Dr Julie Watts McKee Dental Director Core Mission To assure oral health for Kentucky 2 Statistics Decay Rates 20112012 10 US Children with decay Kentucky rate currently unknown ID: 932328
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Slide1
Kentucky Oral Health Program Overview
Dr. Julie Watts McKee
Dental Director
Slide2Core Mission:
To assure oral health for Kentucky.
2
Slide3Statistics: Decay Rates:
2011-2012
10% U.S. Children with decay
Kentucky rate: currently unknown
2001-2004
19.5% of 2-5 year olds in U.S. with untreated decay
200142.8% of Kentucky children with untreated decay
3
Slide4Statistics: Access
and Utilization
46% of all Medicaid/KCHIP children
One dental service
60% of 6-9 year olds received services
40% of all received a preventive service
54% of 6-9 year olds received preventive
Oral Health Service by a non-dentist provider
Physicians
Health Departments
Nurses
Hygienists
Slide5Statistics: Preventive Services
Fluoride Varnish
2004
40% reduction in smooth surface decay.
Last year: 22,000 in
local health
deparmentsSmiling Schools: 17,000 this year
Public Health Hygiene
7 sites
30,000 services
4,600 patients
Slide6Statistics: Behavioral Risk Factor Surveillance System
High rate of extractions
7
th
highest in adults with an extraction
Dental Visits
42nd in the nation (not good)
60% of adults with a dental visit
7
th
in
edentulism
in senior Kentuckians.
This is an improvement over the years
Slide7Statistics: Dental Workforce
Deloitte Report
Rural areas need dentists
Jefferson County needs 150 more dentists
Maldistribution
435,000 newly covered mouths
Few new providers13 new dentist license in Appalachia
Slide8Statistics: Water Fluoridation
Reduces decay between 40 and 50%
99.8% of Kentuckians have optimally fluoridated drinking water.
Highest covered state
Washington, DC
at 100%New regulations0.7 Parts Per Million
Slide9Key Stakeholders: Health Departments
Specific Funding
Varnish
Sealants
Hygiene Programs
Special Projects
Medicaid Reimbursements
Slide10Key Stakeholders: Dental Schools
University of Kentucky
Outreach
Varnish Supplies
Special Projects
University of Louisville
Special ProjectsCollaboration is evident
Slide11Key Stakeholders: Appalachia
Smiling
Schools
Slide12Key Stakeholders:
Boards and Associations
Kentucky Board of Dentistry
Kentucky Dental Association
Slide13Key Stakeholders: Water Plants
Regulatory Responsibility
Monitoring
Reporting
Technical Assistance
Slide14Emerging Issues: Data Collection
University of Kentucky
Prevalence Study
Early Learners
Delta Dental
Prevalence Study
Third and Sixth GradersUniversity of LouisvilleOn-Going Surveillance System
Slide15Emerging Issues: PH Hygienists
Seven Pilot Programs
Start up funding
Looking for two more
Electronic Health Records
Dental is the Canary
Slide16Emerging Issues: Increased Decay Rates in Early Childhood
Permanent Teeth Decay Rates (Nationally)
Dropping Slowly
Primary Teeth Decay Rates
(Nationally)
Slight, but significant increase
Kentucky?We’ll see
Slide17Emerging Issues: Teledentistry
Oral Health
Interested in developing network
Involves dental schools
Involves private dentists
Slide18Emerging Issues: Workforce Distribution
Possible
maldistribution
?
Medicaid Expansion
Leads to delay or avoidance of care
Slide19Emerging Issues: Community Dental Health Workers
Community Dental Health Coordinator
Reduces care
Reduces impact
Proven in other areas of patient navigation and education
Slide20Emerging Issues: Adult Dentures
Significant Increase in Medicaid Extractions
Pent Up Dental Need in Expansion Patients
Dentures
Employability
Better Nutrition
Slide21Program Cost Effectiveness:
Community Water Fluoridation
Annual per-person cost savings
$16-$19 a year
Kentucky
Saves $69 Million a year
Slide22Program Cost Effectiveness:
Fluoride Varnish
20% reduction shown in Kentucky projects
Varies on the studied parameters
Slide23Program Cost Effectiveness
Sealants
Evidence Based Procedure
After two years
$53
Oregon
1313% in 20 years$125 cost of filling-avoidedIf avoided, PH RDH has avoided $987,164
Slide24The Future of Oral Health
Nationally
Provider numbers
Stable
Decreasing
Increasing
StateKeep on striving for the best oral health status for all Kentuckians