Search Results: MCHLine

Annotation: These annotated slides outline a presentation on prevention efforts to improve fetal and infant mortality using an approach, called Perinatal Periods of Risk (PPOR), developed by the World Health Organization for developing countries and applying concepts to urban efforts in the United States. It highlights five major steps: (1) engaging community partners, (2) mapping feto-infant mortality, (3) focusing on reducing the overall feto-infant mortality rate, (4) examining potential opportunity gaps, and (5) targeting further investigations and prevention efforts. [Funded in part by the Maternal and Child Health Bureau]

• Report
• One-pager

Keywords: Community coordination, Developing countries, Fetal mortality, Infant mortality, International health, Needs assessment, Prevention, Risk assessment, Statistical analysis

Annotation: The goal of this training for school nurses and non-oral-health professionals is to equip participants with the knowledge and tools they need to perform oral health screenings for school-age children, with a focus on identifying early signs of tooth decay. The training comprises three sections (tabs): sample letters, videos, and exam. Sample letters include a consent form, a risk-assessment report, a parent questionnaire, and a screening results letter. Videos include trainings with and without a fluoride-application component. The exam section includes a caries risk assessment, screening results letter, and an appendix of physical findings for oral health risk assessment.

• Link

Keywords: Dental caries, Fluoride, Forms, Health screening, Informed consent, Oral health, Prevention, Risk assessment, School age children, Training, Videos

Annotation: This manual is designed to help non-oral-health professionals implement fluoride-varnish application for infants, children, and adolescents ages 6 months to 21 years who are enrolled in Massachusetts’ Medicaid program. The manual includes instructions on how to complete the online Smiles for Life training, which is required for health professionals to apply fluoride varnish for this population. It also discusses how to begin using fluoride varnish in a practice as well as how to keep fluoride varnish notes and how to bill for fluoride varnish application. Basic information about fluoride varnish application and information to share with parents and other caregivers is included.

• Link
• Program Website

Keywords: Adolescents, Children, Clinical coding, Consumer education materials, Dental caries, Disease prevention, Fluorides, Infants, Manuals, Massachusetts, Medicaid, Oral health, Oral health care, Preventive health services, Reimbursement, Resources for professionals, Risk assessment, State programs, Training, Young adults

Annotation: This report examines baseline data to identify which birthing persons and individuals with low incomes in Illinois are most likely to benefit from the state’s Postpartum Medicaid Extension. It analyzes self-reported healthcare utilization rates, specifically well-woman visits and pre-pregnancy checkups, using data from the Pregnancy Risk Assessment Monitoring System and the Behavioral Risk Factor Surveillance System. The document includes recommendations for system changes, such as implementing two-generation care models, reducing provider bias, and addressing structural determinants of health to ensure that increased coverage leads to high-quality care for Black birthing persons

• PDF

Keywords: Comparative analysis, Data, Health care reform, Low income groups, Medicaid, Models , Postpartum care, Quality improvement, Risk assessment, Statistical analysis

Annotation: This tool is designed to help health professionals implement oral health risk assessment for infants and children from birth to age 6 during health supervision visits. The tool, which can be used to document dental caries risk, presents a checklist for evaluating the oral health status of a child that includes risk factors, protective factors, and clinical findings, as well as an assessment and plan. Guidance on the factors in the checklist and color photographs depicting clinical findings are included. The tool is available in English and in Spanish.

• English
• Spanish

Keywords: Dental caries, High risk groups, Infants, Oral health, Protective factors, Resources for professionals, Risk assessment, Risk factors, Spanish language materials, Young children

Annotation: This guide for primary care physicians includes tips for integrating oral health care into their practices and tools to help them do so. The guide provides information on why it is important for primary care physicians to integrate oral health care, barriers to accessing oral health care, and the dental home. A checklist for how physicians can support their patients’ oral health and help them find a dental home is included, along with information on assessing infants’ and young children’s risk for developing tooth decay and reducing risk for this population.

• PDF
• Website

Keywords: Access to health care, Infant health, Oral health, Primary care, Risk assessment, Service integration, Young children

Annotation: This toolkit is a collection of resources designed to help health professional provide preventive oral health care in pediatric and prenatal care settings. It includes short videos, posters, and infographics as well as a sample clinical workflow. Also included are a prenatal oral health conversation guide, a pediatric oral health risk-assessment tool, and other resources. The resources can be downloaded or can be printed for use in clinic waiting areas and exam rooms and can be customized with an organization logo. The toolkit is available in Arabic, Cambodian, English, French, Korean, Russian, Spanish, and Taiwanese.

• PDF

Keywords: Infant health, Non English language materials, Oral health, Posters, Pregnant women, Prevention, Risk assessment, Videos

Annotation: This brief highlights Goal 3 of the White House blueprint for addressing the maternal health crisis, which is to advance data collection, standardization, harmonization, transparency, research, and analysis. The brief outlines the need to mprove data collection by enhancing MMRC (Maternal Mortality and Review Committee) data to inform maternal health interventions; bolster research and build the next generation of maternal health researchers; and better understand conditions that impact pregnancy. Evidence-informed strategies for improvement, criteria for states to consider when developing strategies, and additional resources are included. Statistics indicate which states are funded to enhance maternal mortality review and surveillance; the percentage of epidemiologists employed at the state and jurisdiction levels by program area; and the states that participate in the Pregnancy Risk Assessment Monitoring System (PRAMS).

• Link

Keywords: Data collection, Initiatives, Maternal health, Monitoring, Population surveillance, Risk assessment, Statistics

Annotation: This issue brief highlights Action 1.4 from the White House Blueprint for Addressing the Maternal Health Crisis, which focuses on strengthening risk-appropriate care in rural and urban areas through implementation of the CDC Levels of Care Assessment Tool (LOCATe). The document examines how this standardized assessment tool helps states evaluate and improve the distribution of maternal care capabilities across birthing facilities. It presents current data on maternal mortality rates and disparities across populations, discusses the challenges of providing appropriate levels of care particularly in rural areas, and outlines specific state-level innovations being implemented to strengthen perinatal regionalization. The brief includes detailed examples of successful LOCATe implementation in states like Montana and North Carolina, along with evidence-based measures for tracking progress in establishing risk-appropriate care systems.

• Link

Keywords: Access to care, Data, Evaluation methods, Perinatal addiction, Perinatal care, Risk assessment, Rural populations, State initiatives, Substance use disorders, model programs

Annotation: The Postpartum Hemorrhage (PPH) Risk Assessment Table is designed to guide clinicians in assessing a patient's risk for postpartum hemorrhage at three critical time points: admission, pre-birth (approximately 30-60 minutes prior to giving birth), and upon admission to postpartum. Risk factors are categorized as low, medium, or high at each stage, with specific criteria listed for each category. The document provides guidance on adjusting a patient's risk level if they develop additional risk factors and outlines anticipatory interventions and blood bank orders appropriate for each risk category at the different assessment times. The table is intended to guide clinical decision-making in conjunction with clinical judgment and hospital policy.

• PDF

Keywords: Hemorrhage, Postpartum care, Resources for professionals, Risk assessment

Annotation: This interactive U.S. maternal mental health map provides a "risk factor score" for each county in the country based on the number of mental health providers, annual births, the provider ratio (number of reproductive-aged women vs. providers), and the provider shortage gap. The map visually illustrates which parts of the country have the highest and lowest maternal mental health gaps in access to care. The Policy Center website includes a description of the data sets and the methodology used to determine the "risk factor score," along with a report summarizing the mental health provider shortages and population risk.

• Map
• Report

Keywords: Access to care, Data, Data analysis, Data collection, Interactive media, Maps, Maternal health, Mental health, Mental health professionals, Risk assessment

Annotation: This report presents recommendations and a national call to action to improve the safety of community streets and roads. The authors compare the relative safety of pedestrians in different states and metropolitan areas, factoring in measurable changes in walking danger during the COVID-19 pandemic. Topics include the most dangerous places to walk; street design; the characteristics of dangerous roads; and impact on vulnerable populations, including older adults, communities of color, and low-income neighborhoods.

• 2022
• Website

Keywords: Injury prevention, Motor vehicle accidents, Pedestrians, Resources for professionals, Risk assessment, Risk factors, Safety, State initiatives, Traffic safety, Transportation, Walking

Annotation: This guide provides information about workflow and configuration for the Transforming Oral Health for Families project, part of the federally funded Networks for Oral Health Integration (NOHI) Within the Maternal and Child Health Safety Net program. Topics include logic, specifications, and documentation; best practice workflow; configuring required data elements in the EClinicalWorks (eCW) electronic health record; and additional support. [Funded by the Maternal and Child Health Bureau]

• PDF

Keywords: Educational materials, Fluoride, Health services, Oral heath, Prevention, Risk assessment, Statistical data

Annotation: These instructions explain how to access two online trainings: Oral Health in the Well Child Visit and Condensed Smiles for Life: National Oral Health Curriculum, modules 2 and 6, intended for use by the Midwest Network for Oral Health Integration project, part of the federally funded Networks for Oral Health Integration (NOHI) Within the Maternal and Child Health Safety Net program. The well child training focuses on five clinical competencies for children ages 6–11. The Smiles for Life: National Oral Health Curriculum modules focus on child oral health, caries risk assessment, fluoride varnish, and counseling. [Funded by the Maternal and Child Health Bureau]

• Instructions
• Training Modules

Keywords: Collaboration, Communication, Community health centers, Counseling, Dental caries, Fluoride, Health education, Oral health, Prevention, Primary care, Risk assessment, School age children, Service integration, Training

Annotation: This oral health risk assessment is intended for use by community health centers (CHCs) participating in the Midwest Network for Oral Health Integration project, part of the Networks for Oral Health Integration (NOHI) Within the Maternal and Child Health Safety Net. The risk assessment helps assess the risk of children ages 6–11 for oral disease by posing questions about risk factors, protective factors, and clinical findings. [Funded by the Maternal and Child Health Bureau]

• PDF

Keywords: Community health centers, Oral health, Risk assessment, Risk factors, School age children, Service integration

Annotation: This report presents findings from a qualitative study examining women's experiences with severe maternal morbidity (SMM) in New York City. It describes the perceptions and experiences of 15 women who faced life-threatening complications during childbirth, exploring the physical, emotional, social, and financial consequences of these events. The document outlines how clinician interaction styles influenced women's experiences, with patient-centered approaches being preferred over biomedical or moral surveillance models. Key findings highlight how women with underlying health conditions and socioeconomic vulnerabilities experienced additional challenges during recovery, and that not being listened to or believed was a common experience among participants. The report provides recommendations for improving quality of maternity care, supporting families, and promoting health equity through public health agencies and community health programs. It includes detailed methodology, participant characteristics, and direct quotes from women describing their experiences before, during, and after SMM events.

• PDF

Keywords: Childbirth, Health equity, Maternal morbidity, Qualitative assessment, Quality improvement, Risk factors

Annotation: This document presents survey findings for the 50 states and the District of Columbia on reimbursement for risk assessment, oral examination, fluoride varnish, anticipatory guidance, and family oral health education. It presents information on the following topics: type of health professional, services, fees, procedure codes, delegation, age limit for services, number of varnish applications reimbursed annually, training requirement, payor, payment by Medicaid or the Children’s Health Insurance Program, and legislative approval to reimburse health professionals. Information about commercial payment and procedure codes is also included.

• Excel Document

Keywords: Anticipatory guidance, Children, Families, Fluorides, Health education, Infants, Oral health, Oral health care, Preventive health services, Referrals, Reimbursement, Risk assessment

Annotation: This guide for oral health professionals presents a series of three papers reporting Caries Management by Risk Assessment (CAMBRA)–related research results and updates on clinical-practice CAMBRA implementation. The first paper discusses how the principles and philosophy of CAMBRA can be integrated into oral health practice. The second paper provides information for oral health professionals to use in treating children ages 6 and up. The third paper offers a caries-risk-assessment tool for use in managing dental caries and assessing risk in infants and children from birth through age 5

• Link

Keywords: Disease management, Infant health, Oral health, Research, Risk assessment, Young children

Annotation: This chart presents survey findings for the 50 states and the District of Columbia on reimbursement for oral health risk assessment, oral examination, fluoride varnish, anticipatory guidance, and education. It presents information on the following topics: type of health professional, services, fees, procedure codes, delegation, age limit for services, number of varnish applications reimbursed annually, training requirement, payor, payment by Medicaid or the Children’s Health Insurance Program, and legislative approval to reimburse health professionals. Information about commercial payment and procedure codes is also included.

• Excel Document

Keywords: Anticipatory guidance, Fluoride, Health education, Medicaid, Oral health, Reimbursement, Risk assessment

Annotation: This video presents recommendations from the 2018 American Dental Association clinical practice guideline on nonrestorative treatments, including silver diamine fluoride (SDF), for carious lesions. The safety of SDF is discussed, along with scientific evidence and recommendations for its use. Guidance for dentists on how to use a risk-assessment approach to determine whether the use of SDF is appropriate for patients is provided, along with guidance on how to talk to patients about use of SDF and other treatment options. A four-step process for applying SDF is included, along with guidance on how to determine whether reapplication is needed.

• Link

Keywords: Dental caries, Guidelines, Oral health, Oral health care, Risk assessment, Safety, Videotapes