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7 National Activities in Oral Health Literacy
Pages 79-100

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From page 79...
... Centers for Disease Control and Prevention Limited health literacy is associated with poor health and negatively associated with the use of preventive services, management of chronic conditions, and self-reported health, Bailey said. He added that oral health literacy is positively associated with oral health status and quality of life, frequency of dental visits, and knowledge and understanding of preventive measures.
From page 80...
... Bailey noted that the Affordable Care Act, the Plain Language Act, the HITECH provisions, and the HHS National Action Plan to Improve Health Literacy provide a unified way to address health literacy goals and strategies. Bailey felt that these accomplishments provide a roadmap for progress.
From page 81...
... Bailey described the National Stakeholder Strategy for Achieving Health Equity along with the 2011 HHS Strategic Action Plan to Reduce Racial and Ethnic Health Disparities. The action plan address health literacy; for example, it calls for an update of the 2009 national standards on culturally and linguistically appropriate services.
From page 82...
... The goal of the project is to reduce dental health disparities by helping pregnant women and their children to better interpret dental health information, navigate the dental health system, understand instructions, and participate in care decisions. As part of this project, multicenter assessments for oral health literacy are being conducted in Atlanta, Baltimore, Los Angeles, and Washington.
From page 83...
... Bailey provided a list of resources and associated website links pertaining to HHS resources: • Health Literacy Plans o CDC Action Plan to Improve Health Literacy o AHRQ Health Literacy Action Plan • Training and Education o  Clear Communication: NIH Health Literacy Initiative (http:// www.nih.gov/clearcommunication/healthliteracy.htm) o  CDC Health Literacy Portal (http://www.cdc.gov/health literacy)
From page 84...
... • NIDCR Workgroup on Functional Health Literacy • Presentations at professional association meetings (e.g., National Oral Health Conference, International Association for Dental Research, American Association for Dental Research, American Public Health Association) • National Action Plan to Improve Health Literacy (2010)
From page 85...
... It would be very helpful, O'Loughlin said, to have those materials reviewed and appraised in terms of its integrity and level of health literacy. The ADA is working with the National Advisory Committee to develop a health literacy plan.
From page 86...
... The service also helps the ADA by promoting the ADA; reinforcing the ADA's role as the leading advocate for oral health; engaging the public; and enhancing the recognition and importance of the dentist as the authority on oral health and care. O'Loughlin believes that the ADA collaboration with Sharecare has helped improve public oral health literacy.
From page 87...
... The number one issue submitted by the organizations was health literacy, especially among high-risk populations. The 16 organizations represented diverse interests including those of nine dental specialties, the Dental Trade Alliance (the group representing large manufacturers and distributors of dental products)
From page 88...
... The workgroup has three subgroups to address its primary audiences: members, health care professionals, and employees. The goals of the workgroups are to • research the effects of health literacy, • increase awareness, • provide tools and resources to address challenges, and • promote plain language.
From page 89...
... As part of its outreach to clinicians, Aetna communicates with doctors and other health care professionals about their role in helping patients better understand their health and health care. These clinician awareness activities, include the following: • Health literacy messaging via ePocrates2 • Health literacy features in the physician newsletter • A health literacy reference tool on the provider education website • A cultural competency course for clinicians • An online continuing education course for dentists In terms of research and collaboration, Conicella described two research studies that Aetna was involved in, one on asthma health literacy and one on migraine health literacy.
From page 90...
... , a book that breaks down the complex health benefits system into easily digestible pieces and helps consumers navigate their way the system. Conicella described an oral health literacy continuing education course that was designed with Aetna's research partner, the Columbia University College of Dental Medicine.
From page 91...
... Conicella said that the Plain Language Thesaurus for Health Communication (HHS, 2007) is a useful resource.
From page 92...
... Conicella said that Aetna also works to advance health literacy through collaborations between dentists and physicians. For example, Aetna sponsored three symposia in the past 4 years at the New York Academy of Sciences that brought the dental and medical community together.
From page 93...
... He said that the community is one of the most important places for improvements in health to occur. Using the language of the community is key to health literacy.
From page 94...
... They were more familiar with the term chicken. DentaQuest Foundation provides funding and engagement opportunities at the state level that address one or more of the six priorities of the National Oral Health Alliance: 1.
From page 95...
... for D their alliance and local coalitions: the plan was officially adopted by their alliance Maryland: Maryland •  educing health disparities, enhancing oral health R Dental Action Coalition literacy among community-based groups •  ral health literacy campaign officially launched O with engagement by elected officials and the Maryland Oral Health Learning Alliance (created for Oral Health 2014 Initiative) as a support and alignment mechanism to keep the campaign moving forward  Rhode Island: Rite Smiles- •  ncrease the knowledge and skills of families and I Smart Smiles: Rhode providers and improve access to dental care among Island's Oral Health families and children with Medicaid coverage Literacy Improvement Initiative
From page 96...
... Fucillio said that the many oral health literacy initiatives under way point to progress in this relatively new field. He cited as examples of these promising initiatives, the grant programs of Oral Health 2014, coalition development, the National Oral Health Alliance, the Oral Health Coordinating Committee at the federal level, and the current IOM workshop.
From page 97...
... O'Loughlin observed that insurers do not usually provide reimbursement for oral health literacy interventions such as the teach back method. There is a code for the provision of education and guidance, but payors usually do not reimburse for this service.
From page 98...
... Many dentists do not realize the impact that good communication has on oral health outcomes. He suggested that educating oral health providers about this link would encourage them to incorporate health literacy interventions into their practices.
From page 99...
... Bailey added that one way to "span the silos" is to involve top leadership because they have control across all of the silos. From his perspective Bailey suggested that stating health literacy as a priority across an agency, in his case, the Department of Health and Human Services, is an effective way to motivate integration.


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