In Ohio, targeting S-BSPs by family income-based school-level criteria was effective in reaching higher risk children.

The results suggest the association between untreated caries and academic performance may be affected by the presence of a school-based oral health program. Further research focused on oral health and academic performance should consider the presence and/or availability of these programs.

During the 2009-2010 school year, the Ohio Department of Health conducted a statewide oral health and body mass index (BMI) screening survey among 3rd grade children. This marked the fifth school-based survey regarding the oral health of Ohio children since 1987. At 50 %, the participation rate of the 2009-2010 oral health and BMI survey was at the lowest level ever experienced. This study aimed to identify the factors associated with participation rates in a school-based survey. A stratified, random sample of 377 schools was drawn from the list of 1,742 Ohio public elementary schools with third grade students. All third grade children in the sampled schools with parent or guardian consent received an oral health screening and height/weight measurement by trained health professionals. Participation rates at the school level were then combined with data on school characteristics and survey implementation. Predictors of school form return, participation, and refusal rates were assessed by generalized linear modeling (GLM). High student mobility and larger school size were associated with lower form return (p = 0.000 and p = 0.001, respectively) and lower participation rates (p = 0.000 and p = 0.005, respectively). Surveying in the fall or spring (as opposed to winter) significantly decreased form return (p = 0.001 and p = 0.016, respectively) and participation rates (p = 0.008 and p = 0.002, respectively), while being surveyed by internal staff (versus external screeners) significantly increased form return (p = 0.003) and participation rates (p = 0.001). Efforts to increase participation should focus more on schools with higher student mobility and larger size. Additionally, participation could be improved by using internal staff and surveying during winter.

Targeting higher risk schools to reach higher risk children is a practical and effective approach for increasing sealant prevalence through S-BSPs.

INTRODUCTION: An analysis to determine if Medicaid health plan clinical program activity combined with community based care coordination (community hubs) can improve birth outcomes by reducing non-clinical/social determinant barriers to care. METHODS: We conducted a retrospective cohort study of 3702 deliveries in Lucas County, Ohio. All deliveries in these areas between March 2013-February 2017 were included. Outcomes were derived from medical claims. Levels of community-based social services were obtained from our community hub partner. We used bivariate and multivariate analysis to identify Odds Ratios for Neonatal/NICU Admission by select predictors for all deliveries and separately for deliveries to high-risk, moderate-risk, low-risk, and unknown risk mothers in the service area. RESULTS: High-risk mothers in these service areas where the member was not exposed to any community hub activity were 1.55 times more likely to deliver a baby needing Special Care Nursery or NICU care when compared to high risk members who received hub services through delivery. CONCLUSION: Medicaid health plan care management alone can be insufficient in helping high risk pregnant women and their providers in reducing their risks of preterm delivery. Partnerships with community hubs reduces non-clinical/social determinant barriers in high-risk pregnancy. This data shows Community Hub activity combined with Medicaid health plan clinical program/care management activity improves birth outcomes in high risk pregnancies compared to high risk pregnancies that are not exposed to this intervention.