Katya Mauritson, DMD, MPH (c) Oral Health Unit Director Colorado
Department of Public Health and Environment
[email protected] 1 Slide 2 2 Slide 3 Oral Health Unit
Mission: To improve the oral health of all Coloradans, especially
vulnerable populations. 6 members of the OHU team: Dental Director
OH Workforce Manager Sealant Coordinator, health educator Water
Fluoridation Expert OAP Dental Program Program Assistant 3 Slide 4
Oral Health Unit What is the OHU doing to move the needle? 4 Slide
5 1. Assessment Monitor Health Status - Surveys CHS, BRFSS, PRAMS,
YRBSS Phone Interview LPHA surveys ASTDD survey - Screenings BSS
(Basic Screening Survey) Kindergarten & 3 rd graders Head Start
Older Adults Communication of Data Chew on This: Burden Document
COHID http://www.chd.dphe.state.co.us/cohid/Default.aspx 5 Slide 6
2. Policy Development Educate: public, providers, partners,
decision makers Support policies and plans for individual and
community health efforts Research solutions to health problems
Medicaid/CHP+ Reimbursement Promote Healthy Environment Promote
oral health equity School sealant programs CWF Links to obesity
prevention, chronic disease mgmt 6 Slide 7 3. Assurance Prevention
Services: Community Water Fluoridation School Dental Sealant
Program School Fluoride Varnish Program PANDA MCH: Cavity Free at
Three Treatment Services: Dental Loan Repayment Program Old Age
Pension Dental Assistance Program Colorado School Of Dentistry
Mobile Van Medicaid Enrollment 7 Slide 8 Key public health and
environmental issues where progress can be made in the next five
years Colorados greatest opportunities for ensuring the health of
our residents and visitors and the improvement and protection of
our environment Winnable Battles Initiative Slide 9 Comparing CDC
and Colorado CDCs Winnable Battles Food safety HIV Motor vehicle
injuries Nutrition, physical activity, obesity Teen pregnancy
Tobacco Healthcare-associated infections
http://www.cdphe.state.co.us/hs/winnable.html Colorados Winnable
Battles: Safe food Infectious disease prevention Injury prevention
Obesity Unintended pregnancy Tobacco Oral health Mental health and
substance abuse Clean water Clean air Slide 10 Colorados Winnable
Battles were chosen because: They are important large health impact
We have an ability to impact these areas There is capacity to
impact these areas 10 Slide 11 Colorados Winnable Battles Data
driven Health equity New Governors Cabinet desire for common
metrics and framework State agency leadership Slide 12 12 Slide 13
13 Slide 14 Prioritizing oral health: How chosen: Understanding the
consequences Cross-cutting causes Leadership wanted to focus on
three Convincing data Key Decision Makers: Bipartisan legislators
Data experts Public health officials Slide 15 The Cost of Doing
Nothing. In FY09-10, 6,076 Colorado children received hospital-
based dental care costing Medicaid Slide 16 More Oral Health
Opportunities Public Health Improvement Act Hygiene practice act
Medicaid reimbursement for medical providers Foundation/grant
initiatives Oral Health Improvement Project Healthy Teeth, Healthy
Babies Cavity Free at Three Early Childhood Systems Building Dental
Loan Repayment Workforce and access surveys MCH Oral Health
Priority Slide 17 Measuring our successes: Increase age one dental
visits. Increase sealants on permanent teeth. Increase rates of
community water fluoridation. 17 Slide 18 18 Slide 19 Colorado Oral
Health Policy Work Medicaid Childrens Dental ASO Adult Dental
Benefit Universal Health Care Coverage Oral Health Winnable Battle
Oral Health Plan MCH Community Toolkit 19 Slide 20 20 Slide 21 21
Slide 22 Slide 23 Oral Health Plan All Coloradans have access to,
and use, patient- centered comprehensive oral health care and
education. 6 Focus Areas 7 Role Icons Annual Updates
http://www.oralhealthcolorado.org/oralhealthplan/ 23 Slide 24
Toolkit for Promoting Maternal and Child Oral Health in Colorado
Communities http://www. oralhealthcolorado.org/
new-toolkit-for-promoting-oral- health-in-colorado-communities
Slide 25 25 Slide 26 Budget CDC Cooperative Agreement CDC
Preventive Health & Health Services HRSA Oral Health Workforce
HRSA NHSC State Foundation 26 Slide 27 27 Slide 28 28 Slide 29
Colorados Community Water Fluoridation Voluntary Program 72% of
Colorados population has access to optimally fluoridated water
About 60 water systems adjust their natural level of fluoride to
reach an optimal level for oral health Many systems in Colorado are
naturally optimal OHU provides support through Monitoring monthly
reports Enter data and update CDC database Inspections Trainings
Technical assistance Slide 30 Health Equity An Explanatory Model
for Conceptualizing the Social Determinants of Health NATIONAL
INFLUENCES GOVERNMENT POLICIES U.S. CULTURE & CULTURAL NORMS
PREGNANCY EARLY CHILDHOOD CHILDHOOD ADOLESCENCE ADULTHOOD OLDER
ADULTS LIFE COURSE HEALTH FACTORS = QUALITY OF LIFE MORBIDITY
MORTALITY LIFE EXPECTANCY POPULATION OUTCOMES SOCIAL DETERMINANTS
OF HEALTH ECONOMIC OPPORTUNITY PHYSICAL ENVIRONMENT SOCIAL FACTORS
Income Employment Education Housing Built Environment Recreation
Food Transportation Environmental quality Housing Water Air Safety
Participation Social support Leadership Political influence
Organization al networks Violence Racism + HEALTH BEHAVIORS &
CONDITIONS MENTAL HEALTH ACCESS, UTILIZATION & QUALITY CARE
Nutrition Physical activity Tobacco use Skin Cancer Injury Oral
health Sexual health Obesity Cholesterol High Blood Pressure Mental
health status Stress Substance abuse Functional status Health
insurance coverage Received needed care Provider availability
Preventive care Public Healths Role in Addressing the Social
Determinants of Health Advocating for and defining public policy to
achieve health equity Coordinated interagency efforts Creating
organizational environments that enable change Data collection,
monitoring and surveillance Population based interventions to
address health factors Community engagement and capacity building
Colorado Department of Public Health - Social Determinants of
Health Workgroup 30 Slide 31 Metal Mouth 31 Slide 32 Results of
dental screening among children in kindergarten. Colorado Childrens
Oral Health Screening, 20032004, 20062007, and 2011 2012 Colorado
Department of Public Health and Environment 32 Slide 33 Results of
dental screening among children in kindergarten by percent of
students in the school who are eligible for free or reduced price
meal program (FRL). Colorado Childrens Oral Health Screening,
20032004, 20062007, and 20112012 Colorado Department of Public
Health and Environment 33 Slide 34 Why Oral Health Matters
Preventable diseases Inequitable burden Sustainable change 34 Slide
35 35 Slide 36 36
