Search Results: MCHLine

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. 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

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

Annotation: This tool was developed to conduct environmental scans to learn about factors that could impact the integration of oral health care into primary care at the state level to inform the work of the Networks for Oral Health Integration (NOHI) Within the Maternal and Child Health Safety Net projects. In addition to questions, the tool includes background information, instructions, and definitions. Question categories include scope of practice, reimbursement, policy and regulation, and optional questions. [Funded by the Maternal and Child Health Bureau]

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Keywords: Oral health, Primary care, Service integration

Annotation: This toolkit provides actionable information, algorithms, and clinical guidance to support detection, assessment, and treatment of perinatal mood and anxiety disorders. Included is a summary of perinatal mental health conditions; patient screening and treatment guidance; a how-to guide on integrating mental health care into obstetric practice; and educational resources for providers, patients, and families. The toolkit was developed by the UMass Chan Medical School and reviewed by members of the American College of Obstetricians and Gynecologists' Maternal Mental Health Expert Work Group.

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Keywords: Mental health, Obstetrical care, Perinatal care, Service integration

Annotation: This report provides an overview of the Networks for Oral Health Integration Within the Maternal and Child Safety Net project and descriptions of the three networks. The report includes a profile of each network: (1) Midwest Network for Oral Health, (2) Rocky Mountain Network for Oral Health, and (3) Transforming Oral Health for Families. Each profile provides information on the network’s partners, approach, settings, models of care, strategies to help sustain models of care in community health centers, and core function activities, as well as a discussion of the COVID-19 pandemic’s impact on network activities. [Funded by the Maternal and Child Health Bureau]

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Keywords: High risk children, High risk groups, Infant health, Oral diseases, Oral health, Pregnant women, Service delivery, Service integration

Annotation: This chartbook provides information on facilitators of and barriers to integrating oral health care into primary care for pregnant women and children in Arizona. The chartbook provides data related to scope of practice for oral health professionals and other health professionals, Medicaid billing and reimbursement, dental hygienists, dental therapists, community health workers, and teledentistry. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Arizona, Community health centers, Fluoride, Oral health, Pregnant women, Primary care, Service integration, State information

Annotation: This chartbook provides information on facilitators of and barriers to integrating oral care into primary care for pregnant women and children in Colorado. The chartbook presents information on fluoride varnish application; fluoride varnish billing; dental hygienist, therapist, and assistant scopes of practice; teledentistry; community water fluoridation; state strengths related to allowable activities for dental hygienists; and opportunities. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Colorado, Community health centers, Fluoride, Oral health, Pregnant women, Primary care, Service integration, State information

Annotation: This chartbook provides information on facilitators of and barriers to integrating oral health into primary care for pregnant women and children in Montana. It provides information on fluoride varnish application; fluoride varnish billing; dental hygienist, therapist, and assistant scopes of practice; teledentistry; community water fluoridation; state strengths related to allowable activities for dental hygienists; and opportunities. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Community health centers, Fluoride, Montana, Oral health, Pregnant women, Primary care, Service integration, State information

Annotation: This chartbook provides information on facilitators of and barriers to integrating oral health care into primary care for pregnant women and children in Wyoming. The chartbook provides data related to scope of practice for oral health professionals and other health professionals, Medicaid billing and reimbursement, dental hygienists, dental therapists, community health workers, and teledentistry. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Community health centers, Fluoride, Oral health, Pregnant women, Primary care, Service integration, State information, Wyoming

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.

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

Annotation: This brief provides information on the development of a capacity-inventory tool to help state oral health program staff assess systems-level capacity factors and prioritize needs. The brief discusses the importance of oral health, especially during pregnancy, and strategies to advance oral health equity for the maternal and child health population. Factors contributing to state systems-level capacity to improve integration of oral health care and primary care for pregnant women are organized by categories. [Funded by the Maternal and Child Health Bureau]

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Keywords: Oral health, Oral health equity, Pregnant women, Primary care, Service integration, State programs

Annotation: This report provides information on a life course approach to oral health that focuses on the oral-systemic interactions upon which a medical-dental integration (MDI) model can be built. The report offers an over- view of the bidirectional nature of oral and systemic diseases across different life phases and how integrated health care delivery can improve access to care and health outcomes. It also discusses gaps in, challenges to, and barriers to creating integrated models and provides recommendations for improving the future of MDI.

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Keywords: Health care delivery, Oral health, Prevention, Program coordination, Service integration

Annotation: This brief highlights goal 1 of the White House blueprint for addressing the maternal health crisis, which is to increase access to and coverage of comprehensive high-quality maternal health services, including behavioral health services. The brief outlines the need to strengthen risk-appropriate care in rural and urban areas; improve quality of care provided to pregnant and postpartum women with or at risk for hypertensive disorders of pregnancy; expand capacity to screen, assess, treat, and refer for maternal depression and related behavioral disorders; and Integrate behavioral health supports in community settings. Evidence-informed strategies for improvement, criteria for states to consider when developing strategies, and additional resources are included. Statistics on the percentage of women ages 15-49 with health insurance (by source of coverage); percent of Medicaid coverage by race/ethnicity; and births covered by Medicaid are also provided.

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Keywords: Access to care, Barriers, Health insurance, Initiatives, Maternal health, Medicaid, Mental health services, Perinatal care, Service integration

Annotation: This report provides information about oral health in the District of Columbia (DC). It discusses characteristics of DC’s diverse population and social determinants of health. It also describes the District’s oral health landscape, including the safety net infrastructure, and the location of federally qualified health centers that provide oral health care and other types of health care. In addition, it discusses the oral health workforce, efforts to integrate oral health care into primary care, and challenges related to achieving equitable access to oral health care.

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Keywords: Access to health care, District of Columbia, Health care delivery, Oral health, Oral health equity, Service integration, Socioeconomic factors, State information

Annotation: This report provides information from an evaluaion of the North Dakota Oral Health Program. Topics include community water fluoridation, oral health services provided in federally qualified health centers, all North Dakota school-based dental sealant programs, SEALIND: all schools served by one North Dakota school-based dental sealant program, SEALIND: schools qualifying for oral health services based on need, and the integration of oral health care and primary care in a North Dakota family medical center.

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Keywords: Dental sealants, Fluoride, North Dakota, Oral health, School health, School-age children, Service delivery, Service integration, State information, State programs

Annotation: This report provides an overview of the Networks for Oral Health Integration Within the Maternal and Child Health Safety Net project and descriptions of the three networks. The report includes a profile of each network: (1) Midwest Network for Oral Health, (2) Rocky Mountain Network for Oral Health, and (3) Transforming Oral Health for Families. Each profile provides information on the network’s partners, approach, settings, models of care, strategies to help sustain models of care in community health centers, and core function activities, as well as a discussion of the COVID-19 pandemic’s impact on network activities. [Funded by the Maternal and Child Health Bureau] zzz

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Keywords: High risk children, High risk groups, Infant health, Oral diseases, Oral health, Pregnant women, Service delivery, Service integration

Annotation: This issue brief highlights Action 1.15 from the White House Blueprint for Addressing the Maternal Health Crisis, focusing on integrating behavioral health supports in community settings through community health workers (CHWs) and patient navigators. The document examines the essential role of CHWs in addressing healthcare disparities and improving maternal health outcomes, presenting evidence of their effectiveness in increasing access to care and supporting positive health behaviors. It provides detailed information about the current state of the CHW workforce, including demographic data, state-level Medicaid coverage policies, and key barriers such as lack of standardized training and sustainable funding. The brief outlines specific innovations being implemented across states and offers evidence-based strategies for developing and supporting CHW programs, with particular attention to examples from state maternal health initiatives in North Carolina and Maryland.

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Keywords: Behavioral disciplines and activities, Community health workers, Community-based services, Health care disparities, Maternal health, Maternal morbidity, Service integration, State initiatives

Annotation: This assessment provides information for community health centers (CHCs) to help them determine their readiness for integrating oral health care and primary care. The assessment poses questions for CHC staff to answer and score. Questions relate to leadership vision and support, an integrated executive team, team member buy-in, champions, co-location, quality improvement, and integrated electronic health records. A scoring guide is included.

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Keywords: Community health centers, Oral health, Primary care, Quality assurance, Service integration

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