There are thirty-three Healthy People 2020 Objectives for Oral Health Program. This presentation goes through each objective and compares Nevada's most current number against the National Baseline and National Target numbers. This presentation was presented at the Oral Health Summit in June 2012 to the Advisory Committee for Oral Health (AC4OH) to help guide them on decisions related to oral health funding, interventions, and the future of the Oral Health Program in Nevada.

1. June 22, 2012
John Whitehill, Jr., MPH
Oral Health Program Evaluator

2.  Oral Health’s Importance
 Oral Health Plan
 HP 2010
 HP 2020
 Nevada’s Status on HP2020 Objectives
 Positive Trends in Nevada
 Future Implications

3. Published May 2000

4.  “Oral health is essential to general health and
well-being and can be achieved”.

5.  One component of an oral health plan is a set
of measureable and achievable objectives on
key indicators of oral health burden, oral
health promotion, and oral disease
prevention.

6.  Designed to serve as a roadmap for
improving health of all people in US
 Objectives for key structures, processes, and
outcomes related to improving oral health

7.  Vision is to “advance the general health and
well-being of all programs by creating critical
partnerships at all levels of society to engage
in programs to promote oral health and
prevent disease”

8.  Call to action reflected in HP 2020
◦ To promote oral health
◦ To improve quality of life
◦ To eliminate oral health disparities

9.  Many changes added to HP 2020 – many of
which Nevada “Does Not Collect (DNC)”
 There were new objectives added so no
national or Nevada statues
 Also changes due to age breakdown changes
(i.e. – 2 to 4, 6 to 8, Aged 15 now are 3 to 5, 6 to 9, 13 to 15)
 Data is published in April 2012 Burden
Document

10.  4 Objectives exceed the National Target
 5 Objectives are “NEW”
 11 Objectives fall short of National Target
 13 Objectives the data is “DNC” or the data is
being collected but not reported**
** Data could be collected in audience, but please hold commenting until after the
presentation, one of the agenda items is addressing “Where is the data?”, “Is it
collected?”, and “Should data be centralized for future use?”

11. 33.3
30
54
0
10
20
30
40
50
60
OH 1.1
Percent
National Baseline
National Target
Nevada Status
Source: Healthy Smile Happy Child Oral Health Survey of Head Start Students – Nevada 2008

12. 54.4
49
72
0
10
20
30
40
50
60
70
80
OH 1.2
Percent
National Baseline
National Target
Nevada Status
Source: Healthy Smile Happy Child Oral Health Survey of Third-Grade Children – Nevada 2006

13. 53.7
48.3
62
0
10
20
30
40
50
60
70
OH 1.3
Percent
National Baseline
National Target
Nevada Status
Crackdown on Cancer Program, School Year 2007-2008

14. 23.8
21.4
32
0
5
10
15
20
25
30
35
OH 2.1
Percent
National Baseline
National Target
Nevada Status

15. 28.8
25.9
44
0
10
20
30
40
50
OH 2.2
Percent
National Baseline
National Target
Nevada Status

16. 17
15.3
33
0
5
10
15
20
25
30
35
OH 2.3
Percent
National Baseline
National Target
Nevada Status

17. 27.8
25
DNC
0
5
10
15
20
25
30
OH 3.1
Percent
National Baseline
National Target
Nevada Status

18. 17.1
15.4
DNC
0
2
4
6
8
10
12
14
16
18
OH 3.1
Percent
National Baseline
National Target
Nevada Status

19. 37.9
34.1
DNC
0
5
10
15
20
25
30
35
40
OH 3.3
Percent
National Baseline
National Target
Nevada Status

20. 76.4
68.8
DNC
0
10
20
30
40
50
60
70
80
90
OH 4.1
Percent
National Baseline
National Target
Nevada Status

21. 24
21.6
17
0
5
10
15
20
25
30
OH 4.2
Percent
National Baseline
National Target
Nevada Status

22. 12.7
11.4
DNC
0
2
4
6
8
10
12
14
OH 5
Percent
National Baseline
National Target
Nevada Status

23. 32.5
35.8
31
28
29
30
31
32
33
34
35
36
37
OH 6
Percent
National Baseline
National Target
Nevada Status

24. 44.5
49
41
36
38
40
42
44
46
48
50
OH 7
Percent
National Baseline
National Target
Nevada Status

25. 26.7
29.4
DNC
0
5
10
15
20
25
30
35
OH 8
Percent
National Baseline
National Target
Nevada Status

26. 24.1
26.5
0.45
0
5
10
15
20
25
30
OH 9.1
Percent
National Baseline
National Target
Nevada Status

27. 10.1
11.1
0
0
2
4
6
8
10
12
OH 9.2
Percent
National Baseline
National Target
Nevada Status

28.  OH 9.3 Increase the proportion of school-based
health centers with an oral health component
that includes topical fluoride DNC
 OH 10.1 Increase the proportion of Federally
Qualified Health Centers that have an oral health
care program DNC
 OH 10.2 Increase the proportion of local health
departments that have oral health prevention or
care programs DNC
 OH 11 Increase the proportion of patients who
receive oral health services at Federally Qualified
Health Centers each year DNC
 OH 12.1 Increase the proportion of children 3 to
5 years who have received dentals sealants on
one or more of their primary molar teeth DNC

29. 25.5
28.1
41
0
5
10
15
20
25
30
35
40
45
OH 12.2
Percent
National Baseline
National Target
Nevada Status

30. 19.9 21.9
54
0
10
20
30
40
50
60
OH 12.3
Percent
National Baseline
National Target
Nevada Status

31. 72.4
79.6
74
68
70
72
74
76
78
80
82
OH 13
Percent
National Baseline
National Target
Nevada Status

32.  OH 14.1 Increase the proportion of adults who
received information from a dentist or dental
hygienist focusing on reducing tobacco use or
smoking cessation in the past year (NEW)
 OH 14.2 Increase the proportion of adults who
received an oral and pharyngeal cancer screening
from a dentist or dental hygienist in the past year
(NEW)
 OH 14.3 Increase the proportion of adults who
are tested or referred for glycemic control from a
dentist or dental hygienist in the past year (NEW)
 OH 15.1 Increase the number of states and DC
that have a system for recording cleft lips and
cleft palates (NEW)
 OH 15. 2 Increase number of states and DC that
have a system for referral for cleft lips and cleft
palates to rehabilitation teams (NEW)

33.  OH 16 Increase the number of states and the
District of Columbia that have an oral and
craniofacial health surveillance system (DNC)
 OH 17.1 Increase the proportion of states
(including DC) and local health agencies that
serve jurisdictions of 250,000 or more
persons with a dental public health program
directed by a dental professional with public
health training
 OH 17.2 Increase the number of Indian Health
Service Areas and Tribal health programs that
serve jurisdictions of 30,000 or more persons
with a dental public health program directed
by a dental professional with public health
training (DNC)

34.  33 Total HP 2020 Objectives
 4 Objectives exceed the National Target
 5 Objectives are “NEW”
 11 Objectives fall short of National Target
 13 Objectives the data is “DNC” or the data is
being collected but not reported

35. 67
71
64.9
39 44
28.1
33 41
37.5
58 60
69.2
11 9
8.5
0
10
20
30
40
50
60
70
80
02'-03' 05'-06' 08'-09'
Percent Positive Trends in Nevada’s 3rd Grade Population
Decay Experience
Untreated Decay
Dental Sealants
Dentist Visit
Within Last year
Never Seen a
Dentist
Source: Healthy Smile Happy Child Oral Health Survey of Third-Grade Students 2002-2009

36. Source: Healthy Smile Happy Child Oral Health Survey of Third-Grade Students 2002-2009
0
10
20
30
40
50
60
70
80
90
02'-03' 05'-06' 08'-09'
Percent Good Trends in Nevada’s 3rd Grade Population
Caries Experience - E
Caries Experience - NE
Untreated Decay - E
Untreated Decay - NE
Sealants - E
Sealants - NE

37.  Meeting the needs of the HP 2020 objectives
 Starting to collect data that needs to be track
in order to try and meet needs of HP 2020
 Collaborating efforts to move Nevada forward