2017 Texas Oral Health Summit

 



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BUILDING HEALTHY COMMUNITIES TOGETHER


2017 Speakers

Summit Courses (PDF)

 

Thursday, November 9, 2017

Oral Health Integration Symposium


Course Description
The oral health landscape is continually changing in Texas. In the face of this change, we can either be reactive, or proactive. Attendees will learn to translate collaborations into action through rigorous, collaborative, and a data-driven approach to systems change.

Participants will learn about successful interprofessional oral health education modules and how to integrate oral health education into academia and medical and dental care.
The symposium will provide collaborative preventive strategies for caregivers and health professionals to use to improve oral health for individuals with dementia, developmental and intellectual disabilities and complex medical needs.

Attendees will learn best practices and successful strategies to address data collection, diverse financing mechanisms, and increasing collaborations with community partners to develop or sustain school-based health programs.

Course Objectives
Upon completion of this session, attendees will be able to:

  • Describe the THI/TxOHC initiative’s objective, structure, and outcomes
  • Demonstrate examples of collaborative work products
  • Identify four phases of integrating oral-systemic health into academia and interprofessional activities.
  • Describe program areas where oral health and medical integration have been successful.
  • Describe the importance of oral health and primary care integration with the medical practice.
  • Describe the importance of collaborative preventive care in non-traditional settings to increase individual, family and care giver cooperation to achieve oral health.
  • List innovative strategies to improve Medicaid Alternative Home and Community Based Program participants' oral health outcomes.
  • Advocate and address oral health disparities for people with disabilities.
  • Describe the difference among several model Texas school-based oral health programs.
  • Identify what variables need to be addressed when developing or conducting a school-based oral health program.
  • Discuss specific strategies and approaches for integrating a school-based health program (SBHP) into the community.
  • Describe methods for achieving sustainability for a SBHP.

Translating Collaborations into Action
The oral health landscape is continually changing in Texas. In the face of this change, we can either be reactive, or proactive. A rigorous, collaborative, and data-driven approach is required to guide and achieve systemic improvements that address similar yet multi-faceted factors. In 2016, Texas Health Institute (THI) collaborated with the Texas Oral Health Coalition (TxOHC), to develop and advance a data-driven, collaborative movement to improve oral health in Texas. The presentation will provide a summary of the initiative’s successes, lessons learned, and how do we plan to build it up from here.

Upon completion of this session, attendees will be able to:
  • Describe the initiative’s objective, structure, and outcomes
  • Demonstrate examples of collaborative work products

Ankit A. Sanghavi, BDS MPH
Ankit Sanghavi, BDS, MPH, serves as the Director for the Community and Oral Health Program at Texas Health Institute (THI). In his current role, Ankit leads a range of research, innovation, and evaluation projects aimed at achieving oral health improvements at the local, state, and national level. He was recently appointed as an advisory committee member of the Repository of Oral Health Data Evaluation and Outcomes initiative. He currently represents Texas on the National Oral Health 2020 network in addition to serving on several other national and state-wide public health/ oral health workgroups and committees. He has presented at state and national venues including National Oral Health Conference and Mobile Health Clinics Forum. Ankit holds a Master of Public Health in Health Policy and Management from Texas A&M University and a Bachelor of Dental Surgery from M.U.H.S, India.



Integration of Oral-Systemic Health into Academia and Interprofessional Education

Baccalaureate Nursing and Health Science Students at Texas A&M University-Corpus Christi came together for shared interprofessional education oral health simulation experiences. Online modules from the Smiles for Life Interprofessional Comprehensive Oral Health Curriculum (SLICOHC) were used as anchor content and strategically woven into existing nursing and health science didactic courses. After completing SLICOHC modules in their respective courses students were scheduled to participate in two full days of an advanced mix of multi-patient high-fidelity simulations related to oral-systemic health, patient and family assessment, planning, intervention, and evaluation (nursing students), patient and family oral health education, discharge planning, community and professional oral health resource linkage (nursing and health science students).

At the end of this symposium, participants should be able to:

  • Identify four phases of integrating oral-systemic health into academia and interprofessional activities.

Christina Murphey, RN, PhD
Dr. Murphey is an Associate Professor and Department Chair at Texas A&M University-Corpus Christi, College of Nursing and Health Sciences. Formally, she was the Director of the Graduate Maternity Program at The University of Texas at Austin, School of Nursing. After receiving her baccalaureate degree from Texas A&M University-Corpus Christi, she practiced as a certified high-risk obstetric nurse, in-patient perinatal staff educator, and school nurse. She obtained a Master’s of Nursing (MSN) in Administration and Health Care Systems and a Doctor of Philosophy (PhD) in Nursing Science from The University of Texas at Austin. Dr. Murphey earned a minor in Molecular Genetics in Research, Health, and Society from Georgetown University, Washington, DC. She is a NIH/NINR Fellow; Summer Genetics Institute. Dr. Murphey has worked in a variety of research roles in the areas of nutrition and pregnancy among low- income and adolescent women, and biomarkers for preterm labor among Hispanic women. Her program of research is maternal health promotion and currently focuses on reducing stress, anxiety, depression and improving sleep quality in first time new mothers. Her dissertation examined oral health status among pregnant and parenting adolescents and she has several peer reviewed publications related to this topic. Dr. Murphey is actively involved in undergraduate and graduate teaching and curricula and was recently awarded a small program grant through the National Interprofessional Initiative on Oral Health (NIIOH) and Oral Health Nursing Education Program (OHNEP) for her Oral- Systemic Health Curricular Innovation project and subsequently received the Texas AM University Corpus Christi (TAMUCC) Faculty Senate Innovation in Teaching Award. She serves on the Board of Directors for TX Oral Health Coalition and is a member of the AAPHD Council of Scientific Information. She is a member of numerous professional organizations and university committees, and provides professional consultation services.

Integrating Dental and Medical Care at a Federally Qualified Health Center
The session will describe the benefits of oral health integration of medical and dental care. The course will present examples on how to integrate medical and dental care between pediatric, family medicine and prenatal providers.

Upon completion of this session, attendees will be able to:
  • Learn about program areas where oral health and medical integration has been successful such as Pediatrics and group medical care.
  • Understand the importance of oral health and primary care integration with the medical practice.

Heather Dent, DDS

Dr. Dent earned her Bachelors of Science in Biology from Texas A&M University-Corpus Christi in 2001 and her Doctor of Dental Surgery from University of Texas Dental Branch-San Antonio in 2005. She practiced as an associate in private practice for a year before joining El Centro de Corazon (El Centro). Dr. Dent has been the Dental Director at El Centro for over 10 years. She volunteers with students from the University of Texas Houston dental and hygiene schools at El Centro. Dr. Dent is a member of the Hispanic Dental Association, National Network of Oral Health Administrators and is secretary/treasurer for the Texas Oral Health Coalition Houston.










Collaborative Preventive Community Based Care
Opportunities and strategies to improve oral health for vulnerable adults receiving home and community based care will be presented. The use of education, webinars, technology, care giver support and incremental preventive care can strategically be used to improve oral health for individuals with dementia, developmental and intellectual disabilities (I/ DD) and complex medical needs. The University of Texas School of Dentistry at Houston provides community based rotations for students. Examples of collaboration in preventive and family based programs developed in other States and Countries will also be highlighted.

Upon completion of this session, attendees will be able to:
  • Understand the importance of collaborative preventive care in non-traditional settings to increase individual, family and care giver cooperation to achieve oral health.
  • Learn innovative strategies to improve Medicaid Alternative Home and Community Based Program participants' oral health outcomes.
  • Be able to advocate and address the oral health disparities for people with disabilities to bring equity to the promise of oral health in US federal statutes.

David Fray, DDS, MBA
David Fray DDS MBA has served an Associate Professor in the University of Texas School of Dentistry, Department of General Practice and Dental Public Health since 2015. He is the current President of the American Academy of Developmental Medicine and Dentistry (AADMD.org). His career includes 18 years of private dental practice with an emphasis on serving special needs adults. He has served as a public health administrator in State government disability programs in Arkansas and Hawaii for over 17 years.







School-based Oral Health Panel Discussion
Facilitated by Gary Badger, DDS, MS
Presenters will discuss successful school-based oral health program models in Texas and variables that will provide the attendees with the capacity to compare, contrast, and select appropriate components from these models to develop and implement into their own school-based oral health program.

Attendees will learn what data to collect, how to collect, measure or track outcomes, and how to share the data. An examination of diverse financing mechanisms will highlight successful strategies to increase collaborations and networking with community partners to develop or sustain a school-based health program. Also, best practices and helpful hints to address challenges will be shared to enhance the attendees’ programs.

Upon completion of this session, attendees will be able to:
  1. Describe the difference among several model Texas school-based oral health programs
  2. Identify what variables need to be addressed when developing or conducting a school-based oral health program
  3. Discuss specific strategies and approaches to integrate for linking their SBHP in the community
  4. Describe methods to assist in achieving sustainability for a SBHP

Panelists:

Tonya Fuqua, DDS
Dr. Tonya K. Fuqua is a general dentist in private practice part-time in Southlake, Texas with her husband who is a prosthodontist. Dr. Fuqua received her Doctor of Dental Surgery Degree from the University of Texas Health Science Center in San Antonio, Texas in 1995. She then served 4 years in the United States Air Force as an active duty dental officer, Preventive Dentistry Officer and the Manpower Disaster Team Chief. After moving to Fort Worth, Texas in 1998 she quickly got involved in the local dental society serving her community. She also served as Director of the Child Study Center Dental Clinic, treating children with developmental/behavior disabilities for 8 years. She was Chair for Give Kids A Smile on behalf of the Fort Worth District Dental Society from 2003-05 and continues to volunteer to treat children and adults at health fairs and different dental treatment venues. Founded and currently serves as the Program Director of Save a Smile led by Cook Children’s serving indigent children pre-kindergarten through sixth grade in targeted schools in Tarrant County. She also works with numerous local collaborations and community groups on children’s oral health issues and serves on the legislative committee for the Children’s Oral Health Coalition. Dr. Fuqua has been instrumental in developing the first fully integrated medical/dental home for the Cook Children’s Health Care System. She was recently appointed as a Board of Trustee for Texas Health Institute and serves as the President for the Tarrant County Leadership Board of the Crohn’s and Colitis Foundation. Dr. Fuqua is a member of countless dental, civic and professional business organizations. In her spare time, she is a wife and mother of two wonderful young girls.

Shailee Gupta, DDS, MPH
Dr. Shailee Gupta is the Clinical Director for the St. David’s Dental Program and has been practicing dentistry for 15 years. She has been providing dental care to underserved children in the Central Texas region with the St. David’s Dental Program for 11 years. In 2016, Dr. Gupta earned her Masters in Public Health degree from Creighton University. She graduated from The University of Texas School of Dentistry at Houston in 2002 and earned her Bachelor’s in Microbiology from The University of Texas in 1998.
Dr. Gupta has a passion for public health and organized dentistry. She serves in leadership positions in the tri-partite which includes serving as Secretary and the Peer Review Committee for the Capital Area Dental Society, Delegate for District 10 with the Texas Dental Association and was appointed last year to serve on the American Dental Association Diversity and Inclusion Committee. She is also a member of the American Association of Public Health Dentistry and has been a presenter at several public health conferences including the National Oral Health Conference and the Mobile Health Clinics Association Conference sharing best practices with other public health dental programs. Besides being involved within the field of dentistry and public health, she participates in committees at her children’s school and has organized volunteer activities for Network of Indian Professionals and Pratham Austin. She loves exploring Austin’s eclectic restaurants and hot spots with her husband and two kids.

Teresita Ladrillo, DMD, MPH
Dr. Teresita Ladrillo is a Senior Public Health Dentist at the Houston Health Department. She is in charge of one of the safety net dental clinics run by the City of Houston. She is also the Operations Chief of Project Saving Smiles, a collaborative, three- pronged primary preventive oral health strategy spearheaded by the City’s Health Department. The project targets second graders in schools where 50% or more of the students are on the Free or Reduced Lunch program. She has been an Adjunct Faculty at the University of Texas(UT) School of Dentistry in Houston since 2008. Dr. Ladrillo has over 30 years of experience serving underserved populations. She spent about 10 years providing clinical care for refugee populations in countries such as Thailand and Pakistan as well as well as running public health programs targeting children in primary schools and pregnant and lactating mothers in Maternal Child Health clinics. She was involved in the redevelopment of the School of Dentistry in the then war torn country of Cambodia. Dr. Ladrillo also took part in planning for the dental workforce and dental services in the country that were included in the Cambodia National Oral Health Plan. During her residency in dental public health at the UT Dental Branch- Houston, she was involved in the first Dental Needs Assessment in Texas Region 6. The findings showed very high prevalence of caries among pre-ks and second graders in Harris county. Her residency research project on the use of Emergency Rooms for pediatric dental care was published in the Journal of American Dental Association in 2006. Having worked in areas where the dental needs are great and the resources are scarce, Dr. Ladrillo is a strong proponent of prevention and early intervention in public health practice.

Nancy Blinn, RDH
Nancy Manion Blinn has been an Arlington resident most of her life. She went all the way through the AISD school system and hails as a Lamar graduate, where she first started working in the dental field as a dental assistant through the Health Occupations Education program. She went on to study Dental Hygiene at Tarrant County College and graduated in 1987. She has spent the last 30 plus years working as a Registered Dental Hygienist in varying capacities within the dental field, including an 18 month stay in Zurich, Switzerland. She specialized in pediatric dentistry and patient behavior management techniques and worked in private practice for over 12 years and at Children’s Medical Center of Dallas for 3 years before transferring to the Northeast with her husband and daughter. In Connecticut, she continued her passion of working with special needs children and the underserved. She is a past President of the Texas Dental Hygienists’ Association and of Greater Fort Worth Dental Hygienists’ Society and has provided Continuing Education Courses through the Southwest Dental Conferences’ “CE Express” and “Lunch and Learn series”. In 2014, Nancy moved back to take over as Executive Director for the nonprofit organization, Dental Health for Arlington, Inc. Dental Health Arlington is currently going through a rebirth with several staffing changes, new board members and a brand- new clinic with more chairs to accommodate all the people in need. DHA serves over 10,000 people in low income families either with free preventive care in their school based programs or low- cost, routine dental services through the DHA Dental Clinic. Currently, Nancy lives in Arlington with her husband, Bill, a jeweler and a volunteer firefighter. They have 1 daughter, Emma, a Freshman at Stephen F. Austin State University. She is involved in Rotary, Chamber of Commerce, TCC Dental Hygiene and Dental Assisting Advisory Boards and recently joined the Association for Fundraising Professionals and is currently working on her nonprofit management certification.


Magda De la Torre, RDH, MPH
Magda A. de la Torre, RDH, MPH is a Clinical Assistant Professor, Department of Comprehensive Dentistry at the University of Texas Health Science Center at San Antonio, School of Dentistry (UT Health). She received her Bachelor of Science in Dental Hygiene from UT Health and a Master of Public Health from Texas A&M University with a concentration in Health Policy and Management and Behavioral Health. A dental professional for 32 years, she has dedicated 18 years to Academia. She was a recipient of the 2008 UT Health Presidential Teaching Excellence Award and the 2007 Spectrum Award for Excellence and Leadership in Teaching, Research and Service in the School of Health Professions. She was inducted in the Academy of Master Teachers and was named one of Latina Style Magazine’s “Brilliant Latinas in Health Care”. Previously, she worked at the National Center for Farmworker Health, Center for Health Policy Development, Inc., and the State of Colorado, Farmworker Health Program. She has vast experience in implementing culturally competent components of health programs while working with national, state, and local programs and organizations. Ms.de la Torre has served on the Hispanic Dental Association Board of Directors and as Section and Governing Council for the Oral Health Section of the American Association of Public Health. Currently, she teaches pre-doctoral dental students and post-doctoral residents. She is the Program Coordinator for the Miles of Smiles-Laredo preventive school-based program and for the American Institute of Dental Public Health (AIDPH).




Friday, November 10, 2017

Oral Health: State of the State Symposium

Course Description
During this six-hour symposium presenters will discuss recent actions and activities of the federal government related to health funding, programs, appointments, and national health reform activity. The focus will be on how these changes impact oral health in Texas. Representatives from the Health and Human Services Texas Medicaid Dental Program and the Department of State Health Services Oral Health Program will review current policies and provide an overview of dental services and program activities.

A framework for moving forward in light of emerging regulatory trends and changes on the nursing home “front” will be given. Attendees will learn about progress made toward implementing electronic health records, including an assessment of the impact of this program on oral health measures.

Attendees will learn strategies to empower communities, practitioners and stakeholders in order to drive action and develop policy for improving daily oral hygiene for Texas nursing home residents, individuals with disabilities and pregnant women.

Course Objectives
Upon completion of this session, attendees will be able to:

  • Explain how federal health may impact oral health in Texas.
  • Explain how national health reform activities may impact oral health in Texas.
  • Identify the number of children being served in the Medicaid program
  • Describe dental trends influencing the Medicaid program
  • Describe the Oral Health Program of the State of Texas and its oral health surveillance and other public health activities throughout the state.
  • Explain the importance of oral health surveillance and the role the Oral Health Program plays in oral health surveillance.
  • Explain the need to educate both healthcare providers and the public on the importance of oral health for pregnant women, the importance of an infant oral examination and the role that both of these play in preventing or reducing early childhood caries.
  • Message “medically necessary oral care” as it applies to older adults.
  • Describe how regulatory trends have impacted dentistry in long term care.
  • Describe how the meaningful use program interacts with oral health and what that means for improving oral health in Texas.
  • Provide an overview of TMF Health Quality Institute.
  • Provide an overview of Smile Proud Oral Care Project.
  • Describe outcomes from BSS (Basic Screening Survey) data.
  • Describe the Texas Health Institute’s (THI) vision, strategy, and future plans
  • Identify lessons learned and next steps for THI.
  • Create policy change through state legislation.
  • Describe the ROHDEO database data collection methodology and the contribution process.
  • Identify the data indicators collected in the Basic Screening Survey, access to care questions contributed to ROHDEO, and basic demographic questions.
  • Describe the process and importance of standardization in statewide data collection
  • Define the challenges and opportunities in utilizing ROHDEO data.
  • Identify characteristics, including the average cost, of NTDC visits across emergency rooms in Texas.
  • Describe the contribution of such visits to the opioid epidemic.
  • Describe a collaborative model on Perinatal Oral Health education between dental health professionals and Family Nurse Partnership.
  • Describe the association between reinforcement of specific oral health behaviors and the provision of visual reminders.

The Federal Oral Health Update
This session will provide an overview of the most recent actions and activities of the Federal government related to health funding, programs and appointments, and how they might impact oral health and Texas.

Upon completion of this session, attendees will be able to:

  • To help attendees understand how federal health activities may impact oral health in Texas.

Marcia K. Brand, Ph.D.
Marcia K. Brand, Ph.D. is currently the Executive Director of the National Interprofessional Initiative on Oral Health, a Senior Advisor to the DentaQuest Foundation and a consultant and advisor on matters related to access to oral and rural health care. From 2009 until 2015, Dr. Brand was the Deputy Administrator of the Health Resources and Services Administration (HRSA), an Agency within the US Department of Health and Human Services that works to fill in the gaps for people who live outside the economic and medical mainstream. The Agency uses its $10 billion annual budget to expand access to quality health care in partnership with health care providers and health professions training programs. From 2007-2009, Brand was associate administrator of HRSA’s Bureau of Health Professions, where she provided national leadership in the development, distribution and retention of a diverse, culturally competent health workforce that provides high-quality care. From 2001-2007, Brand was director and associate administrator or HRSA’s Office of Rural Health Policy. In that position, she was responsible for health policy, research and grant activities that promote better health care services in rural America. In previous federal appointments, she lead efforts to plan and implement the State Planning Grant Program, which helped states explore options for providing health care coverage for uninsured residents, and coordinated HRSA’s efforts to implement the Children’s Health Insurance Program. As senior advisor to the deputy assistant secretary for health, Brand worked on the Secretary’s Initiative on the Future of Academic Health Centers. Brand worked in the US Senate as a legislative assistant, and held academic appointments in the dental hygiene departments at Thomas Jefferson University and Old Dominion University. Brand earned a doctoral degree in higher education from the University of Pennsylvania, and a master and bachelor of science degrees in dental hygiene from Old Dominion University.

Health Care Reform, Now What?
This session will provide an overview of the most recent national health reform activity occurring in Washington, and how it would impact oral health in Texas.

Upon completion of this session, attendees will be able to:
  • To help attendees understand how national health reform activities may impact oral health in Texas.

Patrick W. Finnerty

Patrick Finnerty is a Senior Advisor with DentaQuest and assists the enterprise in achieving its mission of improving the oral health of all. Prior to his association with DentaQuest, Patrick worked for the Commonwealth of Virginia for 32 years, including eight years as Virginia’s Medicaid Director. Improving access to oral health services for Medicaid/CHIP children was a hallmark of Patrick’s tenure as Medicaid Director. His prior work within Virginia government included directing the Virginia State Employees Health Benefits program, and serving as the Executive Director of a legislative health policy commission within the Virginia General Assembly.





Update on the Texas Medicaid Dental Program
An overview of dental services in the Medicaid program will be provided. Trends seen in the dental program will be reviewed as well as current policies and procedures being initiated to further define the dental program.

Upon completion of this session, attendees will be able to:
  • To obtain a broad understanding of the number of children being served in the Medicaid program
  • To obtain background knowledge of dental trends influencing the Medicaid program

Marguerite Laccabue, MPH, DDS
Please see Dr. Laccabue's Currriculum Vitae, here.

Oral Health Program Update
This course will educate attendees on what the Oral Health Program is and what it does. Both routine activities and special projects will be discussed. This includes an overview of the Basic Screening Survey a description of the Healthy Texas Smiles for Moms and Babies project.

Upon completion of this session, attendees will be able to:
  • The attendee will understand the State of Texas has an Oral Health Program that conducts oral health surveillance and other oral public health activities throughout the state.
  • The attendee will learn about the importance of oral health surveillance and the role the Oral Health Program plays in oral health surveillance.
  • The attendee will understand there is a need to educate both healthcare providers and the public on the safety and importance of oral health for pregnant women and the importance of an infant oral examination and the role that both of these play in preventing or reducing early childhood caries.


Rhonda Stokley, DDS
Rhonda Stokley, DDS, serves as the State Public Health Dental Director and Manager of the Texas Department of State Health Services Oral Health Surveillance Program. She plans and directs statewide dental public health programs and activities including statewide surveillance activities and preventive dental services. She participates as a subject matter expert for other state programs and represents the agency and state with a wide variety of partners in matters related to oral health. Dr. Stokley previously served as Dental Director for the Department of Aging and Disability Services’ Austin State Supported Living Center from 2007-2014. She also owned a private dental practice from 2013-2016. She graduated from Louisiana State University Health Sciences Center School of Dentistry in 2005. Dr. Stokley is also an active member of many oral health organizations.

Nursing Home Dentistry in Texas: “Straight from the Trenches”
A lot has changed on the nursing home “front” in dentistry over the last 20 years. Oral health is increasingly on the “radar” in both a medical and regulatory context. Knowing how to message “medically necessary oral care” is essential in order to maintain a positive momentum. Dr. Dirks will provide a framework for moving forward in light of emerging regulatory trends.

Upon completion of this session, attendees will be able to:
  • Learn how to message “medically necessary oral care” as it applies to older adults.
  • Understand how regulatory trends have impacted dentistry in long term care

Sarah J. Dirks, DDS

Dr. Sarah Dirks graduated from University of Texas Health Science Center Dental School in 1988 where she served as a faculty member for over 18 years. During this time, she completed a Geriatric fellowship and served as Clinical Director of the Dental School’s Geriatric Dental Clinic. Dr. Dirks entered private practice in 2006 by starting “Geriatric Dental Group of South Texas”. She and her fantastic team provides dentistry to community dwelling and nursing facility elders in South Texas.







Electronic Health Records and Oral Health: What You Need to Know
In 2009, the federal government provided financial incentives for providers to adopt electronic medical records, including dentists. This session will inform attendees of the progress made towards implementing electronic health records across different provider types over the last 8 years, and will include an assessment of the impact of this program on oral health measures.

Upon completion of this session, attendees will be able to:
  • Attendees who complete this session will have an understanding of how the meaningful use program interacts with oral health and what that means for improving oral health in Texas.

Nora Belcher, Executive Director of Texas e-Health Alliance
Nora Belcher is regarded as one of the most knowledgeable and effective health care advocates in Texas and beyond. She spent five years in the Texas capitol helping shape health care policy, representing then-Governor Rick Perry in collaborative conversations with legislators, private sector health care concerns and the Texas Health & Human Services Commission. In that capacity, she is credited with leading major reform efforts in Medicaid, overseeing the creation of the state’s health information exchange, and playing a key role in reorganizing the state’s fractured health and human services system. Since then, she has been an incredibly effective advocate for the modernization of health care delivery in her role as Executive Director of the Texas e-Health Alliance. She founded that non-profit advocacy group in 2009 to give health information technology stakeholders a voice in public policy. Under Nora’s insightful guidance, the Alliance has grown into the state's leading advocate, for the use of information technology to improve the health care system for patients at every level, from local communities to national level policy. During the most recent session of the Texas Legislature, Nora helped broker a cease-fire in a longstanding dispute over the legality of telemedicine in Texas, resulting in the passage of Senate Bill 1107 that removed the final barriers to widespread adoption of the life-saving technology. Nora is a highly sought after speaker and commentator on healthcare issues, consulting with entities in numerous states and at the federal level. Her expertise in the utilization of health information technology and the manner in which governments contract for essential services has proven invaluable for state and national leaders struggling to craft effective health care policy. Ms. Belcher holds a bachelor’s degree in government from the University of Texas at Austin and owns a hardcover first edition of Game of Thrones.

Smile Proud: Improving Oral Health Among Texas Nursing Home Residents
The purpose of the Smile Proud project is to improve daily oral hygiene among Texas nursing home residents to impact their oral health-related conditions.

Upon completion of this session, attendees will be able to:
  • Overview of TMF Health Quality Institute
  • Overview of Smile Proud Oral Care Project
  • Outcomes from BSS (Basic Screening Survey) data

Maggie Oehlke, RDH
Maggie Oehlke is a quality improvement consultant with TMF Health Quality Institute. In addition, she is a registered dental hygienist with 28 years of clinical experience in various disciplines of dentistry. As a quality improvement consultant, Maggie combines her passion for dental hygiene with education. She provides onsite nursing staff oral care education. Maggie graduated from The University of Texas Health Science Center in San Antonio in 1989.






Approaching Oral Health as an Important Public Health Opportunity
Texas Health Institute (THI), is an independent, nonpartisan, nonprofit research and policy organization working to improve the health of communities across Texas and the Unites States. Through engagement, collaboration, research, and education, THI works to empower communities, practitioners, and stakeholders with knowledge to drive action, solutions, and sound policy. The presentation will provide a brief overview of THI’s current and future efforts to improve oral health for all populations.

Ankit A. Sanghavi, BDS MPH
Ankit Sanghavi, BDS, MPH, serves as the Director for the Community and Oral Health Program at Texas Health Institute (THI). In his current role, Ankit leads a range of research, innovation, and evaluation projects aimed at achieving oral health improvements at the local, state, and national level. He was recently appointed as an advisory committee member of the Repository of Oral Health Data Evaluation and Outcomes initiative. He currently represents Texas on the National Oral Health 2020 network in addition to serving on several other national and state-wide public health/ oral health workgroups and committees. He has presented at state and national venues including National Oral Health Conference and Mobile Health Clinics Forum.
Ankit holds a Master of Public Health in Health Policy and Management from Texas A&M University and a Bachelor of Dental Surgery from M.U.H.S, India.


Oral Health in Texas Public Policy
One way to improve oral health for adults with disabilities is to engage the Texas Legislature in policy change. Find out what happened and what is planned.

Upon completion of this session:

  • Learners will understand how to create policy change through state legislation.

Dennis Borel
As Executive Director of the Coalition of Texans with Disabilities (CTD), Dennis is frequently called on for research, policy analysis and recommendations to the Texas Legislature and state agencies on issues surrounding disabilities. He serves on multiple advisory groups to state health and human services agencies and was appointed by Gov. Rick Perry to the State Independent Living Council and by HHSC Executive Commissioners to the Promoting Independence Advisory Council, the State Medicaid Managed Care Advisory Committee and the Drug Utilization Review Board. He has successfully advocated for positive change in government policy and practice in employment, transportation, housing, health care and architectural barriers to promote the full inclusion of people with disabilities in community life. He was Project Director for CTD’s history-making Team Everest expedition, an internationally-recognized expedition by a team of people with diverse disabilities to the world’s tallest mountain. Dennis has 35 years' experience as a senior manager of nonprofit organizations, during which time his programs have received numerous state recognitions and national awards from HUD, the Points of Light Foundation, the New York Interactive Film Festival, the Peter F. Drucker Foundation for Nonprofit Management and the Barbara Jordan Media Awards. In 2006, the University of Michigan honored him with the national James Neubacher Award for creating opportunities for people with disabilities and in 2009, he received the National Advocacy Award from the National Council on Independent Living. He is a former high school teacher and served as a Peace Corps volunteer in Morocco.

Future Opportunities for the Texas Repository of Oral Health Data for Evaluation and Outcomes
This session will discuss the development of the Repository of Oral Health Data for Evaluation and Outcomes. Users and contributors will be updated on the progress of ROHDEO, using ROHDEO data, and future phases of development and expansion.

Upon completion of this session, attendees will be able to:
  • Describe the ROHDEO database data collection methodology and the contribution process
  • Identify the data indicators collected in the Basic Screening Survey, access to care questions contributed to ROHDEO, and basic demographic questions
  • Describe the process and importance of standardization in statewide data collection
  • Define the challenges and opportunities in utilizing ROHDEO data

Analiese Cothron, MS
Annaliese is a Biostatistician at UT Health San Antonio, School of Dentistry. She received her Bachelor of Science and Master of Science from Mississippi State University, specializing in Experimental Psychology with a theme in Applied Statistics. In her present position, she coordinates data collection and evaluation for Miles of Smiles-Laredo and also manages database development and administration for SmilesMaker©, a direct data entry program used in school-based oral health programs. She teaches as a core instructor in the Dental Public Residency Program and coordinates the Texas Repository of Oral Health Data for Evaluation and Outcomes (ROHDEO). Annaliese is currently serving as part of the founding executive leadership team for the American Institute for Dental Public Health. Annaliese is an active member and leader within several national professional organizations, including serving as Secretary of the Dental Informatics Section of the American Dental Education Association and is a member of the Board of Directors for the Consortium for Oral Health Research and Informatics (COHRI). Prior to joining UT Health San Antonio, she helped create the Mississippi Tobacco Data Workgroup in the Social Science Research Center at Mississippi State University, focusing on health policy initiatives, tobacco susceptibility and cessation research, and administration of the Youth Risk Behavior Survey for the state of Mississippi.

Analysis of Emergency Room Non-Traumatic Dental Conditions in Texas
Non-Traumatic Dental Conditions (NTDCs) are a significant financial and health burden on emergency rooms in Texas and elsewhere in the country. This presentation discusses a preliminary attempt towards understanding the characteristics of such visits to inform future policy decisions.

Upon completion of this session, attendees will be able to:
  • Characteristics, including the average cost, of NTDC visits across emergency rooms in Texas
  • Contribution of such visits to the opioid epidemic

Namrata Singhal, BDS, MPH-Dc
Namrata Singhal is currently a student, expecting to graduate with a Master’s in Dental Public Health degree from A. T. Still University in December, 2017. She has previously trained as a dentist with a Bachelor in Dental Surgery degree from SRM University in India. She has also worked as a dentist in both, a private clinic as well as a public hospital in India, where she was a Senior House Surgeon with a focus on oral medicine and oral health education of low socioeconomic status communities in her hometown. Her interests lie in community oral health research, awareness and education, and she hopes that her research will help improve access to oral health interventions.




Texas Tooth Steps: A Perinatal Oral Health Education Model
Inter-professional collaborations between dental and primary care professionals are important for improving Perinatal Oral Health [POH], especially in vulnerable populations. The Texas Oral Health Coalition and Nurse-Family Partnership [NFP] partnered to provide POH education to low-income, perinatal women in four Texas locations. The program targets three specific oral health behaviors and provides clients with infant clothing imprinted with specific oral health messages.

By the end of this presentation, participants will be able to:
  • describe a collaborative model on Perinatal Oral Health education between dental health professionals and Family Nurse Partnership;
  • understand the association between reinforcement of specific oral health behaviors and the provision of visual reminders.

Sherdeana Owens, DDS, MPA
Dr. Owens has a background in the military, health care, industry, and higher education. Currently she is Health Science Coordinator and Assistant Professor, Texas A&M University Corpus Christi, College of Nursing and Health Sciences. Her research interests include oral health education for infants and children and emergency preparedness for healthcare entities and universities. In addition, she is President of the Texas Oral Health Coalition and co-chair of the Maternal Child Oral Health Work Group. Dr. Owens is also active in many community agencies including the American College of Healthcare Executives, The Texas Health Institute, The Texas Public Health Association, The Coastal Bend Wellness Foundation, and the Nueces County Community Action Agency.

http://txohc.org/oralhealthsummit/Summit pdfs/S. Owens CV_2017.pdf

Saturday, November 11, 2017

Minimally Invasive Dentistry Symposium

Course Description
The symposium will include a discussion of innovative approaches utilizing social marketing campaigns to influence behavior change in targeted populations, such as Tribal populations, seniors and children.

The use of Silver Diamine Fluoride (SDF) and its protocols will be discussed as it relates to the treatment of children, adolescents and adults with special needs.

A paradigm shift in dentistry requires courage to challenge ingrained practice behaviors and make prevention and the use of minimally invasive products a part of the armamentarium to treat incipient lesions and manage chronic disease. Panel participants will discuss the use of new products and tools, treatment options specific to their area of practice, ethics, and reimbursement challenges during this interactive case study exercise.

Course Objectives
Upon completion of this session, attendees will be able to:

  • Describe how social marketing can be used to influence norms and change behaviors.
  • Describe collaborative approaches to help address the needs of underserved communities – including Tribal populations, seniors and children.
  • Explain SDF use and the science supporting its use.
  • Discuss SDF use in special circumstances, such as nursing homes, institutional programs and indigent clinics.
  • Evaluate the indications, contraindications, evidence for, and application of caries arresting products in children, older adults and individuals with disabilities.
  • Describe silver-modified atraumatic restorative treatment (SMART).
  • Discuss person center approach in light of pragmatic consideration for the use of teledenistry in underserved populations.



Innovative approaches for preventing oral disease and improving health
Learn about innovative approaches being implemented in Washington state by the Arcora Foundation to improve oral health. Social marketing campaigns, working with Tribal populations, seniors, and children and building community partnerships are among the topics that will be discussed.
Upon completion of this session, attendees will be able to:
  • Gain an understanding of how social marketing can be used to influence norms and change behaviors.
  • Learn about collaborative approaches to help address the needs of underserved communities – including Tribal populations, seniors and children.

Nancy Hammond, MPA
Nancy Hammond has been working in the oral health arena since 2001, first as a consultant and now on staff as Communications Manager. Nancy manages The Mighty Mouth campaign a social marketing initiative to motivate people to do more to prevent oral disease. Nancy has many years of experience as a public affairs and communications consultant. She was Vice President at Northwest Strategies, (now Strategies 360) and a Senior Associate with Pacific Public Affairs. She has worked with numerous healthcare clients including the Everett Clinic and Providence Health Systems, both located in Washington state. Her passion is the intersection of communications and health and the value of concise, clear and consistent messages. Nancy received her Master’s degree in Public Administration from the University of Denver. She also has degrees in political science and sociology. Nancy has been working at Arcora Foundation (formerly Washington Dental Service Foundation) since 2013.


The Use of Silver Diamine Fluoride (SDF) for Prevention and Control of Caries
The use of SDF and its protocols will be discussed with several examples. Much of the discussion will involve the treatment of children and an engaged discussion of those clinicians that have experience using this preventive protocol with adolescents and adults with special needs.

Upon completion of this session, attendees will be able to:
  • Update information of SDF use and the science supporting its use.
  • Provide a forum for discussion of its use in special circumstances, such as nursing homes, institutional programs, indigent clinics

Gary Badger, DDS, MS
Dr. Gary Badger is a Board certified Pediatric Dentist, Chairman and Associate Professor at The University of Texas SOD - Houston (UTSD). He received his D.D.S. degree from the Georgetown University in 1970 and M.S. from the University of Missouri at Kansas City 1977. He is a Past Chairman of the ABPD and current oral examiner for ABPD. Dr. Badger Has taught pediatric dentistry at a number of dental schools, was in private practice for nearly 20 years and has been at the University of Texas School of Dentistry at Houston since 2008. He has been the program director of the pediatric dentistry (2012-2016) at Houston and Chairman of the Department of Pediatric Dentistry (2012-present). His clinical interests include Behavior Management, Interceptive Orthodontics and Sedation of children.






Shifting Gears and Changing Lanes with Minimally Invasive Dentistry
Facilitated by Gary Badger, DDS, MS
A paradigm shift in dentistry requires courage to challenge ingrained practice behaviors and make prevention and the use of minimally invasive products a part of your armamentarium to treat incipient lesions and manage chronic disease. Panel participants will discuss the use of new products and tools, treatment options specific to their area of practice, ethics and reimbursement challenges during this interactive case study exercise.

Upon completion of this course, attendees will be able to:
  • Evaluate the indications, contraindications, evidence for, and application of caries arresting products in children, older adults and individuals with disabilities.
  • Describe silver-modified atraumatic restorative treatment (SMART).
  • Discuss person center approach in light of pragmatic consideration for the use of teledenistry in underserved populations.

PANELISTS:

Erik Harrington, DDS, PhD
I am a proud graduate of Baylor College of Dentistry as well as a graduate from the nationally renown Department of Graduate Pediatric Dentistry, also at Baylor. Mentors such as Dr. Robert Spears, Dr. Sue Seale and Dr. Alton McWhorter instilled in me the desire to step forward and offer my contribution if and when called upon. It is a desire to contribute to the larger, more purposeful goal of making oral health a conscious conversation in all of our lives. I believe that the “mouth is a window to the body”. As such, the conversation surrounding oral health can be a wonderful opportunity to also “serve as a window to better health”. TXOHC is a wonderful platform for our state to embrace this conversation.









David Fray, DDS, MBA
David Fray DDS MBA has served an Associate Professor in the University of Texas School of Dentistry, Department of General Practice and Dental Public Health since 2015. He is the current President of the American Academy of Developmental Medicine and Dentistry (AADMD.org). His career includes 18 years of private dental practice with an emphasis on serving special needs adults. He has served as a public health administrator in State government disability programs in Arkansas and Hawaii for over 17 years.








Sarah J. Dirks, DDS
Dr. Sarah Dirks graduated from University of Texas Health Science Center Dental School in 1988 where she served as a faculty member for over 18 years. During this time, she completed a Geriatric fellowship and served as Clinical Director of the Dental School’s Geriatric Dental Clinic. Dr. Dirks entered private practice in 2006 by starting “Geriatric Dental Group of South Texas”. She and her fantastic team provides dentistry to community dwelling and nursing facility elders in South Texas.







Russell W. Reddell, DDS, MBA
Dr. Reddell is the former State Dental Director for the Texas Department of Aging and Disability Services. While State Dental Director, he revised all policies and procedures as well as implementing several contemporary programs into the state system. He was also instrumental in the creation and remodeling of several Dental Clinics at various locations across the state. He currently owns Special Needs Dentistry of Texas in Lubbock, Texas. Dr. Reddell is a Public Health Dentist and limits his practice to individuals with Special Needs and Geriatrics. He provides oral sedation, combination oral / inhalation sedation and IV Sedation provided by a colleague in his Lubbock office. He also maintains
privileges at University Medical Center in Lubbock to provide dental care to individuals with complicated medical histories in an Operating Room setting. Currently, he is in the process of opening offices in Midland, Texas and Farmers Branch, Texas.
Dr. Reddell graduated from Texas Tech University in 1994 with a Bachelor of Art in Chemistry and a Minor in Biology. He graduated from Baylor College of Dentistry in 1998 with a Doctor of Dental Surgery. He received a Master’s Degree in Business Administration with an Emphasis on Health Organization Management in 2007 from The Rawls College of Business at Texas Tech University.
Along with being a member of the Texas Oral Hygiene Coalition, Dr. Reddell is also a member of the American Academy of Developmental Medicine and Dentistry (AADMD), Special Advocates in Dentistry (SAID) and the Special Care Dentistry Association (SCDA).
Dr. Reddell has been married to his wife, Dana, for twenty years. He has two sons. Dalton is sixteen, has Asperger’s Syndrome and just started at South Plains College as a Freshman. Brock is thirteen and attends Lubbock Christian Schools where he is in eighth grade.
Dr. Reddell enjoys hunting and fishing with his family in his spare time. He also enjoys Texas history and traveling to various historical Texas sites as well as United States historical sites.