Integrating Oral Health Care into Primary Care

Association of State and Territorial Dental Directors
3858 Cashill Boulevard
Reno, NV 89509

Telephone: (775) 626-5008
Fax: (775) 626-9268
E-mail: [email protected]
Website: https://www.astdd.org
Available from the website.

This policy statement focuses on integrating oral health care into primary care. It provides a summary of the issue, presents the problem of pervasively poor oral health among pregnant women and children from families with low incomes, and discusses opportunities to address this problem by integrating oral health care into primary care. Examples of a national initiative and statewide programs that are working to integrate oral health care into primary care are included, and the role of state and territorial oral health programs in this effort is discussed. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org
Available from the website.

This resource guide is designed to help health professionals, program administrators, educators, and others understand the benefits of integrating oral health care into primary care and to provide information about how to implement oral health care integration in materials, programs, and systems of care. The guide describes materials, such as briefs, curricula, fact sheets, guidelines, manuals, papers, reports, and videos, that reflect current science and practice as well as seminal resources. Descriptions of and contact information for relevant organizations is also included. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org

This report spotlights five programs focused on integrating oral health care into primary care serving the maternal and child health population. Each spotlight includes an overview of the program; a description of its inception and early years; information about funding, notable strengths, notable evaluation activities, and evaluation methodology; select evaluation findings; and resources to learn more about evaluation.The report also describes key elements for individual program success and the challenges common across all programs that limit program success. Stand-alone spotlights of each program are also available. [Funded by the Maternal and Child Health Bureau]

• Full Report
• Webpage With Stand-alone Spotlight Reports

National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org
Available from the website.

This report discusses the importance of integrating oral health care into primary care and provides information about the implementation of the Partner- ship for Integrating Oral Health Care into Primary Care project. The report discusses project measures, detailed project findings, and strategies to integrate oral health care into primary care. It also highlights technical activities provided to and feedback received from project teams. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org

This report describes programmatic efforts of the Integrating Oral Health Care and Primary Care Learning Collaborative: A State and Local Partner- ship project designed to integrate oral health care and prenatal care, with both a state and a local component. The report discusses project team selection, the state-level approach, the local-level approach, use of stipend funds and in-kind support, and integration of interprofessional oral health core clinical competencies into prenatal care at the participating clinic site. The report’s executive summary is available separately. [Funded by the Maternal and Child Health Bureau]

• Full Report
• Executive Summary

National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org

This report presents key considerations for integrat- ing oral health evaluation into prenatal care. Topics include completing an oral health evaluation, integrating oral health evaluation into the electronic medical record, integrating oral health evaluation into the prenatal care workflow, and strategies to increase primary care health professionals’ confidence in completing an oral health evaluation. The document also includes summaries of how prenatal clinics integrate oral health evaluation, as well as links to examples. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org
Available from the website.

This curriculum is designed to help health and early childhood professionals working in community settings (e.g., Head Start, home visiting, WIC staff) promote oral health in the course of promoting general health for infants, children, and their families. Topics include tooth decay, risk factors, and prevention; oral health risk assessment and oral health screening; and anticipatory guidance for parents. Each of the four modules includes an overview, learning objectives, key points, a post-test, and resources. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org
Available from the website.

This tool was developed to assist states in efforts to improve their capacity to integrate oral health care and primary care for pregnant women. The purpose of the tool is to help state oral health program staff assess systems-level capacity factors and prioritize needs. Staff can use the tool to consider factors that facilitate integration of oral health care and primary care for pregnant women and to look for opportunities to improve integration. A companion brief with more information on the tool’s development is also available. [Funded by the Maternal and Child Health Bureau]

• Pdf Version
• Word Version

National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org
Available from the website.

This brief provides information on the development of a capacity-inventory tool to help state oral health program staff assess systems-level capacity factors and prioritize needs. The brief discusses the importance of oral health, especially during pregnancy, and strategies to advance oral health equity for the maternal and child health population. Factors contributing to state systems-level capacity to improve integration of oral health care and primary care for pregnant women are organized by categories. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org
Available from the website.

This report provides an overview of the Networks for Oral Health Integration (NOHI) Within the Maternal and Child Health (MCH) Safety Net and a pro- file of each of three projects: (1) Midwest Network for Oral Health Integration, (2) Rocky Mountain Network of Oral Health, and (3) Transforming Oral Health for Families. Each profile provides information about the network’s partners, approach, settings, models of care, and core function activities, as well as a discussion of the impact of the COVID-19 pandemic on network activities.

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org
Available from the website.

This tool was developed to conduct environmental scans to learn about factors that could impact the integration of oral health care into primary care at the state level to inform the work of the Networks for Oral Health Integration (NOHI) Within the Maternal and Child Health Safety Net projects. In addition to questions, the tool includes background information, instructions, and definitions. Question categories include scope of practice, reimbursement, policy and regulation, and optional questions. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: [email protected]
Website: https://www.mchoralhealth.org
Available from the website.

This series of chartbooks provides information on facilitators of and barriers to integrating oral health care into primary care for pregnant women and children. It includes data related to scope of practice for oral health professionals and non-oral health professionals; Medicaid billing and reimbursement; issues impacting care provided by dental hygienists, dental therapists, and community health workers; and teledentistry. [Funded by the Maternal and Child Health Bureau]

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American Academy of Pediatrics
345 Park Boulevard
Itasca, IL 60143

Telephone: (630) 626-6000
Secondary Telephone: (847) 434-4000
Fax: (847) 434-8000
Website: https://www.aap.org
Available from the website.

This guide for prenatal and pediatric health professionals discusses lessons learned from quality-improvement projects conducted to integrate oral health care into primary care settings. Topics include planning; setting goals; educating and training staff; launching an integration project and tracking progress; adapting resources to fit the setting; reviewing, celebrating, and discussing progress; and maintaining and sustaining progress.

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Society of Teachers of Family Medicine
11400 Tomahawk Creek Parkway, Suite 540
Leawood, KS 66211

Telephone: (913) 906-6000
Secondary Telephone: (800) 274-7928
Fax: (913) 906-6096
E-mail: [email protected]
Website: http://www.stfm.org
Available from the website.

This curriculum for health professionals and educators comprises nine courses addressing oral health. Courses focus on the relationship between oral health and systemic health; child oral health; adult oral health; acute oral health problems; pregnancy and women’s oral health; caries risk assessment, fluoride varnish, and counseling; the oral exam; oral health for older adults; and silver diamine fluoride. The courses can be taken for continuing education credit or simply to gain knowledge on the topics.

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Delta Dental Institute
301 New York Avenue, N.W., Suite 310W
Washington, DC 20001

Website: https://www.deltadental.com/institute/
Available from the website.

This report provides a review of medical-dental integration (MDI) models used to deliver integrated oral health and overall health that have been implemented in the last 10 years. The report introduces the issue and provides information to help increase understanding of MDI model approaches and of the challenges and barriers MDI models face and solutions that have been implemented and to promote the sustainability of MDI models.

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U.S. Health Resources and Services Administration
5600 Fishers Lane
Rockville, MD 20857

Telephone: (888) 275-4772
Secondary Telephone: (877) 464-4772
Fax: (301) 443-1246
E-mail: [email protected]
Website: http://www.hrsa.gov
Available from the website.

This report describes the structured approach, processes, and outcomes of an initiative to improve prevention and early detection of oral health problems by enhancing primary care health professionals’ competence in the area of oral health. The recommendations and implementation strategies provide guidance for designing a competency-based, interprofessional practice model to integrate oral health care and primary health care.

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National Network for Oral Health Access
181 East 56th Avenue, Suite 410
Denver, CO 80216

Telephone: (303) 957-0635
E-mail: [email protected]
Website: http://www.nnoha.org
Available from the website.

This guide for health center staff describes a set of interprofessional oral health core clinical competencies designed to foster integration of oral health care into primary care. The guide also provides information about three pilot projects’ experiences related to implementing the competencies. Contents include recommendations to inform planning, training systems, health information systems, clinical care systems, and evaluation systems.

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Primary Care Collaborative
601 Thirteenth Street, NW, Suite 430 North
Washington, DC 20005

Telephone: (202) 417-2074
Fax: (202) 417-2082
E-mail:
Website: https://thepcc.org/
Available from the website.

This report discusses ways that health professionals, community members, and public health leaders are working together to integrate oral health care and primary care. It highlights the mechanisms for and scope of integration efforts, ranging from statewide initiatives to incorporate oral health care into value- based primary care payment models to initiatives to improve oral health in communities. The report presents seven shared principles of primary care, discusses lessons learned from the patient-centered medical home initiative and from behavioral health integration, and offers a call to action.

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