ECC Initiative: Next Steps

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ECC Initiative Next Steps

• Bonnie Bruerd, DrPH

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ECC Initiative Next Steps

• Any change, even a change for the better, is
  always accompanied by drawbacks and discomforts.

• Review of ECC Components
• Collaborative and Comprehensive
• Best Practices pregnancy, 0-2, 3-5
• Dental Access for 0-5 year olds
• Caries Stabilization
• Data Collection BSS Survey

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Do Your Homework!

• Review the ECC Packet
• Review the ECC Initiative website
• Take the online courses if you will be
  recommending them to others.
• Read supporting articles if you have any
  questions or concerns.

• By failing to plan, you are planning to fail.

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Get the Facts

• Gather Local Data
• Number of live births a year
• Number of exams for 0-2 and 3-5 year old children
• Number of fluoride varnish treatments for 0-2 and
  3-5 year olds
• Number of sealants for 0-2 and 3-5 year olds
• Number of ITRs (2940) for 0-2 and 3-5 year olds

• Knowledge is a process of piling up facts
  wisdom lies in their simplification.

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Ask Some Questions

• Where do families take babies in
• your community? (WIC, Well-Child)
• Do you have daycare centers for infants and
  toddlers?
• Do you have a HS or EHS program?
• How much money does your program spend on
  referring children who have ECC?
• How many children each year receive their dental
  treatment in the OR?

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Best Practices Next Steps

• Incorporate BP every step of the way!
• Educate your medical and community partners about
  BP and the key oral health messages.
• Stress the importance of promoting the key oral
  health messages in your community.
• Brainstorm ways to promote the key oral health
  messages through local media, mailings, and so on.

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Effective Health Education What Works?

• Small steps
• Positive reinforcement
• Interactive and individualized strategies
• Repeated, consistent messages from dental staff
  and community partners.

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BEST PRACTICES THE EXTRA STEP

• Learn about chemotherapeutics such as xylitol,
  chlorhexidine, iodine, etc.
• Work with your DSC to apply for grants to support
  pilot projects.
• Provide free fluoride toothpaste.
• Apply for HP/DP awards to support your local
  efforts.

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Dental Access for 0-5 year olds Next Steps

• Plan a meeting with key medical and community
  partners in your community.
• Make a chart of who does what for each age group.
• Teach medical and community partners how to apply
  fluoride varnish and provide key oral health
  messages.

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Dental Access More Steps

• Provide open access for 0-2 year olds for
  fluoride varnish and family education.
• Use birthday cards or other mailing programs to
  increase access.
• Go to daycare/HS centers to provide exams and
  fluoride varnish.
• Track your progress through RPMS data.

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DENTAL ACCESS THE EXTRA STEP

• Consider a 0-5 Case Manager Model
• Track all 0-3 year olds
• Build relationships with families.
• Apply fluoride varnish and key oral health
  messages 3-4 times a year.
• Provide sealants and ITR for caries
  stabilization.
• Track any needed referrals.

• Imagination is more important than knowledge.
  For while knowledge defines all we currently know
  and understand, imagination points to all we
  might yet discover and create.

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Caries Stabilization Next Steps

• Take the online course.
• Incorporate ITR into your dental program.
• Keep in mind that your attitude will set the
  stage for adoption of ITR.

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ITR Tips from the Field

• Variations on the knee to knee technique
• Distraction is key.
• ITRs must be recharged daily with topical
  fluoride.
• Barbie and Spiderman fillings
• Building this relationship early on makes for a
  more cooperative 3-4 year old dental patient.

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ITR TIPS FROM THE FIELD Keep Your Cool!

• If a prostodontist can do it, YOU can do it too!

• Dr. Winkle keeps his cool.

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ITR The Extra Step

• Track the money you spend referring 0-5 year olds
  and make it a goal to reduce the number of
  referrals and the dollar amount of those
  referrals.
• Head Start Provide exams, FV, sealants, and ITR
  early on in the school year. Refer as needed.
  Provide more complex treatment as a second step.

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BSS Data Collection The Next Steps

• Learn all you can about the BSS survey methods
  and begin marketing it in your local community.
• But, dont begin collecting data yet! There will
  be new forms and training developed later this
  year.
• DSCs and ADOs will orchestrate data collection.
• Stay tuned!

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ECC Initiative and GPRA

• Access
• Topical Fluoride
• Sealants

• Not everything that can be counted counts, and
  not everything that counts can be counted.
• Einstein

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MAKE A PLAN!

• Review the ECC Initiative packet and webpage with
  your entire staff.
• Decide which components you want to focus on and
  set up meetings with key Community Partners.
• Make a training plan for both dental and
  community partners.
• Identify whether you will need additional
  resources.
• Make an evaluation plan!

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Together, we CAN make a difference!