Skip Navigation

Strengthen the Evidence for Maternal and Child Health Programs

Find State ESMs


Displaying records 1 through 20 (54 total).

ESM 13.1.1 Percentage of pregnant individuals who receive a preventive dental visit (Maryland)

Measure Status: Active

Evidence Level: This ESM is population-based (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: 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 increase the number of pregnant individuals 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: 2021

Unit Type: Percentage, Unit Number: 100

ESM 13.1.1 Percentage of dental providers receiving information/education regarding importance of preventive dental visits for expectant mothers (Alabama)

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with MCHbest strategy "Provider Education". Find other NPM 13 Provider level strategies in MCHbest.

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

Service Type: Systems level of pyramid

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

Service Recipient: Activities directed to professionals

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: 0

Denominator: 500

Significance: Oral health is inextricably linked to overall general health and well-being. People with limited access to preventive oral health services are at greater risk for oral diseases that lead to sometimes devastating outcomes. There are profound and consequential oral health disparities within Alabama and the American population, as well as barriers hampering segments of the population from attaining optimal oral health. There are safe and effective measures to prevent the most common dental diseases such as dental caries, as well as more complex oral cavity disease processes. An increase in professionals educated on the need for oral health care and equity for certain populations and the need for collaboration between state and local agencies as well as regulatory bodies will contribute to diverse policies and advocacy for those in need. It is important for providers to receive education on oral health for pregnant women as that is a great unmet need for this population. Potentially profound adverse pregnancy outcomes may result from lack of proper preventive dental care. It is incumbent upon the dental community to stay abreast of the most up to date information in order to promote and provide these services to better attain positive pregnancy outcomes. Dental providers are also charged with the diagnosis and prevention of certain oral and oropharyngeal cancers through physical exams and referrals for the FDA approved HPV vaccine, necessitating the need for continual education. This is extremely important in Alabama, as the state consistently ranks high in both incidence and mortality resulting from these oral cancers.

Data Sources and Data Issues: Oral Health Program Data

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 13.1.1 Percent pregnant women enrolled in Medicaid with at least one preventative dental service during prenatal period (Illinois)

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: Direct services level of pyramid

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

Service Recipient: Activities directed to families/children/youth

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: 2021

Unit Type: Percentage, Unit Number: 100

ESM 13.1.1 Percent of Title V Home Visiting Program (HVP) pregnant participants who received oral health services post referral in Puerto Rico by September 2021-2025 (Puerto Rico)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

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

Service Type: Direct services level of pyramid

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

Service Recipient: Activities directed to families/children/youth

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: 2021

Unit Type: Percentage, Unit Number: 100

ESM 13.1.1 Percent of medical providers who reported an increase of oral health knowledge from trainings and presentations (Georgia)

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with MCHbest strategy "Provider Education" (). 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: Direct services level of pyramid

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

Service Recipient: Activities directed to professionals

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: 2021

Unit Type: Percentage, Unit Number: 100

ESM 13.1.1 Number of Regional Oral Health Collaborative Projects that implemented work plans to increase dental visits among pregnant women (Virginia)

Measure Status: Active

Evidence Level: Emerging. Aligns with "Preventive Oral Care Outreach with Early Head Start, Head Start, Home Visiting, and WIC Clinics". Find other NPM 13 collaboration-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: 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: Count

Significance:

Data Sources and Data Issues: 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.

Year: 2021

Unit Type: 1000, Unit Number: Virginia Department of Health, Office of Family Health Services, Division of Prevention and Health Promotion (DPHP); Oral Health Program documentation

ESM 13.1.1 Number of presentation or education events on the importance of oral health during pregnancy (Arkansas)

Measure Status: Active

Evidence Level: Aligns with Expert Opinion MCHbest strategy "Provider Education" and Emerging evidence MCHbest strategy "Patient Education". 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: Count

Significance:

Data Sources and Data Issues: 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.

Year: 2021

Unit Type: 100, Unit Number: ADH Office of Oral Health

ESM 13.1.1 Number of medical practices receiving an outreach visit from an I-Smile Coordinator (Iowa)

Measure Status: Active

Evidence Level: Expert Opinon. Aligns with MCHbest strategy 13.1.3 "Provider Education" (). Find other NPM 13.1 provider/practice-level strategies in MCHbest.

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

Service Type: Direct services level of pyramid

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

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: 2021

Unit Type: Count, Unit Number: 1000

ESM 13.1.1 Number of medical and dental professionals who receive perinatal oral health education through MDHHS (Michigan)

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: 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 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: 2021

Unit Type: Count, Unit Number: 1000

ESM 13.1.1 Number of inter agency partnerships implemented to coordinate dental services for pregnant women and children. (Arizona)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

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

Service Type: 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: 2021

Unit Type: Count, Unit Number: 100

ESM 13.1.1 Number of expectant mothers and those post-partum who received oral health education (Mississippi)

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: Count

Significance:

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

Year: 2021

Unit Type: 1000, Unit Number: Office of Oral Health/PHRM/FQHC partners

ESM 13.1.1 Increase the number of dental cleaning for pregnant women who chew betelnut with tobacco during pregnancy (Palau)

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: Direct 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 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: 2021

Unit Type: Percentage, Unit Number: 100

ESM 13.1.1 Establish a curriculum for WVU School of Dentistry on dental care for pregnant women. (West Virginia)

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with MCHbest strategy "Provider Training". Find other NPM 13 provider-level strategies in MCHbest.

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

Service Type:

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

Service Recipient:

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: 2021

Unit Type: Count, Unit Number: 100

ESM 13.1.2 Percentage of dental providers that received information/education regarding their perinatal patients about the FDA approved HPV vaccine in order to reduce the risk of oropharyngeal, cervical, and other HPV-related cancers (Alabama)

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with MCHbest strategy "Provider Education". Find other NPM 13 Provider level strategies in MCHbest.

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

Service Type: Systems level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: Increase the number of pregnant women vaccinated against HPV through the education of dental providers.

Numerator: 0

Denominator: 500

Significance: Oral health is inextricably linked to overall general health and well-being. People with limited access to preventive oral health services are at greater risk for oral diseases that lead to sometimes devastating outcomes. There are profound and consequential oral health disparities within Alabama and the American population, as well as barriers hampering segments of the population from attaining optimal oral health. There are safe and effective measures to prevent the most common dental diseases such as dental caries, as well as more complex oral cavity disease processes. An increase in professionals educated on the need for oral health care and equity for certain populations and the need for collaboration between state and local agencies as well as regulatory bodies will contribute to diverse policies and advocacy for those in need. It is important for providers to receive education on oral health for pregnant women as that is a great unmet need for this population. Potentially profound adverse pregnancy outcomes may result from lack of proper preventive dental care. It is incumbent upon the dental community to stay abreast of the most up to date information in order to promote and provide these services to better attain positive pregnancy outcomes. Dental providers are also charged with the diagnosis and prevention of certain oral and oropharyngeal cancers through physical exams and referrals for the FDA approved HPV vaccine, necessitating the need for continual education. This is extremely important in Alabama, as the state consistently ranks high in both incidence and mortality resulting from these oral cancers.

Data Sources and Data Issues: Oral Health Program

Year: 2021

Unit Type: Percentage, Unit Number: 100

ESM 13.1.2 Percent of pregnant women who receive at least one oral health service through Medicaid during the perinatal period (Michigan)

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: Direct 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 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: 2021

Unit Type: Percentage, Unit Number: 100

ESM 13.1.2 Number of WIC sites where oral health education is given to program participants by ROHCs (Mississippi)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy 13.1.1 "Patient Education/Counseling". 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: Count

Significance:

Data Sources and Data Issues: Prevention of oral disease and referral to dental home.

Year: 2021

Unit Type: 100, Unit Number: WIC/Office of Oral Health

ESM 13.1.2 Number of oral health resource bags distributed to pregnant women and caregivers of young children through internal and external partners (Georgia)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Patient Education/Counseling". 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: Direct 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: Count

Significance:

Data Sources and Data Issues: 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.

Year: 2021

Unit Type: 5000, Unit Number: Data Source: Oral Health Program Data

ESM 13.1.2 Number of medical, dental, and other healthcare professionals who receive perinatal oral health education. (Arizona)

Measure Status: Active

Evidence Level: Expert Opinion. Aligns with MCHbest strategy "Provider Education". Find other NPM 13 Provider level strategies in MCHbest.

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

Service Type: Systems level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: By 2025, 500 healthcare professionals would have received training on perinatal oral health education.

Numerator: Number of healthcare professionals (medical, dental, nursing, as such) that receive training on perinatal health education.

Denominator:

Significance: Only 1 in 2 women receive preventive dental care during pregnancy. While dental school curricula are more likely than OB-GYN programs to cover prenatal oral health, much of it focuses on the inconsistent evidence that associates periodontal disease with adverse birth outcomes. Stronger evidence shows that children are three times more likely to get cavities if their mothers have them.

Data Sources and Data Issues: Office of Oral Health

Year: 2021

Unit Type: Count, Unit Number: 1000

ESM 13.1.3 Number of pregnant women who saw the dentist post referral (Mississippi)

Measure Status: Active

Evidence Level: No similar strategy found in the established evidence for this NPM. See similar ESMs for this NPM or search for other strategies or promising practices.

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

Service Type: Direct services level of pyramid

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

Service Recipient: Activities directed to families/children/youth

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: Count

Significance:

Data Sources and Data Issues: Promotion of oral health and oral disease prevention

Year: 2021

Unit Type: 1000, Unit Number: Office of Oral Health/PHRM/FQHC partners

ESM 13.2.1 The number of sites participating in the Nebraska Early Dental Health Starter Kits Educational program. (Nebraska)

Measure Status: Active

Evidence Level: Emerging. Aligns with MCHbest strategy "Caregiver/Parent Education/Counseling". 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: 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: Count

Denominator: 100

Significance:

Data Sources and Data Issues:

Year: 2021

Unit Type: Program Data, the Office of Oral Health and Dentistry, Unit Number: 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.

    Next Page »

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.