Who are the Partners that have a role to Turn the Curve? (Address the priority factors) 

• LOHP - Taking lead on the program and objectives.

• EDCOE - School nurses/staff as partners in distributing information, creating forms, collecting data, helping with on-site screening process, follow up with referrals, sending final KOHA data to EDCOE staff that will enter numbers into SCOHR. 

• RDHAP - responsible for screenings and populating findings on KOHA forms. 

What Works to Turn the Curve? (Actions to address the priority factors) 

Evidence-Based? 

• Since starting the program in February 2024, we have seen 12 out of 29 schools.

• We screened 629 students out of 932 students enrolled 

• We identified 463 students without a need for dental care, 123 students with an early need for care, and 42 students with an urgent need of dental care. 

• 6 students with an urgent need for dental care were referred by the school nurse to our MCAH program for care coordination, and 5 families have been helped to care and further treatment. 

Promising Practices? 

• Working with school nurses on process development and staff training.  

• Creating a calendar for screening sign ups. 

• Promoting the screening event within schools and districts. 

• Education for parents on screening processes and importance of oral health in early years. 

Public Policy Changes? 

• n/a 

Community Engagement? 

• Creating awareness of barriers to access to care and promotion of KOHA screenings through multiple channels. 

• Participation of LOHP in school events. 

• Planning of Health Fair in beginning of school year. 

Low-Cost/No-Cost Ideas? 

• social media campaigns 

• outreach events

Off-the Wall ideas? 

Action Plan from the Actions identified above? 

What is the Story Behind the Curve: 

Factors pushing up the trendline? 

• Establishing a school-based screening program.
• Using passive consent forms for KOHA screenings.
• Establishing relationships with the schools and school nurses in our counties. 
• Partnership with our RDHAP conducting screenings. 

Factors pushing down the trendline? 

•  Lack of schools signing up for KOHA screenings. 
• Parents opting out of the screenings. 
• Lack of urgency by school districts. 
• Nonparticipation of school nurses in monthly meetings to stay up to date on KOHA processes. 

Factors causing disparities? 

•  Lack of dental providers in El Dorado and Alpine County
• Lack of specialty care for children with severe oral health needs in both counties. 
• Lack of transportation. 
• Lack of efficient referral system 

What are the top 3 priority factors? (Copy and Paste from the factors above) 

• Lack of dental providers in El Dorado and Alpine County
• Lack of specialty care for children with severe oral health needs in both counties. 
• Lack of efficient referral system