KENTUCKY’S ORAL HEALTH

PROGRAM:WHAT’S IN IT

FOR WEST VIRGINIA?

West Virginia School-CommunityOral Health Conference

November 11, 2011

ORAL HEALTH PUBLIC HEALTHPROGRAMS IN

KENTUCKY

Julie Watts McKee, DMDState Dental Director

HISTORY OF KENTUCKY’S ORAL HEALTH PROGRAM

HISTORY OF KENTUCKY’S ORAL HEALTH PROGRAM

HISTORY OF KENTUCKY’S ORAL HEALTH PROGRAM

CURRENT EMPHASIS ON CHILDREN’S ORAL HEALTH

KENTUCKY’S ORAL HEALTH

STATUS

The Need

UNTREATED DECAY IN OUR VERY YOUNG

28.0%

12%

42.8%64,500

1987 (0-4) HK 2010 (2-4) KCOHS (2-4)

DISTRIBUTION OF KENTUCKY’S DENTISTS

KENTUCKY’S DENTAL SCHOOL GRADUATES DO NOT STAY HERE

PEDIATRIC DENTISTS IN KENTUCKY

Number of Pediatric Dentists in Kentucky - 2009By County

Number 0 1 2 34 16 19

ADAIR

ALLEN

ANDERSON

BALLARD

BARREN

BATH

BELL

BOONE

BOURBON

BOYD

BOYLE

BRACKEN

BREATHIT T

BRECKINRIDGE

BULLITT

BUTLERCALDWELL

CALLOWAY

CAMPBELL

CARLISLE

CARROLL

CARTER

CASEY

CHRISTIAN

CLARK

CLAY

CLINTON

CRITTENDEN

CUMBERLAND

DAVIESS

EDMONSON

ELLIOTT

ESTILL

FAYETTE

FLEMING

FLOYD

FRANKLIN

FULTON

GALLATIN

GARRARD

GRANT

GRAVES

GRAYSON

GREEN

GREENUP

HANCOCK

HARDIN

HARLAN

HARRISON

HART

HENDERSON

HENRY

HICKMAN

HOPKINS

JACKSON

JEFFERSON

JESSAMINE JOHNSON

KENTON

KNOTT

KNOX

LARUE

LAUREL

LAWRENCE

LEE

LESLIELETCHER

LEWIS

LINCOLN

LIVINGSTON

LOGAN

LYON

MC CRACKEN

MC CREARY

MC LEAN

MADISON MAGOFFIN

MARION

MARSHALL

MARTIN

MASON

MEADEMENIFEE

MERCER

METCALFE

MONROE

MONTGOMERY

MORGAN

MUHLENBERG

NELSON

NICHOLAS

OHIO

OLDHAM

OWEN

OWSLEY

PENDLETON

PERRY

PIKE

POWELL

PULASKI

ROBERTSON

ROCKCASTLE

ROWAN

RUSSELL

SCOTT

SHELBY

SIMPSON

SPENCER

TAYLOR

TODDTRIGG

TRIMBLE

UNION

WARREN

WASHINGTON

WAYNE

WEBSTER

WHITLEY

WOLFE

WOODFORD

PROJECTS RELATED TO HEALTHY SMILES

KENTUCKY

Kentucky’s Oral Health Program

KIDS SMILE CURRICULUM

Kentucky Oral Health Program

ASSESSMENT, OHI, VARNISH

WHO GETS THIS TRAINING? Pediatricians Family Practice Physicians Public Health Nurses

Local Health DepartmentsCommission for Children with Special

Healthcare Needs

SUSTAINABILITY? Medicaid Reimbursement

For mostNot all

98% vs. 2% Private Insurers?

ABCD GRANT FOR DENTISTS TRAINING

TARGET OF ABCD PROGRAM

ABCD HOPED FOR RESULTS

PROBLEMSOLUTIONS

HOPED FOR RESULTS

Oral Health Coaltions

Oral Health Coalitions

Knox

Menifee

Magoffin

Floyd

Whitley

Estill

Hart

Johnson

Lawrence

Lewis

Metcalfe

Robertson

LOCAL ORAL HEALTH COALITIONS

NEXT PHASE FOR COALITIONS:PORTABLE DENTAL EQUIPMENT

WHAT’S NEW?WHERE ARE WE HEADED?

Kentucky’s Oral Health Program

SMILING SCHOOLS INITIATIVE

Part of the Governor’s Healthy Smiles Kentucky Initiative

ARC Smiling Schools Counties

BellHarlanKnoxRussell

Clay

Jackson

Owsley

LeeWolfe

Menifee

Elliott

Magoffin

Floyd

KnottPerry

Breathitt

UK’S PRENATAL PROGRAMS

NOT Part of Kentucky’s Oral Health Program

ARC PLANNING GRANT

MSU, UK, UPIKESOM

NOT Part of Kentucky’s Oral Health Program

APPALACHIAN SCHOOL OF LAW

BEVERAGE STUDIES

NOT Part of Kentucky’s Oral Health Program

PUBLIC HEALTH HYGIENE PROGRAMS New to Kentucky Increase Access Build Dental Home Medicaid? Referrals By Protocol, not by General Supervision Will grow from schools to all in need

OTHER IDEAS IN KENTUCKY Dental Caries and Periodontal Disease Chronic Disease Medicaid Managed Care Adult Dental Care Charitable Clinics Charitable Events Workforce Distribution

KENTUCKY’S ORAL HEALTH

PROGRAM

Dr. Julie Watts McKee

JulieW.McKee@ky.gov502-564-3246 x 3774

Questions?