Healthy Aging Committee
The committee serves as a focal point for healthy aging issues and resources for state oral health programs. The committee consists of selected experts in the area of healthy aging and oral health as well as state oral health program directors interested in advancing statewide efforts to improve the oral health of this population. The committee is involved with reviewing model programs, policies and resource materials related to healthy aging with the goal of supporting state wide efforts in this area.
Improving Oral Health Access and Services for Older Adults White Paper – In this white paper ASTDD explains the rationale for supporting efforts to provide a comprehensive dental benefit for older adults in publicly funded programs such as Medicare and Medicaid, and inclusion of dental benefits in all health insurance plans. In it ASTDD also encourages state level data collection and supports research efforts to further document cost-savings and overall economic benefit from optimum oral health among older adults. (February 2018)
ASTDD Older Adult Oral Health Best Practice Approach Report (March 2017) This report contains a wealth of information pertaining to older adult oral health as well as links to many resources.
ASTDD Older Adult Basic Screening Survey (BSS) Resources
ASTDD Basic Screening Survey for Older Adults Planning and Implementation Tool Kit This downloadable toolkit contains all of the information you will need to plan and conduct a BSS of vulnerable older adults.
Older Adult BSS Tips for Success - A collection of lessons learned from states that have conducted an Older Adult Basic Screening Survey and information on ASTDD resources, including BSS coaches, to assist states and organizations planning to collect oral health data on this age group. (January 2017)
States with BSS Oral Health Data - Listing of states that have completed a Basic Screening Survey of the older adult population and links to reports from some of those states. Great resource for states looking to do a BSS of this population or for those looking for data related to older adults.
ASTDD Older Adult Webcasts
ASTDD Chronic Disease and Older Adult Oral Health Webcast - As the older adult population in the U.S. increases, there is a greater need for those in public health and clinical oral healthcare settings to incorporate chronic disease assessment for older adult patients. Our speakers discussed how various chronic disease conditions can impact treatment planning and oral health outcomes. Ms. Park is a chronic disease consultant to the ASTDD and the National Association of Chronic Disease Directors. She provided an overview of the connection between a healthy mouth and overall health. Dr. Cartier provided information on national trends and how they impact the delivery of oral healthcare. He also discussed the Seattle Care Pathway and how this can be applied to "prioritize" the type of oral care that is delivered to older adults. (August 2018).
- ASTDD White Paper: Improving Oral Health Access and Services for Older Adults
- Oral Health America: Oral Health Benefit in Medicare Part B White Paper
- Grant Makers in Health: Returning the Mouth to the Body: Integrating Oral Health and Primary Care
- Qualis Health: Oral Health, An Essential Component of Primary Care White Paper
- Seattle Care Pathways
Training Health Care Professionals to Focus on the Oral-Systemic Health of Older Adults – During this webcast, three programs that successfully train future health care professionals to work with the older adult population, with a focus on oral-systemic health, presented. (January 2018)
Data Sources: Where to Uncover Oral Health Information for Older Adults – Get an overview on how to find older adult oral health data (BRFSS, NHANES, MEPS, CASOA, BSS, etc.) and where to find valuable information that can then be shared to raise the awareness of older adult oral health issues. Once you've discovered this treasure trove of information, how do you cash in on it? Check out an infographic template that was shared as part of the webcast. The template can be used to frame your newly found wealth of information. (March 2017)
Medicaid Dental Coverage: The Consumer Perspective and Potential Economic Impact – ADA's Health Policy Institute conducted a study based on a series of focus groups. Four 120-minute consumer focus group sessions were conducted from June 20-22, 2017 in Chicago, Illinois and Tampa Florida. Each group had ten participants comprised of men and women ages 50 and older representing different races/ethnicities, education and income levels, and political perspectives. Principal findings: 93% of the surveyed consumers ages 50 and older support adding dental coverage to Medicare. Presenter: Cassandra Yarbrough, MPP, Lead Public Policy Analyst, Health Policy Institute (January 2019)
Medicaid Oral Health Coverage for Older Adults and People with Disabilities - This presentation, brought to you by the ASTDD Healthy Aging Committee in collaboration with the National Association of States United for Aging and Disabilities (NASUAD), discussed the results of a survey the NASUAD administered to its network of state agencies and a review of state coverage policies. The study was developed to review current programs providing oral health services; understand access and utilization; recognize existing collaborations for outreach to beneficiaries; and identify challenges with oral health policy across state agencies. The survey analysis identified several key themes from state data, including: a need for additional collaborative actions to improve oral health; identifications of targeted innovations regarding coverage for older adults and people with disabilities; greater understanding of the incurred medical expense benefit could assist with coverage and access; and outreach to participants and increased coverage could improve utilization. Damon Terzaghi, MSA, Senior Director at the National Association of States United for Aging and Disabilities reviewed the survey findings and discussed the implications for state dental directors and policymakers. (January 2017)
Oropharyngeal Cancer and HPV: What's the Latest? - The ASTDD Healthy Aging committee hosted an "Oropharyngeal Cancer and HPV: What's the Latest?" coffee break call. Dr. Mahnaz Fatahzadeh, DMD, MSD, from the Rutgers School of Dental Medicine presented information on the epidemiology, risk factors and clinical presentation of oral cancer and in particular HPV positive oropharyngeal squamous cell carcinomas. Dr. Fatahzadeh also shared an article, Prevention & Early Detection of Oral Cancer: A Professional Responsibility, which is posted on the AIDS Education and Training Center (AETC) Program website. AETC is the training arm of the Ryan White HIV/AIDS Program. Also check out this 2-page fact sheet on HPV and oropharyngeal cancer from the CDC. (March 2016)
Healthy Aging: Oral Health among Older Adults: The Association of State and Territorial Health Officials (ASTHO), Council of State and Territorial Epidemiologists (CSTE) and ASTDD hosted a webcast on oral health among older adults. (July 2015)
Evidence-Based Strategies for Improving Older Adult Oral Health – These PowerPoint presentations from a 2015 National Oral Health Conference session discuss the Older Americans Act Title IIID, the work Oral Health America is doing to support older adult oral health, and health transformation opportunities for the oral health industry. (April 2015)
Title IIID slides
Health Transformation and Virtual Dental Home slides
Other ASTDD Resources
Talking Points-Why Oral Health in Older Adults is Important – This infographic, collaboratively developed by the ASTDD Healthy Aging Committee and the American Dental Association, provides talking points that highlight the importance of oral health in older adults. (Dec 2015)
Kansas Older Adults & Oral Health: Kansas shared this flyer with facilities participating in the Older Adult Basic Screening Survey in 2018.
Rhode Island Skilled Nursing Facilities Oral Health Report 2018: RIDOH worked with the Rhode Island Long Term Care Coordinating Council's Oral Health Subcommittee to develop a survey focused on dental and oral care in long-term care facilities. The 2018 Oral Health Survey was sent to administration-level staff at all Medicare-Certified Rhode Island nursing homes in February 2018 with the aim of gathering information about current oral health practices and opportunities to support nursing homes in their delivery of quality oral healthcare.
Colorado Older Adult Oral Health Action Plan: Discusses the process of developing the plan as well as action items and who is responsible for moving the actions items forward. (January 2015)
Washington Elder Smiles Survey Report: PowerPoint - October 2017 Elder Smiles is Washington's first oral health survey of adults 65+ years. Data was collected from older adults at a convenience sample of 15 senior centers throughout the State. This project was supported by the Arcora Foundation of Delta Dental of Washington. The report provides results from the 2017 survey of senior centers and compares those with results from their phone survey in 2012.
Other Organizations' Resources
Administration for Community Living (ACL) and the Office on Women's Health (OWH) – Help your Community Smile: Start or Enhance an Oral Health Program for Older Adults: This website aims to help communities, governments, nonprofit organizations, foundations, and private businesses start or enhance community-based oral health programs for older adults. With two main components-a searchable database of community-based oral health programs and The Community Guide to Adult Oral Health Program Implementation (Oral Health Guide)-this website offers access to essential tools for planning, designing, and implementing a new program or replicating or expanding an existing program. (May 2017)
American Dental Association (ADA)- Mouth Healthy: Answers to questions about oral health targeted at adults over age 60.
America's Health Rankings® - 2015 Senior Report-This is the third edition of America's Health Rankings® Senior report. Information is presented for each state using various health indicators.
CDC Healthy Aging Data Portal: The Healthy Aging Data Portal provides easy access to CDC data on a range of key indicators of health and well-being, screenings and vaccinations, and mental health among older adults at the national and state levels. These indicators provide a snapshot of currently available surveillance information, and can be useful for prioritization and evaluation of public health interventions.
Center for Oral Health: Skilled Nursing Facility Dental Services Guidelines
The guidelines are intended to offer information on the procedures that should be considered before entering into a contract and/or memoranda of understanding to provide care in a skilled nursing facility.
Children's Dental Health Project State Oral Health Plan Comparison Tool: The Children's Dental Health Project State Oral Health Plan Comparison Tool allows you to search 24 content areas and make cross-state comparisons through a relational database.
Colgate Oral Health Network for Professional Education and Development - Medical Complexity in Older Adults - The Colgate Oral Health Network for Professional Education and Development offers free on-demand webinar courses on the oral health of older adults. All courses offer ADA and AGD continuing education credits.
FrameWork's Reframing Aging toolkit: FrameWork's worked with the National Council on Aging (NCOA) and seven other national aging organizations to reframe the story of aging. Find things in this toolkit to help change the narrative around aging. (July 2017)
Gerontological Society of America (GSA) - Interprofessional Solutions for Improving Oral Health in Older Adults: Addressing Access Barriers, Creating Oral Health Champions: This white paper summarizes the deliberations from the March 2017 forum organized by GSA and makes six specific recommendations aimed at raising people's quality of life as they age. (July 2017)
Health Resources and Services Administration (HRSA) Oral Health webpage - Includes Oral Health and aging resources created by the NIDCR. The resources include information on: Brushing Information for Caregivers: Flossing Information for Caregivers: Dry Mouth & Older Adults: Information for Caregivers: Finding Low Cost Dental Care: The resources are in a PDF format and are able to be copied for distribition.
Gerontological Society of America (GSA) launched an initiative called "Oral Health: An Essential Element of Healthy Aging" as part of its commitment to improving oral health of older adults. The webpage includes links to the What's Hot newsletter featuring oral health, an infographic on older adult oral health and social media messages.
National Institute of Dental and Craniofacial Research (NIDCR)-Older Adults and Oral Health
National Association of States United for Aging and Disability (NASUAD) - NASUAD represents the nation's 56 state and territorial agencies on aging and disabilities and supports visionary state leadership, the advancement of state systems innovation and the articulation of national policies that support home and community based services for older adults and individuals with disabilities.
National Association of States United for Aging and Disability (NASUAD) 2016 report: Medicaid Oral Health Coverage for Older Adults and People with Disabilities"- During calendar year 2015, NASUAD engaged in a collaboration with the DentaQuest Foundation to identify and promote effective oral health interventions for older adults and people with physical disabilities. This initiative involved collaborating with partners from the dental, aging, and disability fields in order to increase knowledge regarding issues and challenges related to dental services for older adults and people with disabilities.
National Council on Aging- Medicare Dental, Vision & Hearing Benefits: Medicare pays for a range of health care benefits for older adults and persons living with disabilities however, routine dental visits, vision and hearing tests, eyeglass and hearing aid fittings, and similar procedures are not covered. This page includes benefit information and links/contact information.
Oral Health America A State of Decay: the Oral Health of Older Americans: An Oral Health America report card that examines the lack of access to care for our nation's seniors through private dental insurance and Medicaid.
Oral Health America - Medicare Dental Toolkit: This toolkit includes resources to support communication and partnerships among allied organizations and policymakers in order to forge a path toward achieving dental coverage in Medicare. Current tools include an infographic, a social media guide, a position paper and supplemental research reports. (July 2017)
Oral Health America- Tooth Wisdom: Tooth Wisdom is an online tool to connect and educate older adults and their caregivers to care.
Rides In Sight provides information about senior transportation options in local communities throughout the United States. ITNAmerica researched communities nationwide to build a database of senior transportation options. Rides In Sight makes the information available to the public through this website and hotline. The Rides In Sight hotline is available Monday-Friday from 8AM-8PM Eastern Time (excluding holidays).
Santa Fe Group: unique group of internationally renowned scholars and leaders from business and the professions bound by a common interest to improve oral health.
U.S. Surgeon General Vivek H. Murthy and the National Prevention, Health Promotion, and Public Health Council: Healthy Aging in Action-Advancing the National Prevention Strategy - identifies recommendations and actions to promote healthy aging and improve health and well-being in later life. HAIA highlights federal and nonfederal policies and programs that reflect the National Prevention Strategy's approach of targeting prevention and wellness efforts to promote healthy aging to further advance the Strategy for an aging society. (November 2016)
West Health Policy Center in Washington, DC collaborates with the Gary & Mary West Foundation, to advance senior-centered healthcare delivery. They presented a webinar that addressed aging and the importance of oral health. Click here to view the webinar: "The Vital Connection Between Senior Oral Healthcare and General Health."