Find State ESMs

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Integrate oral health messages and strategies within existing community-based maternal and infant health programs.

Numerator: Number of pregnant women served by the Title V community health workers that have a documented screening or referral for dental services

Denominator: Number of pregnant women served by Title V community health workers

Significance: Our current pilot project promotes community-level systems changes to integrate oral hygiene practices and information about services within MICHC and link families with dental services. Successful strategies gleaned from this initiative will be disseminated to other MICHC, and potentially other home visiting projects.

Data Sources and Data Issues: Reports from MICHC grant (Bureau of Women, Infant and Adolescent Health)

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase oral health literacy and promote the value of good oral health and the importance of dental visits during pregnancy.

Numerator: The number of dental or other health care workers providing information on how to care for teeth and gums during pregnancy

Denominator: The total number of women who completed the survey

Significance: The Office of Oral Health Program (OOH), along with CT Coalition for Oral Health (CTCOH) and community stakeholders have a strong collaborative partnership toward improving perinatal and infant oral health outcomes in CT. The three strategies to achieve the oral health objective include increasing dental care provided by pediatric primary care providers directly and through referral; encouraging Pediatric PCPs to include oral health in the well child visits for children under three and for those high caries risk patients under three, the application of therapeutic topical fluoride varnish application; and advocate for funding and sustainability of the Home by One program.

Data Sources and Data Issues: Pregnancy Risk Assessment Monitoring System (PRAMS)

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase the number of community health centers that implement the MA Oral Health Practice Guidelines for Pregnancy and Early Childhood and provide standard, high-quality oral health care

Numerator: Number of community health centers that have adopted/implemented the Guidelines

Denominator: Total number of community health centers in MA

Significance: The Guidelines discuss the importance of oral health care during pregnancy and during early childhood. They were written for prenatal care providers, pediatric providers and for oral healthcare providers, with the input and recommendations coming from a wide range of clinicians and public health officials. By adopting the Guidelines, CHCs will be providing high-quality standard-of-care which will directly improve NPM #13. MA objectives aligned with this NPM also will be directly impacted by implementing the Guidelines. The ESM of percentage of CHCs which implement the Guidelines provides a strong proxy for NPM data available from PRAMS for part A and from NSCH for part B and is supported by the National Maternal and Child Oral Health Policy Center and cited by Mills and Moses (2002) as evidence-based strategies to improve maternal and child oral health (http://www.astdd.org/docs/improving-the-oral-health-of-pregnant-and-young-children-aug-2012.pdf and http://semch.org/uploads/3/4/9/4/34942022/oral_health01_04_16.pdf).

Data Sources and Data Issues: MDPH will survey the 49 community health centers for implementation of the Guidelines.

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase the number of OBGYN and dental health providers who receive state oral health during pregnancy and infancy guidelines and training

Numerator: Number of OBGYN and dental health providers who receive pregnancy and infancy guidelines training

Denominator: Number OBGYN and dental health providers

Significance: Oral health is key to overall health and well-being for children and adults. Appropriate oral care is especially important during pregnancy, when both the woman’s own and her future child’s oral health can be affected. Title V is partnering with the Office of Oral Health to develop Maryland oral health during pregnancy and infancy practice guidelines for medical and dental professionals. This ESM will report on the number of providers who receive/are trained on the new guidelines, which are still in development. The goal is to begin dissemination of guidelines to health care providers in Fall/Winter 2017. Objective targets may be updated during FY18 based on initial roll-out.

Data Sources and Data Issues: MDH Office of Oral Health

Year: 2017/2019

Unit Type: Count, Unit Number: 10,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Promote BOHDS new website which includes community member materials as well as the Oral Health Tool Kit.

Numerator: # of hits on BOHDS website

Denominator: N/A

Significance: The use of a website can assist with public awareness to the importance of oral health for pregnant women and children. Content regarding resources, when to go to the dentist, how often and when your child should have their first dental visit are all topics addressed.

Data Sources and Data Issues: Worldways (social marketing contractor) monthly reports

Year: 2017/2019

Unit Type: Count, Unit Number: 60,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase the number of places where oral health education is given by Office of Oral Health staff (ROHCs)

Numerator: Number of WIC sites where oral health education is given to program participants by ROHCs

Denominator: N/A

Significance: Prevention of oral disease and referral to dental home.

Data Sources and Data Issues: WIC/Office of Oral Health

Year: 2017/2019

Unit Type: Count, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase the number of prenatal care providers educated on national consensus statement by 20%.

Numerator: Number of WV prenatal care providers educated on national consensus statement.

Denominator: Number of WV prenatal care providers.

Significance: Through ongoing work of the Oral Health Program on perinatal oral health quality improvement, it is understood that there are many challenges around dental care during pregnancy. The national consensus statement is currently the best resource to create a standard knowledge base for dental care during pregnancy. Education of prenatal care providers on this topic should increase the number of pregnant women who are referred for dental care during pregnancy and increase the number of pregnant women receiving dental services.

Data Sources and Data Issues: Information will be collected by Oral Health Program through work of state program staff and Regional Oral Health Coordinators. There is no anticipated issue with this data collection.

Year: 2017/2019

Unit Type: Count, Unit Number: 1,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase the number of medical practices receiving an outreach visit from an I-Smile Coordinator

Numerator: Number of medical practices received an outreach visit from an I-Smile Coordinator

Denominator: Total number of medical practices

Significance: Partnering with local medical providers to do continued education for pregnant women on the importance of a dental visit will ensure the information is coming from a trusted source and will increase the number of patients with a dental visit in the past year.

Data Sources and Data Issues: Year end reports from local Title V agencies

Year: 2017/2019

Unit Type: Count, Unit Number: 1,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase provider knowledge of perinatal oral health as well as provider comfort in discussing the importance of oral health with patients.

Numerator: N/A - This is a count

Denominator: N/A - This is a count

Significance: Studies indicate that the medical community may not be prepared to discuss the importance of oral health with patients, specifically during pregnancy. Furthermore, the dental community may be misinformed about practices and protocol surrounding dental treatment during the perinatal period. By educating providers, patients will in turn be better informed of the significance of perinatal oral health and will be more likely to seek dental care during the perinatal period.

Data Sources and Data Issues: The data source for this measure will be a tracking database developed by the MDHHS oral health program. This database includes a monthly count of the number and types of providers trained in perinatal oral health as well as the location and mechanism of education.

Year: 2017/2019

Unit Type: Count, Unit Number: 1,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: To integrate oral health into state Maternal and Child Health (MCH), Health Promotion, and Chronic Disease Prevention programs.

Numerator: Number of materials developed on the common risk factors and associations between chronic diseases and poor oral health such as cavities and periodontal disease.

Denominator: N/A

Significance: Chronic disease prevention programs present a critical opportunity for linked messaging and interventions with oral health. The Oregon Health Authority, Maternal and Child Health Section will be developing materials for pregnant women and adults on the association between poor oral health and adverse health outcomes that include chronic conditions. This measure will allow the Oregon Health Authority to assess the scope of the materials developed.

Data Sources and Data Issues: Log of materials produced

Year: 2017/2019

Unit Type: Count, Unit Number: 10

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: By 2020, increase by 30% the number of inter agency partnerships implemented to better coordinate dental services for pregnant women and children.

Numerator: Number of interagency partnerships implemented

Denominator: None

Significance: Public health issues are best addressed by developing and sustaining partnerships between community organizations, academic institutions, and government. These partnerships provide opportunities to promote workforce development as well as address unmet oral health needs and eliminate oral health disparities among pregnant women and children.

Data Sources and Data Issues: Internal program data from the Office of Oral Health

Year: 2017/2019

Unit Type: Count, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Train 100 RI healthcare providers on Oral Health by 2020

Numerator: Number of healthcare providers trained on Oral Health by the RIDOH Oral Health Program

Denominator: N/A

Significance: Healthcare providers play a pivotal role in promoting dental visits. This is especially true during pregnancy as women are more open to attending to their health and are more susceptible to oral health issues. Training more healthcare providers on this topic, as well as referral mechanisms, is intended to increase the number of pregnant women having a preventive dental visit.

Data Sources and Data Issues: RIDOH Oral Health Program

Year: 2017/2019

Unit Type: Count, Unit Number: 200

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Top level: direct services

Service Recipient: Activities directed to families/children/youth

Goal: To assist identified at-risk women in having healthy pregnancies to avoid poor birth outcomes by obtaining the health, dental, and social services needed.

Numerator: At-risk pregnant women in need of health, dental, and social services who receive needed services.

Denominator: At-risk pregnant women in need of health, dental, and social services.

Significance: By implementing the First Steps Program, comprehensive healthcare services will be promoted for low-income pregnant women. The program's goal will be to assist identified at-risk women in having healthy pregnancies, to avoid poor birth outcomes, and to assist mothers in obtaining the health, dental, and social services that they need.

Data Sources and Data Issues: Data Sources: ADPH PRAMS Data Alabama Medicaid Agency Alabama Social Services Program Data Data Issues: Data issues will vary depending upon the data source in use.

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities related to systems-building

Goal: To develop a strategic plan that includes recommendations for improving the oral health of women and children in Illinois

Numerator: not applicable

Denominator: not applicable

Significance: This ESM will measure an output of strategy #2-L: Collaborate with the IDPH Division of Oral Health to convene stakeholders and develop a statewide report on oral health during pregnancy and early childhood. The IDPH Division of Maternal, Child, and Family Health Services and IDPH Division of Oral Health are currently partnering to develop a statewide report on the oral health of pregnant women and young children, modeled after the work of Massachusetts. This effort includes extensive data analysis and stakeholder engagement, and it is anticipated the report will be completed sometime during calendar year 2018.

Data Sources and Data Issues: IDPH Staff Report

Year: 2017/2019

Unit Type: Text, Unit Number: Yes/No

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Top level: direct services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of EHS pregnant women who had a dental exam and/or treatment during pregancy.

Numerator: Number of EHS pregnant women who had a dental exam and/or treatment during the reporting year

Denominator: EHS total enrollment of pregnant women

Significance: Measures the number of pregnant women in the EHS program who had a dental exam and/or treatment during pregancy.

Data Sources and Data Issues: Utah Office of Head Start - Program Information Report (PIR) Summary Report - 2015 - State Level, Numerator - line C.21, p. 17; Denominator = line A.14, p. 3

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase the number of comprehensive webinars/presentations offered to health professionals from 0 to 20

Numerator: Number of comprehensive webinars/presentations offered

Denominator: Not applicable

Significance: Oral health is a vital component of overall health. Access to oral health care, good oral hygiene, and adequate nutrition are essential component of oral health to help ensure that children, adolescents, and adults achieve and maintain oral health. People with limited access to preventive oral health services are at greater risk for oral diseases. Oral health care remains the greatest unmet health need for children. Insufficient access to oral health care and effective preventive services affects children’s health, education, and ability to prosper. Early dental visits teach children that oral health is important. Children who receive oral health care early in life are more likely to have a good attitude about oral health professionals and dental visits. Pregnant women who receive oral health care are more likely to take their children to get oral health care. State Title V Maternal Child Health programs have long recognized the importance of improving the availability and quality of services to improve oral health for children and pregnant women. States monitor and guide service delivery to assure that all children have access to preventive oral health services. Strategies for promoting oral health include providing preventive interventions, such as dental sealants and use of fluoride, increasing the capacity of State oral health programs to provide preventive services, evaluating and improving methods of monitoring oral diseases and conditions, and increasing the number of community health centers with an oral health component.

Data Sources and Data Issues: Data Source: Oral Health Program Data

Year: 2017/2019

Unit Type: Count, Unit Number: 20

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase awareness of the importance of good oral health while pregnant and the relationship to positive birth outcomes by working with BOHDS to create a social marketing campaign.

Numerator: Social Marketing campaign presented on dethrives.com

Denominator: N/A

Significance: Survey findings tell us that most mothers are not aware of the impact that poor oral health care has on birth outcomes. There are those that also believe that it is dangerous to their unborn babies health to have an oral health check up during pregnancy. We intend to debunk the myths and spread awareness that will show that oral health is a critical piece of prenatal health.

Data Sources and Data Issues: Worldways marketing campaign and google analytics for number of hits on dethrives.com.

Year: 2017/2019

Unit Type: Count, Unit Number: 200

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: To produce a report from the oral health pilot project, which will help other facilities increase their rates of dental care to pregnant clients.

Numerator: One Pilot Project Results Report

Denominator: One Pilot Project Results Report

Significance: The FCHB has a pilot project in FY 2017 with the Flathead CPHD and CHC, to increase dental care for pregnant clients. Data collection and patient flow process procedures are being established, and quality improvement is ongoing. A successful processes and lessons learned report will be distributed to other co-located CPHD/CHCs in the state, to help increase the overall rate of pregnant clients receiving appropriate dental care at these facilities.

Data Sources and Data Issues: Family & Community Health Bureau

Year: 2017/2019

Unit Type: Count, Unit Number: 1

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Assure access to oral health services for pregnant women, all children (including those with special health care needs), and their families.

Numerator: Number of Regional Oral Health Alliances that implemented work plans to increase dental visits among pregnant women

Denominator: N/A

Significance: Oral health is a vital component of overall health and oral health care remains the greatest unmet health need for children. Insufficient access to oral health care and effective preventive services affects children’s health, education, and ability to prosper. Preventive dental care in pregnancy is also recommended by the American College of Obstetricians and Gynecologists (ACOG) to improve lifelong oral hygiene habits and dietary behavior for women and their families.

Data Sources and Data Issues: Virginia Department of Health, Office of Family Health Services, Division of Prevention and Health Promotion (DPHP); Oral Health Program documentation

Year: 2017/2019

Unit Type: Count, Unit Number: 1,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the knowledge and awareness of women regarding the importance of their oral health and that of their children

Numerator: Number of expectant mothers and those post-partum who received oral health education

Denominator: N/A

Significance: Oral Health promotion and oral disease prevention in parents and children; referral to dental home

Data Sources and Data Issues: Office of Oral Health/PHRM/FQHC partners

Year: 2017/2019

Unit Type: Count, Unit Number: 1,000