168547 I-Smile: Iowa's Dental Home Initiative

Monday, October 27, 2008

Sara Schlievert, RDH, BS , Department of Public Health, State of Iowa, Des Moines, IA
I-Smile is an initiative developed as a result of a legislative mandate that all Medicaid-enrolled children in Iowa have a dental home. In cooperation with the Iowa Department of Human Services and other partners, the Iowa Department of Public Health created the I-Smile project, using a conceptual dental home model. Multiple providers are involved, including physicians, nurses, and dental hygienists to assure regular preventive oral health care is provided to children by the age of one. Dental hygienists, serving as I-Smile Coordinators, are located within 24 locations around the state to facilitate referrals to dentists for restorative care and regular exams, as well as to promote oral health and build local infrastructure. The anticipated outcome of I-Smile is an integrated service delivery system that provides early identification of disease risk, prevention, improved care coordination, and increased awareness of the importance of oral health. This session will explain how I-Smile was developed and how it is working to create a statewide system to assure children have a dental home.

Learning Objectives:
Understand the I-Smile Dental Home model. Discuss the use of multiple health care providers for children's oral health care services. Identify best practice strategies for prevention and oral health promotion.

Keywords: Oral Health, Prevention

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Through the I-Smile program, fluoride varnish is provided to children for prevention of tooth decay. Fluoride varnish is approved as a cavity varnish and desensitizing agent; however, it is still considered "off-label" for cavity prevention.

Qualified on the content I am responsible for because: I am lead consultant for the I-Smile initiative.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Oral Health Poster Session IV
See more of: Oral Health