5.6 Submit progress reports. Summary of successes, challenges, and lessons learned 5.E.1 Coordinate with CDPH to conduct List of schools identified, number of surveillance to determine the status of children to be screened, children’s oral health. coordination activities conducted Objective 6: By June 30, 2022, implement evidence-based programs to achieve California Oral Health Plan Objectives. Time Evaluation/Deliverable/ # Activity Description Responsible Party Frame Performance Measure School Annually identify children in grades K-6 to 01/01/19- List of participating schools, identify receive dental sealants. Children receiving 06/30/22 the number of children to be served sealants must also receive a retention Linked up. List number of children to be served. 6.1.0 Provide dental sealant services by providing a 01/01/19- List of number of referrals, number of referral list for dental sealant providers. 06/30/22 children receiving sealants, number 6.1.1 of sealants placed Obtain input from school administrator, lead 01/01/19- Summary of input, schedule of 6.1.2 teacher, school nurse, or oral health contact 06/30/22 activities at identified schools to schedule activities. Annually, develop or adapt sealant 01/01/19- Sealant educational materials educational materials and/or educational 06/30/22 6.1.3 sessions for teachers, parents, and students. Annually distribute sealant educational 01/01/19- List of sealant educational materials materials and/or deliver educational 06/30/22 provided; copy of consent form (if sessions to teachers, parents, and students, applicable). 6.1.4 and send educational sealant information home with sealant consent form (if referral provider will provide services on-site at the school).
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.
Document%20G%20-%20Work%20Plan%20(Template)%20%208-23-2017.docx