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SIXTEENTH STREET COMMUNITY HEALTH CENTER
- Project Identifier Information
- Project Title: SIXTEENTH STREET COMMUNITY HEALTH CENTER
- Project Number: H17MC02525
- Email address: gracielavilladoniga@sschc.org
- Budget
| 1. MCHB Grant Award Amount: (Line 1, Form 1) | $50,000 |
| 2. Unobligated Balance: (Line 2, Form 1) | $50,000 |
| 3. Matching Funds: (if applicable) (Line 3, Form 1) | $0 |
| 4. Other Project Funds: (Line 4, Form 1) | $0 |
| 5. Total Project Funds: (Line 5, Form 1) | $100,000 |
The MCHB Grant Award Amount may differ from the total budget amount
displayed on the Snapshots page due to grant actions that occurred
after this report was submitted. These grant actions would include
supplemental funding such as carryovers and extensions.
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- Type(s) of Service Provided
- Project Description on Experience to Date
- Project Description
- Problem:
Dental care especially in low income and minority children, has recently been identified as the most prevalent unmet health need in US children. In response, we will incorporate oral health into the medical component of our health center in cooperation with our dental clinic.
- Goals and Objectives: List up to 5 major goals and time-framed objectives per goal for the project.
| Goal 1: | To incorporate oral health into the medical component of the 16th Street Community Health Center in cooperation with our dental clinic. |
| Objective 1: | By February 28, 2007, at least 75% of pregnant women will be able to demonstrate increased knowledge of oral health. |
| Objective 2: | By February 28, 2007, 75% of Well Child Check appointments of children ages 6 months to 5 years of age will have fluoride treatments applied to reduce the incidence of dental caries. |
| Objective 3: | By February 28, 2007, 75% of our pregnant patients and children 6 months to 5 years of age will have a caries risk assessment in order to tailor our education and anticipatory guidance we will monitor it by doing chart review |
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- Activities/Methodology undertaken to meet project goals:
Objective 1 Activities: We will use an “Oral Health During Pregnancy” information packet developed during the first year for oral health education and counseling services for our pregnant patients.
Objective 2 Activities: We utilize our newly formed fluoride varnish program in which high concentration fluoride will be painted directly onto the teeth. Our medical providers (Pediatricians, Physicians Assistants and family practitioners) will do the application of the fluoride varnish at the time of the well child checks (WCC).
Objective 3 Activities: Pregnant patients will receive oral health education and anticipatory guidance regarding teething, tooth eruption, time of first dental visit, importance of age appropriate fluoride use: in water, fluoride tooth paste, rinses etc. along with a caries risk assessment. Pediatric patients will receive oral risk assessments by 6 months or age utilizing the Caries Risk Assessment Tool. In the case of infants, a risk assessment to identify parents (usually mothers) can be performed by taking a simple dental history from a new mother.
- The first three Healthy People 2010 objectives which this project addresses are listed below.
- Related to Objective 16.23. Increase the proportion of Territories and States that have service systems for Children with Special Health Care Needs to 100 percent.
- Related to Objective 16.23: Increase the proportion of States and jurisdictions that have service systems for children with or at risk for chronic and disabling conditions as required by Public Law 101-239.
- Related to Objective 23.11 (Developmental) Increase the proportion of State and local public health agencies that meet national performance standards for essential public health services.
- Coordination: List the State, local health agencies or other organizations involved project and their roles.
Staff has been appointed to “Governor Doyle’s Task Force to Improve Access to Oral Health Care”. Our Pediatrician is a member of the Wisconsin Oral Health Alliance and has participated in the “Prevention/Clinical Care” committee meeting. Clinical staff has attended the Grand Rounds held at Children’s Hospital given by Dr. Lori Barbeau, Director of Pediatric Dentistry, Children’s Hospital.
- Evaluation : briefly describe the methods which will be used to determine whether process and outcome objectives are met.
Objective 1: pre- and post-test for OB patients.
Objective 2: Superbills have been modified in our Medical Manager records system to determine if children age 6 months to 5 years of age are receiving fluoride treatments.
Objective 3: Risk Assessment scores are included on Superbills for OB patients and fluoride treatment data has been added to our Superbill for pediatric patients. All children receiving fluoride treatments received risk assessments.
- Continuing Grants ONLY
- Experience to Date :
We are using an “Oral Health During Pregnancy” information packet. This year we revised our survey method to include completing questionnaires during clinic appointments to increase the number of completed questionnaires.
We have developed protocols to encourage all our pregnant patients to seek dental treatment and cleanings during their pregnancy. For those exhibiting high-risk on the assessment forms, we developed a preferential appointment schedule. We also have a portion of the grant available to cover the cost of dental cleanings for women whose risk assessment score was high and have no insurance to pay for dental care.
In order to facilitate the referral of children to dental providers, our Pediatrician has spent considerable time tracking down Medicaid participating dentists to ask them to participate in some of these Medicaid programs so we can refer our patients appropriately. As this point, only one dentist has indicated some interest.
Superbills have been modified in our Medical Manager records system to determine if children are receiving fluoride treatments. According to Infopoint, 1,161 fluoride treatments were applied during the first half of the grant cycle. This represents 76% of patients coming in for a Well Child Check.
Based on chart audits during the first half of this grant cycel, 70% of our pediatric patients who had a Well Child Check visit, had a caries risk assessments and 75% of our new OB patients had a risk assessment completed.
- Website URL and annual number of hits:
URL: www.sschc.org
Number of hits: 30000
- Key Words
- Access to dental care
- Child health promotion
- Community health centers
- Cultural sensitivity
- Dental caries
- Dental education
- Early intervention
- Fluoride
- Health promotion
- Hispanics
- Annotation:
Our patient population is primarily low-income, Hispanic young children who are at high risk for childhood tooth decay. The purpose of the Improving Hispanic Children’s Oral Health by Prenatal and Postnatal Interventions (IHCHPPI) Project is to provide basic oral health education to our medical providers, to provide oral health education and counseling to our expectant mothers, particularly those exhibiting high risk, and to institute a fluoride varnish program for preschool age patients of our medical clinic.
Are the Data Reported on this Form Provisional or Final?
Provisional
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