Head Start Dental Hygienist (DH) Liaison

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Feb 23, 2014 (3 years and 8 months ago)

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Presented by:

Kathy
Geurink

RDH, MA, NCH
-
OHP Consultant

Email
:
kgeurink@zeecon.com

Phone
: 210
-
885
-
0474

and

Michelle Landrum, R.D.H., M.Ed. Candidate, NCH
-
OHP Consultant

Email: michellelandrum@yahoo.com

Phone: 210
-
254
-
0574


Head Start Dental Hygienist (DH) Liaison

Webinar #1









General Reminders



This webinar will be recorded and archived on
the ASTDD website;


Questions will be addressed after the speakers
are finished. Please type your question into the

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” that will appear at the end of the
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conclusion of the webinar.


Welcome

from:

Dr. Harry Goodman, DMD, MPH, ASTDD President

and

Susan Savage, RDH, BSDH, ADHA President




Head Start

A Review of its Mission, History, Services,
Performance Standards, and PIR

What is Head Start?


Head Start (HS) is a federal program that promotes the
school readiness of children ages birth to five from low
-
income families (living at 100% or below the federal
poverty level) .


HS programs provide a learning environment that
supports children's growth in the following domains:



language and literacy



cognition and general knowledge



physical development and health



social and emotional development



approaches to learning





Source: Copied from ECLKC website:
http://eclkc.ohs.acf.hhs.gov/hslc/hs/about




History of Head Start


HS began as a summer demonstration project in 1965 as part
of Lyndon Johnson’s War on Poverty.


Since 1965, HS has served nearly 30 million children.
Currently, HS is administered by the Admin. for Children and
Families (ACF) within the Dept. of Health and Human Services
(HHS) and serves over 1 million children annually in all 50
states, US territories, and AI/AN and Migrant communities.


HS was reauthorized in 2007 with several provisions to
strengthen HS quality. The HS training and technical assistance
system was redesigned to support programs through
six
National Centers
and a state
-
based system to ensure success.




Source: Copied from ECLKC website:
http://eclkc.ohs.acf.hhs.gov/hslc/hs/about/history



Head Start Services


HS programs provide
comprehensive services
to enrolled
children and their families, which include:


education and cognitive development services


health, nutrition, social, and other services



HS emphasizes the role of parents as teachers, and
programs build relationships with families that support:


family well
-
being and positive parent
-
child relationships


families as learners and lifelong educators


family engagement in transitions


family connections to peers and community


families as advocates and leaders





Source: Copied from ECLKC website:
http://eclkc.ohs.acf.hhs.gov/hslc/hs/about




Head Start Service Models


HS serves preschool
-
age children (3


5 years) and
their families.
Early Head Start
(EHS) serves infants,
toddlers (up to 36 months), pregnant women, and
their families.



HS programs offer a variety of service models.
Programs may be based in:


centers or schools that children attend for part
-
day or
full
-
day services


family child care homes


children's own homes (home
-
based model), where a HS
staff person visits once a week and provides services




Source: Copied from ECLKC website:
http://eclkc.ohs.acf.hhs.gov/hslc/hs/about




HS Program Performance Standards


The HS Program Performance Standards provide a
standard definition of quality services that all EHS and HS
grantees are required to follow.


HS performance standards related to oral health include
:


Within the first 90 days of enrollment, HS must
determine whether each child has an ongoing source of
continuous, accessible care (“dental home”)


HS staff should ask the parents the following in order to
determine if children have a “dental home”


Name of dental provider?


Date of last dental visit?


How often does the child visit the dentist?

HS Performance Standards (cont’d)


Within the first 90 days of enrollment, a health care
professional must determine if a child is up to date on
preventive and primary oral health care according to
state Early and Periodic Screening, Diagnostic, and
Treatment (EPSDT or Medicaid) schedule


Health care professionals and HS staff access their
state's EPSDT schedule to ensure children's health and
dental needs are met


http://eclkc.ohs.acf.hhs.gov/hslc/states/epsdt

HS Performance Standards (cont’d)


If a child is not up to date on age
-
appropriate
preventive and primary care (EPSDT), HS must help
parents bring the child up to date within the first 90
days of enrollment


e.g., assists with Medicaid/CHIP application,
transportation, finding a dental provider, etc
.


Head Start must obtain or arrange further diagnostic
testing, examination, and treatment for each child
with health/dental problem


Dental follow
-
up remains one of the biggest challenges
for Head Start parents and staff




HS Performance Standards (cont’d)


Dental follow
-
up and treatment must include topical
fluoride treatments as recommended by a dental
professional



Head Start must establish ongoing communication
with parents of children with identified dental needs
to facilitate the implementation of the plan


Education of HS staff, case management systems,
and documentation are vital to this process


HS Program Information Reports (PIR)


The
PIR provides
comprehensive data on the services,
staff, children, and families served
by HS programs.
All grantees
are
required to submit
PIR reports to the
HHS OHS annually (self
-
reported data)



The
PIR data is compiled for use at the federal,
regional, state, and local levels
.



HS PIR (cont’d)

Oral Health PIR data requirements:


Number of children age 3 and older who
received preventive oral health care



Number of children age 3 and older who need
dental treatment


Of those, how many children received or are
receiving dental treatment


Reason children did not receive dental treatment

HS PIR (cont’d)

Oral Health PIR data requirements:


Number
of
children age 3 and older up
-
to
-
date
on preventive and primary oral health care based
on state EPSDT schedule (
age varies by state
)



Number
of pregnant women who received
an
oral exam
or
treatment (EHS)

Overview of the Head Start

National Center on Health

Head Start National Center on Health


Awarded to the American Academy of Pediatrics


Partners include:


Georgetown University


Education Development Center


National Training Institute for Child
Care Consultants at UNC


Health Care Institute at UCLA


Mission


Improve the health outcomes of HS/EHS children

Head Start National Centers

Head Start National Center on Health


Goals

1.
Provide evidence
-

and practice
-
based information
and materials to the Head Start community

2.
Work collaboratively with leaders in the health, early
childhood and child care fields to improve the health
of HS/EHS children and their families

3.
Work with national, state, and local organizations
and agencies to enhance the health care
infrastructure that impacts and serves HS/EHS
children and families


NCH Priority Health Issues


Healthy weight, nutrition, and physical activity


Developmental and behavioral health


Safety and Injury prevention


Health literacy


Oral health and dental homes


Asthma prevention with special emphasis on
tobacco exposure prevention


NCH Resource Materials Examples


Curricula


Newsletter articles


Practice guides


Webinars


Podcasts


Referenced fact sheets


Resource guides


Best practice approach
reports and promising
practice descriptions


Tools to assist in the
provision of T/TA

NCH Oral Health Project (NCH
-
OHP)


Project leads:


Georgetown University’s National Maternal and Child Oral
Health Resource Center (OHRC)


The Association of State and Territorial Dental Directors
(ASTDD)


Framework:


Disease Prevention and Management


Access to Care


Systems Integration

The American Dental Hygienists’
Association (ADHA)

is recognized
as an important National Center
on Health

Oral Health Project
(NCH

OHP) partner.

What is the Role of the HS
-
DH Liaison?


Dental hygienists in every state are serving in a volunteer
role to:


Provide a
communication link
between NCH and
statewide oral health activities and programs



Collaborate

with the state partners including State
Dental Directors, HS State Collaboration Directors and
former DHI State Leads to address access to care issues



Assist in
increasing preventive and educational services

to Head Start statewide



Share resources
with HS and other partners to deliver
consistent messages on oral health






Responsibilities of the HS
-
DH Liaison


1. Self
-
Introduction to partner groups as a
point of contact


2. Make connections to support a HS and
oral health statewide network


3. Submit a quarterly report of activity and
collaboration to NCH

ADHA


4. Stay informed through emails, webinars
and
www.astdd.org

website


Oral Health and Head Start


Head Start

directors, staff, and
parents report oral health issues as
one of their biggest challenges


Finding dentists


Following up on needed
treatment

Thank you




States A
-
M contact

Kathy Geurink RDH, MA, NCH
-
OHP Consultant

Email:
kgeurink@zeecon.com



States N
-
Z contact

Michelle Landrum, R.D.H., M.Ed. Candidate, NCH
-
OHP
Consultant Email:
michellelandrum@yahoo.com



ADHA Project Contact

Daniel Zurawski,
BA,MPA, ADHA
Governmental Affairs Assistant


danielz@adha.net