ERIC ED499715: Healthy People 2010: Oral Health Toolkit

2007·6.1 MB·English

by  ERIC

National Institute of Dental & Craniofacial Research
National Institutes of Health
Department of Health and Human Services
Foreword

Message from the Chief Dental Officer

Oral health has been a focus area in the Healthy People initiative since
its inception in 1979 and, over time, the objectives have grown to
cover a range of diseases and conditions, preventive services and
programs, and public health infrastructure needs. We have learned
about the value of data-derived and data-driven objectives that allow
us to measure our progress from where we have been to where we
need to be. While as a nation we have made substantial progress in
improving oral health over the past two decades, many Americans still
suffer unnecessary oral disease that could have been prevented.

The Healthy People 2010 oral health objectives provide us with a wide range of public health
challenges and opportunities designed to increase the public’s oral health and quality of life and
to decrease oral health disparities. These objectives serve to keep us focused and on track as we
implement the National Oral Health Call to Action to Promote Oral Health, which emanated
from Oral Health in America: A Report of the Surgeon General.

Achieving the oral health objectives is a great challenge. Multiple approaches are needed,
ranging from providing care in a clinical setting, to implementing community-based programs, to
conducting research. The Tool Kit is an excellent resource that gives practical advice, methods,
resources and examples to help you in planning, implementing and evaluating the oral health
objectives in your state, territory, tribe or community.

We look forward to learning about your efforts for achieving the Oral Health objectives in
Healthy People 2010 and implementing the National Oral Health Call to Action to Promote Oral
Health.

Dushanka V. Kleinman, D.D.S., M.Sc.D
Chief Dental Officer, US PHS
31 Center Drive MSC 2290
Building 31, Room 2C-39
Bethesda Maryland 20892-2290
Phone: [phone]
Fax: [phone]
<mailto:[email protected]>
Acknowlegdements

The Oral Health Toolkit was developed by Beverly Isman, RDH, MPH, ELS, through a
purchase order with the National Institute of Dental and Craniofacial Research, National
Institutes of Health, U. S. Department of Health and Human Services.

Primary federal contributors to the publication include: Candace M. Jones, MPH; Scott
M. Presson, DDS, MPH; Stuart L. Lockwood, DMD, MPH and Alice M. Horowitz, PhD
(project officer). Jayne P.E. Lura-Brown was responsible for design, layout, graphic arts,
and Web site preparation.

This publication is based on the Healthy People 2010 Toolkit: A Field Guide to Health
Planning and expanded especially for achieving the Healthy People 2010 oral health
objectives and implementing the Call to Action to Promote Oral Health.

Current Co-leads for the Healthy People 2010 oral health objectives include:

Alice M. Horowitz, PhD
National Institute of Dental and Craniofacial Research
National Institutes of Health

Partick Blahut,DDS, MPH
Indian Health Service

Valerie A. Robison, DDS, MPH, PhD
Division of Oral Health
Centers for Disease Control and Prevention

Jay R. Anderson, DMD, MHSA
Bureau of Primary Health Care
Health Resources and Services Administration
We especially appreciate the numerous individuals who provided valuable reviews of this
document and many additional persons who provided a variety of examples from local, state
and national perspectives.

Mary Altenberg, MS, CHES Gustavo D. Cruz, DMD, MPH
Albuquerque Area Dental Support Center New York University College of Dentistry
P.O. Box 67830 345 East 24th Street, Room 361
Albuquerque, NM 87193 New York, NY 10000
Phone: [phone] Phone: [phone]
E-mail: [email protected] E-mail: [email protected]

Patrick Blahut, DDS, MPH Neil Gardner, DDS, MPH
Indian Health Services Pennsylvania Department of Health
801 Thompson Avenue, Suite 300 Health and Welfare Building, Box 90
Rockville, MD 20852 Harrisburg, PA 17108
Phone: [phone] Phone: [phone]
E-mail: [email protected] E-mail: [email protected]

John P. Brown, BDS, MS, PhD Jalaima A. Graham, MPH
Department of Community Dentistry, MC National Institute of Dental and Craniofacial
7917 Research
University of Texas Health Science Center National Institutes of Health
at San Antonio 45 Center Drive, Room 4AS-43D
7703 Floyd Curl Drive Bethesda, MD 20850
San Antonio, TX 78229-3900 Phone: [phone]
Phone: [phone] E-mail: [email protected]
E-mail: [email protected]
Lawrence Hill, DDS, MPH
Diane Brunson, RDH, MPH Cincinnati Health Department
Colorado Department of Public Health Dental Administration
and Environment 3101 Burnet Avenue
Oral, Rural, and Primary Care Section Cincinnati, OH 45229-3098
4300 Cherry Creek Drive, South Phone: [phone]
PSD-Oral Health-84 E-mail: [email protected]
Denver, CO 80246
Phone: [phone] Robert Isman, DDS, MPH
E-mail: [email protected] California Department of Health Services
11155 International Drive
Joanne B. Clovis, PhD Rancho Cordova, CA 95670
School of Dental Hygiene Phone: [phone]
Dalhousie University E-mail: [email protected]
5981 University Avenue
Halifax, Nova Scotia
CANADA B3H 3J5
Phone: [phone]
E-mail: [email protected]
Lewis N. Lampiris, D.D.S., M.P.H. Ron Nagel, DDS, MPH
Division of Oral Health Alaska Dental Support Center
Illinois Department of Public Health Alaska Native Tribal Health Consortium
535 West Jefferson Street 4201 Tudor Centre Drive, Suite 120
Springfield, IL 62761 Anchorage, Alaska 99508
Phone: [phone] Phone: [phone]
E-mail: [email protected] E-mail: [email protected]

Ilise D. Marrazzo, MPH Tina Palmer, CHES
Office of Oral Health Montgomery County Department of Health
Maryland Department of Health & Mental & Human Services
Hygiene African American Health Program
201 West Preston Street, 3rd Floor 1335 Piccard Drive, Upper Level
Baltimore, MD 21201 Rockville, MD 20850
Phone: [phone] Phone: [phone]
E-mail: [email protected] E-mail: [email protected]

Nancy Martin, RDH, MS Scott Presson, DDS, MPH
Office of Community and Public Health Division of Oral Health
NH Department of Health and Human Centers for Disease Control and Prevention
Services 4770 Buford Highway, MS F-10
6 Hazen Drive Atlanta, GA 30044
Concord, NH 03301 Phone: [phone]
Phone: [phone] E-mail: [email protected]
E-mail: [email protected]
Kelly Sage, MS
Ed Martinez, MPA, MPH Office of Oral Health
San Ysidro Health Center Maryland Department of Health & Mental
4004 Beyer Boulevard Hygiene
San Ysidro, CA 92173 201 West Preston Street, 3rd Floor
Phone: [phone] Baltimore, MD 21201
E-mail: [email protected] Phone: [phone]
E-mail: [email protected]
Ellie Murcia, M.Ed
National Institute of Dental and Craniofacial Kneka Pelletier Smith, RDH, BS
Research Office of Oral Health
National Institutes of Health Arizona Department of Health Services
31 Center Drive MSC 2290 1740 West Adams #010
Bethesda, MD 20892-2290 Phoenix, AZ 85007
Phone: [phone] Phone: [phone]
E-mail: [email protected] E-mail: [email protected]
Harvey Wallace, PhD
Northern Michigan University
Department of Health, Physical Education,
and Recreation
1401 Presque Isle Avenue
Marquette, MI 49855
Phone: [phone]
E-mail: [email protected]

Patricia Baker
President & CEO
270 Farmington Avenue, Suite 357
Farmington, Connecticut 06032
Phone: [phone]
Fax: [phone]
E-mail: [email protected]
Table of Contents

Chapter 1. Overview of the Oral Health Toolkit and History of Healthy People
Initiatives and HP 2010

Introduction.......................................................................................................................... 1
Using the Toolkit………………………………………………………………………….. 2
History Behind the Healthy People 2010 Initiative……………………………………….. 4
How Was Healthy People 2010 Developed?........................................................................ 4
How Does Oral Health Fit Into The Focus Areas?............................................................... 5
How Will The Objectives Be Used?..................................................................................... 6
What Is The Healthy People Consortium?............................................................................ 6
Healthy People 2010 Oral Health Steering Committee……………………………………. 7
What Are The Oral Health Objectives?................................................................................ 7
What Are Related Objectives?.............................................................................................. 10
What Are Leading Health Indicators?................................................................................... 10
What is the National Oral Health Call to Action to Promote Oral Health?........................... 11

Resources
Useful Web Sites and References For Healthy People 2010…………………………….. 1
Oral Health Terminology………………………………………………………………… 3
Related Objectives From Other Focus Areas……………………………………………. 5
1995 Progress Report For Oral Health…………………………………………………... 8
1999 Progress Review Oral Health…………………………………………………….... 10

Chapter 2. Building the Foundation: Leadership and Structure

Introduction………………………………………………………………………………… 1
Oral Health Infrastructure………………………………………………………………….. 1
Federal Government……………………………………………….…………………….. 2
National Associations and Organizations…………………………………………………. 4
Regional Offices…………………………………………………………………………. 6
Indian Health Service Areas……………………………………………………………... 6
State Government…………………………………………………………………………6
Dental Health Professions Schools ……………………………………………………… 8
Dental Insurance, Managed Care and Dental Managed Care Organizations……………. 9
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Local Programs……………………………………………………..……………………. 9
Creating Coalitions And Partnerships For HP 2010 Initiatives…………….……………… 11
Models For Planning……………………………………………………………………... 11
Examples of Other Oral Health Coalitions and Collaboratives……………………….…. 13
Roles and Responsibilities Of HP 2010 Teams…………………………………….……. 16
Authority: Advisory vs. Steering Responsibilities…………………………………….. 16
Distributing the Work………………………………………………………………….. 17
Who Should Be On The Team?……………………………………………………..…. 19
Resources to Identify and Invite Partners………………………………….………….. 20
What Are Some Tools To Assure Successful Team Meetings?……………….…….… 21
Tips for Getting Your Team Started…………………………………………….………. 22

Resources
Oral Health Infrastructure Checklist……………………………………………………... 1
HP 2010 Oral Health Self-Assessment…………………………………………………... 3
Web Sites and Contact Information for National Agencies and Organizations…………. 4
Sample 2010 Planning Structures…………………………………………………………5
Model for the Development of Maryland’s Project 2010………………………………... 7
NGA Oral Health Policy Academy Participating States…………………………………. 8
Worksheet: Recruiting Coalition Members……………………………………………….9
Worksheet: Oral Health Coalition Contact List……………….……………………….… 10
Sample Recruiting Tool: Partnership Opportunities (Delaware)………………………… 11
Examples of Oral Health Coalition Members in North Dakota, Missouri and
Washington…………………………………………………………………………….. 13
Healthy Delaware 2010 Chamber of Commerce Member Questionnaire……………..… 14
Healthy Delaware 2010 Steering Committee Survey……………………………………. 18
Handout: Definitions of a Team…………………………………………………………. 21
Handout Example: Ground Rules………………………………………………………... 22
Guidelines for Productive Team Meetings………………………………………………. 23
SWOT Worksheet……………………………………………………………………….. 25
References……………………………………………………………………………….. 27

Chapter 3. Setting Health Priorities, Establishing Oral Health Objectives,
And Obtaining Baselines

Introduction……………………………………………………………………………….... 1
Tips………………………………………………………………………………………… 1
Using the National Objectives as a Framework……………………………………………. 2
Setting Priorities…………………………………………………………………………… 2
Choosing Target Populations………………………………………………………………. 4
Criteria for Developing Objectives………………………………………………………… 5
Selecting Oral Health Objectives…………………………………………………………... 5
Establishing a Needs Assessment Plan and Obtaining Baseline Data……………………... 7
Setting Target Levels for Objectives………………………………………………………. 10
Evaluating Data: Data Issues and Uses……………………………………………………. 11
Resources for Data and Assistance………………………………………………………… 13
CDC……………………………………………………………………………………… 14
NCI………………………………………………………………………………………. 17
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NIDCR…………………………………………………………………………………… 18
HRSA…………………………………………………………………………………….. 19
IHS……………………………………………………………………………………….. 20
AHQR……………………………………………………………………………………. 20
CMS……………………………………………………………………………………… 21
Other Federal Web sites……………………………………………………………………. 21
Other Data Sources…………………………………………………………………….……21

Resources
Examples of Oral Health Objectives from State HP 2010 Plans………………………… 1
Worksheet: Writing Objectives………………………………………………………….. 3
Summary of Needs Assessment Methods………………………………………………... 4
Setting Target Levels for Objectives…………………………………………………….. 5
Health Outcomes and Performance Objectives………………………………………... 6
Process Objectives…………………………………………………………………….. 7
IHS Tracking Health Indicators……………………………………………………….. 8
Characteristics of High-Quality and Effective Data for Policy Making…………………. 9
Oral Health of North Dakota’s Youth: 2001 Youth Risk Behavior Survey Results…….. 10
Texas Risk Factor Report; Oral Cancer Risk Behaviors………………………………… 11
ASTHO Health Care Safety Net Amendments of 2002…………………………………. 17
Legislative Updates: Health Care Safety Net Amendments………………………………18
References……………………………………………………………………………….. 19

Chapter 4. Identifying and Leveraging Resources

Introduction………………………………………………………………………………… 1
Tips………………………………………………………………………………………… 1
Leveraging Resources by Integrating Oral Health with Other Health Priorities……….…. 2
Categories of Resources……………………………………………………………………. 2
Human Resources…………………………………………………………………………3
Equipment and Supplies…………………………………………………………………. 4
Meeting Facilities and Other Space Needs………………………………………………. 4
Marketing/Advertising…………………………………………………………………… 5
Communication and Travel……………………………………………………………….5
Fundraising………………………………………………………………………………….5
Donations and Sponsorships……………………………………………………………... 6
Grantwriting…………………………………………………………………………….…7
Who are the Grantmakers?...............................................................................................7
Identifying Funding Opportunities………………………………………………………….8
Federal Resources…………………………………………………………………….….. 9
Congress…………………………………………………………………………………. 16
Foundations………………………………………………………….…………………… 17
Other Philanthropies……………………………………………………………………... 19
State and Local Government………………………………………………………….…. 20
Examples of Successful Funding Strategies……………………………………………….. 22
Ways to Maintain Resources…………………………………………………………..…... 23

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Resources
Links Between Oral Health and the Healthy People 2010 Leading Health Indicators…...1
Potential Strategies to Ensure Resources for Planning and/or Implementation…………..3
Plan for Securing Resources……………………………………………………………... 4
Example of Plan for Securing Resources………………………………………………… 5
Grantwriting Tips………………………………………………………………………… 6
Grantwriting Glossary…………………………………………………………………… 7
Marquette County Health Department, Dental Program, Collaborative Partnerships……9
References………………………………………………………………………………..10

Chapter 5. Promoting HP 2010 Oral Health Plans and Activities

Introduction…………………………………………………………………………………1
Tips………………………………………………………………………………………… 1
Health Communication…………………………………………………………………..… 2
Developing a Promotional/Marketing Plan…………………………………………………2
Specific Strategies to Communicate About HP 2010 Plans……………………………….. 3
Web Sites…………………………………………………………………………………4
Conferences………………………………………………………………………………6
Listservs…………………………………………………………………………………. 8
Newsletters………………………………………………………………………………. 8
Media Coverage…………………………………………………………………………. 9
Media Advocacy……………………………………………………………………………11
Options for Formatting Information………………………………………………………..12

Resources
Simple Market Research Strategies……………………………………………………….1
Sample Market Research Questions…………………………………………………….. 2
How to Develop a Marketing Plan………………………………………………………..3
Evaluate Your Marketing Plan……………………………………………………………5
Vermont’s Oral Health Chapter …………………………………………………………. 6
Formatting Press Releases……………………………………………………………….. 8
NCI’s Communication Channels and Activities: Pros and Cons………………………… 9
Scientific Information, Simply Put, Selected Pages………………………………………11
Text Appearance……………………………………………………………………….. 11
Visuals…………………………………………………………………………………..12
Layout and Design………………………………………………………………………18
Tips on Translation…………………………………………………………………….. 22
Checklist for Easy-to-Read Print Materials……………………………………………. 24
References…………………………………………………………………………………25

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