Indian Health Service: A Systems Approach to Health Care

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Indian Health Service A Systems Approach to
Health Care

• Candace Jones, MPH
• Director, OHP/DP, IHS

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How are data collected?

• Annual Workload Data
• Health Outcomes Codes
• Periodic Oral Health Surveys

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How are data used?

• Program Management
• Reports to the Congress
• Requests from advocacy groups

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Pediatric Performance Measures in IHS

• Increase utilization of dental care system
• Increase sealants in 8 and 14 year olds

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Pediatric Performance Measures in IHS

• Reduce caries experience untreated decay
• Increase access to community water fluoridation

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Utilization of Health Care System - Ages 2-17
years
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Sealant Use in Indian vs. U.S. Children
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Caries Experience Indian vs. U.S. 2-4 Year- Old
Children
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Caries Experience Indian vs. U.S. 6-8 Year-Old
Children
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Caries Experience Indian vs. U.S. 15 Year-Old
Adolescents
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Access to Community Water Fluoridation
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A Systematic Approach To Health Care Delivery

• Prenatal care includes dental
• Well Baby Check-ups Referrals
• Women, Infant and Children Nutrition Programs on
  reservation

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A Systematic Approach To Health Care Delivery

• Early Head Start Head Start priorities
• Schools on reservations
• Community Health Aids Representatives
• Public Health Nurses

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Summary

• Great oral health disparities exist
• Integrated services approach is useful
• Community and public health perspective
  emphasized
• Partnerships are key