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The Health Foundation of Central Massachusetts

Central Massachusetts Oral Health Initiative (CMOHI)

Results

Some of the key accomplishments of the Central Massachusetts Oral Health Initiative (CMOHI) include:  approval for seven-year accreditation by the American Dental Association of the Dental Residency program at UMass Medical School with four residents expected to increase to six in the coming year; increased student participation in school-based prevention services; expanded access to treatment at Family Health Center, Great Brook Valley Health Center and Quinsigamond Community College; oral surgery services returned to Hahnemann Hospital; and the creation of education materials for physicians on adult emergent and urgent oral health issues.  Public policy changes that have been achieved include: the implementation of the MassHealth dental third-party administrator, caseload setting capability and restoration of adult dental benefits.  CMOHI will continue its advocacy efforts in conjunction with OHINCM and Health Care For All's Oral Health Advocacy Task Force.

Oral Health Impact Report
CMOHI Evaluation Report
Central Massachusetts Oral Health Initiative (CMOHI)$3,643,840
 
Oral Health Advocacy Taskforce (2008)$25,000
Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 6 (2007)$313,825
Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 5 (2006)$367,839
Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 4 (2005)$394,725
Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 3 (2004)$439,436
Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 2 (2003)$454,534
Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 1 (2002)$518,089
Central Massachusetts Oral Health Initiative - Pilot Grant (2001)$968,896
Central Massachusetts Oral Health Initiative - Planning Grant (2000)$161,496
 
Year:2008Amount: $25,000
Title:Oral Health Advocacy Taskforce
Recipient:Health Care For All
Health Care For All will continue the work of the Oral Health Advocacy Taskforce to create a strategic planning process, that will advance the community flouridation status of Massachusetts, develop information materials for legislators and their staff,  continue its work with the Watch Your Mouth Campaign to make more people aware of the connection between oral and physical health, and the continued development of the Oral Health Campaign website, to serve as a resource on research and other oral health initiatives nationwide.

Project Director:  Ms. Fawn Phelps
Fiscal Agent: Health Care For All
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Year:2007Amount: $313,825
Title:Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 6
Recipient:UMass Medical School
Central Massachusetts Oral Health Initiative (CMOHI) is entering its final year of implementation with the focus on two major areas:  expanding their programs in the schools and reconfiguring their dental residency programs.

They are seeking to expand the school-based programs and get more children into treatment by improving the level of participation by students.  Related to this, they are working to expand access and as part of this effort, they are continuing to try to increase the enrollment of dentists in MassHealth.  Currently 89 of the 370 members of the Worcester District Dental Society are or have enrolled.  Their goal is to increase this to 50 percent, about 135 dentists.

The current Graduate Practice Residency (GPR) has received a seven-year accreditation.  Plans are to have this residency be completely hospital based, servicing hospital ERs and clinics.  They are planning to renovate space at the Hahnemann Campus to house this program.  This funding request includes $150,000 from THFCM to support building out the space at Hahnemann.  Dental Services of Massachusetts (parent of Delta Dental) is considering $3.3 million in support for the creation of an Advanced Education in Graduate Dentistry (AEGD) residency program, which would place residents at community health centers in an effort to assure ongoing dental services at those locations.  Because getting a new residency program started and accredited is a lengthy process, they have requested that this grant be for a period of 18 months.  If the DSM funding is not forthcoming, it is expected that only $50,000 of the THFCM funding would be used to convert the current GPR into an AEGD. The remainder would be refunded to THFCM.

In addition, CMOHI will continue to work on the integration of medical and dental care through education and a system of on-call support for physicians and nurses and advocacy -- for increased MassHealth dental fees for services to adults and to address statewide workforce issues.

Project Director: Dr. John Gusha
Project Administrator:  Mr. Mick Huppert
Project Manager: Ms. Ellen Sachs Leicher
Fiscal Agent: UMass Medical School
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Year:2006Amount: $367,839
Title:Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 5
Recipient:UMass Medical School
Central Massachusetts Oral Health Initiative (CMOHI) is entering its fifth year of implementation with the focus on institutionalizing the programs it has been supporting which have increased access to dental care for vulnerable populations and furthering its advocacy agenda. 

CMOHI’s primary areas of focus going forward will include:


  • increased participation in school-based programs 
  • securing support for a full-time Dental Residency Director position 
  • working on key public policy issues (e.g., increasing MassHealth adult dental rates, recruiting additional dentists to participate in MassHealth) 
  • continued advocacy in conjunction with OHINCM and Health Care For All’s Oral Health Advocacy Task Force.

 

Project Director:    Dr. John Gusha 
Project Administrator:  Mr. Mick Huppert
Project Manager:  Ms. Ellen Sachs Leicher
Fiscal Agent: UMass Medical School
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Year:2005Amount: $394,725
Title:Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 4
Recipient:UMass Medical School
Central Massachusetts Oral Health Initiative (CMOHI) continues in its fourth year of implementation to work to increase access to oral health preventive and restorative treatment services for low income or uninsured populations and reduce the incidence of dental caries among children. CMOHI is working to expand oral exams, cleanings, fluoride treatment and sealants in school-based health centers in the Worcester Public Schools; continuing operations at Quinsigamond Children's Dental Services; continuing the KidsSeal Program and Care Mobile program in the Worcester Public Schools and the Webster schools; implementing the accredited General Practice Residency in Dental Medicine at UMass Medical School; developing training materials for physicians to address oral health with adult patients; expanding the partnering program with dentists; and supporting the public policy advocacy agenda with a focus on fluoridation and MassHealth caseload cap.

Project Director:  Dr. John Gusha 
Project Administrator:   Mr. Mick Huppert
Fiscal Agent: UMass Medical School
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Year:2004Amount: $439,436
Title:Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 3
Recipient:UMass Medical School
The Central Massachusetts Oral Health Initiative (CMOHI) proposes a third year of Project Implementation to increase access to oral health preventive and restorative treatment services for low income or uninsured populations and reduce the incidence of dental caries among children.  CMOHI will continue successful strategies such as "screen and seal", fluoride varnishes, and fluoride mouth rinse programs in Worcester and South Worcester County schools, the Care Mobile, and support for Health Care For All's oral health advocacy agenda.  CMOHI also proposes:  piloting preventive dental services in up-to-four school based health centers, during school hours, in Worcester Public Schools; implementing plans to develop General Practice Residency in Dental Medicine at UMass Medical School; identifying a new provider to operate the volunteer dental clinic at Quinsigamond Community College, following the withdrawal of Great Brook Valley Health Center, converting dentist-volunteers to the MassHealth Partnering Program to subcontract services through community health centers; continuing to advocate for the MassHealth TPA, pending Medicaid's cost assessment, to enable the caseload cap pilot to be implemented; establishing a CMOHI website at UMass; and initiating patient and provider education around elder's oral health.

CMOHI also hopes to partner with the CDC and Massachusetts Coalition for Oral Health to implement a statewide fluoridation advocacy campaign, based upon a pending application for CDC funding.

Partners include:  Worcester District Dental Society, Family Health Center, Great Brook Valley Health Center, UMass Memorial's Ronald McDonald Care Mobile, Quinsigamond Community College, South County Oral Health Coalition, Worcester, Webster and Southbridge Public Schools, Health Care For All, Tufts University School of Dental Medicine.

Project Director:  Dr. John Gusha 
Project Administrator:   Mr. Mick Huppert
Fiscal Agent: UMass Medical School 
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Year:2003Amount: $454,534
Title:Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 2
Recipient:UMass Medical School
The Central Massachusetts Oral Health Initiative (CMOHI), will continue implementation of a comprehensive program to increase access to oral health preventive and restorative treatment services for low income and uninsured populations, and reduce the incidence of dental caries among children in Greater Worcester and Southern Worcester County.  Building upon the successful volunteer-led oral health clinic at Quinsigamond Community College, the CMOHI will expand school-based dental screening and treatment services and initiate the use of fluoride varnishes; implement the "screen and seal" and fluoride mouth rinse programs in South Worcester County schools; establish an Oral Health Division at the University of Massachusetts Medical School to expand medical training in oral health and provide emergency dental coverage; and partner with a neighborhood center to conduct outreach education for families.  CMOHI, in conjunction with the Oral Health Initiative of North Central Massachusetts, will advocate for implementation of a MassHealth Dental third-party administrator and caseload-cap pilot program.

Partners include:  Worcester District Dental Society, Quinsigamond Community College, Great Brook Valley Health Center, Family Health Center, Massachusetts Department of Public Health, Worcester District Medical Society, UMass Memorial's Ronald McDonald Care Mobile, Worcester District Hygienists’ Association, Southbridge Public Schools, Webster Public Schools, Worcester Public Schools, South Worcester Neighborhood Center, Southern Worcester County Oral Health Coalition, and others.

Funding partners include:  Kellogg Foundation, Oral Health Foundation, St. Vincent Hospital Community Benefits, Massachusetts Dental Society, Blue Cross Blue Shield Foundation, Medicaid Assistance Project, Robert Wood Johnson Foundation’s 2003 Community Health Leader Award (Dr. John Gusha), and federal appropriations.

Project Director:  Dr. John Gusha 
Project Administrator:   Mr. Mick Huppert
Fiscal Agent:  UMass Medical School
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Year:2002Amount: $518,089
Title:Central Massachusetts Oral Health Initiative - Project Implementation Grant, Year 1
Recipient:UMass Medical School
The University of Massachusetts Medical School for the implementation of a comprehensive program to increase access to oral health preventive and restorative treatment services for low income or uninsured populations and reduce the incidence of dental caries among children in the Greater Worcester and Southern Worcester County areas.

Partners in the CMOHI include the Worcester District Dental Society, Quinsigamond Community College, Great Brook Valley Health Center, The Family Health Center, Massachusetts Department of Public Health, Worcester District Medical Society, UMass Memorial Health Care, Worcester District Hygienists’ Association, MSPCC, Southbridge Public Schools, Webster Public Schools, Worcester Public Schools, Southern Worcester County Oral Health Coalition, and several other organizations.

Project Director:  Dr. John Gusha 
Project Administrator:   Mr. Mick Huppert
Fiscal Agent: UMass Medical School 
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Year:2001Amount: $968,896
Title:Central Massachusetts Oral Health Initiative - Pilot Grant
Recipient:UMass Medical School
This partnership of 14 health-related organizations will pilot a model for providing increased access to oral health services, oral health education, and dental decay preventive measures.

Partners include the Worcester District Dental Society, Quinsigamond Community College, Great Brook Valley Health Center, The Family Health Center of Worcester, the Massachusetts Department of Public Health, and others.

Project Director:  Dr. John Gusha 
Fiscal Agent:  UMass Medical School
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Year:2000Amount: $161,496
Title:Central Massachusetts Oral Health Initiative - Planning Grant
Recipient:UMass Medical School
The Worcester District Dental Society will work in partnership with Quinsigamond Community College, Great Brook Valley Health Center, the Family Health Center, the Massachusetts Department of Public Health, and others, to develop a model to increase access to dental care and to prevent poor oral health in the region.

Project Director:  Dr. John Gusha 
Fiscal Agent: UMass Medical School
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