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Oral health standards of care for children at risk saskatchewan ministry of health
- 1. Saskatchewan Ministry of Health Oral Health Standards of Care for Children at Risk Oral Health Coalition October 30, 2012 POPULATION HEALTH BRANCH POPULATION HEALTH BRANCH
- 2. Building a Healthier Saskatchewan • Provide update on enhanced services and take time to reflect on the past year • Provide an overview of the data being collected provincially • Share some early observations of services in 2011-12 POPULATION HEALTH BRANCH
- 3. Building a Healthier Saskatchewan Goal: • To reduce dental decay and contribute to the healthy development of at risk mothers, infants, preschool and school age children. • To reduce the need for hospital based general anaesthesia treatment services POPULATION HEALTH BRANCH
- 4. Building a Healthier Saskatchewan • Oral Health Assessment, referral and follow-up – Assessments will provided to all children from 2 months to 5 years of age – Children with treatment needs are referred for follow-up by appropriate oral health professional – Children who receive services under GA are followed up in the community POPULATION HEALTH BRANCH
- 5. Building a Healthier Saskatchewan • Fluoride Varnish – Children from 6 months of age to 5 years who are identified at risk will be provided 2 fluoride varnish applications each year. • Dental Sealants – provided to all Grade 1 and Grade 7 students attending schools identified as being high risk POPULATION HEALTH BRANCH
- 6. Saskatchewan Surgical Initiative 2012-13 • $60.5M for SkSI • 99% of surgeries completed within 18 months • 97% within 12 months • 88% within 6 months • 77% within 3 months POPULATION HEALTH BRANCH
- 7. Building a Healthier Saskatchewan • 2546 children under the age of six received dental surgery under GA in 2010-12 • 2721 children were seen in 2011-12 • Total of 5267 children in the past 2 years POPULATION HEALTH BRANCH
- 8. Surgical Procedure Rates Figure 4: Five-year Average Oral Surgical Procedures Rates by RHA of Patient, 2007-2011. Sun Country Five Hills Cypress Regina Qu'Appelle Sunrise Saskatoon Heartland Kelsey Trail Prince Albert Parkland Prairie North Mamawetan Churchill River Keewatin Yatthe Athabasca Saskatchewan 0% 5% 10% 15% 20% 25% Percentage (%) of Children 0-5 POPULATION HEALTH BRANCH
- 9. Waitlist SK Surgical Patient Registry: Number Waiting at Month End 2000 1800 1600 1400 1200 1000 800 600 400 200 0 201004 201005 201006 201007 201008 201009 201010 201011 201012 201101 201102 201103 201104 201105 201106 201107 201108 201109 201110 201111 201112 201201 201202 201203 POPULATION HEALTH BRANCH
- 10. Waitlist SK Surgical Patient Registry: Number Waiting at Month End by Time Already Waited Wait > 12mth Wait > 18mth 350 300 250 200 150 100 50 0 201004 201005 201006 201007 201008 201009 201010 201011 201012 201101 201102 201103 201104 201105 201106 201107 201108 201109 201110 201111 201112 201201 201202 201203 POPULATION HEALTH BRANCH
- 11. Average Monthly Procedures Figure 2: Average Monthly Oral Surgical Procedures in Children 0-5 (x-bar control chart) 2 60 240 Number of Procedures per Month 220 2 00 1 80 1 60 1 40 1 20 Oct- Jan- Apr- Jul- Oct- Jan- Apr- Jul- Oct- Jan- Apr- Jul- Oct- Jan- Apr- Jul- Oct- Jan- Apr- Jul- Oct- Jan06 07 07 07 07 08 08 08 08 09 09 09 09 10 10 10 10 11 11 11 11 12 Quarter Beginning POPULATION HEALTH BRANCH
- 12. SK Surgical Patient Registry: Summary of Surgery Performed by Region of Service and Children's Region 2011-12 Q4 Region of Service Children Reside 400 350 300 250 200 150 100 50 0 Sun Country Five Hills Cypress Regina Qu'Appelle Sunrise Saskatoon Heartland Kelsey Trail Prince Albert Prairie North Mamawetan Parkland Churchill River Keewatin Yatthe Athabasca Unknown or Out of Province POPULATION HEALTH BRANCH
- 13. Surgical Procedures Figure 3: Saskatchewan Oral Surgical Procedures Rates by Year, Children 0-5 4.0% 3.5% 3.0% Percentage (%) 2.5% 2.0% 1.5% 1.0% 0.5% 0.0% Oral Surgery 2007 2008 2009 2010 2011 3.3% 3.3% 3.1% 3.2% 3.6% POPULATION HEALTH BRANCH
- 14. Analysis and Recommendations • 2010 incidence rate of 3.2% will be the baseline. • Consider options to increase surgical activity in the summer. • Consider implementation of additional preventive measures to meet the high needs of the north. POPULATION HEALTH BRANCH
- 15. Building a Healthier Saskatchewan • Northern Proposal – Support for two DT positions to work with pre & postnatal mothers & preschool children. – 3 northern RHA will work together to address some of the remaining challenges in the north to ensure the standard of care is met. – Services will include and compliment enhanced preventive services POPULATION HEALTH BRANCH
- 16. Building a Healthier Saskatchewan Enhanced Preventive Dental Services Evaluation Sections: 1. Child Health Clinics, Pre/postnatal services and follow-up after dental treatment under GA 2. Fluoride Varnish Applications 3. Dental Sealants 4. Overall program objectives POPULATION HEALTH BRANCH
- 17. Building a Healthier Saskatchewan • Overall Evaluation Objectives Target Actual 90% of DT staff hired 100% of equipment/supplies in place 80% of Dental Assistants Hired* 100% of Eligible Schools Contacted 100% 100% 77% 100% 95% of at risk schools participating 95% POPULATION HEALTH BRANCH
- 18. Building a Healthier Saskatchewan Target • • • • • Actual 50% of eligible Gr. 1 students consent to services 65% of enrolled Gr.1’s receive a fluoride varnish 65% of enrolled Gr.1’s received sealants 65% of Grade 1 receive OHI 90% of PHNs are oriented to updated CHC Guidelines 63% 92% 66% 90% 89% POPULATION HEALTH BRANCH
- 19. Building a Healthier Saskatchewan Target • # of children assessed during child health clinics – 32,000 per year Actual • 17,970 • 56% of our annual target POPULATION HEALTH BRANCH
- 20. Building a Healthier Saskatchewan Target: • # of children at risk receiving a fluoride varnish - 15,000 per year Actual: • 10,411 • 69% of our goal. POPULATION HEALTH BRANCH
- 21. Building a Healthier Saskatchewan Target: • # of children receiving a sealant - 3,600 Actual: • 2824 children received 7,096 sealants • 78% of our goal POPULATION HEALTH BRANCH
- 22. Building a Healthier Saskatchewan • Other goals to be measured: – 5% reduction of Early Childhood Tooth Decay – 5% reduction in the number of children who require dental surgery under GA. POPULATION HEALTH BRANCH
- 23. Building a Healthier Saskatchewan One smile at a time. POPULATION HEALTH BRANCH