Inspired - STRATEGIC PLAN 2016-2021 - Dental Health Services ...
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2016-2021
STRATEGIC
PLAN
inspired
Behind this plan are strategies that will
transform oral health care in Victoria
OUR ORGANISATION OUR COMMITMENT
Dental Health Services Victoria (DHSV) is We commit to improve oral health for
the lead oral health agency in Victoria. We better health.
provide oral health services through The
Royal Dental Hospital of Melbourne and
in partnership with over 50 community VALUES AND BEHAVIOURS
dental agencies throughout the state. We
also run statewide oral health promotion We apply the Victorian public sector
programs, invest in oral health research, values of responsiveness, integrity,
advise the government on oral health impartiality, accountability, respect,
policy and support the education of future leadership and human rights.
oral health professionals.
In particular, DHSV will apply these
values and behaviours:
OUR PURPOSE ■■ Transform ourselves and our
organisation to achieve better
We lead improvement in oral health for health outcomes for the community.
Victorians and ensure we prioritise those
most in need. ■■ Act with respect towards every
person or idea that we encounter.
■■ Be accountable to the people we
care for and those we work with.
■■ Embrace collaboration with all partners
that help us achieve our goals.
accountable Behind this family are health providers armed with bright ideas to improve oral health
Where are
W we now?
A person accessing public dental care in
Victoria:
■■ has more disease and fewer teeth than
the general population
■■ is less likely to access services than
the general population
■■ has to wait on average a year to get
routine care with no recall arrangements
(but this varies across the state)
■■ receives care not always focused on
achieving better health outcomes.
We are not using the workforce to its full
scope of practice.
Our models of care do not always incorporate
preventive interventions.
Commonwealth funding is only guaranteed
for short periods of time which doesn’t
support sustainable services.
By 2021,
these stats
By 2021,will
these stats
have
will have significantly
significantly
improved.
improved.
Pregnancy and maternal health
WHERE ARE WE NOW?
Where
34% of the eligible Pregnant women
Victorian female do not routinely
population aged have a preventive
18-44 years access program
are we
public dental care administered
over a by oral
2-year 34% health
period. staff.
now? ?
About
We have
of pregnant women
presenting to public limited data
dental clinics have
untreated decay. on pregnant women.
Children and adolescents (5-17) Infants and early years (0-4)
WHERE ARE WE NOW? WHERE ARE WE NOW?
30% of the eligible population 17% of children aged 14% of the eligible Approximately
5-17 are receiving
aged 5-17 years access
topical fluoride
population aged 0-4 years
access public dental care
4 in every 1,000
public dental care
treatment at children aged 0-4 years
over a 2-year over a 2-year period.
community are hospitalised
period. 30 %
dental 14% for treatment of
30% % dental decay.
agencies.
39 % 74% In 2014,
of children
aged 5-17 years
of children
aged 5-17 of children
1 in 7
presenting to are receiving aged 0-4 years have parents had a
public dental clinics fissure sealants concern about
have no history of at community dental no history their children’s
dental decay. agencies. of dental decay. oral health.
Adults (18-64) Older adults (65+)
WHERE ARE WE NOW? WHERE ARE WE NOW?
30% of the eligible
population aged 18-64
years access public
20% of the
19% of the eligible
population aged
65+ years access
public dental
58%
of adults have
dental care population gum disease
over a 2-year have moderate care over a with higher
period. 30% 2-year 19 % rates for
to severe gum
period. people with
disease.
low incomes.
Only
Oral cancer In 2011, 14%
affects about About of the Victorian
6.5%
1 in 5
14 in every population was
of adults
100,000 aged 65+
aged Victorians
18-64 adults aged
and is the 9th 65+ report
presenting In 2021, this
most common having
to public will be 16.5%
cancer in no natural
dental clinics heading for
men and 12th teeth at all.
have no history. most common 17.7% in 2026.
cancer in women.
Pregnancy and maternal health
WHAT WILL WE DO?
Where we
want to
Population interventions Primary interventions
• Support water fluoridation • Develop a model of care
that includes:
• Expand the
be to
healthy families ◦ Risk assessments
healthy smiles ◦ Self-management
health promotion and support
program to all high
improve
risk communities ◦ Minimal intervention
care that optimises
• Link pregnant women, health outcomes
via screening and
health
referral programs in ◦ Fluoride for all
at high risk
healthy families
healthy smiles
to our clinicians
outcomes • Enhance health
literacy
Children and adolescents (5-17) Infants and early years (0-4)
WHAT WILL WE DO? WHAT WILL WE DO?
Population interventions Primary interventions Population interventions Primary interventions
• Support water • Develop a model of • Support water • Develop a model of
fluoridation care that includes: fluoridation care that includes:
• Develop child and ◦ Risk assessments • Expand the ◦ Risk assessments
adolescent health ◦ Self-management Smiles 4 ◦ Self-management and
promotion programs and support Miles program to all support for families
• Increase access ◦ Minimal intervention high risk communities ◦ Minimal intervention
to clinical services care that optimises • Link young care using the
for children and health outcomes children - via least invasive
adolescents in ◦ Fluoride and fissure screening, early interventions
high risk areas sealants for all at identification and where possible
high risk referral strategies ◦ Fluoride application for
• Promote community
◦ Use the most in Smiles 4 Miles - all at high risk
fluoride delivery
minimally invasive to our clinicians
programs in non-
interventions possible Secondary interventions
fluoridated high • Promote community
risk areas Secondary interventions • Minimise the use of
fluoride delivery
general anaesthetics
• Enhance health literacy • Minimise the use of programs in non-
general anaesthetics fluoridated high risk areas
• Enhance health literacy
Adults (18-64) Older adults (65+)
WHAT WILL WE DO? WHAT WILL WE DO?
Population interventions Primary interventions Population interventions Primary interventions
• Develop a model of
• Support water fluoridation • Support water • Implement a model
care that includes:
• Promote community fluoridation of care for Residential
◦ Emergency care
fluoride delivery programs • Support older Aged Care Facilities in
◦ Risk assessments
in non-fluoridated high risk adults and carers high risk communities
◦ Self-management
areas to improve oral that includes:
and support
• Enhance health literacy health outcomes ◦ Emergency care
◦ Minimal
• Develop health
intervention ◦ Risk assessments
promotion
care where we ◦ Self-management
programs for
optimise health and support
priority group
outcomes
populations ◦ Minimal intervention
◦ Fluoride for all
Secondary & tertiary care that optimises
at high risk
interventions health outcomes
◦ Smoking
• Referral and cessation ◦ Fluoride for all
specialist care ◦ Fewer low at high risk
where we optimise value services ◦ Fewer low value
health outcomes services –
• Minimise the use of particularly
general anaesthetics dentures
Where do we
want to be? W
We will use a population and targeted We will contribute to the delivery of the
life course approach to identify key strategies of Australia’s National
strategies to improve health outcomes. Oral Health Plan 2015-2024, the
Victorian Health and Wellbeing Plan
We will focus on pregnant women and 2015-2019 and the Victorian Action Plan
young children in the first instance with for Oral Health Promotion 2013- 2017.
a strong preventive focus.
Our partnerships are the key to the
We will develop models of care that: delivery of our models of care.
■■ are respectful and responsive to
the preferences, needs and values
of our consumers by placing the odels of care
community at the centre of all we M
do.
Right
■■ support the right interventions Right
staff
by the right staff at the right time time
at the right place. Partnerships
■■ address common risk factors for
Culture
chronic diseases, such as diet, oral and Evidence
COMMUNITY
hygiene and smoking. capability based
■■ sustain and build a positive culture
and enhance our capability to
By 2021, Technology
support strategic partnerships.
these stats
Right
interventions
Right
place
will have
■■ embrace technology.
■■ use an evidence base to determine
appropriate interventions.
significantly
improved.
respect Behind this smile is a dedicated team treating Victoria’s most vulnerable
Strategic
themes
Improve
health
outcomes Improve the
experience
Be global
leaders Be a great
with our place to work
local and a great
partners organisation
to work with
STRATEGIC PLAN 2016-2021
1. IMPROVE HEALTH OUTCOMES
1.1 1.2 1.3
GOALS
Embed preventive Deliver high quality Reduce health
models of care and high value care inequities by
within a population extending our
health framework reach to more of the
throughout the eligible population
public dental sector especially priority
groups
1.1.1 1.2.1 1.3.1
FIVE YEAR STRATEGIES
We will develop and Our clinical leaders A population health
implement suitable will develop a clinical framework that uses
models of care to culture aligned to a life course approach
improve the outcomes improving health will determine our
for each of the five outcomes. models of care and
population groups allocate resources by
identified by the life risk.
course approach 1.2.2
incorporating health
Our clinicians will
promotion, prevention
work together to
1.3.2
and clinical activities
including recall determine high value Our data will be
programs, fluoride clinical care and analysed by age
interventions, identify and eliminate subsets, priority
minimal intervention low value care. groups and other
dentistry and the most high risk populations.
appropriate staff mix.
1.2.3
We will focus on
1.3.3
1.1.2 continually improving We will advocate and
Every decision we our quality, risk and provide advice on
make will be supported clinical governance services and policies
by an evidence base frameworks. that reduce health
to improve health inequities.
outcomes.
1.2.4
DHSV will become a
centre of excellence
in providing health
outcome-focused care
and be committed to
sharing knowledge
and experience.STRATEGIC
PLAN
2. IMPROVE THE EXPERIENCE
2.1 2.2
GOALS
Partner with Our patients’ health
consumers outcomes will come
to design an first
experience that
delights
2.1.1 2.2.1
FIVE YEAR STRATEGIES
Our services will We will co-design care
be inclusive and with consumers to
culturally safe. ensure patient safety.
2.1.2 2.2.2
Interactions with Our consumers
our services will be will be supported
consumer friendly, and encouraged to
efficient and participate in the
enhanced by available design of our
technology. models of care.
2.1.3 2.2.3
We will identify We will work to
access barriers and improve and support
implement strategies our patients’ health
to overcome them literacy and self
(e.g. fear and anxiety, management.
system navigation,
distance).
2.2.4
Oral health will be
integrated into other
relevant programs
(e.g. health, aged
care, Achievement
program).STRATEGIC
PLAN
3. BE GLOBAL LEADERS WITH OUR
LOCAL PARTNERS
3.1 3.2 3.3
GOALS
Work in partnership Develop and Translate research
to improve health implement key and evaluation into
outcomes health outcome practice within the
indicators models of care
and reporting
frameworks
3.1.1 3.2.1 3.3.1
FIVE YEAR STRATEGIES
We will extend and We will identify Through staff
strengthen our suitable oral health and university
external partnerships, outcome data sets collaborations, we
working together to and other clinical will support a research
achieve improved indicators. team that identifies
health outcomes. and creates evidence
to strengthen our
3.2.2 models of care.
3.1.2 Reporting frameworks
Advocate along will be developed and
with our partners for implemented.
3.3.2
sufficient resources Clinical teams will
to support improved have simple evaluation
health outcomes. models to assess
the implementation
and success of their
3.1.3 models of care.
Our benchmark data
will be developed
in partnership
with local, national
and international
organisations.STRATEGIC
PLAN
4. BE A GREAT PLACE TO WORK
AND A GREAT ORGANISATION
TO WORK WITH
4.1 4.2 4.3
GOALS
Create and support Transform the way Use our
a public dental we work, engaging collaborative
workforce to and empowering relationship
provide high value our staff to make model with dental
care that delights each day better than agencies to allow
the day before us to deliver on the
strategic plan
4.1.1 4.2.1 4.3.1
FIVE YEAR STRATEGIES
Our staff will be We will use technology Our purchasing
engaged, empowered to remove waste and agreements will be
and accountable for enhance value for designed to drive
their actions. consumers. improved health
outcomes.
4.1.2 4.2.2
We will have a We will embed
4.3.3
respectful workplace accurate, accessible We will collaborate
where all staff behave and analysed data to with agencies on
consistently with our enable evidence-based models of care
values. decision making. and improvement
opportunities,
particularly for
4.1.3 4.2.3 priority groups.
We will embed Our services will
capability building, be continuously
support and reviewed to improve
performance efficiencies and quality
development with improvements
processes that enable initiated and
staff to work to their co-designed where
full scope of practice. work is done.
4.1.4 4.2.4
We will promote We will apply
positive wellbeing principles of social,
through supportive economic and
leadership, employee environmental
participation and sustainability to
shared decision inform our thinking
making. and practice.ENABLERS
1. ICT 6. Research
2. Workforce 7. Digital technology
3. Clinical leadership 8. Community participation
4. Risk management 9. Cultural responsiveness
5. Education 10. Disability action
MEASURES TO MONITOR PROGRESS
More children and Fewer children
pregnant women have general Higher rates
access services anaesthetics of patient Higher
for routine care satisfaction reported
across the rates of
state IMPROVE quality of
IMPROVE Increased
THE life
Fewer eligible HEALTH referrals
OUTCOMES EXPERIENCE
children have between the
untreated general and oral
decay health sectors
Improved health Increased percentage
outcomes for of eligible population
children by access services by age
geography and group, geography and
priority status priority status
Nimble and
responsive
Partner BE GLOBAL Be identified BE A GREAT
LEADERS PLACE TO WORK Improved
satisfaction as a leader Cost
remains WITH OUR in the oral AND A GREAT technology
effective
high LOCAL health arena ORGANISATION adoption
PARTNERS TO WORK WITH
Be identified as a
respectful workplace by
prospective, current and
departing staff, contractors,
partners and consumersGLOSSARY
Community Community fluoride delivery programs include systemic and topically applied fluorides.
fluoride delivery These can be in the form of water fluoridation, fluoride toothpastes and a range of topical
programs applications including fluoride varnish.
Healthy Families Healthy Families Healthy Smiles is a DHSV initiative aimed at improving the oral health
Healthy Smiles of Victorian children aged 0-3 years and pregnant women. Healthy Families Healthy
Smiles aims to skill health and early childhood professionals to promote oral health
within their services. The initiative is funded by the Victorian Department of Health
and Human Services in collaboration with a range of partner organisations including the
Victorian Department of Education and Early Childhood Development.
Life course We have taken a life course approach in this plan, i.e. looking at different ages and stages
approach in the life course (e.g. infants and early years, children and adolescents) as different
biological and social factors at each stage of life can have long-term effects on oral health.
We recognise that applying appropriate interventions at particular life stages can impact
health outcomes.
Minimal Minimal intervention refers to dental care designed around the aim of preservation of as
intervention much of the natural tooth structure as possible. The approach is centred on management
of the dental disease, controlling and reversing the disease in the early stages, then
restoring the tooth, filling only where necessary, and prevention from future caries.
Model of care A ‘model of care’ broadly defines the way health services are delivered. It outlines best
practice care and services for a person, population group or patient cohort as they
progress through the stages of a condition, injury or event.
Oral health Oral health refers to the health of all the structures of the mouth including teeth, gums,
lips, the palate, throat and jaws. Oral health is fundamental to overall health, wellbeing
and quality of life and is influenced by social, economic, environmental, behavioural,
biological and cultural factors. Oral diseases include tooth decay, tooth erosion, gum
(periodontal) disease and oral cancers. Oral disease is a prevalent, mostly preventable,
chronic disease.
Priority groups Priority population groups for public dental access are determined through policies
of the Victorian Department of Health and Human Services.
Public dental Public dental agencies are the public health organisations across Victoria that have a
agencies funding agreement with DHSV to deliver public dental services.
Purchased Purchased services refers to the public oral health services that are provided by a public
services dental agency with funding provided by DHSV.
Smiles 4 Miles A settings-based oral health promotion program for early childhood services funded by
the Victorian Department of Health and Human Services and delivered across Victoria
by local organisations with support from DHSV.GPO Box 1273L Melbourne VIC 3001 www.dhsv.org.au www.twitter.com/vicdental www.facebook.com/dentalhealthvic
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