Search Results: MCHLine

Annotation: This consensus statement presents insights from a project focused on integrating oral health into electronic health records (EHRs). The aim of the statement is to advance the use of EHRs, thereby improving patient care. The statement also includes information on the current state of oral health integration, challenges to and opportunities for integration and data sharing, core oral health and general health indicators to share between health information systems, and implementing integration of oral health into EHRs. zzz

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Keywords: Information systems, Medical records, Oral health, Records management, Service integration, Statistical data

Annotation: This brief explores state policy strategies and priorities for improving systems of care for children and youth with chronic and complex health needs, including disabilities, medical complexities, and behavioral health disorders. It describes efforts to promote integrated and coordinated care through state agency alignment and Medicaid managed care arrangements while facilitating access to specialty care via workforce expansion and telehealth. The brief also addresses supports for transition-age youth, strategies to compensate family caregivers, and methods for engaging families as system partners. It features practice examples from Alaska, Delaware, Louisiana, Pennsylvania, and Texas and discusses policy considerations using national standards for care coordination and systems of care.

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Keywords: Adolescents, Child health, Chronic illnesses and disabilities, Health care systems, Policy Development, Quality improvement, Service integration, Youth

Annotation: This guide for health center staff describes a set of interprofessional oral health core clinical competencies designed to foster integration of oral health care into primary care. The guide also provides information about three pilot projects’ experiences related to implementing the competencies. Contents include recommendations to inform planning, training systems, health information systems, clinical care systems, and evaluation systems.

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Keywords: Barriers, Clinics, Community health centers, Interdisciplinary approach, Oral health, Primary care, Program development, Service integration, Systems development

Annotation: This brief describes the maternal health crisis in the United States, noting that the U.S. has the highest maternal mortality rate among high-income nations, with more than 80% of pregnancy-related deaths considered preventable. It explains how the crisis disproportionately affects people of color, particularly Black women who die at three to four times the rate of non-Hispanic White women from pregnancy-related complications. The document outlines key factors contributing to these disparities, including implicit and explicit racial bias, systemic bias, barriers for people with disabilities, limited access to healthcare facilities, lack of skilled providers, socioeconomic challenges, and domestic safety concerns. It presents the White House Blueprint for Addressing the Maternal Health Crisis, which identifies five goals and more than 50 action steps to improve maternal health, and introduces Evidence to Action Briefs developed by the Maternal Health Learning & Innovation Center to facilitate implementation. The brief includes detailed data visualizations depicting maternal mortality trends by race, ethnicity, geography, and causes of death, and features the ROOTT Framework that illustrates how structural and social determinants affect maternal health outcomes.

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Keywords: Barriers, Blacks, Data, Federal initiatives, Health care disparities, Health care systems, Maternal health, Maternal morbidity, Maternal mortality, Quality improvement, Service integration, Social determinants of health, Trends

Annotation: This implementation guide is intended to assist health systems and centers in Wisconsin that are interested in addressing oral health inequities within their patient population by implementing a medical-dental integration (MDI) approach to patient care. The guide provides information about the Wisconsin (WI)-MDI model and the associated implementation process. It describes the steps needed to integrate a dental hygienist into primary care appointments, especially well-child visits and obstetric visits. The guide also highlights key considerations for health systems or centers located outside Wisconsin that are exploring variations on MDI efforts.

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Keywords: Dental hygienists, Health centers, Health systems, Oral health, Pregnant women, Primary care, Service integration, State programs, Wisconsin

Annotation: This report outlines goals and strategies for advancing oral health equity, increasing access to oral health care, preventing oral disease, and improving oral health in Minnesota. It included five key focus areas: oral health infrastructure; access to oral health care; health systems integration; disability, special health care needs, and inclusion; and data. Oral health disparities in Minnesota, work and achievements since Minnesota’s first state oral health plan, best practices, and future directions are also discussed.

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Keywords: Access to health care, Data, Health care systems, Health equity, Minnesota, Oral health, Prevention, Service integration, Special health care needs, State planning

Annotation: This toolkit is designed to serve as a guide for health professionals, organizations, health systems, states, and payers interested in advancing the integration and coordination of oral health, mental health, and substance use care and treatment. It presents a coordination and integration framework based on 10 models. For each model, a description is provided, along with examples of the model in practice, key planning questions, potential funding approaches, potential data-monitoring measures, a list of tools, and an example or case study.

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Keywords: Care coordination, Health care systems, Mental health, Oral health, Service integration, Substance use behavior, Treatment

Annotation: This report discusses the role of teledentistry in reducing barriers that communities and populations face when seeking oral health care. It is intended to serve as a framework for states and territories to use in identifying opportunities and strategies for how to incorporate teledentistry into their oral-health-delivery systems. Topics include background and rationale, guidelines and recommendations, best practice criteria, and state practice examples.

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Keywords: Health care delivery, Health care systems, Oral health, Service integration, Teledentistry

Annotation: This report provides information on a continuum undertaken to explore the benefits of integrating oral health into overall health. The continuum consisted of a series of webinars, background analyses, published papers, and a virtual salon. The report includes an overview of continuum components and discusses key themes from the continuum. A summary of sessions is included.

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Keywords: Health systems, Oral health, Prevention, Public policy, Service integration

Annotation: This technical report presents a blueprint for structural improvement designed to rebuild the national oral health care system with the goal of providing equitable oral health care for everyone. The tool encompasses five “levers” (worksheets) that include national-, state-, and local-level action items in the following areas: amplify consumer voices, advance oral health policy, integrate oral health care and medical care, emphasize prevention, and bring care to the people.

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Keywords: Health equity, Oral health, Prevention, Service delivery systems, Service integration

Annotation: This report is a compilation of research, survey data, and best practices that outlines the landscape for children's vision and eye health in the United States. Contents include information about the prevalence and impact of vision disorders in U.S. children, receipt of vision screening for infants and children from birth through age 17, and state approaches to ensuring children's vision and eye health. Additional topics include vision screening rates and requirements by state, pediatric vision benefits available under the Affordable Care Act, what is included in a strong vision health system of care, and model children's vision legislation. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Adolescents, Children, Costs, Health care reform, Health insurance, Health status, Policy development, Prevalence, Preventive health services, Primary care, Reimbursement, Research, Screening, Service integration, Standards, State programs, State surveys, Statistical data, Systems development, Vision, Vision disorders

Annotation: This report examines oral health care data in the context of Oregon’s health system transformation, including the launch of coordinated care organizations and expansion of the state Medicaid program, Oregon Health Plan. Topics include provider distribution, utilization, patient experience, care coordination, and oral health integration. Information about stakeholder groups, technical specifications, and a measure dashboard are included.

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Keywords: Coordination, Data analysis, Health care reform, Health care systems, Health insurance, Measures, Medicaid, Oral health, Oregon, Patient Protection and Affordable Care Act, Service integration, State programs, Statewide planning, Trends

Annotation: This report presents recommendations for transforming the behavioral health system in Oregon into a coordinated-care model that will integrate behavioral health care with physical care and oral health care. Topics include governance and finance, standards of care and competencies, work force, and information exchange and coordination of care.

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Keywords: Behavior, Collaboration, Coordination, Mental health, Models, Oregon, Service integration, Statewide planning, Systems development, Work force

Annotation: This paper provides information about initiating interprofessional networks that integrate and coordinate person-centered oral health care in rural communities. Topics include oral health as a national issue with rural implications, interprofessional practice and the oral-systemic health connection, creating networks and a learning collaborative, state offices of rural health and medicaloral expanded care initiation, and challenges and opportunities for innovation. Examples from Colorado, Pennsylvania, and South Carolina are included.

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Keywords: Collaboration, Colorado, Community based services, Health care delivery, Information systems, Oral health, Oral health care, Pennsylvania, Program coordination, Provider networks, Rural environment, Rural health, Rural population, Service integration, South Carolina, State initiatives, Systems development, Technology, Work force

Annotation: This paper proposes community schools as a strategy for school improvement. Topics include what a community school looks like at the school level, how community schools support provisions in the Every Student Succeeds Act, and how states can support community schools. Information about community school and initiative exemplars, resources, and partners are included.

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Keywords: Adolescents, Children, Coalitions, Collaboration, Community coordination, Community participation, Equal opportunities, Families, Learning, Models, Organizational change, Program improvement, Public private partnerships, Relationships, School districts, Schools, Service integration, Social support, Systems development

Annotation: This report describes early childhood trauma and its effects, offers promising strategies for early care and education (ECE) programs and systems to help young children who have experienced trauma, and presents recommendations for state policymakers and other stakeholders looking to support trauma-informed ECE for this group.

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Keywords: Chlld care, Community based services, Early childhood education, Family support services, Policy development, Service integration, Systems development, Trauma care, Vulnerability, Work force, Young children

Annotation: This report summarizes information from a summit held on September 9, 2015, to discuss strategies for improving oral health for pregnant women and infants in Wisconsin. The report describes five themes supported by both oral health communities and overall health communities: reimbursements and insurance availability, coordination and integration, training, awareness, and practice settings. Contents include a statewide plan to reduce the prevalence of oral disease among pregnant women and infants who are underserved by integrating high-quality oral health care into the health-care-delivery system. [Funded by the Maternal and Child Health Bureau]

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Keywords: Community action, Conference proceedings, Dental insurance, Health care delivery, Health care systems, Infants, Oral health, Oral health care, Pregnant women, Primary care, Quality assurance, Reimbursement, Service coordination, Service integration, Statewide planning, Training, Wisconsin, Work force

Annotation: This report describes a project to expand preventive school-based oral health services to include restorative care in four high-need rural school districts in New York. Topics include delivery-system design, interdisciplinary care, client/community education, continuous quality improvement, sustainability, evaluation, and resources and capabilities. Appendices include the project services timeline, a risk-assessment tool, a workflow diagram, enrollment and consent forms, posters, a brochure, video links, promotional materials, a satisfaction survey, and a press release. The process, outcome, and impact indicators/minimal data set is also provided. [Funded by the Maternal and Child Health Bureau]

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Keywords: Comprehensive health care, Final reports, Health services delivery, Interdisciplinary approach, Local initiatives, Model programs, New York, Oral health, Oral health care, Program improvement, Quality assurance, Rural population, School based clinics, School districts, Service integration, Systems development

Annotation: This report describes a project to implement comprehensive oral health services in two school-based health centers operating in the Los Angeles Unified School District. Topics include delivery-system design, interdisciplinary care, client/community education, continuous quality improvement (CQI), sustainability, evaluation, and resources and capabilities. Appendices include the CQI plan, integration report, operations manual, and spatial analysis. A break-even analysis and process, outcome, and impact indicators/minimal data set are also provided. [Funded by the Maternal and Child Health Bureau]

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Keywords: California, Comprehensive health care, Final reports, Health services delivery, Interdisciplinary approach, Local initiatives, Model programs, Oral health, Oral health care, Program improvement, Quality assurance, School based clinics, School districts, Service integration, Systems development, Urban population

Annotation: This report describes a project to integrate comprehensive oral health care into a school-based health center in Minneapolis, MN. Topics include delivery-system design, interdisciplinary care, client/community education, continuous quality improvement (CQI), sustainability, evaluation, and resources and capabilities. A project brochure; a CQI plan; a memorandum of under- standing template; a permission form; and the process, outcome, and impact indicators/minimal data set are also available. [Funded by the Maternal and Child Health Bureau]

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Keywords: Comprehensive health care, Final reports, Health services delivery, Interdisciplinary approach, Local initiatives, Minnesota, Model programs, Oral health, Oral health care, Program improvement, Quality assurance, School based clinics, Service integration, Systems development, Urban population