Title V Oral Health Performance Measures

1
Title V Oral HealthPerformance Measures

• John Rossetti, DDS, MPH
• Chief Dental Officer
• HRSA/MCHB

2
Title V - Critical to State Oral Health Programs

• Historically
• Title V was the genesis for many programs
• Weakened by 1981 Block Grant
• OBRA 89 reversed program declines

3
Title V - Critical to State Oral Health Programs

• OBRA 89 required
• Statewide needs assessment
• Plan development based on needs assessment Year
  2000 Health Objectives
• MCHB guidance for Block Grant

4
Sentinel Objectives(performance measures)

• From 6 Dental Objectives Submitted,
• 1 Would be Allowed
• of children receiving dental sealants

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Dental Sealants as the Sentinel Objective
Rationale for Selection

• Elevate Medicaids awareness raise fees
• Prevent occlusal decay in children
• Mechanism to screen and refer to private and
  safety net providers

6
Dental Sealants as Sentinel Objective Rationale
for Selection (cont.)

• Sensitize private sector to utilize sealants
• Integrate oral health into school health
• Build dental public health infrastructure

7
Dental Sealants as Sentinel Objective Rationale
for Selection (cont.)

• Increase collaboration between private and public
  sectors
• Build system of dental care for children
• Easily understood measure upon which everyone
  could agree

8
1998 Block Grant Guidance Revision of
Performance Measures

• Sealants selected as measure again
• States offered option to choose additional dental
  measures
• Decrease disease through comprehensive prevention
  and education

9
1998 Block Grant Guidance Revision of Performance
Measures (cont.)

• ? of MA eligible children receiving dental
  services
• ? prevalence of baby bottle tooth decay (BBTD)

10
1998 Block Grant Guidance Revision of
Performance Measures

• States offered option to choose additional dental
  measures - cont.
• ? awareness of BBTD causes
• ? of children with obvious tooth decay
• ? of Head Start children with tooth decay

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How WhatHave States Been Reporting

• 1997 - 11 States reported no sealant data
• 1998 - All States reported
• Utilization range 1.2 - 56