Find State ESMs

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Patient Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-1-1.php). Find other NPM 13.1 patient-level strategies in MCHbest.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

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: 2020

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: This ESM measures access to/receipt of care, thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: To increase the number of pregnant women who have a preventive dental visit during pregnancy

Numerator: Number of pregnant women with Medicaid who have a dental visit during pregnancy

Denominator: Total number of pregnancy women with Medicaid

Significance: Preventive dental visits are indicative of overall health of both mother and infant.

Data Sources and Data Issues: Medicaid Data from Office of Oral Health

Year: 2020

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: This ESM measures access to/receipt of care, thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Increase the proportion of Medicaid-enrolled pregnant women receiving preventative dental visits during pregnancy

Numerator: # women with a live birth paid for by Medicaid who received at least one preventative dental service during pregnancy

Denominator: # women with a live birth paid for by Medicaid

Significance: This ESM will measure an expected outcome of strategy #9-E: Participate in the Partnership for Integrating Oral Health Care into Primary Care project with DOH and a local health department to integrate the interprofessional oral health core clinical competencies into primary care practice, particularly for pregnant women and adolescents. Illinois Medicaid covers dental services for all adults, including pregnant women, but the largest barrier to receipt of services is a lack of available providers. Through this strategy, Illinois will expand the number of primary care centers who provide oral health risk assessment, screening, fluoride varnish, anticipatory guidance, direct referral to care and completion of first dental appointment for pregnant women. By increasing capacity for dental services in primary care settings, Illinois hopes to increase the proportion of women who receive preventative dental services and who are connected to a dental home.

Data Sources and Data Issues: DATA SOURCE: Illinois Department of Healthcare and Family Services (Medicaid)

Year: 2020

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=home+visit&NPM=13&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/13-oral-health.php).

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: By 2025, increase the percent of Title V HVP pregnant participants who receive oral health services post referral.

Numerator: The number of completed referrals of Title V HVP pregnant participants referred to oral health services.

Denominator: The number of Title V HVP pregnant participants referred to oral health services.

Significance: Oral health during pregnancy has an impact on the health of both mother and child that can last a lifetime. Poor maternal oral health is associated with adverse health outcomes, and the infant’s own oral health is influenced by the mother’s oral status. In spite of this knowledge, dentists are reluctant to provide oral care to pregnant women. To address this, PR MCAH proposes to strengthen collaborations with dentists and other stakeholders to develop strategies that promote preventive oral health care visits. The PR MCAH will monitor and guide public policies to improve access to preventive oral health services for all pregnant women. Title V Home Visiting Program nurses will provide education and referrals for oral health care to all pregnant participants. The rate of completed referrals will be monitored to ensure women receive the needed services.

Data Sources and Data Issues: Title V HVP logs, reports and produced documents.

Year: 2020

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with MCHbest strategy "Provider Education" (https://www.mchevidence.org/tools/strategies/13-1-3.php). Find other NPM 13.1 provider-level strategies in MCHbest.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities related to systems-building

Goal: Increase the percentage of medical providers who reported an increase of oral health knowledge following trainings and presentations throughout the year

Numerator: Number of medical providers who indicated an increase of oral health knowledge

Denominator: Total number of medical providers who attended the trainings and presentations

Significance: Oral health is a vital component of overall health. Access to oral health care, oral health education and improved oral health literacy, good oral hygiene, practicing good oral health behaviors and adequate nutrition are essential components 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 great 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. Poor oral health during pregnancy has been linked to preterm birth, low birth weight babies, gestational diabetes, and preeclampsia. Therefore oral health should be considered a vital component of comprehensive prenatal care. Additionally, pregnant women who receive oral health care are more likely to take their children to get oral health care. State Title V Maternal and 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, increase the capacity of State oral health programs to provide preventive services, evaluating and improving methods of monitoring oral diseases and conditions, and increase the number of community health centers with an oral health component.

Data Sources and Data Issues: Data Source: Georgia OBGyn Society (GOGS) and Georgia Academy Family Physicians (GAFP) Survey Data

Year: 2020

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=collaborative&NPM=13&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/13-oral-health.php).

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

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 Collaborative Projects 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: 2020

Unit Type: Simple Count, Unit Number: 1,000

Measure Status: Active

Evidence Level: Aligns with Expert Opinion MCHbest strategy "Provider Education" https://www.mchevidence.org/tools/strategies/13-1-3.php) and Emerging evidence MCHbest strategy "Patient Education" (https://www.mchevidence.org/tools/strategies/13-1-1.php) . Find other NPM 13.1 provider/patient-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 3. Inform and educate the public

Service Recipient: Activities related to systems-building

Goal: To educate providers, the community, and pregnant women on the importance of good oral health during pregnancy.

Numerator: Number of presentation or education events on the importance of oral health during pregnancy

Denominator: N/A

Significance: Pregnancy may make women more prone to periodontal (gum) disease and cavities. Oral health may be considered an important part of prenatal care, given that poor oral health during pregnancy can lead to poor health outcomes for the mother and baby. Nearly 60 to 75% of pregnant women have gingivitis, an early stage of periodontal disease that occurs when the gums become red and swollen from inflammation that may be aggravated by changing hormones during pregnancy. Periodontitis has been associated with poor pregnancy outcomes, including preterm birth and low birth weight. Pregnant women may also be at risk for cavities due to changes in behaviors, such as eating habits. Women who have a lot of cavity-causing bacteria during pregnancy and after delivery could transmit these bacteria from their mouth to the mouth of their baby. Early contact with these bacteria and to other sugars, such as from frequent snacking or taking a bottle to bed, can lead to early childhood cavities and the need for extensive dental care at a young age.

Data Sources and Data Issues: ADH Office of Oral Health

Year: 2020

Unit Type: Simple Count, Unit Number: 100

Measure Status: Active

Evidence Level: Expert Opinon. Aligns with MCHbest strategy 13.1.3 "Provider Education" (https://www.mchevidence.org/tools/strategies/13-1-3.php). Find other NPM 13.1 provider/practice-level strategies in MCHbest.

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

Service Type: Enabling services level of pyramid

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities directed to families/children/youth

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: 2020

Unit Type: Simple Count, Unit Number: 1,000

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with MCHbest strategy 13.1.3 "Provider Education" (https://www.mchevidence.org/tools/strategies/13-1-3.php). Find other NPM 13.1 provider-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

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 Simple Count

Denominator: N/A - This is a Simple 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 Simple Count of the number and types of providers trained in perinatal oral health as well as the location and mechanism of education.

Year: 2020

Unit Type: Simple Count, Unit Number: 1,000

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs (https://www.mchlibrary.org/evidence/state-esms-results.php?q=partnership&NPM=13&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) for this NPM or search for other strategies or promising practices (https://www.mchevidence.org/tools/npm/13-oral-health.php).

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

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: 2020

Unit Type: Simple Count, Unit Number: 100

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy 13.1.1 "Patient Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-1-1.php). Find other NPM 13.1 patient-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 3. Inform and educate the public

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of expectant mothers and those post-partum who received oral health education by 10% in the next year in order to increase the awareness of women regarding the importance of oral health.

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: 2020

Unit Type: Simple Count, Unit Number: 1,000

Measure Status: Active

Evidence Level: There is limited research in the evidence base for this NPM to support this strategy.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: To assist identified pregnant women who chew betelnut with tobacco in having healthy pregnancy to avoid poor birth outcomes by obtaining the dental services needed.

Numerator: Number of dental cleaning for pregnant women who chew betelnut with tobacco during pregnancy

Denominator: Number of pregnant women in the given year

Significance: By working collaboratively with the community health centers and oral health program, dental cleaning and oral health education can be promoted to pregnant women who are chewing betelnut with tobacco. Chewing betelnut with tobacco is commonly practiced throughout Palau. More than half of pregnant women in 2019 reported chewing betelnut with tobacco.

Data Sources and Data Issues: PPRASS

Year: 2020

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with MCHbest strategy "Provider Training" (https://www.mchevidence.org/tools/strategies/13-1-3.php). Find other NPM 13.1 provider-level strategies in MCHbest.

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

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities related to systems-building

Goal: Increase the number of pregnant women with preventive dental visits during pregnancy by establishing a curriculum for WVU School of Dentistry on dental care for pregnant women.

Numerator: Number of students completing the dental care curriculum for pregnant women.

Denominator: Number of students in WVU School of Dentistry

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: WVU School of Dentistry

Year: 2020

Unit Type: Simple Count, Unit Number: 100

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Patient Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-1-1.php). Find other NPM 13.1 patient-level strategies in MCHbest.

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

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: To identify maternity health care providers serving Medicaid insured maternity patients. Train and educate 25% of these health care providers about the importance of maternity patients receiving preventative oral health services during pregnancy.

Numerator: The total number of currently established Maternity Care Districts in which ADPH staff have provided care coordination. Goal: Two of the 14 Maternity Care Districts.

Denominator: The total number of currently established Maternity Care Districts that provide maternity care services throughout the state. There are 14 established Maternity Care Districts.

Significance: Through the implementation of the First Steps Program, maternity health care providers will have increased knowledge of the importance of maternity patients receiving preventive oral health care services. The identified providers will educate their maternity patients with this information and assist their maternity patients with accessing preventive oral health services. In September 2017, Alabama Medicaid released a Request for Proposal (RFP) for Maternity Health Care Coordination for the 15 Simple Counties currently receiving maternity care coordination services from ADPH social work staff. Once Medicaid identifies a Maternity Care Provider, it is anticipated ADPH will transfer any open maternity case to the selected provider. Ongoing Oral Health education to maternity patients insured by Medicaid is one of the required components of the RFP. This component helps to insure maternity patients continue to receive oral health education and the importance of at least a preventive visit during their pregnancy. As of March 2018, Medicaid has not finalized their plans for Maternity Care Coordination services for Medicaid insured maternity patients. Currently, ADPH social work staff is continuing to provide maternity care coordination services in 15 Simple Counties throughout the state. ADPH staff will continue to provide education in regard to the importance of accessing preventive oral health care services and linking patients to needed services. Until Medicaid’s plans are finalized, the Office of Oral Health staff and other ADPH social work program staff will collaborate with Medicaid about continuing to educate and train maternity providers in regard to the importance of patients receiving preventive oral health care services.

Data Sources and Data Issues: Alabama Medicaid, ADPH Programs providing services to Medicaid insured maternity patients.

Year: 2020

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: This ESM measures access to/receipt of care, thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: To increase the percentage of women who utilize the perinatal adult dental benefit for pregnant women within the state of Michigan

Numerator: Number of pregnant women on Medicaid with at least one oral health service between the time the plan becomes aware of her pregnancy until 3 months postpartum (perinatal period)

Denominator: Number of pregnant women on Medicaid during the perinatal period

Significance: To improve outcomes and increase dental benefit utilization for pregnant women in Michigan, significant effort has been made to enhance the adult dental Medicaid benefit. Pregnant women are now placed within a Medicaid health plan which leads to greater availability of providers who accept that plan. Thus far, analysis has been unavailable as to utilization, but data are anticipated to be available beginning in 2020. The data will be analyzed with the anticipation that a targeted analysis of racial and geographic disparities will be able to be completed.

Data Sources and Data Issues: The MDHHS Oral Health Program will obtain data on an annual basis through a data use agreement and IRB with the CHEAR (Child Health Evaluation and Research) Center at the University of Michigan. CHEAR has access to the data warehouse and the technical ability to analyze the data. Data issues may include delays in obtaining data as well as the inability to determine type of oral health services rendered.

Year: 2020

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy 13.1.1 "Patient Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-1-1.php). Find other NPM 13.1 patient-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 3. Inform and educate the public

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of places where oral health education is given by Office of Oral Health staff (ROHCs) by 25% in the next year.

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: 2020

Unit Type: Simple Count, Unit Number: 100

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Patient Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-1-1.php). Find other NPM 13.1 patient-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 3. Inform and educate the public

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of oral health resource bags distributed to pregnant women and caregivers of young children through internal and external partners annually

Numerator: Number of oral health resource bags distributed

Denominator: N/A

Significance: Oral health is a vital component of overall health. Access to oral health care, oral health education and improved oral health literacy, good oral hygiene, practicing good oral health behaviors and adequate nutrition are essential components 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 great 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. Poor oral health during pregnancy has been linked to preterm birth, low birth weight babies, gestational diabetes, and preeclampsia. Therefore oral health should be considered a vital component of comprehensive prenatal care. Additionally, pregnant women who receive oral health care are more likely to take their children to get oral health care. State Title V Maternal and 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, increase the capacity of State oral health programs to provide preventive services, evaluating and improving methods of monitoring oral diseases and conditions, and increase the number of community health centers with an oral health component.

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

Year: 2020

Unit Type: Simple Count, Unit Number: 5,000

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Patient Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-1-1.php). Find other NPM 13.1 patient-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 3. Inform and educate the public

Service Recipient: Activities directed to families/children/youth

Goal: Increase oral health literacy in pregnant women through views of oral health videos and social media clips

Numerator: Number of times the oral health videos and social media clips were viewed annually

Denominator: N/A

Significance: Oral health is a vital component of overall health. Access to oral health care, oral health education and improved oral health literacy, good oral hygiene, practicing good oral health behaviors and adequate nutrition are essential components 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 great 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. Poor oral health during pregnancy has been linked to preterm birth, low birth weight babies, gestational diabetes, and preeclampsia. Therefore oral health should be considered a vital component of comprehensive prenatal care. Additionally, pregnant women who receive oral health care are more likely to take their children to get oral health care. State Title V Maternal and 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, increase the capacity of State oral health programs to provide preventive services, evaluating and improving methods of monitoring oral diseases and conditions, and increase the number of community health centers with an oral health component.

Data Sources and Data Issues: Data Source: Social Media Platform(s) Data and DPH website data

Year: 2020

Unit Type: Simple Count, Unit Number: 10,000

Measure Status: Active

Evidence Level: This ESM is population-based (measuring access to/receipt of care), thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 3: Measuring quantity of effect (# of "is anyone better off")

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Increase the number of pregnant women who saw the dentist post referral by 50% in the next year to increase their awareness regarding the safety of dental treatment while pregnant.

Numerator: Number of pregnant women who saw the dentist post referral

Denominator: N/A

Significance: Promotion of oral health and oral disease prevention

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

Year: 2020

Unit Type: Simple Count, Unit Number: 1,000

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Caregiver/Parent Education/Counseling" (https://www.mchevidence.org/tools/strategies/13-2-2.php). Find other NPM 13.2 caregiver-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: To increase the percent of children (ages 1 through 17) receive preventive oral health care services.

Numerator: NA

Denominator: NA

Significance: A significant percentage of Nebraska’s population lives in rural locations, including approximately 125,000 children ages 1-9 and many low-income children and youth eligible for Medicaid benefits do not receive mandated preventive dental services. More than half of Nebraska is considered a state designated general dentist shortage area.

Data Sources and Data Issues: Program Data, the Office of Oral Health and Dentistry

Year: 2020

Unit Type: Simple Count, Unit Number: 100