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Hi all, I found this good website which has oral health plans available for us to view from each state in the US. I think we could get some great ideas from here and put our own spin on things. Here's the link: []

This is quite good Maria.Take a look at Florida it has a really good example of a few plans actually written up! http://www.doh.state.fl.us/family/dental/sohip/reports/index.html

http://www.oralmentalhealth.com.au/Pages/Contact/Information_for_health_professionals.aspx

The burden of Type 2 diabetes is increasing and it is expected to become the leading cause of disease burden by 2023 **(AIHW 2011)**
Australia's national agency for health and welfare statistics and information (AIHW) 2011, 'Australias Health 2010', on Australian Government - Australian Institute of Health and Welfare, viewed on 08/08/11 http://www.aihw.gov.au/publication-detail/?id=6442468376
 * References**

Last years pamphlet they made up........

Some research into our target group.........

Diabetes Management in General Practice Guidelines for Type 2 Diabetes- [|http://www.racgp.or][|g.au/Content/NavigationMenu/ClinicalResources/RACGPGuidelines/Diabetesmanagement/201107diabetesmanagementingeneralpractice.pdf]

"Oral health professional" Dental and periodontal problems are common in people with diabetes who need to see a dentist regularly (eg: yearly). Rebates for attendance at private dentists are available for patients under the Enhanced Primary Care Program, as part of a Team Care Arrangement (see pages 32 to 36) Viewed 8th August 2011

 Periodontitis in Diabetics: Is Collaboration Between Physicians and Dentists Needed?
 * [|Keiko Watanabe] DDS, MS, PhD**

Available online 11 May 2011: []

Viewed 9th August 2011

Grimmer-Somers, Karen; Dolesj, Wendy and Atkinson, Joanne. **Enhanced primary care pilot program benefits type II diabetes patients** [online]. __Australian Health Review__, v.34, no.1, Mar 2010: 18-24. Availability:____ ISSN: 0156-5788. [cited 10 Aug 11].

Just found this info on a researcher at Melbourne Uni- may be able to assist us..RACH HAS SENT ANDRE AN EMAIL FOR ASSISTANCE WITH OUR PROJECT. DEPARTMENT OF GENERAL PRACTICE UNIVERSITY OF MELBOURNE

Andre Priede

RDP Fellow

P: 03 8344 3371  begin_of_the_skype_highlighting  <span class="skype_pnh_textarea_span"><span class="skype_pnh_text_span"> 03 8344 3371  <span class="skype_pnh_mark">end_of_the_skype_highlighting

<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">E: m.temple-smith@unimelb.edu.au <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">**Diabetes and oral disease: implications for health professionals**

<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">I am currently working as a dentist in the Undergraduate Clinic at the University of Melbourne, and in oral health promotion with Department of Human Services Victoria. My area of interest is the relationship between oral health and diabetes, and for my PHCRED project I will examine the oral health knowledge and behaviours of people with diabetes. <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">On 4 May 2011 the New York Academy of Sciences and Columbia University presented a symposium to increase awareness of the bidirectional relationship between diabetes and oral health, and to provide impetus for medical and dental professionals to collaborate in the management of a person with diabetes. I successfully applied through Diabetes Victoria for a //Gwen Scott Diabetes Professional Development Grant// to attend the symposium. The grant provides financial support to Victorian health professionals to enhance their diabetes knowledge and understanding, and to develop networks with other health professionals through participation in continuing professional development. Dentists, general practitioners, nurses and other health care professionals, as well as epidemiologists and other researchers attended the day. The topics addressed included the importance of oral health in the routine healthcare for people with diabetes, and the critical need for interprofessional patient management in the care of dental and diabetic patients. <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">I was fortunate to meet with two of the speakers from the Conference the next day at the Columbia University, Dr Carol Kunzel and Dr Evie Lalla. Dr Lalla has recently published a study which demonstrated that patients could be successfully screened for undiagnosed diabetes and prediabetes by using information from a medical history and a standard oral examination. <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">The information presented at this Conference was directly relevant to my PHCRED research. I feel privileged, as a novice researcher, to have been in a position to be inspired by meeting these internationally recognised researchers. Thank you PHCRED!

<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: 1em;">Here is the synopsium outline, i found this interesting. This is where they are at in the US, it would be great to see something like this in Australia.. Despite the growing realization that oral disease is linked to other systemic health issues, medicine and dentistry continue to be implemented as two separate health professions. **Evidence suggests that diabetes leads to worsening oral disease and in turn, the chronic inflammation and infection that results from periodontal disease has an adverse effect on glycemic control and health outcomes, thus creating a cycle that compromises diabetes management and health outcomes in affected individuals. Any improvement in glycemic control and/or oral disease has the potential to make a significant impact on the quality of life for individuals with diabetes.**

This symposium will bring together **physicians, physician assistants, nurse practitioners, endocrinologists, dentists, periodontists, dental hygienists, epidemiologists, public health** and **nursing professionals** as well as**basic researchers** to examine the **bidirectional relationship between oral disease and diabetes**. This symposium aims to provide education that will enhance the quality of health-care delivery, improve patient outcomes, and serve as an impetus for medical and dental care professionals to coordinate and collaborate towards the goal of improving the health of individuals with diabetes. By the end of this course, participants should be able to:
 * • Identify the **demographics, epidemiology, pathophysiology, and treatment** **of diabetes and periodontitis;**
 * • Explain the **factors that constitute the bidirectional diabetes-oral disease link** and their importance in individuals with or at risk of diabetes or periodontal disease;
 * • Define the role of oral disease in initiating the **inflammatory response**, as well as the **impact of hyperglycemia on oral health**;
 * • Effectively **screen and counsel patients for oral disease and diabetes risk**, and advise them on disease management;
 * • Explain the necessity of including oral health as part of routine health care for the diabetic population;
 * • Explain the critical need for and application of **interprofessional patient management** in the care of dental and diabetic patients;
 * • **Network with colleagues** from a diverse range of health care backgrounds, increasing their professional contacts and enabling a more integrated approach to managing the health of diabetic individuals.

<span style="display: block; font-family: arial,verdana,helvetica,sans-serif;">PRIMARY HEALTH CARE RESEARCH AND INFO SERVICE <span style="display: block; font-family: arial,verdana,helvetica,sans-serif;">- may be useful for gateway into the GP world!!!!

<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">The Primary Health Care Research & Information Service (PHC RIS) is a national primary health care organisation based at Flinders University in South Australia in the Discipline of General Practice. PHC RIS and its website is funded by the Australian Government Department of Health and Ageing. <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">The PHC RIS website provides a gateway to general practice and primary health care research resources for practitioners, researchers, policy makers, primary health care organisations and consumers. <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">First established in 1995 as the National Information Service (NIS) the Primary Health Care Research and Information Service (PHC RIS) changed its name in 2001 to better represent the work we do. <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">We are supported by our stakeholders through the PHC RIS Strategic Advisory Group, Flinders University, and the Australian Government Department of Health and Ageing.

[[image:http://www.phcris.org.au/images/logo/minilogo.gif width="30" height="24" align="absMiddle" caption="PHC RIS icon"]]Vision - what we aspire to be
<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">PHC RIS excels in sharing information and knowledge to support Australian primary health care to improve health outcomes.

[[image:http://www.phcris.org.au/images/logo/minilogo.gif width="30" height="24" align="absMiddle" caption="PHC RIS icon"]]Mission - what we do to achieve our vision
<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">PHC RIS works in partnership with our stakeholders in the primary health care community to generate, manage and share quality information and knowledge that informs and influences policy and performance in primary health care.

[[image:http://www.phcris.org.au/images/logo/minilogo.gif width="30" height="24" align="absMiddle" caption="PHC RIS icon"]]Goals - what we do to achieve our mission
<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">PHC RIS collaborates with stakeholders to:
 * 1) provide comprehensive **information** and evidence about Australian primary health care
 * 2) facilitate the **exchange** of information and knowledge
 * 3) improve **accessibility** to quality data, information and evidence
 * 4) expand PHC RIS **opportunities** in and **understanding** of knowledge exchange and networking

[[image:http://www.phcris.org.au/images/logo/minilogo.gif width="30" height="24" align="absMiddle" caption="PHC RIS icon"]]Values and principles -how we operate
<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">PHC RIS adheres to and promotes the values of transparency, integrity, respect, trust, innovation, professionalism and responsibility. <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">PHC RIS is guided by the following principles:
 * we provide high quality information that is valid, relevant, accessible, timely, comprehensive and tailored.
 * we involve potential users in our data collection, research and evaluation to optimise the value and maximise uptake of findings.
 * our partnerships are based on respectful reciprocal relationships.
 * we undertake continuous quality improvement through consultation and evaluation
 * we provide opportunities for dialogue and discussion within our team and among our stakeholders
 * we actively contribute to the Flinders university community

[[image:http://www.phcris.org.au/images/logo/minilogo.gif width="30" height="24" align="absMiddle" caption="PHC RIS icon"]]Stakeholders -who we work with
<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">Our stakeholders comprise our funders, our university, primary health care researchers (in particular those associated with the PHCRED Strategy) and research users. Research users include primary health care policy makers, primary health care service providers, primary health care organisations and consumer groups.

<span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">Hi guys just popping up a few thoughts from our meetings:__Needs Analysis__﻿What is the need/gap? The need is a felt need about the lack of attention to the oral health to the oral health of diabetics. A questionaire aimed at diabetics is a useful tool to gain a better understanding of dabetic patients and to congfirm the need.Target? A referal form is targeted at GP's as they have the greatest exposure to diabetics. Especially newly diagnosed diabetics. <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">__﻿Questionaire ideas: (not in order yet - very rough starting point)__What type of diabeties do you have? Type 1 Type 2 Gestational <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">How long have you had diabeties? <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">Are you taking any medications? if yes, what? <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">Do you see other specialists? If yes who? _ <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">How often do you check your BGL? <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">Where do you get your information on diabeties? <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">How well do ou feel you were informed about diabetes when you were diagnosed? <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">How often do you visit your GP? reason for visit? problem, checkup etc <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">How often do you visit your dentist? Reason for visit? problem, checkup etc <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">How do you rate your oral health? 1 - 10 <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">How strongly do you rate the importance of your oral health? 1-10 <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">How concerned are you about your oral health? 1-10 <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">How strongly do you rate the realationship between diabetes and oral health? 1- 10 <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">What is periodontitis? <span style="display: block; font-family: arial,verdana,helvetica,sans-serif; font-size: x-small; text-align: left;">Ok so feel free to tweak away cause it is far from perfect yet!!