Objective 5: By December 31, 2018, develop an Evaluation Plan to monitor and assess the progress and success of the Local Oral Health Program. # Activity Description Time Frame Responsible Party Evaluation/Deliverable/ Performance Measure 5.1 Engage stakeholders in the Evaluation Plan process, including those involved, those affected, and the primary intended users. List of stakeholders engaged in this process 5.2 Develop the Program Model, which will become a common reference point for staff, stakeholders, constituents and CDPH/OHP. Program Logic Model, depicts program outcomes, how the program will accomplish outcomes and basis (logic) for these expectations 5.3 Identify program outcome objectives and indicators. Document the indicators, sources, quality, quantity, and logistics 5.4 Focus the evaluation design based on selected Objectives and justify conclusions based on data analysis. Document the purpose, methods, standards, analyses, interpretation, and timeline for the evaluation 5.5 Submit Evaluation Work Plan for Implementation Objectives. Provide comprehensive Evaluation Plan of Required and selected Implementation Objectives
5.6 Submit progress reports. Summary of successes, challenges, and lessons learned 5.E.1 Coordinate with CDPH to conduct surveillance to determine the status of children’s oral health. List of schools identified, number of children to be screened, coordination activities conducted Objective 6: By June 30, 2022, implement evidence-based programs to achieve California Oral Health Plan Objectives. # Activity Description Time Frame Responsible Party Evaluation/Deliverable/ Performance Measure School Linked 6.1.0 Annually identify children in grades K-6 to receive dental sealants. Children receiving sealants must also receive a retention List number of children to be served. 01/01/19- 06/30/22 List of participating schools, identify the number of children to be served 6.1.1 Provide dental sealant services by providing a referral list for dental sealant providers. 01/01/19- 06/30/22 List of number of referrals, number of children receiving sealants, number of sealants placed 6.1.2 Obtain input from school administrator, lead teacher, school nurse, or oral health contact at identified schools to schedule activities. 01/01/19- 06/30/22 Summary of input, schedule of activities 6.1.3 Annually, develop or adapt sealant educational materials and/or educational sessions for teachers, parents, and students. 01/01/19- 06/30/22 Sealant educational materials 6.1.4 Annually distribute sealant educational materials and/or deliver educational sessions to teachers, parents, and students, and send educational sealant information home with sealant consent form (if referral provider will provide services on-site at the school). 01/01/19- 06/30/22 List of sealant educational materials provided; copy of consent form (if applicable). up.
6.1.5 Conduct a basic dental screening of students to determine dental status with parental permission. (optional) 01/01/19- 06/30/22 Signed consent forms, summary of survey results 6.1.6 Schedule time at school site to conduct screening with those children who submitted signed consent forms. 01/01/19- 06/30/22 Correspondence with school 6.1.7 Conduct screening with teachers, site personnel, and volunteers. 01/01/19- 06/30/22 Number of children screened, 6.1.8 Determine number of children that need dental sealants and the number of sealants per Follow-up with teachers to ensure notices were sent home. 01/01/19- 06/30/22 Data captured in report to CDPH 6.1.9 Annually, facilitate dental sealant placement by a dentist, registered dental hygienist in alternative practice or registered dental hygienist at provider site, or will sealants on a minimum of 5% of targeted children with signed parental consent form at a coordinated sealant event with teachers, site personnel, and volunteers. 01/01/19- 06/30/22 Schedule of events, number of children served, number of sealants provided 6.1.10 Annually, complete sealant retention checks on a minimum of 10% of the children who received sealants during the school year. 01/01/19- 06/30/22 Summary of follow-up activities, number of children who received retention checks, screening forms on file
6.1.11 Annually, identify students in grades K-6 that will receive at least one instructional visit on oral health, lasting at least 20 minutes, using appropriate scope and sequence principles. Multiple educational visits are encouraged if possible. The following subject areas may be included: • causes, processes, and effects of oral diseases; • plaque control; • nutrition and healthy snacks, sweetened beverages; • use of preventive dental agents, including fluorides and sealants; • the need for regular dental care and preparation for visiting the dentist; • physical activity; • tobacco cessation; and • dental injury prevention. 01/01/19- 06/30/22 List of schools identified to participate, number of children receiving education, list of materials provided, training schedule, list of training topics
11.3 Establish a schedule of meetings. 01/01/19- 06/30/22 Schedule of meetings, agendas, and meeting minutes 11.4 Identify priority issues identified in the Community Action plan to start the process of addressing issues or problems. 01/01/19- 06/30/22 List of priorities 11.5 Develop communication plan to identify key messages to communicate priorities and strategies to achieve improved oral health for underserved and vulnerable populations. 01/01/19- 06/30/22 Communication plan 11.6 Discuss the structure of the work group and determine if the work group needs to be broadened to address the priorities. Recruit additional members and non-traditional members. 01/01/19- 06/30/22 Organizational structure 11.7 Create a common vision and agree on shared values about the direction. 01/01/19- 06/30/22 Vision and values 11.8 Develop an action plan; identify short, medium, long-term objectives. 01/01/19- 06/30/22 Action plan developed 11.E.1 Identify the number of priorities that were addressed, success, challenges, lessons learned and recommendations in an evaluation report. 01/01/19- 06/30/22 Provide summary in progress reports of successes, challenges, lessons learned, and recommendations 11.E.2 Identify Success Stories to share with local programs, policymakers, stakeholders, and the general public to help sustain program efforts. 01/01/19- 06/30/22 Success stories (qualitative case study) and dissemination plan