The URL can be used to link to this page

Home My WebLink About1990-06-11 90-210 ORDERroduced For Cc N5jrvT �gr.asiage ❑ Firil Reatling Page—of- 0 age_of❑ Referral Date June 11. 1990 Item No. 90LO Item/Subject: MCH GMNT — MIMREN•S DENTAL =KC Responsible Department: Health and Welfare Commentary: Min " the renewal of the aterWard grant agreement cov ing the $16100D which the Legislature instructed the Department of Human Services to Include in their budget on a regular baeie. For your information• I have attached a copy of the Goals for the Clinic. i Leprtmnr� Manager's_ Commands: tL VV VV cy MCNfn Associated Information: Budget Approval: o Legall,Appprmml: 34,f roduced For Cc N5jrvT �gr.asiage ❑ Firil Reatling Page—of- 0 age_of❑ Referral 90-210 Introduced by Councilor Sullivan, Tune 11, 1990 CITY OF BANGOR (TITLE.) (Prber,_.AUAhartzing..tda..aity_xanassr, to. sascute a Pratt, Auaammt ..... Depart ant oP_Muoen seevicea_- Childrm•s Dental Clinic By the City Comonlorthe City of Deeper. OED&HFD, THAT the City Manager, on behalf of the City of Bangor, is hereby authorized ao3 dirmtei to execute a Great Agreement with the Maine Department of Human Services, a copy of which is on file in the Office of the City Clerkq and to into allother necessary action, Including execution of documents and contracts, for the purposes of providing services to patients seen at the Children's DmUl Clinic. 90-210 0 DER IN CITY COUNCIL Title, . June 11, 1990 P/ej/fed / Authorizing the City Manager to (f[(w(2(./�� ••Eaecute a Grant Agreement with the Maine T I11 CLERK D�e/a/xj�Lje�nC Of HUman SeZVIC¢e CM1ildien'a Dental Clinic S Councilman GOAL I 90-210 TO REDUCE THE CARIES RATE IN ALL CHILDREN SERVED BY THE BANGOR CHILDREN'S DENTAL CLINIC. OBJECTIVE A --To increase the proportion of the K-5 population that seek and receive Clinic serdices. STRATEGY 1 --Keep accurate records on the number and ages of children receiving Clinic services. STRATEGY 2 --Maintain the existing School Dental Health Programs. STRATEGY 3 --Encourage eligible referrals in this age group from local pediatricians. - STBATEGY 4 --Encourage eligible referrals in these age groups from f Bangor Public Health Nurses, Bangor. School Nurses, .Bangor School Teachers and the Bangor area WIC. Program. STRATEGY S --Continue giving presentations on preventive dental health and oral hygiene instructions to local day care centers, preschool§ and young mothers' groups. OBJECTIVE B --To increase the number of children seen at the Clinic especially in age groups infancy - 3 years and 12-I8 years. STRATEGY 1 --Keep accurate records an the number and ages of childrenreceiving Clinic services. STRATEGY 2 --Encourage eligible referrals in this age group from local pediatricians, obstetricians, and nurses. STRATEGY 3 --Continue giving presentations on preventive dental health to young mothers' groups. STRATEGY 4 --Continue broadcasting public service announcements on local television stationa encourging parents to bring their child for the first dental exam by age 6 months. EVALUATION PLAN 1) an evaluation will be made quarterly of the number of children receiving services at the Clinic. 2) An evaluation will be made quarterly of the number of referrals to the Clinic from Public Health Nurses, WIC, School Nurses, Classroom Teachers, Pediatricians and Obstericians. 3) An evaluation will be made quarterly to determine the number of children seen at the Clinic in all age groups, 4)An evaluation will be made yearly via a decayed, missing and filled epidemiologicalsurvey(DMFS) of 50 randomly selected 90-210 10 and 11 year old Bangor school children to gather data on the rate of caries and to determine the amount of re- lated treatment needed. OUTCOME MEASURES 1) The UMW surface score of Bangor school children will be. at or better than the current national ;average of 3.0 for 10-11 year old school children in 19901-9X. 2) The oral health of Bangor school children whose restor- ative dental needs are served by the Clinic will improve in 1990 -91 -and this improvement will be reflected in each monthly report submitted to the City Council. The ratio of restorations per patient visit will decrease each quarter. GOAL II 90-210 TO ELIMINATE THE PRACTICE OF USING A NURSING BOTTLE WITH MILE OR JUICE AS A PACIFIER, THERBBY.REDUCING THE EVIDENCE OF BABY BOTTLE SYNDROME IN CHILDREN SERVED BY THE CLINIC. OBJECTIVE A --To increase the number of children seen at the Clinic in the age group infancy -4 years. STRATEGY 1 --Encourage eligible referrals- in these age groups from Hangar Public Health Nurses, Head Start Centers, Ray care centers, preschools and from local Pediatri- cians, Obstericians offices. STRATEGY 2 --Continue to print pamphlets and fliers that stress how the Clinic provides services for infants and very 'yyoung children. Distribute these t0 community £enters, -`day dare centers, Head Start Schools and to local T pediatricians' offices. STRATEGY3--Continuegiving public service announcements at local radio and television studios stressing that the Clinic provides services for infants and very young children.,.. OBJECTIVE B--Toeducate and .inform the public and medicallprofes- signal population of Bangor on how nursing -battle syndrome is a preventable malady. STRATEGY 1 --Continue to give presentations to local day care 'centers, preschools and young mothers' groups' stressing the.importance of weaning children off night-time bottles once their first teeth erupt. STRATEGY 2-- Continue to give presentations and to print and distribute Pamphlets that stress the importance Of dental checkups, fluoride treatments and oral hygiene instructionsforinfants and very young children. EVALUATION PLAN -1) An evaluation will be made quarterly to determine the number of children seen at the Clinic between infancy and age 4 and the nature of their dental needs.: 2) An evaluation will be made of the number of initial visits exhibiting nursing -bottle syndrome seen at the Clinic via the monthly report submitted to the City Council. OUTCOME MEASURES '- 1) The Clinic will see progressively fewer cases of nursing - bottle syndrome in 1990-91 as reflected in the monthly reports submitted td' the City Council. ,2) Since fewer cases of nursing -bottle syndrome will be seen, eventually, the oral health of Bangor school children whose za-zio restorative needs are served by the Clinic will improve as measured by the ratio of restoration per patient visit in the monthly report submitted to the City Council. 90-210 GOAL III TO TREAT A GREATER NUMBER OF EARLY -INTERVENTION, PREVENTIVE ORTHO- DONTIC CASES IN ORDER TO DECREASE THE NEED FOR COMPREHENSIVE ORTHO- DONTIC TREATMENT IN CHILDREN SERVED BY THE BANGOR CHILDREN'S DENTAL CLINIC. OBJECTIVE A --To reduce the caries rate in all children served by the Clinic in order to conserve time and resources which can be directed toward early -intervention - preventive -orthodontics. STRATEGY 1 --Maintain existing school dentil,health programs. STRATEGY 2 --Encourage eligible referralsfrom localpediatri- cians,-Bangor public Health Nurses, Bangor school T 'teachers and from the Bangor area. WIC program. STRATEGY 3--Continue giving presentations on preventive dental 'health and oral hygiene instructions to local day care centers, preschools and young =there' groups. STRATEGY 4--Continue to print pamphlets and fliers that encourage eligible recipients to utilize the Clinic services. Distribute these to community centers, day care centers, Head Start schools and to localpediatricians' offices. - - - - STRATEGY 5 --Continue giving public service announcements at local radio and television studios stressing the services that the Clinic provides. STRATEGY 6 --Continue to give presentations and to print and dis- tribute pamphletsthatstress the importance of dental -' check-ups, fluoride treatments and oral hygiene in- structions for all children. OBJECTIVE B --To educateparents and patients on the benefits of early- interventi0n-oreveneive-orthodontic measures versus the drawbacks and complications of comprehensive -fixed -appli- ance orthodontics. STRATEGY I -Continue giving presentations of. preventive dental health and early -intervention -preventive orthodontics to young mothers' groups and community center functions. STRATEGY 2 --Continue to give public service announcements at Local radio and television studios emphasizing the many benefits of early -intervention -preventive -orthodontics. EVALUATION PLAN An evaluation will be made quarterly of the number of children undergoing preventive -orthodontics versus those undergoing comprehensive -fiord -appliance -orthodontics. 90-210 OUTCOME MEASURES The ratio of comprehensive -fixed -appliance -orthodontic cases to the preventive non -fixed -appliance cases will decrease in 199a-91 as reflected in the monthly report submitted to the City Council. As a direct result of the work covered by this grant, we expect to see a decrease in the number of initial visits With nursing bottle syndrome. We also expect to see an increase in the number of referrals to the Clinic plus an increase in the number of children treated for preventive orthodontics. We plan to achieve our goals while assuring the highest quality service based on nationally accepted quality }assurance, methodologies in clinical dentistry that are based on appropriate professional standards of conduct aa,well as state Laws and regulations. -