Emanuel Finn, DDS, MS Chief, Oral Heath Division DC Department of Health Washington DC

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Emanuel Finn, DDS, MS Chief, Oral Heath
DivisionDC Department of HealthWashington DC

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District of Columbia Income and Household Size by
Ward
Household Income, 2003 estimates from
http//dcbiz.dc.gov/info/pdf/Demographics.pdf Avg.
Household Size, 1998 estimates
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Is Washington D. C.A Bourgeois Town?

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Dental Administration

• Currently DC DOH has embarked on a five year plan
  to establish a dental infrastructure
• Clinical services administered by PBC/DCGH until
  May 2001
• May 2001- DCGH PBC abolished
• Clinical services privatized through a DCDOH
  Managed Care contract

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W. K Kellogg Foundation

• Community Voices Collaborative
• The Kellogg Foundation working though the DC
  Community Voices Collaborative
• Funded an oral health initiative which has
  revived public oral health activities in the
  District and at the DC DOH

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Public Oral Health in DC

• Last Oral Health Needs Assessment conducted in DC
  was in 1985
• Survey of post treatment interviews at the PBC
  clinics
• No local baseline data was available
• No dental directive at DC DOH or any local agency
  for more than a decade and a half
• The school-based dental program folded in 1981
• DC water supply system is 100 fluoridated

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Oral Health Assessment

• Used ASTDD Seven Step Model
• Survey of Communities in the various city wards
• Survey of DC Based Dental Practices
• Oral Health Screening of 2nd 3rd Graders
• Focused groups in the Latino, Elderly, HIV/AIDS
  Parents of CSHCNs

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Oral Health Assessment Form

• Convenient for parents and providers
• Improved collection of data to better assist DOH
  in developing and improving the healthcare
  delivery system in the District of Columbia
• OHA forms available for public use in Summer 2004
• The outcome
• A standardized enrollment process for entry into
  all DC Public Schools, Head Start, Childcare,
  camp, after school and sports/athletic programs

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Oral Health Leadership Summit

• First ever in DC- July 2003
• Theme Building on a Framework for Improving Oral
  Health in DC
• Summit Goals
• Broaden ownership for oral health in DC
• Increase awareness of scope of oral health
  problems in DC
• Discuss develop
• Prevention and access strategies for oral health
  in DC
• Strategies that enhance the coordination,
  distribution or replication of successful efforts
• Funded by W. K. Kellogg Foundation and the
  Association of State and Territorial Dental
  Directors

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Inaugural School
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Children in School Based Program w/ Cavities
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Promoting Oral Health Program

• Panelist on the WTUSA-TV 9 Andrea Roane Show -
  discussion on childrens health in the District
• Presented at
• National Primary Oral Health Conference (Dallas)
• PHS Region II Dental Coalition Meeting (Florida)
• National Oral Health Conference regarding DC Oral
  Health Program (Milwaukee)
• 2004 NASBHC Annual Conference (New Orleans)

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DC Oral Health Coalition

• Formed Summer 2004
• Goals
• Increase recognition to public oral health
• Advancing advocacy and resource development
• Initiate legislative grassroots action
• Initiate engage in multidisciplinary
  discussions/forums
• Develop recommendations to improve oral health
• Subcommittees
• Oral Health Promotion, Prevention Consumer
  Education
• Media, Reimbursement Improvement
• Policy Infrastructure Development

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Public/Private Partnerships

• Colgate Palmolive Bright Smiles/Bright Futures
  Program
• DCDS (GKASD), HDA, NDA, Robert T. Freeman Dental
  Society, ASTDD, HRSA, MCOs

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Where Do We Go From Here?

• Certainly Up!!!
• Disaster Preparedness- Katrina, Bioterroism,
  Avian Flu epidemic!!!
• Oral cancer cessation in the District
• Access issues!!!!
• More partnerships

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Are We Airborne Yet?

• 2ND Oral Health Summit November 2005 (Shaping
  the Future From Cavities to Oral Cancer)
• Bioterrorism Dentistry Plan in DC
• City Council has made more available for adult
  Medicaid services
• Need more for School Program
• Oral Health Plan

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Question Answer

• Do I have the bourgeois (public dental health)
  blues in a bourgeois town?
• - Huddie (Leadbelly) Ledbetter, December 1938
• a) maybe
• b) sometimes
• c) most times
• d) all the time
• e) never

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Questions/Comments