Search Results: MCHLine

Annotation: This report offers recommendations to support North Carolinians in accessing high-quality and affordable oral health care. The recommendations were developed by the North Carolina Institute of Medicine's Oral Health Transformation Task Force. Strategies for addressing each of the 14 recommendations are provided. Also discussed is executing a collaborative implementation plan for oral health transformation in North Carolina.

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Keywords: Access to health care, Collaboration, Health promotion, North Carolina, Oral health, Service integration, State information

Annotation: This report provides information about oral health status and dental visits among children in grades K through 12 and pregnant women in North Dakota. Topics include students in kindergarten, students in third grade, students in grades through 12 participating in SEALIND, medical-dental integration in a family medical center, and pregnancy.

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Keywords: Adolescents, Dental caries, Dental sealants, Health care utilization, North Dakota, Oral health, Pregnant women, Racial factors, School health, School-age children, Service integration, State information, State programs, Toothbrushing

Annotation: This report describes programmatic efforts of the Integrating Oral Health Care and Primary Care Learning Collaborative: A State and Local Partner- ship project designed to integrate oral health care and prenatal care, with both a state and a local component. The report discusses project team selection, the state-level approach, the local-level approach, use of stipend funds and in-kind support, and integration of interprofessional oral health core clinical competencies into prenatal care at the participating clinic site. The report’s executive summary is available separately. [Funded by the Maternal and Child Health Bureau]

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Keywords: Clinics, Local programs, Oral health, Pregnant women, Prenatal care care, Service integration, State programs

Annotation: This report spotlights five programs focused on integrating oral health care into primary care serving the maternal and child health population. Each spotlight includes an overview of the program; a description of its inception and early years; information about funding, notable strengths, notable evaluation activities, and evaluation methodology; select evaluation findings; and resources to learn more about evaluation. The report also describes key elements for individual program success and the challenges common across all programs that limit program success. Stand-alone spotlights of each program are also available. [Funded by the Maternal and Child Health Bureau]

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• Webpage With Stand-alone Spotlight Reports

Keywords: Evaluation, Infants, Oral health, Pregnant women, Primary care, Service integration, Young children

Annotation: This report provides information about why medical- dental integration (MDI), a model of care that emphasizes the connection between oral health and systemic health, is important. Topics include MDI efforts in Connecticut, emerging MDI-related trends outside Connecticut, barriers to MDI, and policy and program recommendations.

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Keywords: Connecticut, Oral health, Public policy, Service integration, State information, State programs, Trends

Annotation: This checklist, which is intended for clinics participating in the Networks for Oral Health Integration Within the MCH Safety Net's Rocky Mountain Network of Oral Health, is designed to help ensure that work done toward integrating oral health care is sustained after the project has ended. The checklist includes items demonstrating that oral health has been integrated into a practice. Examples from the checklist include submitting a written self-assessment, updated job descriptions, an onboarding process, a patient health history intake form, and appropriate policy documents. zzz

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Keywords: Guidelines, Infant health, Oral health, Pregnant women, Primary care, Service integration, Young children

Annotation: This report discusses systemic barriers to oral health care and overall health care coordination and how these barriers can be mitigated. It provides an analysis of 715 pieces of literature and categorizes them into five primary segments: education exploratory, education implemented, health professional exploratory, health professional implemented, and informative. The report highlights ways that the literature reflects four main themes: awareness, workforce development and operations, information exchange, and payment. Recommendations for developing frameworks to address oral health care and overall health care coordination are included. zzz

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Keywords: Care coordination, Oral health, Reimbursement, Research, Service integration

Annotation: This report provides an overview of the Networks for Oral Health Integration (NOHI) Within the Maternal and Child Health (MCH) Safety Net and a profile of each of three projects: (1) Midwest Network for Oral Health Integration, (2) Rocky Mountain Network of Oral Health, and (3) Transforming Oral Health for Families. Each profile provides information about the network’s partners, approach, settings, models of care, and core function activities, as well as a discussion of the impact of the COVID-19 pandemic on network activities.

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Keywords: Oral health, Service delivery, Service integration

Annotation: This report discusses the importance of integrating oral health care and mental health care into obstetrical care to improve the overall health of women during and after pregnancy. The report explains why poor oral health and mental health may be a particular problem for women during and after pregnancy, and how oral health and mental health are linked. The report also explains the role obstetricians can play in identifying oral health and mental health problems in pregnant and postpartum women.

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Keywords: Gynecology, Mental health, Obstetrical care, Oral health, Pregnant women, Service integration, Statistical data

Annotation: In this season finale of AIM for Safer Birth 2024 podcast series, host Christie Allen is joined by Dr. Veronica Gillispie-Bell to reflect on key themes from the season, including rural maternity care, collaborative models, and the structural barriers impacting maternal health. They discuss the realities of hospital closures, the importance of integrating community birth centers, and the critical need for sustainability in quality improvement efforts. Dr. Gillispie-Bell shares insights on bridging gaps across disciplines, tackling systemic inequities, and how to keep patients' goals at the center of care. Plus, they dive into the transformative power of data and the lessons that can guide future improvements.

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Keywords: Barriers, Collaboration, Data, Health equity, Maternal health, Model programs, Rural health, Service integration

Annotation: This report examines the critical impact of mental health and substance use disorders on maternal mortality and morbidity in the United States, highlighting how suicide and substance use-related overdoses account for over 20 percent of postpartum deaths. It presents promising approaches from states including Massachusetts, New Jersey, Oregon, New Hampshire, and California that integrate maternity care with behavioral health services and social supports. The report outlines six key recommendations for improving care: supporting dedicated multidisciplinary care teams, centering people with lived experience to drive health equity, normalizing substance use care, training all staff on bias and stigma, expanding the community-based workforce including doulas and peer recovery specialists, and implementing harm reduction and street medicine approaches. The authors emphasize that with nearly every state now providing 12 months of postpartum Medicaid coverage, there are unprecedented opportunities to implement integrated, trauma-informed, non-punitive care models that can significantly reduce maternal mortality and improve outcomes for families.

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Keywords: Substance abusing pregnant women, Community participation, Disorders, Health care reform, Initiatives, Maternal morbidity, Maternal mortality, Medicaid, Mental health, Model programs, Perinatal addiction, Perinatal care, Postpartum care, Quality improvement, Risk factors, Service integration, Substance use disorders

Annotation: This resource workbook for healthcare providers addresses integrating mental health care into obstetric settings to improve outcomes for pregnant and postpartum people. It presents evidence-based guidance including universal screening recommendations for depression, anxiety, bipolar disorder, and post-traumatic stress disorder at multiple points during the perinatal period, with particular emphasis on screening for bipolar disorder prior to initiating antidepressant treatment due to risks of mania, psychosis, and suicide. The workbook advocates for behavioral health therapy as the priority treatment for mild to moderate conditions and stresses the importance of trauma-informed care, anti-racism training, and addressing social drivers of health to create safe environments for disclosure and treatment. It includes the Alliance for Innovation on Maternal Health Perinatal Mental Health Conditions patient safety bundle components organized into readiness, recognition and prevention, response, reporting and systems learning, and respectful care categories. The publication highlights Missouri data showing mental health conditions as the leading cause of pregnancy-related deaths from 2018 to 2020, with suicide deaths doubling and all mental health-related deaths found to be preventable. Resources include screening tools, provider toolkits, educational materials, and information about the Missouri Maternal Health Access Project, a statewide perinatal psychiatry access program.

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Keywords: Mental health, Missouri, Obstetrical care, Perinatal care, Service integration, State Initiatives

Annotation: This fact sheet provides information on the bidirectional link between periodontal disease and diabetes and offers ideas about how integrating oral health care and medical care can help improve oral health and diabetes outcomes for adults. It provides information on the relationship between diabetes and periodontal disease, the oral health status of adults with and without diabetes, and time since last dental visit among adults with and without diabetes. zzz

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Keywords: Diabetes, Health care, Oral health, Periodontal diseases, Service integration

Annotation: This manual provides information about how to integrate oral health care and medical care. Topics include coordination with oral health professionals and non-oral-health professionals, utilization management (i.e., evaluating the efficiency and appropriateness of services), financial management, optimizing bundled payments in the dental supply network, technology and adapting to change, and regulatory and policy considerations.

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Keywords: Costs, Medical care, Oral health care, Public policy, Regulations, Service coordination, Service integration

Annotation: This assessment and environmental scan provides information on and examples of how the integration of oral health care and medical care may impact the oral health care field. Topics include (1) oral health care pricing and reimbursement, (2) Medicare and the oral health care market, (3) tangential industries moving to Medicare-based payment models, and (4) value-based care models and their potential implications for oral health care.

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Keywords: Costs, Low income groups, Medical care, Medicare, Oral health care, Reimbursement, Service integration

Annotation: This infographic provides information on Smiles for Moms and Babies (SMB) Program completed activities from 2016 through the present, as well as on an activity currently being implemented. SMB, which is part of the Texas Health and Human Services' Department of State Health Services, is also part of the Health Resources and Services Administration's Perinatal and Infant Oral Health Quality Improvement cooperative agreement, which is administered by the National Maternal and Child Oral Health Resource Center. Activities are presented by year.

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Keywords: Collaboration, Home visiting, Infant health, Oral health, Pregnant women, Quality, Service integration, State programs, Texas, Training

Annotation: This guide discusses lessons learned from quality- improvement projects conducted to integrate oral health care in prenatal and pediatric settings. It offers steps to take in integrating oral health care in these settings. Steps are divided into the following categories: planning; setting goals; educating and training staff; launching an integration project and tracking progress; adapting resources to fit the setting; reviewing, celebrating, and discussing progress; and maintaining and sustaining progress. Advice from projects that have integrated oral health care is included.

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Keywords: Oral health, Pediatric care, Pregnant women, Prenatal care, Service integration

Annotation: This report presents information from a summit convened to advance health equity by catalyzing aligned, multistate action. The summit focused on three strategic areas: expanded oral health insurance coverage, workforce development, and integration of oral health care and overall health care. The report provides background information and an overview of the summit, as well as a description of sessions.

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Keywords: Conference proceedings, Conferences, Health equity, Health insurance, Oral health, Service integration

Annotation: This guide for prenatal and pediatric health professionals discusses lessons learned from quality-improvement projects conducted to integrate oral health care into primary care settings. Topics include planning; setting goals; educating and training staff; launching an integration project and tracking progress; adapting resources to fit the setting; reviewing, celebrating, and discussing progress; and maintaining and sustaining progress.

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Keywords: Oral health, Pregnant women, Primary care, Quality assurance, Service integration

Annotation: This report provides an overview of the Protect Tiny Teeth Implementation Project, which was designed to improve the oral health of the maternal and child population, and project results. Topics included background, focus group testing and communications messaging, environmental scan, project description, project aim, results, and Protect Tiny Teeth Toolkit overview and testing.

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Keywords: Infants, Oral health, Pregnant women, Prenatal care, Primary care, Program planning, Service integration, Young children