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Update on the IHS ECC Collaborative: 3 ½ years

Update on the IHS ECC Collaborative: 3 ½ years. Tuesday, June 4, 2013 Albuquerque Area Dental Chiefs/Prevention Coordinators Meeting. Refresher. Overall Goal & Prevalence. Reduce ECC prevalence by 25% in 5 years 2010 National BSS Data: 54.1 % of 1-5 year-olds had caries experience

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Update on the IHS ECC Collaborative: 3 ½ years

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  1. Update on the IHS ECC Collaborative: 3 ½ years Tuesday, June 4, 2013 Albuquerque Area Dental Chiefs/Prevention Coordinators Meeting

  2. Refresher

  3. Overall Goal & Prevalence • Reduce ECC prevalence by 25% in 5 years • 2010 National BSS Data: • 54.1% of 1-5 year-olds had caries experience • 2-5 year-olds had an average of 3.9 teeth decayed or filled, 3X higher than Hispanics and 4X higher than the U.S. general population • 21.2% of 1 year-olds & 43.7% of 2 year-olds had caries experience

  4. ECC Collaborative Objectives • Increase dental access for 0-5 year old AI/AN children 25% in five years. • Increase the number of children 0-5 years old who received a fluoride varnish treatment by 25% in five years.

  5. ECC Collaborative Objectives • Increase the number of sealants among children 0-5 years old by 25% in five years. • Increase the number of Interim Therapeutic Restorations (ITRs) provided for children ages 0-5 by 50% in five years.

  6. ECC CollaborativeVirtual Learning Community Program • The goal of the Virtual Learning Community is to increase awareness and knowledge about ECC and ECC best practices. • 39 sites participated in FY 2012 • 15 sites are participating in FY 2013

  7. What have we learned?

  8. Keys to Success • A local champion is mandatory • Successful programs have good case management • There has been a real paradigm shift with glass ionomers • It takes a team effort

  9. Best Practices: What Works? • Identifying local champions: examples included dental staff, public health nurses, and tribal policy makers. • A dedicated case manager. • Marketing ITRs to your own dental staff and getting them comfortable with young children. • Working routinely with the well-child or WIC clinics.

  10. What are the outcomes thus far?

  11. How do the first 3 ½ years of the ECC Collaborative compared to our baseline period (FY 2005-09)?

  12. How does this compare to our ECC Collaborative goals?

  13. How are we doing on 2 year-olds?

  14. 0-2 year-old summary • Access to dental care for 0-2 year-olds has INCREASED by 7.5%! • Sealants for 0-2 year-olds have INCREASED by 72.6%! • The number of 0-2 year-olds receiving fluoride has INCREASED by 57.9%! • The number of ITRs in 0-2 year-olds has INCREASED by 238.5%!

  15. Are we continuing to show improvements or have we peaked?

  16. Challenges & the Future

  17. What can you do?

  18. Challenges • 0-2 year-old access needs to increase • 0-2 year-old access needs to increase • 0-2 year-old access needs to increase • 0-2 year-old access needs to increase!

  19. Future • Sesame Street collaboration • ECC Rx pads • Video vignettes • BSS, fall of 2014 • End of the five year initiative is Sept. 30, 2014

  20. www.ihs.gov/doh/ecc Thanks for all you are doing to promote oral health in 0-5 year-olds! Together, we can make a difference!

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