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Network Priorities

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Integrating Oral Health into Primary Care

Oral health is closely connected to overall health, and therefore one of COHN’s major goals is to better integrate oral health into primary care. Lack of access to oral health care and tools to develop mouth-healthy habits early in childhood contribute to serious and costly health complications later in life. The Health Integration Action Team (HIAT) works to ensure access to preventive oral health care at well-child visits in the first years of life, often before most children have established a dental home. The HIAT guides From the First Tooth, the primary medical dental effort in Maine, as well as projects that support education for primary care providers in preventive care techniques and incorporating hygienists into primary care teams.

HIAT rainbow graphic in smaller version that can open up into a full-page PDF

# practices trained/implementing/hardwired FTFT

Percentage of well-child visits with an oral evaluation and/or fluoride varnish application

From the First Tooth:From the First Tooth is a pediatric oral health initiative promoting the oral health of infants, toddlers and preschool children in primary care.

keep FTFT resources from current Integrating Oral Health into Primary Care with links:

FTFT Overview (2021)

FTFT 2020 data poster

FTFT Toolkit

Dental Steps for ME

The Dental Steps for ME manual and video library are two components of a larger model for building oral health into every well-child visit. To learn more about how to implement the full model in your primary care practice, visit dentalstepsforme.org/providers.

Maine Chapter of the American Academy of Pediatrics

The Maine Chapter of the American Academy of Pediatrics aims to make pediatricians and other child health professionals an essential part of the oral health care team in Maine practices. View a more complete list of their efforts and resources here.

keep MeAAP resources from current Integrating Oral Health into Primary Care with links:

Me-AAP webinar on oral health integration Jan 2022 (slides)

Me-AAP webinar on oral health integration Jan 2022 (recording)

Have HIAT provide us a list with core partners to include

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Bringing Oral Health Care into Schools & Community Settings

Fancy header blurb Our initiative to strengthen our oral health care system to reach Maine kids with services where they are: in schools and community settings.

Intro:

This initiative strengthens our oral health care system to reach Maine kids with services where they are: in schools and community settings. Thousands of children have gone without routine preventive care because they are unable to access a traditional dental office. The School Action Team works to remove barriers and increase access to preventive oral health care through developing innovative approaches and collaborative strategies. They convene educators, school nurses, dental hygienists, dentists, parent advocates, funders, state program leaders, policy makers, public health organizations - and more - to serve Maine students from preschool to diploma.

# schools participating in SOHP

 Number of students served by SOHP

School-Based Oral Health Toolkit for School Nurses: https://www.mainecohn.org/assets/stock/School-Based-OH-Toolkit-for-School-Nurses-2023.pdf

Maine CDC School Oral Health Program: https://www.mcd.org/focus-areas/oral-health

Maine Department of Education Coordinated School Health program resources for school nurses:

https://www.maine.gov/doe/schoolsupports/schoolhealth/service/dental 

COHN’s Blueprint for Oral Health Expansion

This approach aims to ensure screenings and fluoride varnish for all students, early intervention for those who need it, and connections to dental homes for restorative care. Key strategies include sustainable financing, a coordinated care structure, an oral health workforce, a data management system, and age-appropriate, culturally-tailored educational tools.

Independent Practice Dental Hygienists that deliver mobile services:

keep table from current Connecting Schools to Oral Health Services with link to sign up form; does table need updating?

Have Evie provide us with a list of core partners to include

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Funding & Sustaining the Oral Health System of the Future

Fancy blurb: Our initiative led by the Maine Oral Health Funders to build a more accessible state oral health care system with better long-term sustainability.

Intro:

The Maine Oral Health Funders (MOHF), an affinity group of philanthropic partners, collaborate on issues related to the funding and sustainability of an oral health system that ensures that all people in Maine can get the right care in the right place at the right time.

Compounding challenges such as workforce shortages and insufficient financing limit the capacity of the statewide oral health system to meet the needs of all people, especially children who are covered by MaineCare (Maine’s Medicaid program) or who have no dental insurance at all. For many years, MOHF has filled gaps by providing the necessary funding to keep non-profit dental practices and mobile programs in operation. Now they are turning their attention and efforts to addressing long-term sustainability in Maine’s oral health care system.

Transforming - any measures around sustainability of MOHCA members, funding committed to MOHF pooled fund? Anything from the evaluation report from PFH?

Evaluation of the initiative: 

Maine Oral Health Centers Alliance

MOHF continues to fund the work of this Alliance, comprising six of the state’s stand-alone non-profit dental centers, to address workforce, policy issues, and collaborative quality improvement strategies. The Alliance has set goals to build financial and care capacity, strengthen data systems, and test innovative models for expanding delivery of quality care and increasing community access. MOHCA members include:[include MOHCA logo and list members]

Kennebec Valley Family Dentistry

Waterville Community Dental Center

Jessie Albert Dental and Orthodontic Center

Community Dental

St. Apollonia Dental Clinic

Mainely Teeth

Maine Oral Health Work Force Committee website

Financial Analysis of the Oral Health Care System

Partnerships for Health and the University of Maine at Farmington have undertaken a broad financial analysis of Maine’s oral health care system. They will effectively assess the readiness, implications, and viability of emerging models of care that align with MOHF’s goals.

Have Joy provide us with a list of core partners

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Expanding & Diversifying the Workforce of the Future

Fancy Blurb: Our initiative to expand Maine’s oral health workforce and create career pathways for populations historically underserved by the oral health care system.

Intro

With funding from the Maine Department of Labor and the Maine Health Access Foundation, the Oral Health Industry Partnership (OHIP) launched in 2023 to expand Maine's oral health workforce. Core partners include MCD Global Health, the Maine CDC School Oral Health Program, the Maine Access Immigrant Network, and Cross Cultural Community Services. OHIP focuses on creating oral health career pathways for historically underserved populations, including Black, Indigenous, and People of Color (BIPOC); youth ages 16–24; immigrants and refugees; and unemployed or underemployed adults.

A key initiative is the Oral Health Navigator (OHN) training, designed as a low-barrier entry point to oral health careers. This program equips community health workers and paraprofessionals with essential skills to support patients in navigating the oral health care system, particularly in community settings like schools. The training also serves as a stepping stone for those considering further careers in oral health.

OHIP is also working to increase the number of Independent Practice Dental Hygienists (IPDHs), enabling more care delivery in community settings through the Maine Dental Connection model.

Number of people trained as OHNs, number of employers employing trained OHNs

# of IPDH status

Oral Health Navigator Training Program

Learn more about becoming an Oral Health Navigator at https://ohn.mcd.org/

Independent Practice Dental Hygienist Toolkit

Learn more about how to make the transition from a Registered Dental Hygienist to an Independent Practice Dental Hygienist using this toolkit: https://rise.articulate.com/share/W8mAwjY1Ecw_LzCRpiDIDp6UAtPWFusp#/

Have Nikki provide us with a list of core partners