January 2007.
• Develop an Oral Health Advocacy Network to enhance the "switchboard effect" for oral health issues.
• Increase oral health state funding from $ 2 million in 2005 to $ 6 million by July 1, 2010. (Funding)* • Increase Kentucky Medicaid fees from the present levels to the 75th
percentile of usual and customary fees by January 1, 2010. (Funding) • Review of public health statutes and policies that may be perceived as
barriers to integration of oral health into primary care at the local level. (Partnerships)
• Require dental screening upon entry into early care and education by passage of necessary legislation by February 2007. (School-Based Coordination)
Goal 2.0 Elevate the importance of oral health in the public discourse about health status in Kentucky.
• Develop a single, strong, powerful message that connects oral health as an important component of overall physical health by October 2007.
* Some objectives will be accomplished by working in conjunction with one or more of the other workgroups as listed in parenthesis.
Advocacy
A
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
24242424
The Advocacy Workgroup
Larry Hill, Chair
Lacey McNary, Co-Chair Bob Brooks Susan Fister Charles Ross
Katrina Thompson Sharon Turner
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
25 2525
25
Stra
tegi
c In
itiat
ive
Are
a ~
Adv
ocac
y G
oal 1
.0
Dev
elop
and
adm
inis
ter
gove
rnm
ent p
olic
y an
d pr
ogra
ms t
hat a
ddre
ss o
ral h
ealth
as a
full
com
pone
nt o
f ove
rall
heal
th fo
r el
igib
le p
opul
atio
ns.
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
1.1
Org
aniz
e an
ora
l hea
lth le
gisl
ativ
e ca
mpa
ign
to h
eigh
ten
oral
hea
lth
awar
enes
s by
Janu
ary
2007
.
Adv
ocac
y W
orkg
roup
K
entu
cky
Den
tal H
ealth
Coa
litio
n K
entu
cky
Den
tal A
ssoc
iatio
n K
entu
cky
Ora
l Hea
lth P
rogr
am
• K
entu
cky
mus
t hav
e a
legi
slat
ure
that
is w
illin
g an
d ab
le to
revi
ew
oral
hea
lth is
sues
.
• G
roup
s wor
king
at t
he le
gisl
ativ
e le
vel m
ust a
ppro
ach
this
co
llabo
rativ
ely
and
in a
n or
gani
zed
man
ner.
•
The
plan
mus
t be
supp
orte
d by
the
KD
A
• M
oney
•
Polit
ics
• Ec
onom
y an
d w
ar e
ffor
ts.
• M
agni
tude
of t
he ta
sk a
t han
d.
• Le
gisl
ativ
e an
d pu
blic
inte
rest
. •
Fund
s to
lobb
ying
(fou
ndat
ions
ca
n no
t fun
d th
is e
ffor
t).
1.2.
Dev
elop
an
Ora
l Hea
lth A
dvoc
acy
Net
wor
k to
enh
ance
the
“sw
itchb
oard
eff
ect”
for o
ral h
ealth
is
sues
. A
dvoc
acy
Wor
kgro
up
Ken
tuck
y D
enta
l Hea
lth C
oalit
ion
Ken
tuck
y D
enta
l Ass
ocia
tion
Ken
tuck
y D
enta
l Hyg
ieni
st A
ssoc
iatio
n
• V
ario
us g
roup
s mus
t col
labo
rate
. •
Coo
rdin
atio
n by
lead
gro
up fo
r ad
voca
cy n
etw
ork
man
agem
ent.
• V
olun
teer
s with
div
erse
ba
ckgr
ound
s nec
essa
ry a
s
ad
voca
tes.
•
Var
ious
way
s to
com
men
t (i.e
. in
tern
et, p
hone
, writ
ten)
mus
t be
avai
labl
e.
• N
eed
a co
ordi
nato
r. •
Apa
thy
amon
g vo
lunt
eers
. •
Lack
of c
oord
inat
ion
of sy
stem
. •
Lack
of s
uppo
rt fr
om o
ther
ad
voca
cy g
roup
s.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
26 2626
26
Stra
tegi
c In
itiat
ive
Are
a ~
Adv
ocac
y G
oal 1
.0
Dev
elop
and
adm
inis
ter
gove
rnm
ent p
olic
y an
d pr
ogra
ms t
hat a
ddre
ss o
ral h
ealth
as a
full
com
pone
nt o
f ove
rall
heal
th fo
r el
igib
le p
opul
atio
ns. (
cont
inue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
1.3
Inc
reas
e th
e or
al h
ealth
stat
e fu
ndin
g fr
om $
2 m
illio
n in
200
5 to
$
6 m
illio
n by
July
1, 2
010.
K
entu
cky
Ora
l Hea
lth P
rogr
am
• A
legi
slat
ive
spon
sor m
ust b
e id
entif
ied
and
oral
hea
lth
educ
atio
n m
ust t
ake
plac
e pr
ior
to th
e su
bmis
sion
of a
bill
.
• Th
e D
PH a
nd S
trate
gic
Plan
ning
W
orkg
roup
mus
t hav
e a
busi
ness
pl
an fo
r pro
gram
im
plem
enta
tion.
• M
ajor
den
tal a
ssoc
iatio
ns a
nd
coal
ition
s mus
t sup
port
this
in
itiat
ive.
• D
iscu
ssio
n an
d vi
ews m
ust b
e ta
ken
into
con
side
ratio
n pr
ior t
o th
e le
gisl
ativ
e se
ssio
n.
• A
lso
barr
iers
stat
ed in
Obj
ectiv
e 1.
1.
1.4.
Incr
ease
Ken
tuck
y M
edic
aid
fees
fr
om th
e pr
esen
t lev
els t
o th
e 75
th
perc
entil
e of
usu
al a
nd c
usto
mar
y fe
es (a
s re
porte
d by
the
Am
eric
an D
enta
l A
ssoc
iatio
n fo
r Ken
tuck
y's r
egio
n) b
y Ja
nuar
y 1,
201
0.
Ken
tuck
y D
enta
l Ass
ocia
tion
Ora
l Hea
lth P
rogr
am
• R
equi
res a
dditi
onal
fund
ing.
The
le
gisl
atur
e m
ust b
e w
illin
g to
ad
dres
s thi
s soc
ieta
l pro
blem
by
prov
idin
g th
e ad
equa
te fu
ndin
g ne
cess
ary
to su
ppor
t thi
s pro
gram
.
• Le
gisl
ativ
e A
ctio
n R
equi
red.
1.5.
Rev
iew
of p
ublic
hea
lth st
atut
es a
nd
polic
ies t
hat m
ay b
e pe
rcei
ved
as b
arrie
rs
to in
tegr
atio
n of
ora
l hea
lth in
to p
rimar
y ca
re a
t the
loca
l lev
el.
Ora
l Hea
lth P
rogr
am
Partn
ersh
ip a
nd C
olla
bora
tion
Wor
kgro
up
Adv
ocac
y W
orkg
roup
• In
clus
ion
of c
ruci
al p
rofe
ssio
ns in
re
view
pro
cess
. •
Syst
emat
ic re
view
incl
udin
g ol
der
stat
utes
.
• U
norg
aniz
ed p
roce
ss.
• La
ck o
f sup
port
from
var
ious
he
alth
pro
fess
iona
l ass
ocia
tions
. •
Gen
eral
unw
illin
gnes
s to
chan
ge
curr
ent s
tatu
tes,
even
if
inco
nsis
tenc
ies a
re id
entif
ied.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
27 2727
27
Stra
tegi
c In
itiat
ive
Are
a ~
Adv
ocac
y G
oal 1
.0
Dev
elop
and
adm
inis
ter
gove
rnm
ent p
olic
y an
d pr
ogra
ms t
hat a
ddre
ss o
ral h
ealth
as a
full
com
pone
nt o
f ove
rall
heal
th fo
r el
igib
le p
opul
atio
ns. (
cont
inue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
1.6.
Req
uire
den
tal s
cree
ning
upo
n en
try
into
ear
ly c
are
and
educ
atio
n by
pas
sage
of
nec
essa
ry le
gisl
atio
n by
Feb
ruar
y 20
07.
Ken
tuck
y D
enta
l Coa
litio
n O
ral H
ealth
Pro
gram
K
entu
cky
Den
tal A
ssoc
iatio
n K
entu
cky
Den
tal H
ygie
nist
Coa
litio
n
• G
athe
r edu
catio
n an
d or
al h
ealth
da
ta to
doc
umen
t nee
d.
•
Gat
her d
ata
on b
enef
its o
f exa
ms
as o
ppos
ed to
scre
ens.
Als
o cr
iteria
for o
ptim
al sc
hedu
le fo
r sc
reen
ing
thro
ugh
the
child
hood
pe
riod.
• U
nder
stan
d w
ho is
aff
ecte
d by
the
regu
latio
n.
• Le
gisl
atio
n sh
ould
incl
ude
lang
uage
that
requ
ires f
ollo
w-u
p tre
atm
ent i
f ind
icat
ed.
•
Iden
tify
a sp
onso
r for
the
bill.
• Ef
forts
shou
ld b
e tie
d to
en
hanc
emen
t of t
reat
men
t sys
tem
. •
Com
mun
ity c
ontro
l of t
he “
mod
el
of c
are
and
treat
men
t”.
•
Is K
entu
cky’
s den
tal w
orkf
orce
ab
le to
pro
vide
trea
tmen
t?
•
Wha
t abo
ut c
ount
ies w
here
few
or
no p
rovi
ders
are
loca
ted?
To e
nsur
e su
cces
s with
legi
slat
ors,
the
follo
win
g w
ould
be
criti
cal:
•
Doc
umen
tatio
n of
nee
d •
Expl
anat
ion
of c
oord
inat
ed e
ffor
t •
How
scre
enin
g le
ads t
o tre
atm
ent
whi
ch th
en le
ads t
o po
sitiv
e ou
tcom
es.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
28 2828
28
Stra
tegi
c In
itiat
ive
Are
a ~
Adv
ocac
y G
oal 2
.0
Ele
vate
the
impo
rtan
ce o
f ora
l hea
lth in
the
publ
ic d
isco
urse
abo
ut h
ealth
stat
us in
Ken
tuck
y.
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
2.1.
Dev
elop
a si
ngle
, stro
ng, p
ower
ful
mes
sage
that
con
nect
s ora
l hea
lth a
s an
impo
rtant
com
pone
nt o
f ove
rall
phys
ical
he
alth
by
Oct
ober
200
7.
Adv
ocac
y W
orkg
roup
K
entu
cky
Den
tal H
ealth
Coa
litio
n K
entu
cky
Den
tal A
ssoc
iatio
n K
entu
cky
Den
tal H
ygie
nist
Ass
ocia
tion
O
ral H
ealth
Pro
gram
• In
tegr
atio
n of
mis
sion
, vis
ion,
and
va
lues
stat
emen
ts in
to o
vera
ll m
essa
ge.
•
Mes
sage
mus
t be
appr
opria
te fo
r al
l lev
els o
f citi
zenr
y an
d cl
early
de
fine
the
impo
rtanc
e of
opt
imal
or
al h
ealth
.
• Ti
me
nece
ssar
y fo
r dis
cuss
ion
and
fund
ing
to a
llow
for c
omm
ittee
m
eetin
gs.
•
Faci
litat
or m
ay b
e ne
cess
ary
to
assi
st g
roup
thro
ugh
the
proc
ess o
f cr
aftin
g a
stat
emen
t.
• In
volv
emen
t with
com
mun
icat
ion
prof
essi
onal
s to
assu
re m
essa
ge
clar
ity.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
29292929
Economic Development The economic development work group identified the following goals and objectives for the statewide plan:
Goal 3.0: Communicate that good oral health has economic value.
• Determine the lifetime earning potential based on a healthy, aesthetic dentition; i.e. "A Smile-Value Study" undertaken by the University of Louisville, School of Dentistry by 2008.
• Require oral examination by dentists for welfare-to-work programs and other entitlements related to employment by 2010.
• Provide "Medicaid" or oral rehabilitation services for adults seeking employment by 2010.
• Reduce lost job productivity, secondary to absence from work due to dental disease of employees and/or their family members.
Goal 4.0: Communicate that dentistry is a business and has economic impact on communities.
• Demonstrate that dental offices are also employers in a community. • Recognize that dentistry has high set-up and operational costs. • Recognize the importance and value of a maintained and sustainable dental
practice to a community. • Encourage and recruit dental professionals to a community.
Goal 5.0: Build communities with high quality health infrastructures to attract and retain employers.
• Prepare state and local profiles, including oral health providers and services, and make these available to potential employers and the local citizenry.
Economic Dvlp
E
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
30303030
• Educate community economic development professionals and business leaders about the value of oral health as an integral part of business recruitment.
• Encourage local economic development efforts to determine health care interests of present and potential employers.
Goal 6.0: Increase the number of dental professionals to underserved areas to assure access to care.
• Call for the expansion of the National Health Service Corps to increase opportunities to additional sites by 2010.
• Reinstitute the National Health Service Corps provision of equipment for commissioned officers opening practices in underserved areas by 2010.
• License foreign-trained dentists that are willing to practice only in underserved areas.
• Create a variety of mid-level dental practitioners for extension of services to underserved areas.
• Complete the Kentucky Oral Health Workforce Analysis Study to determine where the dental manpower needs are by 2007. *(Workforce)
* Some objectives will be accomplished by working in conjunction with one or more of the other workgroups as listed in parenthesis.
The Economic Development Workgroup
Lee Mayer, Chair Marybeth Crouch, Co-Chair
Jill Butters Charlene McGrath Julie Watts McKee Marquetta Poynter
Karkie Tackett David Willis
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
31 3131
31
Stra
tegi
c In
itiat
ive
Are
a ~
Eco
nom
ic D
evel
opm
ent
Goa
l 3.0
C
omm
unic
ate
that
goo
d or
al h
ealth
has
eco
nom
ic v
alue
. O
bjec
tive
Who
, Wha
t, W
hen
Cri
tical
Suc
cess
Fac
tors
and
Act
iviti
es
Bar
rier
s to
Succ
ess
3.1
Det
erm
ine
the
lifet
ime
earn
ing
pote
ntia
l bas
ed o
n a
heal
thy,
aes
thet
ic
dent
ition
; i.e
. "A
Sm
ile-V
alue
Stu
dy"
unde
rtake
n by
the
Uni
vers
ity o
f Lo
uisv
ille
Scho
ol o
f Den
tistry
by
2008
. U
L Sc
hool
of D
entis
try
• B
ase
stud
y sh
ould
rela
te to
ea
rnin
g po
tent
ial i
n th
e sa
me
way
as
edu
catio
nal l
evel
atta
ined
in
fluen
ces f
utur
e ea
rnin
g.
• La
ck o
f fun
ding
.
3.2
Req
uire
ora
l exa
ms b
y de
ntis
ts fo
r w
elfa
re-to
-wor
k pr
ogra
ms a
nd o
ther
en
title
men
ts re
late
d to
em
ploy
men
t by
2010
. K
entu
cky
Den
tal A
ssoc
iatio
n K
entu
cky
Den
tal H
ygie
nist
s Ass
ocia
tion
Ken
tuck
y O
ral H
ealth
Pro
gram
• Sh
ould
be
stru
ctur
ed si
mila
rly to
cu
rren
t phy
sica
l and
dru
g ex
ams.
• La
ck o
f fun
ding
. •
Coo
pera
tion
of re
cipi
ents
. •
Coo
pera
tion
of p
rovi
ders
.
3.3
Pro
vide
"Med
icai
d" o
r Ora
l R
ehab
ilita
tion
serv
ices
for a
dults
seek
ing
empl
oym
ent b
y 20
10.
Ken
tuck
y D
enta
l Ass
ocia
tion
Ken
tuck
y D
enta
l Hyg
ieni
sts A
ssoc
iatio
n K
entu
cky
Den
tal H
ealth
Coa
litio
n
• C
oope
ratio
n fr
om th
e K
entu
cky
Dep
artm
ent o
f Edu
catio
n-R
ehab
ilita
tion.
(N
ote:
The
se
serv
ices
wer
e pr
evio
usly
pr
ovid
ed).
• La
ck o
f fun
ding
. •
Lack
of p
rovi
ders
.
3.4
Red
uce
lost
job
prod
uctiv
ity
seco
ndar
y to
abs
ence
from
wor
k du
e to
de
ntal
dis
ease
of e
mpl
oyee
s and
/or
fam
ily m
embe
rs.
• Ed
ucat
e w
ork
forc
e on
ora
l hea
lth
and
prev
entio
n.
• En
cour
age
purc
hase
and
use
of
dent
al in
sura
nce.
• N
o in
sura
nce.
•
Lack
of p
rovi
ders
.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
32 3232
32
Stra
tegi
c In
itiat
ive
Are
a ~
Eco
nom
ic D
evel
opm
ent
Goa
l 4.0
C
omm
unic
ate
that
den
tistr
y is
a b
usin
ess a
nd h
as e
cono
mic
impa
ct o
n co
mm
uniti
es
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
4.1
Dem
onst
rate
that
den
tal o
ffice
s are
als
o em
ploy
ers i
n a
com
mun
ity a
nd k
eep
dolla
rs a
t hom
e.
Ken
tuck
y D
enta
l Ass
ocia
tion
Ora
l Hea
lth P
rogr
am
• Pr
esen
t dat
a fr
om th
e A
mer
ican
D
enta
l Ass
ocia
tion
artic
le a
bout
th
e va
lue
and
impa
ct o
f the
de
ntis
try p
rofe
ssio
n.
• Is
olat
ion
of d
entis
try fr
om th
e re
st
of th
e bu
sine
ss a
nd/o
r hea
lth c
are
com
mun
ity.
4.2
Rec
ogni
ze th
at d
entis
try h
as h
igh
set-
up a
nd o
pera
tiona
l cos
ts.
Ken
tuck
y D
enta
l Ass
ocia
tion
Ora
l Hea
lth P
rogr
am
• Th
e lo
cal C
ham
ber o
f Com
mer
ce
and
finan
cial
com
mun
ity
mem
bers
mus
t sup
port
this
pr
ojec
t.
• Is
olat
ion
of th
e pr
ofes
sion
.
• Th
e co
nnot
atio
n of
"ric
h de
ntis
ts".
4.3
Rec
ogni
ze th
e im
porta
nce
and
valu
e of
a m
aint
aine
d an
d su
stai
nabl
e de
ntal
pr
actic
e to
a c
omm
unity
. K
entu
cky
Den
tal A
ssoc
iatio
n O
ral H
ealth
Pro
gram
• Pe
ople
like
to se
e th
e "s
ame"
de
ntis
ts, n
ot a
lway
s a n
ew o
ne.
Si
mila
rly, t
hey
pref
er lo
cal
phys
icia
ns to
one
s cyc
ling
thro
ugh.
• Fi
nanc
es
• Q
ualit
y of
Life
. •
Get
ting
grad
uate
s to
retu
rn to
rura
l ar
eas a
nd e
cono
mic
ally
dep
ress
ed
neig
hbor
hood
s.
4.4
Enco
urag
e an
d re
crui
t den
tal
prof
essi
onal
s to
a co
mm
unity
. O
ral H
ealth
Pro
gram
K
entu
cky
Boa
rd o
f Den
tistry
• G
ive
econ
omic
ince
ntiv
es to
de
ntal
pro
fess
iona
ls p
ract
icin
g in
a
com
mun
ity w
ith a
den
tal
prof
essi
onal
shor
tage
. (i.
e. lo
an
repa
ymen
t, M
edic
aid
paym
ents
) •
Cre
ate
ente
rpris
e zo
nes.
• Fi
nanc
es
• Q
ualit
y of
Life
. •
Livi
ng c
ondi
tions
. •
Legi
slat
ion
requ
ired.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
33 3333
33
Stra
tegi
c In
itiat
ive
Are
a ~
Eco
nom
ic D
evel
opm
ent
Goa
l 5.0
B
uild
com
mun
ities
with
hig
h qu
ality
hea
lth in
fras
truc
ture
s to
attr
act a
nd r
etai
n em
ploy
ers.
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
5.1
Prep
are
stat
e an
d lo
cal p
rofil
es,
incl
udin
g or
al h
ealth
pro
vide
rs a
nd
serv
ices
, and
mak
e th
ese
avai
labl
e to
po
tent
ial e
mpl
oyer
s and
the
loca
l ci
tizen
ry.
Mon
itor c
hang
ing
dem
ogra
phic
s of K
entu
cky
coun
ties.
Ora
l Hea
lth P
rogr
am
Econ
omic
Dev
elop
men
t Wor
kgro
up
Ken
tuck
y D
enta
l Ass
ocia
tion
• R
equi
res a
com
bine
d ef
fort
of a
ll lo
cal a
nd st
ate
agen
cies
, pr
ovid
ers.
Em
ploy
ees w
ant
serv
ices
and
em
ploy
ers w
ant
heal
thy
empl
oyee
s.
• U
tiliz
e K
entu
cky
Stat
e D
ata
Cen
ter f
or o
n-go
ing
mon
itorin
g ac
tiviti
es o
f tar
get p
opul
atio
ns.
• La
ck o
f int
eres
t. •
No
one
assi
gned
to ta
ke o
n th
is
proj
ect.
• M
ay n
ever
hav
e be
en th
ough
t of
as a
recr
uitm
ent t
ool.
5.2
Educ
ate
com
mun
ity e
cono
mic
de
velo
pmen
t pro
fess
iona
ls a
nd b
usin
ess
lead
ers a
bout
the
valu
e of
ora
l hea
lth a
s an
inte
gral
par
t of b
usin
ess r
ecru
itmen
t. O
ral H
ealth
Pro
gram
Ec
onom
ic D
evel
opm
ent W
orkg
roup
K
entu
cky
Den
tal A
ssoc
iatio
n
• Pr
ovid
e tra
inin
g us
ing
mat
eria
ls
deve
lope
d fr
om p
revi
ous o
bjec
tive
(5.1
).
• M
ust c
omm
unic
ate
valu
e an
d im
porta
nce
of o
ral h
ealth
as a
par
t of
ove
rall
heal
th.
5.3
Enco
urag
e lo
cal e
cono
mic
de
velo
pmen
t eff
orts
to d
eter
min
e he
alth
ca
re in
tere
sts o
f pre
sent
and
pot
entia
l em
ploy
ers.
Econ
omic
Dev
elop
men
t Wor
kgro
up
Ora
l Hea
lth P
rogr
am
Ken
tuck
y D
enta
l Ass
ocia
tion
• A
rea
deve
lopm
ent d
istri
cts a
nd
recr
uite
rs sh
ould
che
ck su
ch
inte
rest
s.
• C
an th
e co
mm
unity
pro
vide
the
requ
ired
bene
fits?
• If
the
reas
on fo
r thi
s que
stio
n is
no
t cle
ar to
em
ploy
ers,
this
cou
ld
be a
bar
rier t
o an
acc
urat
e re
spon
se.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
34 3434
34
Stra
tegi
c In
itiat
ive
Are
a ~
Eco
nom
ic D
evel
opm
ent
Goa
l 6.0
I
ncre
ase
the
num
ber
of d
enta
l pro
fess
iona
ls to
und
erse
rved
are
as to
ass
ure
acce
ss to
car
e.
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
6.1
Cal
l for
the
expa
nsio
n of
the
Nat
iona
l H
ealth
Ser
vice
Cor
ps to
incr
ease
op
portu
nitie
s to
addi
tiona
l site
s by
2010
. K
entu
cky
Den
tal A
ssoc
iatio
n W
orkf
orce
Dev
elop
men
t Wor
kgro
up
Ken
tuck
y O
ral H
ealth
Pro
gram
• D
enta
l Hea
lth P
rofe
ssio
nal
Shor
tage
Are
a de
sign
atio
ns n
eed
to b
e up
date
d to
refle
ct th
e tru
e ac
cess
-to-c
are
need
s acr
oss
Ken
tuck
y.
•
Gua
rant
ee re
crui
tmen
t to
high
-ne
ed lo
catio
ns th
roug
h lo
an
repa
ymen
t off
ers u
pon
sign
-up.
• B
urea
ucra
cy
• La
ck o
f fun
ding
for s
taff
ing
to
wor
k on
HPS
A d
esig
natio
ns.
• Po
litic
s ass
ocia
ted
with
HPS
A
desi
gnat
ions
.
6.2
Rei
nstit
ute
the
Nat
iona
l Hea
lth
Serv
ice
Cor
ps p
rovi
sion
of e
quip
men
t for
co
mm
issi
oned
off
icer
s ope
ning
pra
ctic
es
in u
nder
serv
ed a
reas
by
2010
.
• H
isto
ry o
f suc
cess
in K
entu
cky,
pa
rticu
larly
for v
ery
rura
l pr
actic
es.
Two
dent
al o
pera
torie
s an
d st
art-u
p eq
uipm
ent u
sed
to b
e pr
ovid
ed.
• La
ck o
f fun
ding
.
6.3
Lice
nse
fore
ign
train
ed d
entis
ts th
at
are
will
ing
to p
ract
ice
only
in
unde
rser
ved
area
s. K
entu
cky
Den
tal A
ssoc
iatio
n
• So
me
stat
es a
llow
this
now
, es
peci
ally
for p
artic
ular
po
pula
tions
and
loca
litie
s.
• Le
gisl
atio
n ne
cess
ary.
•
Am
eric
an D
enta
l Ass
ocia
tion.
•
Are
cre
dent
ials
suff
icie
nt?
• A
dequ
ate
train
ing
in fo
reig
n sc
hool
s?
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
35 3535
35
Stra
tegi
c In
itiat
ive
Are
a ~
Eco
nom
ic D
evel
opm
ent
Goa
l 6.0
I
ncre
ase
the
num
ber
of d
enta
l pro
fess
iona
ls to
und
erse
rved
are
as to
ass
ure
acce
ss to
car
e.
(c
ontin
ued)
O
bjec
tive
Who
, Wha
t, W
hen
Cri
tical
Suc
cess
Fac
tors
and
Act
iviti
es
Bar
rier
s to
Succ
ess
6.4
Cre
ate
a va
riety
of m
id-le
vel d
enta
l pr
actit
ione
rs fo
r ext
ensi
on o
f ser
vice
s to
unde
rser
ved
area
s. K
entu
cky
Den
tal A
ssoc
iatio
n U
nive
rsity
of K
entu
cky
Col
lege
of D
entis
try
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of D
entis
try
• Th
is h
as o
ccur
red
in o
ther
co
untri
es a
nd in
rem
ote
area
s of
Ala
ska.
•
AD
A a
nd A
DH
A w
ould
hav
e to
be
coo
pera
tive.
• In
tern
al p
oliti
cs/s
cope
of p
ract
ice
issu
es.
• Tr
aini
ng, s
uper
visi
on, s
anct
ioni
ng
prac
tice
loca
tions
. •
Publ
ic in
terp
reta
tion.
6.5
Com
plet
e th
e K
entu
cky
Ora
l Hea
lth
Wor
kfor
ce A
naly
sis S
tudy
to d
eter
min
e w
here
the
need
s are
by
late
200
7.
Ora
l Hea
lth P
rogr
am
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of D
entis
try
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of P
ublic
Hea
lth
and
Info
rmat
ion
Scie
nces
• C
omm
issi
oned
by
the
Dep
artm
ent
for P
ublic
Hea
lth a
nd u
nder
take
n by
the
Uni
vers
ity o
f Lou
isvi
lle,
Col
lege
of D
entis
try st
artin
g Fa
ll of
200
4.
• N
eeds
to b
e co
mpl
eted
with
in th
e th
ree-
year
per
iod
of th
e H
RSA
gr
ant s
uppo
rting
the
proj
ect (
Ora
l H
ealth
Col
labo
rativ
e Sy
stem
s G
rant
).
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
36 3636
36
in
tent
iona
l blan
k pa
ge
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
37373737
Funding The funding work group identified the following goals and objectives for the statewide plan: Goal 7.0: Increase available funding for oral health to increase access to care.
• Carve out dental Medicaid Program and establish a single payer system for dental services by December 2006.
• Increase Kentucky Medicaid fees from the present levels to the 75th percentile of usual and customary fees by January 1, 2010.
• Increase oral health state funding from $ 2 million in 2005 to $ 6 million by July 1, 2010.
• Investigate additional federal grants specific to oral health access to care and collaborative partnerships annually; particularly for special populations.
• Investigate private foundation funding opportunities in oral health improvement for disparate populations.
The Funding Workgroup
Fred Howard, Chair
Tim Feeley, Co-Chair Mary Sue Flora Cliff Maesaka Mike Porter
Funding
F
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
38 3838
38
Stra
tegi
c In
itiat
ive
Are
a ~
Fun
ding
G
oal 7
.0
Inc
reas
e av
aila
ble
fund
ing
for
oral
hea
lth to
incr
ease
acc
ess t
o ca
re.
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
7.1.
C
arve
out
den
tal M
edic
aid
Prog
ram
an
d es
tabl
ish
a si
ngle
pay
er s
yste
m fo
r de
ntal
serv
ices
by
Dec
embe
r 200
6.
Ora
l Hea
lth P
rogr
am
• Su
ppor
t of G
over
nor,
Secr
etar
y of
H
ealth
and
Hum
an S
ervi
ces a
nd
Stat
e Le
gisl
atur
e.
• Su
ppor
t of t
he p
rofe
ssio
n.
• La
ck o
f sup
port
of G
over
nor,
Secr
etar
y of
Hea
lth a
nd H
uman
Se
rvic
es a
nd S
tate
Leg
isla
ture
.
7.2.
Incr
ease
Ken
tuck
y M
edic
aid
fees
fr
om th
e pr
esen
t lev
els t
o th
e 75
th
perc
entil
e of
usu
al a
nd c
usto
mar
y fe
es (a
s re
porte
d by
the
Am
eric
an D
enta
l A
ssoc
iatio
n fo
r Ken
tuck
y's r
egio
n) b
y Ja
nuar
y 1,
201
0.
Ken
tuck
y D
enta
l Ass
ocia
tion
Ora
l Hea
lth P
rogr
am
• R
equi
res a
dditi
onal
fund
ing.
The
le
gisl
atur
e m
ust b
e w
illin
g to
ad
dres
s thi
s soc
ieta
l pro
blem
by
prov
idin
g ad
equa
te fu
ndin
g ne
cess
ary
to su
ppor
t thi
s pro
gram
.
• Le
gisl
ativ
e ac
tion
requ
ired.
7.3.
Incr
ease
in o
ral h
ealth
stat
e fu
ndin
g fr
om $
2 m
illio
n in
200
5 to
$ 6
mill
ion
by
July
1, 2
010.
K
entu
cky
Den
tal A
ssoc
iatio
n O
ral H
ealth
Pro
gram
• Th
e D
epar
tmen
t for
Pub
lic H
ealth
an
d St
rate
gic
Plan
ning
W
orkg
roup
mus
t hav
e a
solid
pl
an fo
r util
izat
ion
of th
e ad
ditio
nal f
undi
ng a
nd a
bus
ines
s pl
an fo
r pro
gram
impl
emen
tatio
n.
• M
ajor
den
tal a
ssoc
iatio
ns a
nd
coal
ition
s mus
t go
into
the
legi
slat
ive
sess
ion
supp
ortin
g th
is
initi
ativ
e.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
39 3939
39
Stra
tegi
c In
itiat
ive
Are
a ~
Fun
ding
G
oal 7
.0
Inc
reas
e av
aila
ble
fund
ing
for
oral
hea
lth to
incr
ease
acc
ess t
o ca
re.
(con
tinue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
7.4.
Inv
estig
ate
fede
ral g
rant
s spe
cific
to
oral
hea
lth a
cces
s to
care
and
co
llabo
rativ
e pa
rtner
ship
s ann
ually
; pa
rticu
larly
for s
peci
al p
opul
atio
ns.
O
ral H
ealth
Pro
gram
K
entu
cky
Den
tal A
ssoc
iatio
n
• A
dequ
ate
stat
e de
ntal
pro
gram
th
at c
an d
irect
thes
e pr
ogra
ms.
•
Lack
of a
cen
tral r
esou
rce
that
can
pu
rsue
and
dire
ct th
ese
effo
rts.
7.5.
In
vest
igat
e pr
ivat
e fo
unda
tion
fund
ing
oppo
rtuni
ties i
n or
al h
ealth
im
prov
emen
t for
dis
para
te p
opul
atio
ns.
Ora
l Hea
lth P
rogr
am
• U
tiliz
atio
n of
an
orga
niza
tion
such
as t
he K
entu
cky
Den
tal
Hea
lth C
oalit
ion
to fi
nd th
ese
reso
urce
s and
to d
irect
thei
r use
.
• K
entu
cky
Den
tal H
ealth
Coa
litio
n la
cks a
dequ
ate
staf
f to
carr
y ou
t th
is fu
nctio
n.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
40 4040
40
inte
ntio
nal b
lank
page
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
41414141
Partnerships and Collaboration
The Partnerships and Collaboration work group identified the following goals and objectives for the statewide plan: Goal 8.0: To solicit, develop and nurture relationships with other organizations and associations to expand awareness of and expand the focus on oral health.
• Determine what organizations are currently providing (and interested in providing) regarding oral health care in Kentucky. Publish this assessment by September 2007.
• Identify agencies and organizations not currently involved but whose involvement would be beneficial to the provision of oral health services or advocacy efforts by September 2007.
• Establish at least five local and regional strategic oral health partnerships to develop coordinated oral health efforts by January 1, 2010.
• Identify potential community partners throughout Kentucky who are willing to invest in oral health wellness and disease prevention initiatives by March 2007.
• Develop a curriculum for the provision of basic oral health education, screening techniques and referral skills for non-dental professionals in Kentucky.* (Workforce)
• Review public health statutes and policies that may be perceived as barriers to integration of oral health into primary care at the local level.
• Provide multicultural oral health wellness resources to community partners by Fall 2007. (Public Health Education)
• Encourage community partners to coordinate oral health educational activities at established state-wide regional and local programs by July 2007. (Public Health Education)
Collaboration
C
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
42424242
Goal 9.0: To assist dental professionals to recognize signs of domestic violence observed in their patients, and to implement policies and procedures to reduce this burden on both patients and providers.
• Development and implementation of a continuing education program and resource materials to increase the recognition of domestic violence by dental professionals by December 2006. (DPH Special Initiative)
* Some objectives will be accomplished by working in conjunction with one or more of the other workgroups as listed in parenthesis.
The Partnerships and Collaboration Workgroup
David Bolt, Chair Baretta Casey, Co-Chair
Morris Norfleet, Co-Chair
Mike Byrne Sandy Cleveland Dudley Conner Sandy Goodlett
Bob Henry David Hinson
Judy McCrackin Loretta Maldaner Rosie Miklavcic Carol Phebus
Linda Grace Piker Bonnie Tanner
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
43 4343
43
Stra
tegi
c In
itiat
ive
Are
a ~
Par
tner
ship
s and
Col
labo
ratio
n G
oal 8
.0
To
solic
it, d
evel
op a
nd n
urtu
re r
elat
ions
hips
with
oth
er o
rgan
izat
ions
and
ass
ocia
tions
to
expa
nd a
war
enes
s of a
nd e
xpan
d th
e fo
cus o
n or
al h
ealth
. O
bjec
tive
Who
, Wha
t, W
hen
Cri
tical
Suc
cess
Fac
tors
and
Act
iviti
es
Bar
rier
s to
Succ
ess
8.1
Det
erm
ine
wha
t org
aniz
atio
ns a
re
curr
ently
pro
vidi
ng (a
nd in
tere
sted
in
prov
idin
g) re
gard
ing
oral
hea
lth c
are
in
Ken
tuck
y an
d to
pub
lish
this
ass
essm
ent
and
dire
ctor
y by
Sep
tem
ber 2
007.
O
ral H
ealth
Pro
gram
Pa
rtner
ship
and
Col
labo
ratio
ns W
orkg
roup
• St
aff o
r con
tract
or ti
me
to c
ompl
ete
the
asse
ssm
ent a
nd p
ublis
h th
e di
rect
ory.
• Fu
ndin
g is
nec
essa
ry fo
r thi
s pr
ojec
t.
• La
ck o
f fun
ding
.
• La
ck o
f per
sonn
el.
• La
ck o
f vol
unte
er a
nd st
aff t
ime
to
acco
mpl
ish
this
task
.
8.2.
Ide
ntify
age
ncie
s and
org
aniz
atio
ns
not c
urre
ntly
invo
lved
but
who
se
invo
lvem
ent w
ould
be
bene
ficia
l to
the
prov
isio
n of
ora
l hea
lth se
rvic
es o
r ad
voca
cy e
ffor
ts b
y Se
ptem
ber 2
007.
O
ral H
ealth
Pro
gram
Pa
rtner
ship
and
Col
labo
ratio
ns W
orkg
roup
• C
oord
inat
ion
with
oth
er h
ealth
se
rvic
es m
ust b
e m
aint
aine
d.
•
Age
ncie
s mus
t be
will
ing
to w
ork
with
ora
l hea
lth im
prov
emen
t ef
forts
and
real
ize
the
impo
rtanc
e of
thei
r rol
e in
the
initi
ativ
e.
• K
now
ledg
e of
ora
l hea
lth b
y ot
her
prov
ider
s mus
t be
impr
oved
and
th
e w
ill to
wor
k co
oper
ativ
ely
mus
t be
pres
ent.
8.3.
Est
ablis
h at
leas
t fiv
e lo
cal a
nd
regi
onal
stra
tegi
c or
al h
ealth
par
tner
ship
s to
dev
elop
coo
rdin
ated
ora
l hea
lth e
ffor
ts
by Ja
nuar
y 1,
201
0.
O
ral H
ealth
Pro
gram
Pa
rtner
ship
and
Col
labo
ratio
ns W
orkg
roup
• M
ust s
tart
with
loca
l sup
port.
• C
omm
itmen
t is n
eces
sary
from
the
loca
l dire
ctor
s and
org
aniz
atio
ns.
• D
entis
ts a
nd a
uxili
ary
staf
f mus
t be
invo
lved
.
• B
elie
f or r
ealiz
atio
n of
den
tal
need
s by
dent
ists
in c
omm
uniti
es
as w
ell a
s loc
al p
olic
y m
aker
s.
• Th
e w
ill to
impr
ove
oral
hea
lth
stat
us in
the
com
mun
ity m
ust
exis
t.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
44 4444
44
Stra
tegi
c In
itiat
ive
Are
a ~
Par
tner
ship
s and
Col
labo
ratio
n
G
oal 8
.0
To
solic
it, d
evel
op a
nd n
urtu
re r
elat
ions
hips
with
oth
er o
rgan
izat
ions
and
ass
ocia
tions
to e
xpan
d aw
aren
ess o
f and
exp
and
the
focu
s on
oral
hea
lth. (
cont
inue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd
Act
iviti
es
Bar
rier
s to
Succ
ess
8.4.
Ide
ntify
pot
entia
l com
mun
ity
partn
ers t
hrou
ghou
t Ken
tuck
y w
ho a
re
will
ing
to in
vest
in o
ral h
ealth
wel
lnes
s an
d di
seas
e pr
even
tion
initi
ativ
es b
y M
arch
200
7 Pu
blic
Hea
lth E
duca
tion
Wor
kgro
up
DPH
Ora
l Hea
lth P
rogr
am
Stud
ent I
nter
n (T
BD
)
• O
btai
nmen
t of e
mai
l add
ress
es
of h
ealth
edu
cato
rs in
loca
l co
unty
hea
lth d
ept’s
as w
ell a
s un
iver
sitie
s, A
HEC
’s, a
nd
othe
r com
mun
ity e
duca
tors
. •
Partn
er w
ith K
DH
C, K
DH
A,
KD
A.
• Pa
rtner
with
HEE
L pr
ogra
m.
• Sa
tisfy
ing
stak
ehol
ders
. •
Lack
of f
undi
ng.
• La
ck o
f man
pow
er.
• Fe
w p
artn
ers w
ith n
eede
d ex
perti
se.
8.5.
D
evel
op a
cur
ricul
um fo
r the
pr
ovis
ion
of b
asic
ora
l hea
lth
educ
atio
n, sc
reen
ing
tech
niqu
es a
nd
refe
rral
skill
s for
non
-den
tal
prof
essi
onal
s in
Ken
tuck
y.
Ora
l Hea
lth P
rogr
am
Uni
vers
ity o
f Ken
tuck
y C
olle
ge o
f Den
tistry
• C
oope
ratio
n be
twee
n de
ntal
pr
ofes
sion
al o
rgan
izat
ions
and
m
edic
al p
rofe
ssio
nals
. •
Incl
usio
n in
the
curr
icul
um
deve
lopm
ent p
roce
ss b
y pr
ovid
ers i
n va
rious
pr
ofes
sion
s.
• La
ck o
f par
ticip
atio
n by
oth
er m
edic
al
prof
essi
onal
s.
• C
urric
ulum
mus
t be
incl
usiv
e in
nat
ure
•
Con
tinui
ng E
duca
tion
Cre
dits
for v
ario
us
pro
fess
ions
mus
t be
secu
red.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
45 4545
45
Stra
tegi
c In
itiat
ive
Are
a ~
Par
tner
ship
s and
Col
labo
ratio
n
G
oal 8
.0
To
solic
it, d
evel
op a
nd n
urtu
re r
elat
ions
hips
with
oth
er o
rgan
izat
ions
and
ass
ocia
tions
to e
xpan
d aw
aren
ess o
f and
exp
and
the
focu
s on
oral
hea
lth. (
cont
inue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd
Act
iviti
es
Bar
rier
s to
Succ
ess
8.6
Rev
iew
of P
ublic
Hea
lth S
tatu
tes
and
polic
ies t
hat m
ay b
e pe
rcei
ved
as
barr
iers
to in
tegr
atio
n of
ora
l hea
lth
into
prim
ary
care
at t
he lo
cal l
evel
. O
ral H
ealth
Pro
gram
Pa
rtner
ship
and
Col
labo
ratio
n W
orkg
roup
A
dvoc
acy
Wor
kgro
up
• In
clus
ion
of c
ruci
al p
rofe
ssio
ns
in re
view
pro
cess
. •
Syst
emat
ic re
view
incl
udin
g ol
der s
tatu
tes.
• D
isor
gani
zed
proc
ess.
• La
ck o
f sup
port
from
var
ious
hea
lth
prof
essi
onal
ass
ocia
tions
. •
Unw
illin
gnes
s to
chan
ge c
urre
nt st
atut
es if
in
cons
iste
ncie
s ide
ntifi
ed.
8.7.
Pro
vide
mul
ticul
tura
l ora
l hea
lth
wel
lnes
s res
ourc
es to
com
mun
ity
partn
ers b
y Fa
ll 20
07
DPH
Ora
l Hea
lth P
rogr
am
• Id
entif
y co
mm
unity
wor
kers
w
orki
ng o
n di
vers
ity p
roje
cts.
• Id
entif
y le
ader
s in
mul
ticul
tura
l com
mun
ity.
• Sa
tisfy
ing
stak
ehol
ders
. •
Lack
of f
undi
ng.
• La
ck o
f man
pow
er.
• Fe
w p
artn
ers w
ith n
eede
d ex
perti
se.
8.8.
Enc
oura
ge c
omm
unity
par
tner
s to
coor
dina
te o
ral h
ealth
edu
catio
nal
activ
ities
at e
stab
lishe
d st
ate-
wid
e,
regi
onal
and
loca
l pro
gram
s by
July
20
07.
Publ
ic H
ealth
Edu
catio
n W
orkg
roup
D
PH O
ral H
ealth
Pro
gram
• M
ajor
pro
gram
s inc
lude
C
hild
ren’
s Den
tal H
ealth
M
onth
, Spe
cial
Oly
mpi
cs a
nd
Ken
tuck
y St
ate
Fair.
• In
volv
emen
t of s
tate
den
tal
heal
th-e
duca
tor c
ruci
al.
• La
ck o
f ent
husi
asm
. •
Tim
e –
sacr
ifice
•
Lack
of m
anpo
wer
. •
Poss
ible
pro
blem
with
ince
ntiv
es fo
r pa
rtner
s – w
hat a
re th
ey?
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
46 4646
46
Stra
tegi
c In
itiat
ive
Are
a ~
Par
tner
ship
s and
Col
labo
ratio
n
G
oal 9
.0
To
assi
st d
enta
l pro
fess
iona
ls to
rec
ogni
ze si
gns o
f dom
estic
vio
lenc
e ob
serv
ed in
thei
r pa
tient
s, an
d to
impl
emen
t pol
icie
s and
pro
cedu
res t
o re
duce
this
bur
den
on b
oth
patie
nts a
nd p
rovi
ders
. O
bjec
tive
Who
, Wha
t, W
hen
Cri
tical
Suc
cess
Fac
tors
and
Act
iviti
es
Bar
rier
s to
Succ
ess
9.1.
Dev
elop
men
t and
impl
emen
tatio
n of
a c
ontin
uing
edu
catio
n pr
ogra
m a
nd
reso
urce
mat
eria
ls to
incr
ease
the
reco
gniti
on o
f dom
estic
vio
lenc
e by
de
ntal
pro
fess
iona
ls b
y D
ecem
ber
2006
. U
nive
rsity
of K
entu
cky
Col
lege
of D
entis
try
Ken
tuck
y O
ral H
ealth
Pro
gram
K
entu
cky
Dom
estic
Vio
lenc
e A
ssoc
iatio
n K
entu
cky
Just
ice
and
Publ
ic S
afet
y C
abin
et
Ken
tuck
y D
enta
l Ass
ocia
tion
• C
ontin
uing
edu
catio
n w
orks
hops
an
d su
ppor
ting
educ
atio
nal
mat
eria
ls w
ill b
e of
fere
d an
nual
ly to
Ken
tuck
y pr
ofes
sion
al d
enta
l ass
ocia
tions
. •
Ora
l hea
lth/d
omes
tic v
iole
nce
tool
kits
(inc
ludi
ng a
reso
urce
di
rect
ory)
will
be
deve
lope
d an
d di
ssem
inat
ed to
den
tal
prof
essi
onal
s. •
Con
tinua
tion
of fu
ndin
g.
• D
enta
l ass
ocia
tions
and
coa
litio
ns m
ust
supp
ort t
his i
nitia
tive.
• D
enta
l pro
fess
iona
ls m
ay n
ot re
cogn
ize
thei
r rol
e in
iden
tifyi
ng th
e si
gns a
nd
sym
ptom
s of d
omes
tic v
iole
nce.
•
Cur
rent
ly, t
here
are
no
man
dato
ry
dom
estic
vio
lenc
e co
ntin
uing
edu
catio
n re
quire
men
ts fo
r Ken
tuck
y de
ntal
pr
ofes
sion
als.
• La
ck o
f ade
quat
e fu
ndin
g fo
r mat
eria
l an
d co
urse
dev
elop
men
t.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
47474747
Prevention and Treatment The prevention and treatment work group identified the following goals and objectives for the statewide plan:
Goal 10.0: Provide lifelong maintenance of oral wellness through coordinated, integrated, and comprehensive services.
• Change perceptions of oral health by providing information and training to all health providers and health provider educators beginning in January 2007.
• To reduce oral disease, increase the percentage of Kentucky children who have an identifiable dental home and who have been seen by their dentist before age three by 50% by December 31, 2010.
• Develop criteria for provider ownership of oral health care. • Reduce incidence of oral disease by increasing the use of fluoride varnishes by
25% in children aged 6 to 72 months in Kentucky by December 31, 2007. • Reduce the incidence of oral disease by increasing the use of sealants applied
to permanent molars in children by 25% in Kentucky by December 31, 2007. • Develop pilot communities for children's oral health coalition building
activities by January 1, 2007. • Include oral health clinical guidelines in Kentucky's Medicaid Oral Health
Benefit by Fall of 2007, for the purpose of the prevention of preterm birth and the management of diabetes as well as cardiovascular disease, through improved oral health care.
The Prevention and Treatment Workgroup
Steve Wrightson, Chair Bertie Salyer, Co-Chair
Jo Comley Kathy Fields
Stephanie Poynter Cris Sparks
Garland VanZant
Prevention
P
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
48 4848
48
Stra
tegi
c In
itiat
ive
Are
a ~
Pre
vent
ion
and
Tre
atm
ent
Goa
l 10.
0
Pro
vide
life
long
mai
nten
ance
of o
ral w
elln
ess t
hrou
gh c
oord
inat
ed, i
nteg
rate
d, a
nd
com
preh
ensi
ve se
rvic
es.
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
10.1
Cha
nge
perc
eptio
ns o
f ora
l hea
lth
by p
rovi
ding
info
rmat
ion
and
train
ing
to
heal
th p
rovi
ders
and
hea
lth p
rovi
der
educ
ator
s beg
inni
ng in
Janu
ary
2007
. K
entu
cky
Ora
l Hea
lth P
rogr
am
Ken
tuck
y D
enta
l Ass
ocia
tion
Ken
tuck
y D
enta
l Hyg
ieni
sts A
ssoc
iatio
n U
nive
rsity
of K
entu
cky
Col
lege
of D
entis
try
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of D
entis
try
Ken
tuck
y Pe
diat
ric S
ocie
ty
Are
a H
ealth
Edu
catio
n C
ente
rs
Loca
l Hea
lth D
epar
tmen
ts
• A
ssur
e th
at h
ealth
pro
vide
rs
unde
rsta
nd th
e im
porta
nce
of
good
ora
l hea
lth a
s a p
art o
f ove
r-al
l hea
lth o
f the
ir pa
tient
s and
co
mm
unic
ate
this
to th
eir p
atie
nts.
•
Obt
ain
lists
of p
oten
tial p
rovi
ders
an
d ta
rget
edu
catio
nal s
essi
ons.
•
Loca
l hea
lth d
epar
tmen
ts m
ay
play
a ro
le in
this
out
reac
h to
loca
l pr
ovid
ers.
•
Pilo
t ses
sion
s with
con
tinui
ng
educ
atio
n un
its (C
EU's)
to b
e de
velo
ped
by S
epte
mbe
r 200
6.
• N
eed
to o
pera
tiona
lize
owne
rshi
p an
d pe
rcep
tions
.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
49 4949
49
Stra
tegi
c In
itiat
ive
Are
a ~
Pre
vent
ion
and
Tre
atm
ent
Goa
l 10.
0
Pro
vide
life
long
mai
nten
ance
of o
ral w
elln
ess t
hrou
gh c
oord
inat
ed, i
nteg
rate
d an
d co
mpr
ehen
sive
serv
ices
(con
tinue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
10.2
To
redu
ce o
ral d
isea
se, i
ncre
ase
the
perc
enta
ge o
f Ken
tuck
y ch
ildre
n w
ho h
ave
an id
entif
iabl
e de
ntal
hom
e an
d w
ho h
ave
been
seen
by
thei
r den
tist b
efor
e ag
e th
ree
by 5
0% b
y D
ecem
ber 3
1, 2
010.
K
entu
cky
Ora
l Hea
lth P
rogr
am
Ken
tuck
y D
enta
l Ass
ocia
tion
Ken
tuck
y D
enta
l Hyg
ieni
sts A
ssoc
iatio
n U
nive
rsity
of K
entu
cky
Col
lege
of D
entis
try
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of D
entis
try
Ken
tuck
y Pe
diat
ric S
ocie
ty
Are
a H
ealth
Edu
catio
n C
ente
rs
Loca
l Hea
lth D
epar
tmen
ts
• C
reat
e a
syst
em to
iden
tify
and
track
the
num
ber o
f chi
ldre
n w
ho
go to
a d
entis
t by
age
3.
• Fu
ndin
g •
Staf
fing
• Th
e re
cord
s of p
rivat
e pr
ovid
ers a
re
not c
urre
ntly
acc
essi
ble.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
50 5050
50
Stra
tegi
c In
itiat
ive
Are
a ~
Pre
vent
ion
and
Tre
atm
ent
Goa
l 10.
0
Pro
vide
life
long
mai
nten
ance
of o
ral w
elln
ess t
hrou
gh c
oord
inat
ed, i
nteg
rate
d an
d co
mpr
ehen
sive
serv
ices
(con
tinue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
10.3
Dev
elop
crit
eria
for p
rovi
der
owne
rshi
p of
ora
l hea
lth c
are.
K
entu
cky
Ora
l Hea
lth P
rogr
am
Ken
tuck
y D
enta
l Ass
ocia
tion
Ken
tuck
y D
enta
l Hyg
ieni
sts A
ssoc
iatio
n U
nive
rsity
of K
entu
cky
Col
lege
of D
entis
try
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of D
entis
try
Ken
tuck
y Pe
diat
ric S
ocie
ty
Are
a H
ealth
Edu
catio
n C
ente
rs
Loca
l Hea
lth D
epar
tmen
ts
• C
riter
ia to
incl
ude
that
the
prov
ider
se
e ch
ildre
n, e
duca
te c
hild
ren
and
pare
nts a
nd w
ork
in o
ther
are
as o
f di
seas
e pr
even
tion
or h
ealth
m
aint
enan
ce.
• N
one
iden
tifie
d.
10.4
Red
uce
inci
denc
e of
ora
l dis
ease
by
incr
easi
ng th
e us
e of
fluo
ride
varn
ishe
s by
25%
in c
hild
ren
aged
6 to
72
mon
ths i
n K
entu
cky
by D
ecem
ber 3
1, 2
007.
K
entu
cky
Ora
l Hea
lth P
rogr
am
Ken
tuck
y D
enta
l Ass
ocia
tion
Ken
tuck
y D
enta
l Hyg
ieni
sts A
ssoc
iatio
n U
nive
rsity
of K
entu
cky
Col
lege
of D
entis
try
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of D
entis
try
Ken
tuck
y Pe
diat
ric S
ocie
ty
Are
a H
ealth
Edu
catio
n C
ente
rs
Loca
l Hea
lth D
epar
tmen
ts
• Th
e ap
plic
atio
n of
fluo
ride
varn
ish
is c
urre
ntly
und
erw
ay th
roug
h th
e K
DPH
•
Dat
a tra
ckin
g sy
stem
in p
lace
and
m
onth
ly re
ports
for s
tate
wid
e flu
orid
e va
rnis
h ap
plic
atio
ns
avai
labl
e.
• Pu
blic
/Priv
ate
Partn
ersh
ips a
re
nece
ssar
y to
ach
ieve
goa
l.
• O
ral H
ealth
Pro
gram
staf
fing
mus
t be
mai
ntai
ned
to c
oord
inat
e pr
ogra
ms a
nd m
aint
ain
data
. •
Fluo
ride
Var
nish
is c
urre
ntly
fu
nded
thro
ugh
fede
ral t
obac
co
settl
emen
t dol
lars
.
• C
oope
ratio
n be
twee
n he
alth
pr
ovid
ers c
an in
crea
se th
e sc
ope
of
prov
ider
abi
lity.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
51 5151
51
Stra
tegi
c In
itiat
ive
Are
a ~
Pre
vent
ion
and
Tre
atm
ent
Goa
l 10.
0
Pro
vide
life
long
mai
nten
ance
of o
ral w
elln
ess t
hrou
gh c
oord
inat
ed, i
nteg
rate
d an
d co
mpr
ehen
sive
serv
ices
(con
tinue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
10.5
Red
uce
the
inci
denc
e of
ora
l dis
ease
by
incr
easi
ng th
e us
e of
seal
ants
app
lied
to
perm
anen
t mol
ars i
n ch
ildre
n by
25%
in
Ken
tuck
y by
Dec
embe
r 31,
200
7.
Ora
l Hea
lth P
rogr
am
Ken
tuck
y D
enta
l Ass
ocia
tion
and
Partn
ers
• C
urre
ntly
und
erw
ay th
roug
h th
e K
DPH
. •
Sele
cted
loca
l hea
lth d
epar
tmen
ts
will
rece
ive
fund
ing
for s
eala
nt
appl
icat
ions
. •
Publ
ic/P
rivat
e Pa
rtner
ship
ne
cess
ary
to a
chie
ve fl
uorid
e va
rnis
h ap
plic
atio
n go
al.
• Fu
nded
cur
rent
ly th
roug
h St
ate
Gen
eral
Fun
d do
llars
. F
undi
ng
mus
t be
mai
ntai
ned
and
incr
ease
d.
• C
oope
ratio
n ne
cess
ary
from
loca
l de
ntis
ts a
nd lo
cal h
ealth
de
partm
ents
who
rece
ive
the
fund
ing
for t
his p
rogr
am.
10.6
Dev
elop
pilo
t com
mun
ities
for
child
ren'
s ora
l hea
lth c
oalit
ion
build
ing
activ
ities
by
Janu
ary
1, 2
007.
O
ral H
ealth
Pro
gram
K
entu
cky
Den
tal A
ssoc
iatio
n an
d Pa
rtner
s
• Im
prov
e or
al h
ealth
car
e ac
cess
by
sele
ctin
g th
ree
urba
n an
d th
ree
rura
l com
mun
ities
for o
ral h
ealth
co
aliti
on-b
uild
ing
activ
ities
to
bene
fit c
hild
ren
and
fam
ilies
.
• Lo
ngev
ity o
f the
coa
litio
n.
• C
ompe
ting
prio
ritie
s for
coa
litio
n m
embe
rs.
• H
ealth
illit
erac
y.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
52 5252
52
Stra
tegi
c In
itiat
ive
Are
a ~
Pre
vent
ion
and
Tre
atm
ent
Goa
l 10.
0
Pro
vide
life
long
mai
nten
ance
of o
ral w
elln
ess t
hrou
gh c
oord
inat
ed, i
nteg
rate
d an
d co
mpr
ehen
sive
serv
ices
(con
tinue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
10.7
Inc
lude
ora
l hea
lth c
linic
al g
uide
lines
in
Ken
tuck
y's M
edic
aid
Ora
l Hea
lth
Ben
efit
by F
all o
f 200
7, fo
r the
pur
pose
of
the
prev
entio
n of
pre
term
birt
h an
d th
e m
anag
emen
t of d
iabe
tes a
s wel
l as
card
iova
scul
ar d
isea
se, t
hrou
gh im
prov
ed
oral
hea
lth c
are.
O
ral H
ealth
Pro
gram
U
nive
rsity
of K
entu
cky
Col
lege
of D
entis
try
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of D
entis
try
Ken
tuck
y D
enta
l Ass
ocia
tion
Ken
tuck
y D
enta
l Hyg
ieni
sts A
ssoc
iatio
n K
entu
cky
Prim
ary
Car
e A
ssoc
iatio
n K
entu
cky
Fede
ral C
omm
unity
Hea
lth C
ente
rs
The
HEE
L Pr
ogra
m
Are
a H
ealth
Edu
catio
n C
ente
rs
• A
s of S
prin
g 20
06, a
task
forc
e ha
s be
en e
stab
lishe
d an
d a
draf
t pr
otoc
ol c
reat
ed fo
r the
pre
vent
ion
of p
rete
rm b
irth
thro
ugh
the
man
agem
ent o
f per
iodo
ntal
dis
ease
. Im
plem
enta
tion
of th
ese
clin
ical
gu
idel
ines
has
not
yet
beg
un.
• D
iabe
tes a
nd C
ardi
ovas
cula
r di
seas
e m
anag
emen
t will
incl
ude
the
crea
tion
of re
spec
tive
task
forc
es
and
the
deve
lopm
ent o
f dra
ft cl
inic
al g
uide
lines
with
the
expe
ctat
ion
of im
plem
enta
tion
in
late
200
7.
• R
educ
tion
in th
e le
vel o
f Med
icai
d Fu
ndin
g fo
r Ora
l Hea
lth se
rvic
es.
• La
ck o
f sup
port
by K
entu
cky'
s D
enta
l Com
mun
ity.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
53535353
Public Health Education The public health education work group identified the following goals and objectives for the statewide plan: Goal 11.0: Increase oral health wellness through education and disease prevention.
• Identify through an informal survey oral health wellness curriculums and programs currently being utilized in Kentucky by March 2007.
• Identify potential community partners throughout Kentucky who are willing to invest in oral health wellness and disease prevention initiatives by March 2007.
• Provide multicultural oral health wellness resources to community partners by Fall 2007. Goal 12.0: Increase oral health wellness through coordinated state-wide educational activities.
• Review and update the Kentucky Smile Curriculum to be redistributed to Kentucky Schools and community partners by Fall 2005.
• Develop a state-wide reporting system at the Kentucky Department for Public Health for all oral health educational activities being conducted by community partners by Fall 2006.
• Encourage community partners to coordinate/incorporate oral health educational activities at established state-wide, regional and local programs by July 2006.
Goal 13.0: Increase oral health wellness through coordinated state-wide media.
• Strengthen parent involvement in oral health effort through public education and social marketing at the community level.* (School-Based Coordination)
• Encourage community partners to use media outlets to promote oral health educational activities to at the state and local level by Fall 2006.
• Seek support to plan and develop a statewide oral health media campaign by Fall 2007. * Some objectives will be accomplished by working in conjunction with one or more of the other workgroups as listed in parenthesis.
Education
E
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
54545454
Public Health Education Workgroup
Sharlee Shirley Burch, Chair Dedra DeBerry, Co-Chair
Allison Gray Libby Ritchie
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
55 5555
55
Stra
tegi
c In
itiat
ive
Are
a ~
Pub
lic H
ealth
Edu
catio
n G
oal 1
1.0
Inc
reas
e or
al h
ealth
wel
lnes
s thr
ough
edu
catio
n an
d di
seas
e pr
even
tion.
O
bjec
tive
Who
, Wha
t, W
hen
C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
11.1
. Id
entif
y th
roug
h an
info
rmal
su
rvey
ora
l hea
lth w
elln
ess c
urric
ulum
an
d pr
ogra
ms c
urre
ntly
bei
ng u
tiliz
ed in
K
entu
cky
by M
arch
200
7.
Publ
ic H
ealth
Edu
catio
n W
orkg
roup
D
PH O
ral H
ealth
Pro
gram
St
uden
t Int
ern
(TB
D)
• O
btai
n em
ail a
ddre
sses
of h
ealth
ed
ucat
ors i
n lo
cal c
ount
y he
alth
de
partm
ents
. •
Obt
ain
cont
act i
nfor
mat
ion
for
univ
ersi
ties,
AH
EC’s
, and
oth
er
com
mun
ity e
duca
tors
.
• Sa
tisfy
ing
stak
ehol
ders
. •
Lack
of f
undi
ng.
• La
ck o
f man
pow
er.
• Fe
w p
artn
ers w
ith n
eede
d ex
perti
se.
11.2
. Id
entif
y po
tent
ial c
omm
unity
pa
rtner
s thr
ough
out K
entu
cky
who
are
w
illin
g to
inve
st in
ora
l hea
lth w
elln
ess
and
dise
ase
prev
entio
n in
itiat
ives
by
Mar
ch 2
007
Publ
ic H
ealth
Edu
catio
n W
orkg
roup
D
PH O
ral H
ealth
Pro
gram
St
uden
t Int
ern
(TB
D)
• O
btai
n em
ail a
ddre
sses
of h
ealth
ed
ucat
ors i
n lo
cal c
ount
y he
alth
de
pt’s
as w
ell a
s uni
vers
ities
, A
HEC
’s, a
nd o
ther
com
mun
ity
educ
ator
s. •
Partn
er w
ith K
DH
C, K
DH
A,
KD
A.
• Pa
rtner
with
HEE
L pr
ogra
m.
• Sa
tisfy
ing
stak
ehol
ders
. •
Lack
of f
undi
ng.
• La
ck o
f man
pow
er.
• Fe
w p
artn
ers w
ith n
eede
d ex
perti
se.
11.3
. Pro
vide
mul
ticul
tura
l ora
l hea
lth
wel
lnes
s res
ourc
es to
com
mun
ity p
artn
ers
by F
all 2
007.
D
PH O
ral H
ealth
Pro
gram
• Id
entif
y co
mm
unity
wor
kers
w
orki
ng o
n di
vers
ity p
roje
cts.
• Id
entif
y le
ader
s in
mul
ticul
tura
l co
mm
unity
.
• Sa
tisfy
ing
stak
ehol
ders
. •
Lack
of f
undi
ng.
• La
ck o
f man
pow
er.
• Fe
w p
artn
ers w
ith n
eede
d ex
perti
se.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
56 5656
56
Stra
tegi
c In
itiat
ive
Are
a ~
Pub
lic H
ealth
Edu
catio
n
Goa
l 12.
0 In
crea
se o
ral h
ealth
wel
lnes
s thr
ough
coo
rdin
ated
stat
e-w
ide
educ
atio
nal a
ctiv
ities
. O
bjec
tive
Who
, Wha
t, W
hen
Cri
tical
Suc
cess
Fac
tors
and
Act
iviti
es
Bar
rier
s to
Succ
ess
12.1
. R
evie
w a
nd u
pdat
e th
e K
entu
cky
Smile
Cur
ricul
um to
be
redi
strib
uted
to
Ken
tuck
y Sc
hool
s and
com
mun
ity
partn
ers b
y Fa
ll 20
05.
Uni
vers
ity o
f Ken
tuck
y C
olle
ge o
f Den
tistr
y D
PH O
ral H
ealth
Pro
gram
• C
ompl
eted
by
Shar
lee
Shirl
ey
Bur
ch a
nd H
EEL
Prog
ram
–
avai
labl
e fo
r use
Feb
ruar
y 20
06.
NO
NE
12.2
. Dev
elop
a st
ate-
wid
e re
porti
ng
syst
em a
t the
Ken
tuck
y D
epar
tmen
t of
Publ
ic H
ealth
for a
ll co
mm
unity
ora
l he
alth
edu
catio
nal a
ctiv
ities
by
Fall
2006
. D
PH O
ral H
ealth
Pro
gram
• M
ay a
lread
y ex
ist t
hrou
gh P
SRS
repo
rting
sys
tem
.
• In
volv
emen
t of s
tate
den
tal h
ealth
ed
ucat
or c
ruci
al.
• In
abili
ty to
atta
in in
form
atio
n fr
om c
omm
unity
par
tner
s. •
Lack
of f
undi
ng.
• La
ck o
f man
pow
er.
12
.3. E
ncou
rage
com
mun
ity p
artn
ers t
o co
ordi
nate
/inco
rpor
ate
oral
hea
lth
educ
atio
nal a
ctiv
ities
at e
stab
lishe
d st
ate-
wid
e, re
gion
al a
nd lo
cal p
rogr
ams b
y Ju
ly
2006
. Pu
blic
Hea
lth E
duca
tion
Wor
kgro
up
DPH
Ora
l Hea
lth P
rogr
am
• M
ajor
pro
gram
s inc
lude
C
hild
ren’
s Den
tal H
ealth
Mon
th,
Spec
ial O
lym
pics
Spe
cial
Sm
iles
and
Ken
tuck
y St
ate
Fair.
• In
volv
emen
t of s
tate
den
tal h
ealth
ed
ucat
or c
ruci
al.
• La
ck o
f ent
husi
asm
. •
Tim
e –
sacr
ifice
•
Lack
of m
anpo
wer
. •
Poss
ible
pro
blem
with
ince
ntiv
es
for p
artn
ers –
wha
t are
they
?
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
57 5757
57
Stra
tegi
c In
itiat
ive
Are
a ~
Pub
lic H
ealth
Edu
catio
n
Goa
l 13.
0 In
crea
se o
ral h
ealth
wel
lnes
s thr
ough
coo
rdin
ated
stat
e-w
ide
med
ia.
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
13.1
Stre
ngth
en p
aren
t inv
olve
men
t in
oral
hea
lth e
ffor
t thr
ough
pub
lic
educ
atio
n an
d so
cial
mar
ketin
g at
the
com
mun
ity le
vel.
Ora
l Hea
lth P
rogr
am
Dep
artm
ent o
f Edu
catio
n D
epar
tmen
t for
Med
icai
d Se
rvic
es
• A
ddre
ss a
cces
s/tre
atm
ent n
eeds
of
fam
ilies
who
fall
betw
een
K-
CH
IP a
nd p
rivat
e ca
re p
lans
.
• Te
am w
ith a
lread
y tru
sted
0-4
ea
rly c
hild
hood
com
mun
ity.
prog
ram
s (H
AN
DS,
Ear
ly H
ead
Star
t, et
c).
• Te
am w
ith p
rimar
y sc
hool
and
sc
hool
com
mun
ities
(PTA
, PTO
).
• “I
ncom
e G
ap”
harm
ful t
o tre
atm
ent e
ffor
t. •
Enlig
hten
ed se
lf-in
tere
st o
f pa
rent
s is n
eces
sary
to th
e su
cces
s of
this
eff
ort.
13.2
. En
cour
age
com
mun
ity p
artn
ers t
o us
e m
edia
out
lets
to p
rom
ote
oral
hea
lth
educ
atio
nal a
ctiv
ities
at t
he st
ate
and
loca
l lev
el b
y Fa
ll 20
06
Publ
ic H
ealth
Edu
catio
n W
orkg
roup
D
PH O
ral H
ealth
Pro
gram
• Ex
plor
e fu
ndin
g op
portu
nitie
s for
m
edia
cam
paig
n.
• Ex
plor
e w
eb fo
r fre
e to
use
med
ia
for p
artn
ers.
• La
ck o
f man
pow
er.
• La
ck o
f fun
ding
. •
Lack
of e
nthu
sias
m/b
uy-in
by
partn
ers.
13.3
. See
k su
ppor
t to
plan
and
dev
elop
a
stat
ewid
e or
al h
ealth
med
ia c
ampa
ign
by
Fall
2007
. Pu
blic
Hea
lth E
duca
tion
Wor
kgro
up
UK
Col
lege
of P
ublic
Hea
lth
UL
Scho
ol o
f Inf
orm
atio
n Sc
ienc
es
DPH
Ora
l Hea
lth P
rogr
am
• Ex
plor
e po
ssib
ility
of p
rivat
e fo
unda
tion
or c
orpo
rate
fund
ing.
•
Iden
tify
exis
ting
cam
paig
ns in
ot
her s
tate
s. •
Partn
er w
ith a
cade
mic
inst
itutio
ns
• Pl
an, d
evel
op, d
esig
n, c
reat
e an
d ev
alua
te p
oten
tial c
ampa
igns
.
• N
o fe
dera
l gra
nt e
xist
s for
this
. •
Man
pow
er sh
orta
ge fo
r thi
s typ
e of
rese
arch
.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
58 5858
58
inte
ntio
nal b
lank
page
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
59595959
School-Based Coordination
The school-based coordination work group identified the following goals and objectives for the statewide plan: Goal 14.0: Assure that all children receive regular dental education and care as a part of an integrated program.
• Require dental screening upon entry into early care and education by passage of necessary legislation by February 2007.
• Develop curriculum and materials for use in early care and education by February 2007.
• Strengthen parent involvement in the oral health effort through public education and social marketing at the community level.
The School-Based Coordination Workgroup
Earl Trevor, Chair Keith Sanders, Co-Chair
Phyllis Berry Carol Blethen Eileen Deren
Paul Dominique Tammy Gay Kelly Goins
Carrie Janszen Jack Morris Rita Moya
Christine Weyman
School-Based
S
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
60 6060
60
Stra
tegi
c In
itiat
ive
Are
a ~
Sch
ool-B
ased
Coo
rdin
atio
n G
oal 1
4.0
A
ssur
e th
at a
ll ch
ildre
n re
ceiv
e re
gula
r de
ntal
edu
catio
n an
d ca
re a
s a p
art o
f an
inte
grat
ed
prog
ram
. O
bjec
tive
Who
, Wha
t, W
hen
Cri
tical
Suc
cess
Fac
tors
and
Act
iviti
es
Bar
rier
s to
Succ
ess
14.1
Req
uire
den
tal s
cree
ning
upo
n en
try
into
ear
ly c
are
and
educ
atio
n by
pas
sage
of
nec
essa
ry le
gisl
atio
n by
Feb
ruar
y 20
07.
Ken
tuck
y D
enta
l Coa
litio
n O
ral H
ealth
Pro
gram
K
entu
cky
Den
tal A
ssoc
iatio
n K
entu
cky
Den
tal H
ygie
nist
Coa
litio
n
• G
athe
r edu
catio
n an
d or
al h
ealth
da
ta to
doc
umen
t nee
d.
•
Gat
her d
ata
on b
enef
its o
f exa
ms
over
scre
ens a
nd c
riter
ia fo
r sc
hedu
le fo
r scr
eeni
ng th
roug
h th
e ch
ildho
od p
erio
d.
•
Und
erst
and
who
is a
ffec
ted
by th
e re
gula
tion
(who
is e
arly
car
e an
d w
ho is
edu
catio
n?).
•
Leg
isla
tion
shou
ld in
clud
e la
ngua
ge th
at re
quire
s fol
low
-up
treat
men
t if i
ndic
ated
.
• Id
entif
y a
spon
sor f
or th
e bi
ll.
• Ef
forts
shou
ld b
e tie
d to
en
hanc
emen
t of t
reat
men
t sys
tem
. •
Com
mun
ity c
ontro
l of t
he “
mod
el
of c
are
and
treat
men
t”.
•
Is K
entu
cky’
s den
tal w
orkf
orce
ab
le to
pro
vide
trea
tmen
t?
•
Wha
t abo
ut c
ount
ies w
here
few
or
no p
rovi
ders
are
loca
ted?
To e
nsur
e su
cces
s with
legi
slat
ors,
the
follo
win
g w
ould
be
criti
cal:
•
Doc
umen
tatio
n of
nee
d.
• Ex
plan
atio
n of
coo
rdin
ated
eff
ort.
• H
ow sc
reen
ing
lead
s to
treat
men
t w
hich
then
lead
s to
posi
tive
outc
omes
.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
61 6161
61
Stra
tegi
c In
itiat
ive
Are
a ~
Sch
ool-B
ased
Coo
rdin
atio
n
Goa
l 14.
0
Ass
ure
that
all
child
ren
rece
ive
regu
lar
dent
al e
duca
tion
and
care
as a
par
t of a
n in
tegr
ated
pr
ogra
m. (
cont
inue
d)
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
14.2
Dev
elop
cur
ricul
um a
nd m
ater
ials
fo
r use
in e
arly
car
e an
d ed
ucat
ion
by
Febr
uary
200
7.
Ora
l Hea
lth P
rogr
am
Uni
vers
ity o
f Ken
tuck
y C
olle
ge o
f Den
tistry
Nec
essa
ry to
mat
ch re
sear
ch-b
ased
cu
rric
ula
to:
• Ea
rly c
hild
hood
stan
dard
s. •
Hea
d St
art o
utco
mes
. •
Prog
ram
of s
tudi
es (i
.e. h
ow is
or
al h
ealth
refle
cted
in C
ATS
te
st?)
• B
arrie
r in
poss
ible
poo
r mat
ch
betw
een
curr
icul
a an
d st
anda
rds,
outc
omes
and
pro
gram
of s
tudi
es.
14.3
Stre
ngth
en p
aren
t inv
olve
men
t in
oral
hea
lth e
ffor
t thr
ough
pub
lic
educ
atio
n an
d so
cial
mar
ketin
g at
the
com
mun
ity le
vel.
Ora
l Hea
lth P
rogr
am
Dep
artm
ent o
f Edu
catio
n D
epar
tmen
t for
Med
icai
d Se
rvic
es
• A
ddre
ss a
cces
s/tre
atm
ent n
eeds
of
fam
ilies
who
fall
betw
een
K-C
HIP
an
d pr
ivat
e ca
re p
lans
.
• Pu
blic
adv
ocac
y th
roug
h so
cial
m
arke
ting
to “
build
dem
and”
for
oral
hea
lth c
are
serv
ices
.
• Te
am w
ith a
lread
y tru
sted
0-4
ea
rly c
hild
hood
com
mun
ity
prog
ram
s (H
AN
DS,
Ear
ly H
ead
Star
t, et
c).
• Te
am w
ith p
rimar
y sc
hool
and
sc
hool
com
mun
ities
(PTA
, PTO
). •
Enco
urag
e pa
rent
to p
aren
t ed
ucat
ion
and
supp
ort.
•
Coo
rdin
atio
n w
ith o
ther
hea
lth
prof
essi
ons w
ho se
rve
child
ren.
• “I
ncom
e G
ap”
harm
ful t
o tre
atm
ent e
ffor
t. •
Enlig
hten
ed se
lf-in
tere
st o
f pa
rent
s is n
eces
sary
to th
e su
cces
s of
this
eff
ort.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
62 6262
62
in
tent
iona
l blan
k pa
ge
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
63636363
Workforce The workforce work group identified the following goals and objectives for the statewide plan: Goal 15.0: Assess the past, present and future status of the dental workforce in Kentucky and develop a work-plan to address identified needs.
• Complete a workforce study of oral health capacity and publish the results by June 30, 2007.
• Assess results and develop a work plan to address identified needs by December 2007
Goal 16.0: To increase collaboration with and between dental professionals and other medical professionals in Kentucky.
• Develop a curriculum which will provide basic oral health education, screening techniques and referral skills for non-dental professionals in Kentucky.
• Provide continuing education on oral health issues to health professionals throughout the Commonwealth.
Workforce
W
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
64646464
The Workforce Workgroup
Beverly Largent, Chair Raynor Mullins, Co-Chair
Linda M. Asher Pam Burch
Sue Derouen John Hensley Dan Martin Gina Miller
Gary Munsie Connie Richmond
Kayla Rose
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
65 6565
65
Stra
tegi
c In
itiat
ive
Are
a ~
Wor
kfor
ce
Goa
l 15.
0
To
asse
ss th
e pa
st, p
rese
nt a
nd fu
ture
stat
us o
f the
den
tal w
orkf
orce
in K
entu
cky
and
deve
lop
a w
ork-
plan
to a
ddre
ss id
entif
ied
need
s. O
bjec
tive
W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
15.1
. To
com
plet
e a
wor
kfor
ce st
udy
of
oral
hea
lth c
apac
ity a
nd p
ublis
h th
e re
sults
by
June
30,
200
7.
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of D
entis
try
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of P
ublic
Hea
lth
and
Info
rmat
ion
Scie
nces
O
ral H
ealth
Pro
gram
• D
emog
raph
ics (
age,
gen
der,
prof
essi
onal
de
gree
); cu
rren
t and
pro
ject
ed fu
ture
pr
actic
e pr
ofile
, ret
entio
n is
sues
in
clud
ing
out-o
f-st
ate
licen
sure
and
pa
tient
flow
acr
oss c
ount
y lin
es.
• Fu
ndin
g th
roug
h H
RSA
/MC
HB
Ora
l H
ealth
Col
labo
rativ
e Sy
stem
s Gra
nt.
• U
of L
Sch
ool o
f Den
tistry
stud
y co
ordi
nato
r with
supp
ort f
rom
U o
f L
Scho
ol o
f Pub
lic H
ealth
and
Info
rmat
ion
Scie
nces
.
• Fu
ndin
g co
ntin
uatio
n fr
om
HR
SA/M
CH
B c
ritic
al to
st
udy.
15.2
. To
asse
ss re
sults
and
dev
elop
a w
ork
plan
to a
ddre
ss id
entif
ied
need
s by
Dec
embe
r 200
7.
Ken
tuck
y D
enta
l Ass
ocia
tion
Ken
tuck
y D
enta
l Hyg
ieni
sts A
ssoc
iatio
n B
oard
of D
entis
try
Ora
l Hea
lth P
rogr
am
• H
PSA
Den
tal S
horta
ge a
rea
desi
gnat
ions
•
Plan
ning
for t
he re
tent
ion
and
recr
uitm
ent o
f tea
chin
g pr
ofes
sion
als
and
rese
arch
ers.
• Fu
ndin
g op
portu
nitie
s and
surv
eilla
nce
proj
ects
.
• Le
vel o
f car
e fo
r spe
cific
pop
ulat
ions
(i.
e. p
edia
trics
and
ger
iatri
c).
•
Add
ition
ally
, mid
leve
l pra
ctiti
oner
is
sues
incl
ude
new
role
dut
ies,
year
of
train
ing
and
licen
sure
.
• St
affin
g lim
itatio
ns a
t the
D
epar
tmen
t for
Pub
lic H
ealth
cr
itica
l to
HPS
A d
esig
natio
n ex
pans
ion
effo
rts.
• C
oord
inat
ion
with
oth
er
grou
ps su
ch a
s Ken
tuck
y D
enta
l Ass
ocia
tion
and
the
Ken
tuck
y O
ral H
ealth
C
oalit
ion.
HE
AL
TH
Y
KE
NT
UC
KY
S
MI
LE
S:
A
L
IF
ET
IM
E
OF
O
RA
L
HE
AL
TH
6 6666 666
Stra
tegi
c In
itiat
ive
Are
a ~
Wor
kfor
ce
Goa
l 16.
0
To
incr
ease
col
labo
ratio
n w
ith a
nd b
etw
een
dent
al p
rofe
ssio
nals
and
oth
er m
edic
al
prof
essi
onal
s in
Ken
tuck
y.
Obj
ectiv
e W
ho, W
hat,
Whe
n C
ritic
al S
ucce
ss F
acto
rs a
nd A
ctiv
ities
B
arri
ers t
o Su
cces
s
16.1
. T
o de
velo
p a
curr
icul
um fo
r the
pr
ovis
ion
of b
asic
ora
l hea
lth e
duca
tion,
sc
reen
ing
tech
niqu
es a
nd re
ferr
al sk
ills f
or
non-
dent
al p
rofe
ssio
nals
in K
entu
cky.
O
ral H
ealth
Pro
gram
U
nive
rsity
of K
entu
cky
Col
lege
of D
entis
try
• C
oope
ratio
n be
twee
n de
ntal
pr
ofes
sion
al o
rgan
izat
ions
and
m
edic
al p
rofe
ssio
nals
(inc
ludi
ng
phys
icia
ns, o
steo
path
s, nu
rses
and
nu
rse
prac
titio
ners
as w
ell a
s nu
tritio
nist
s and
hea
lth e
duca
tors
.)
• In
clus
ion
in th
e cu
rric
ulum
de
velo
pmen
t pro
cess
by
prov
ider
s in
var
ious
pro
fess
ions
.
• La
ck o
f par
ticip
atio
n by
oth
er
med
ical
pro
fess
iona
ls.
•
Cur
ricul
um m
ust b
e in
clus
ive
in
natu
re a
nd a
var
iety
of
prof
essi
onal
s mus
t be
tapp
ed to
co
ntrib
ute
to th
e de
velo
pmen
t pr
oces
s.
• C
ontin
uing
Edu
catio
n C
redi
ts fo
r va
rious
pro
fess
ions
mus
t be
secu
red.
16
.2.
To
prov
ide
cont
inui
ng e
duca
tion
on
oral
hea
lth is
sues
to h
ealth
pro
fess
iona
ls
thro
ugho
ut th
e C
omm
onw
ealth
. O
ral H
ealth
Pro
gram
U
nive
rsity
of K
entu
cky
Col
lege
of D
entis
try
Uni
vers
ity o
f Lou
isvi
lle S
choo
l of D
entis
try
• Im
porta
nt to
kee
p or
al h
ealth
in
fron
t of m
edic
al a
nd p
ublic
hea
lth
pers
onne
l as a
par
t of o
n-go
ing
cont
inui
ng e
duca
tion.
Thi
s may
in
clud
e pu
blis
hing
arti
cles
in p
eer-
revi
ewed
jour
nals
(nat
iona
l and
lo
cal)
as w
ell a
s oth
er v
enue
s.
• N
eed
dent
al p
rofe
ssio
nals
to w
rite
artic
les a
nd m
aint
ain
a lis
ting
of
poss
ible
pub
licat
ions
regu
larly
vi
ewed
by
Ken
tuck
y m
edic
al a
nd
publ
ic h
ealth
pro
fess
iona
ls.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
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Kentucky Oral Health Stakeholder Group
Strategic Planning Executive Committee Name Title/Affiliation David Bolt, MA Chief Operating Officer/Director of Planning and Business
Development, Lewis County Primary Care Center James C. Cecil, DMD, MPH Administrator, Kentucky Department for Public Health,
Oral Health Program Gerald A. Ferretti, DDS, MS, MPH
University of Kentucky College of Dentistry
Suzanne W. Hubbard, DDS Director, State of Tennessee, Oral Health Services Carrie Janszen, RDH, BSEd Northern Kentucky Health Department Julie Watts McKee, DDS Director, WEDCO District Health Department Morris Norfleet, PhD Mountain Mission Development Corporation Lyle B. Snider, PhD, MPH, RN Regional Public Health Epidemiologist for the Big Sandy
Region Charles Ross, MPS Director, Purchase District Health Department Sharlee Shirley Burch, RDH, MPH
University of Kentucky, College of Dentistry
David Willis, DMD, MBA University of Louisville, School of Dentistry
Strategic Planning Stakeholder Group Name Title/Affiliation David Aker Director, Mountain Missions/Kentucky Baptist Convention Linda Asher University of Kentucky, Kentucky Area Health
Education Center Lois Baker CEO, Mountain Comprehensive Care Center Greg Bausch Northeast Kentucky Area Health Education Center Phyllis Berry Associate Executive Director, Children Inc. Harry Bickel, DMD, MPH Training and Technical Assistance Services, Western Kentucky
University Carol Blethen Kentucky Child Now! Robert Brooks Vice President, Trover Foundation Pam Burch Purchase Area Health Education Center Representative Thomas Burch Kentucky State House of Representatives Jill Butters, RDH, MPH, EdD University of Louisville, School of Dentistry Michael E. Byrne University of Louisville, School of Medicine
Area Health Education Center Baretta R. Casey, MD Vice Chair, East Kentucky Campus; University of Kentucky
Department of Family and Community Medicine C. Lawrence Chiswell, DMD Lexington Community College, Dental Hygiene Program
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
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Strategic Planning Stakeholder Group (continued) Name Title/Affiliation Sandy Cleveland, RN Kentucky Department for Public Health,
Maternal and Child Health Branch Jo Comley, BA Kentucky Department for Public Health,
Early Childhood Development Branch, HANDS Quality Assurance
Dudley J. Conner Kentucky Public Health Association Julia Costich, JD, PhD Director, Kentucky Injury Prevention and Research Center Marybeth Crouch, RDH Doral Dental Services of Kentucky, LLC James S. Davis, MD Director, Division of Adult and Child Health,
Kentucky Department for Public Health Larry Davis Director, Marshall County Health Department Dedra DeBerry Northwest Area Health Education Center,
Health Education Training Center Senator Julie Denton Kentucky State Senate Eileen M. Deren, RN Louisville Metro Health Department Cindy Derer, DMD Ronald McDonald House Charities of the Bluegrass, Inc. Sue Derouen, RN Operations Manager, Kentucky Board of Nursing Paul Dominique, DMD University of Kentucky, College of Dentistry Charles Douglass Kentucky Department for Medicaid Services Leigh England Trover Foundation Education Division Sue Feeley, DDS Private dental practice, Past President, KY Board of Dentistry The Honorable Timothy E. Feeley
Family Court Judge – 12th Judicial Circuit
Kathy Fields, RN Cumberland Valley District Health Department Susan Fister, PhD, RN Bluegrass Farm-worker Health Center Mary Sue Flora Kentucky Department for Medicaid Services, EPSDT Special
Services Eric Friedlander Director, Commission for Children with Special Health Care
Needs David Gardner Proctor and Gamble Tammy Gay Family Resource Youth Services Center, Richmond, Kentucky Chris Goddard CEO, HealthPoint Family Care, Inc. Kelly Goins University of Kentucky, College of Dentistry Robert D. (Sandy) Goodlett, PhD Office of Family Resource and Youth Service Centers,
Cabinet for Health and Family Services Allison Gray Marshall County Health Department Lawrence Hager President and Founder, The Hager Foundation David Hardison, DMD, MBA Oral Health Resources International, University of Kentucky,
College of Dentistry Robert G. Henry, DMD, MPH Veterans Administration, Department of Veteran Affairs and
University of Kentucky College of Dentistry John Hensley Kentucky Department for Public Health, Health Care Access
Branch Lawrence F. Hill, DDS, MPH Cincinnati Health Department/Greater Cincinnati Oral Health
Council David K. Hinson, PhD First Baptist Church, Frankfort, Kentucky Fred Howard, DMD Kentucky Dental Health Coalition Rick Hulefield Executive Director, Children's Inc. Lucy Jewett South Central Kentucky Area Health Education Center Herman Johnson Director, Cumberland Valley District Health Department Judy Jones, JD Director, University of Kentucky Center for Rural Health Rice C. Leach, MD Commissioner, Kentucky Department for Public Health
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
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Strategic Planning Stakeholder Group (continued) Name Title/Affiliation Beverly Largent, DMD Private Dental Practice Clifford Maesaka, DDS Delta Dental Plan of Kentucky Loretta Maldaner Director, Purchase Area Health Education Center Marie Markesbery Colgate-Palmolive Dan A. Martin, MD Hopkins County Health Department/Trover Foundation Representative Marylou Marzian Kentucky State House of Representatives Samuel Matheny, MD Kentucky Clinic, Family Medical Center Lee S. Mayer, MS, DMD University of Louisville, School of Dentistry Judy McCrackin, RN Commission for Children with Special Health Care Needs,
Cabinet for Health and Family Services William McElwain, MD Director, Rockcastle Hospital & Respiratory Care Center Charlene McGrath South East Kentucky Area Health Education Center Lacey McNary, MSW Kentucky Youth Advocates Rosie Miklavcic, MPH Director, Franklin County Health Department Debra Miller Kentucky Youth Advocates Gina Miller, RDH, BSDH President, Kentucky Dental Hygienists Association The Honorable Mike Miller Judge Executive, Marshall County Jack N. Morris Hopkins County Health Department Rita Moya Foundation for a Healthy Kentucky M. Raynor Mullins, DMD, MPH Chief, Division of Dental Public Health, University of
Kentucky, College of Dentistry Gary Munsie Director, Kentucky Board of Dentistry Jim Norton, PhD University of Kentucky Area Health Education Center Representative Stephen Nunn Kentucky State House of Representatives Carol Phebus West Area Health Education Center Representative Ruth Ann Palumbo
Kentucky State House of Representatives
Mike Porter Kentucky Dental Association Marquetta Poynter, DMD Kentucky Board of Dentistry Stephanie Poynter, DMD Family Health Centers, Inc. Lois Reynolds Oral Health of America Ken Rich, DMD American Dental Association Connie Richmond, RN Kentucky Public Health Association Libby Ritchie, CDA, EDDA Kentucky Dental Assistants Association Joyce M. Robl, MS, CGC Kentucky Department for Public Health,
Maternal and Child Health Branch Kayla D. Rose, MA Northeast Area Health Education Center Curtis Rowe Kentucky Department for Public Health Melinda G. Rowe, MD, MBA, MPH
Lexington-Fayette Urban County Government
Bertie Kaye Salyer, MA, AME Director, Magoffin County Health Department Michael E. Samuals, Dr.PH Professor of Family Practice and Community Medicine,
University of Kentucky College of Medicine Thomas Samuel, JD, PhD Acting Dean, University of Kentucky, School of Public Health Keith Sanders Hager Educational Foundation Senator Ernesto Scorsone Kentucky State Senate Sherry Senters, DMD Whitehouse Dental Clinic Staci Simpson Western Kentucky University, Institute for Rural Health
Development and Research Judith Skelton, M.Ed, PhD Associate Professor, Oral Health Resources International,
University of Kentucky, College of Dentistry Joseph E. Smith Executive Director, Kentucky Primary Care Association, Inc.
H E A L T H Y K E N T U C K Y S M I L E S : A L I F E T I M E O F O R A L H E A L T H
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Strategic Planning Stakeholder Group (continued) Name Title/Affiliation Cris Sparks, RN Kentucky Department for Public Health, Public Health
Nursing Jenny Stiger DMD University of Kentucky, College of Dentistry Katie Kratz Stine Kentucky State Senate John A. Strosnider, DO Pikeville College School of Osteopathic Medicine Evelyn K. Tackett North Center Area Health Education Center Bonnie Tanner, PhD University of Kentucky, Cooperative Extension Service Valorie Tanner McDonald's/Tanner Management Katrina Adams Thompson, MSW Greater Kentucky Chapter, March of Dimes Birth Defects
Foundation Kim Townley, Ph.D. Acting Director, Division of Early Childhood Development,
Kentucky Department of Education Earl Trevor Director, Kentucky Head Start Collaboration Office Adewale Troutman, M.D. Director, Louisville Metro Health Department Sharon P. Turner, DDS, JD Dean, University of Kentucky, College of Dentistry Garland VanZant Director, Woodford County Health Department John Webb, BA Kentucky Child Now! Christine Weyman, MD Lake Cumberland District Health Department Elmer T. Whitler, MA, MPA Director of Research, University of Kentucky,
Center for Excellent in Rural Health Stephen W. Wyatt, DMD University of Kentucky College of Public Health A. Steven Wrightson, MD Assistant Professor and Program Director, University of
Kentucky Department of Family and Community Medicine Susan Zepeda, Ph.D. Executive Director, Foundation for a Healthy Kentucky
University of Kentucky, Strategic Plan Facilitation and Planning Name Position Lori Knutson Project Coordinator, University of Kentucky, College of
Dentistry Cynthia D. Lamberth, MPH Consultant and Facilitator, UK College of Public Health
Kentucky Department for Public Health, Oral Health Program Staff Name Position James C. Cecil, DMD, MPH Administrator, Oral Health Program Freda Chapman Administrative Assistant Lorie Wayne Chesnut, MPH Oral Health Data and Epidemiology, Grant Coordinator Kenneth Gerald Luttrell Community and Rural School Water Fluoridation Program Robert Murphy Manager, Community and Rural School Water Fluoridation
Program Linda Grace Piker, MS, MPH, RD, LD
Fluoride Supplement Program, Oral Health Education and Outreach
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