home by one program building integrated partnerships with connecticut agencies, parents &...

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Home By One Program Building Integrated Partnerships with Connecticut Agencies, Parents & Providers Tracey Andrews, R.D.H, B.S., Meghan Maloney, M.P.H. Connecticut Department of Public Health, Office of Oral Health According to a 2006-2007 Survey of Connecticut Head Start Students: 31% had decay experience 20% had untreated decay 14% had rampant decay 18% were in need of treatment 1% were in need of urgent dental care According to 2008 CMS 416 EPSDT Data For children under age 1 •CT ranked 43 rd out of 48 states with only 0.16% of eligible children receiving any dental care •CT ranked 41 st out of 48 states with only 0.04% of eligible children receiving preventive services For Children ages 1-2 years CT ranked 34 th out of 48 states with only 11.2% of eligible children receiving any dental care CT ranked 32 nd out of 48 states with only 8.53% receiving preventive services The program acknowledges the contributions of the organizations participating on the Home by One Advisory Committee American Academy of Pediatric Dentistry Benecare- Children's Dental Health Partnership Center for Women & Children's Health Centering Pregnancy & Parenting Assoc Child Health and Development Inst of CT Community Health Center Assoc of CT Community Health Center, Inc. CT Dept of Children and Families CT Dept of Developmental Services CT Dept of Public Health, Family Health CT Dept of Public Health, WIC Program CT Dept of Social Services CT Birth to Three CT Chapter American Academy of Pediatrics CT Children's Medical Center CT Dental Hygienists Association CT Family Network Connecticut Health Foundation Connecticut Oral Health Initiative CT State Dental Association East Hartford WIC Program Hartford WIC Program Head Start State Collaboration Office Hill Health Center WIC Program New Britain Oral Health FACTORS FOR SUCCESS Engaged Home By One Advisor y Increased Medicaid Reimbursemen t Rates Dramatic Increase in # of Medicaid Dental Providers Single MSO Establish ed for Medicaid Dental Care Coordinato rs Establishe d for CT Medicaid Dental Patients Support of State Dental Association- Provision of 12 Pilot Dental Homes Support of State WIC Directors & Engagemen t of Local WIC Staff Age One Dental Visit Media Campaign Advocacy & Oral Health Parent Education Programs Collaborati ons with other Early Childhood Initiatives Developmen t Of Home by One Website BACKGROUND METHODS CONSISTENT MEDIA MESSAGING STATEWIDE END PRODUCTS WIC/ Community Health Home Model RDH Student Community Programs linking WIC clients to Dental Homes Medical Care Coordinator/WI C partnership Local Health Dental Home Model WIC/ Pediatric Dentist Partnership Medical Dental Marriage Family Dental Home RDH at WIC site Development of WIC Dental Home Network Models January 2009 Home By One is 100% funded by HRSA grant # H47MC08648 www.ct.gov/dph/ HomebyOne Training L essons Lear ned Infor mation S harin g T r a i n i n g C l i e n t A c c e s s Education, Patient Ca re Peer Re ferrals Advocacy Training Parent Dental Advocates Advocacy Training Oral Health Advocates Patient Referrals Feedback R e f e r r a l s t o D e n t a l H o m e s F e e d b a c k 395 155 300 to 1000 18 89 112 # of Medicaid Dental providers # of MDs trained in Oral Health Risk Assessment # of MDs with Fluoride Varnish billing credentials # of WIC professionals trained # of Parents/ Caregivers trained # of Dental Homes established

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Page 1: Home By One Program Building Integrated Partnerships with Connecticut Agencies, Parents & Providers Tracey Andrews, R.D.H, B.S., Meghan Maloney, M.P.H

Home By One Program Building Integrated Partnerships with Connecticut Agencies, Parents & Providers

Tracey Andrews, R.D.H, B.S., Meghan Maloney, M.P.H.

Connecticut Department of Public Health, Office of Oral Health

According to a 2006-2007 Survey of Connecticut Head Start Students:

31% had decay experience20% had untreated decay14% had rampant decay18% were in need of treatment1% were in need of urgent dental care

According to 2008 CMS 416 EPSDT Data

For children under age 1•CT ranked 43rd out of 48 states with only 0.16% of eligible children receiving any dental care•CT ranked 41st out of 48 states with only 0.04% of eligible children receiving preventive servicesFor Children ages 1-2 years•CT ranked 34th out of 48 states with only 11.2% of eligible children receiving any dental care•CT ranked 32nd out of 48 states with only 8.53% receiving preventive services

The program acknowledges the contributions of the organizations participating on the Home by One

Advisory Committee American Academy of Pediatric DentistryBenecare- Children's Dental Health PartnershipCenter for Women & Children's Health Centering Pregnancy & Parenting AssocChild Health and Development Inst of

CTCommunity Health Center Assoc of CTCommunity Health Center, Inc.CT Dept of Children and Families CT Dept of Developmental Services CT Dept of Public Health, Family Health CT Dept of Public Health, WIC Program CT Dept of Social Services CT Birth to Three CT Chapter American Academy of PediatricsCT Children's Medical CenterCT Dental Hygienists AssociationCT Family NetworkConnecticut Health FoundationConnecticut Oral Health InitiativeCT State Dental AssociationEast Hartford WIC ProgramHartford WIC ProgramHead Start State Collaboration OfficeHill Health Center WIC ProgramNew Britain Oral Health CollaborativeSouthwestern Area Health Education Center, Inc.Torrington WIC ProgramUCONN Health Center, School of Dental Medicine Special thanks to the CT Dept of Public Health- Environmental Health and CT Dept of Public Health Local Health Administration

FACTORS FOR SUCCESS

Engaged Home By

One Advisory

Increased Medicaid

Reimbursement Rates

Dramatic Increase in # of Medicaid

Dental Providers

Single MSO Established

for Medicaid Dental

Care Coordinators Established

for CT Medicaid

Dental Patients

Support of State Dental Association-

Provision of 12 Pilot Dental Homes

Support of State WIC

Directors & Engagement of Local WIC

Staff

Age One Dental Visit

Media Campaign

Advocacy & Oral Health

Parent Education Programs

Collaborations with other

Early Childhood Initiatives

Development Of

Home by OneWebsite

BACKGROUNDMETHODS

CONSISTENT MEDIA MESSAGING STATEWIDE

END PRODUCTS

WIC/Community

Health Home Model

RDH Student Community

Programs linking WIC clients to Dental Homes

Medical Care Coordinator/WIC

partnership

Local Health Dental Home Model

WIC/Pediatric Dentist

Partnership

Medical

Dental

Marriage

Family Dental Home

RDH at WIC

site

Development of WIC Dental Home Network Models

January 2009

Home By One is 100% funded by HRSA grant # H47MC08648

www.ct.gov/dph/HomebyOne

Train

ing

Lesso

ns Lea

rned

Information SharingTra

inin

g

Cli

ent

Acc

ess

Education, Patient Care

Peer Referrals Advocacy Training

Parent D

ental A

dvocates

Advocacy Training

Oral Health Advocates

Patient Referrals

Feedback

Ref

erra

ls t

o D

enta

l Hom

es

Fee

db

ack

395

155

300 to 1000

18

89112

# of

Med

icai

d

Den

tal p

rovi

der

s

# of

MD

s tr

ain

ed in

O

ral H

ealt

h R

isk

A

sses

smen

t

# of

MD

s w

ith

F

luor

ide

Var

nis

h

bill

ing

cred

enti

als

# of

WIC

p

rofe

ssio

nal

s tr

ain

ed

# of

Par

ents

/ C

areg

iver

s tr

ain

ed

# of

Den

tal H

omes

es

tab

lish

ed