Culturally appropriate care helps expand dental access

During May, we’re celebrating Asian American Pacific Islander Heritage Month. In a post earlier this month, we showed you how we collaborate with health leaders to advance oral and overall health for Washington’s AAPI populations. In this post, dentist and Arcora Foundation Board Trustee Dr. Ji Hyung Choi shows you how he expanded access to care with the Foundation’s support.  

Lived experience influences quality of care.

I am a first generation Asian American who grew up in Eastern Washington. I have experienced first-hand the difficulties our Asian American and Pacific Islander populations face in accessing culturally competent dental care in some counties. These access barriers are especially challenging for our Pacific Islander neighbors.

My ability to speak Korean and understand the culture helped many Asian patients seek care at the locations I served. Knowing they were receiving treatment from someone who understood their culture and could communicate in their native language put them at ease. 

As a clinician, I attended numerous AAPI health fairs and local events. The aim of these events was to: 

  • Promote good oral health and diet. 
  • Offer information on how to access care where the patients live. 
  • Provide oral health screenings. 
  • Assess any oral health needs they might have.

Breaking down barriers: Arcora advances oral and overall health for all.

Arcora Foundation has always supported many of these events. Through oral health prevention and access initiatives, the Foundation is on a mission to bend the arc of oral health toward equity across Washington state. As with AAPI people, oral health care disparities exist for others. Data from the Foundation helps tell that story, so we know who needs additional resources to reach their full health potential:

  • Access to oral health care across the state and who faces barriers.  
  • Percent of people with dental insurance
  • Health disparities in the state’s racial/ethnic groups like AAPI populations; for example, Native Hawaiian/Other Pacific Islander 2nd and 3rd graders experience decay at a rate of 75%—the highest of any racial/ethnic group in the region. 

In addition to providing these important data, Arcora Foundation has invested heavily to advance oral health. Since 2017, community, nonprofit, and tribal clinics received $10 million in grant funds to support dental care and oral health projects at to serve more patients—particularly Black, Indigenous and People of Color who experience oral health disparities and face challenges accessing dental care.

This funding supported health centers across the state, including the one where I worked. It also resulted in nearly 108,000 patient visits since 2017. Community and tribal dental clinics affected by COVID-19 received an additional $4.5 million in 2020.

Oral disease is mostly preventable. The work of organizations like Arcora Foundation makes more healthy smiles possible.

Headshot of Dr. Ji Hyung Choi
Dr. Ji Hyung Choi

Dr. Choi is a dental educator and the Chief Dental Officer at Columbia Basin Health Association—a Federally Qualified Health Center providing care to financially and socioeconomically underserved populations.

Collaboration leads to better health outcomes for the AAPI community

During May, we’re celebrating Asian American Pacific Islander Heritage Month. In a post, we share you how we collaborate with local health leaders to advance oral and overall health for Washington’s AAPI populations.

Our state is home to over 1 million people who identify as Asian or Pacific Islander. Though the collective term AAPI (Asian American and Pacific Islander) has grown in popularity, Arcora Foundation recognizes the diverse backgrounds and cultures that make up Washington’s AAPI communities.  

Our 2022–2024 strategic plan focuses our prevention and access work in communities where disparities are significant—specifically Black, Indigenous, and People of Color (BIPOC). The latest Washington State Smile Survey shows that while children’s oral health has improved overall, Pacific Islander children face the highest rates of untreated tooth decay among all races. In fact, Pacific Islander children experience tooth decay at rates over 2.5 times higher than their white classmates. 

Everyone deserves good oral health. Through localized partnerships, Arcora Foundation supports health equity in Asian and Pacific Islander communities. 

Local Impact Networks put communities first.

This year’s theme for AAPI Heritage Month is “Advancing Leaders through Collaboration.” Health equity advances with partnerships. It takes collaboration among organizations of all sizes and sectors. Arcora Foundation looks to local leaders to guide community-focused efforts, as these leaders understand the nuances and strengths of their communities best. 

Our Local Impact Networks (LINs) bring committed partners together to improve health equity and local systems of care. The LIN model emphasizes meeting community members where they are—including local libraries and community events—to learn about their experiences and ideas. 

Hear from two of our LIN partners to learn how they are supporting the oral and overall health of AAPI community members. 

Pierce County

“Asian Americans and Pacific Islanders have enriched our history and culture. However, the diversity between AAPI communities means marked disparities and inequities in medical and dental access and outcomes in those communities. 

“For years, we have partnered with dentists and hygienists to deliver screenings and treatments in school-based programs to ensure children receive early prevention and intervention regardless of income, insurance, race, or ethnicity. Throughout the pandemic and launch of our Local Impact Network, we enlisted multiple partners including Asia Pacific Cultural Center, Korean Women’s Association, and Pacific Islander Community Association of WA to help us reach, learn from, and engage communities.”  

Anthony L-T Chen, MD, MPH 
Director of Health, Tacoma-Pierce County Health Department
 

Spokane County

“One of the driving forces in supporting CHAS Health’s mission of providing quality healthcare and improving the overall health of the Spokane community is our team of community health workers (CHWs). For example, our Marshallese CHWs play a key role in connecting health/social services to the community, increasing access to oral and other health services. Using shared experiences, language, and cultural understanding, our CHWs offer trustworthy support and reduce barriers to care.

“By offering services such as outreach, community education, informal counseling, social support, and advocacy, CHWs lay the groundwork and encouragement for increasing access to healthcare and improving the overall health of our communities.”

CHAS Health
Smile Spokane LIN Partne
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It takes all of us to advance oral health equity. Learn more about our state’s Local Impact Networks and how you can get involved here.

Black History Month highlights need for good oral and overall health for Black people

My team and I are passionate about advancing oral health equity. Arcora Foundation’s mission is to bend the arc of oral health toward equity. The focus of our prevention and access work from our 2022-2024 strategic plan is in communities where disparities are significant—specifically Black, Indigenous, and People of Color (BIPOC).  

Black History Month (Feb. 1 – March 1) celebrates achievements and underscores opportunities. This year’s theme is Black health and wellness. The opportunity for Black people to reach our full health potential is essential, which includes resources to prevent oral disease and access to dental care. Everyone deserves a healthy smile. But not everyone has one. 

Data tell us disparities exist in oral disease prevention and oral health care access for Black people across the state. For example, among second and third graders, Black children experience untreated tooth decay at a rate of 18 percent. That is nearly twice the rate among white children—10 percent 

Through partnerships, programs, and other efforts, Arcora Foundation is helping more people—from all backgrounds and in all places across Washington state—enjoy good oral health.  

Partnerships play a pivotal role. 

We are excited to partner with Brittany Love to support healthy behaviors in communities of color. She is a fitness trainer focused on using movement and nutrition to promote self-care, self-love, and empowerment in Black and other communities of color. We recently awarded Love a grant to help her:  

  • Develop fitness videos that contain oral health messages.
  • Distribute oral hygiene kits to help people experiencing homelessness. 

Both projects will have a particular focus on BIPOC people across Western Washington. 

Love believes everyone should have access to health and wellness resources. That is why she plans to make her fitness videos, which integrate oral health messages into her promotion of overall wellness, available for free online. Greater opportunities exist in communities of color that are underserved and under resourced. 

“I want to give people as many tools as possible to be the best versions of themselves,” Love said. 

Through her own health and wellness journey, Love came to understand the importance of a holistic approach to good health. Now, she wants to give back. Through partnerships with companies and organizations—like Arcora Foundation—she will help spread messages about good overall health to communities of color. 

“Feeling good is a butterfly effect for other aspects of your life,” Love said. 

Arcora Foundation’s partnership with Love is one example of our commitment to look for more ways to deepen our work and focus on different BIPOC populations in communities across the state to bridge the oral health equity gap. This approach reflects our strategic direction to lead with equity. 

To stay up to date on our latest grant and sponsorship opportunities for your organization, subscribe to Arcora Foundation’s newsletter here. 

Oral health is essential to overall health. 

Oral disease is almost entirely preventable. An early start to good oral health habits is crucial for good overall health. Classroom instruction can be difficult if not impossible for a child suffering cavity pain. As an adult, it can be hard to get a job if you are missing teeth or keep a job if you are in pain from oral disease. The health of your mouth is one of the most visible indicators of economic inequality.   

Oral health is essential to overall health. Research shows links between poor oral health and serious or potentially life-threatening conditions. A few examples: 

  • Diabetes.  
  • Heart disease.  
  • Stroke.  
  • Pregnancy complications.  

When more people have healthy smiles, everyone benefits. Kids thrive in the classroom. Adults have better job opportunities. 

As we celebrate the richness of Black history this month and throughout the year, I encourage you to engage with work underway to ensure a healthier future for Black people and other communities of color.  

Vanetta Abdellatif
President and CEO, Arcora Foundation

An Oral Health Funder Leads With Equity In Its New Strategic Plan

This article was originally published in the HealthAffairs GrantWatch blog.

By Joe Finkbonner and Vanetta Abdellatif | December 7, 2021

The data are undeniable: oral health disparities exist in Washington State, largely along racial and ethnic lines.

For example, among second and third graders in the state, Black, Indigenous, and other children of color have higher rates of tooth decay and untreated decay than White children in categories such as cavities experienced in all teeth, cavities in permanent teeth, and rampant decay—seven or more teeth with cavity experience. Among adults, nearly twice as many Native Hawaiian/Pacific Islander adults—27 percent—experience pain in the mouth than White adults—15 percent.

Arcora Foundation’s vision is for everyone to enjoy good oral and overall health with no one left behind. This equity-centered approach aligns with the vision we share with our funder, Delta Dental of Washington. Alongside our partners, we’ve helped promote healthy behaviors and expand access to dental care through our programs and efforts over the years. Arcora funds only in Washington State.

We’re helping more people enjoy healthy smiles, but disparities persist for racial/ethnic groups, especially for Black, Indigenous, and People of Color (BIPOC) populations. The development of our 2022–2024 strategic plan allowed us an exciting opportunity to tackle this question: How might we be the catalyst for more meaningful changes where the data show significant disparities?

Intentional About Equity

With the Arcora Foundation board’s leadership and direction, we began a journey to rethink how we work, specifically about the role that equity plays in what we do. During our strategic planning in 2021, board members remained interested in and engaged with the process. They aligned on:

  • The importance of equity in the foundation’s work.
  • The need to be more intentional in placing equity front and center to meet the needs of populations experiencing significant disparities—namely, BIPOC populations.

In September 2021, our board approved the new strategic plan, which leads with equity. Health equity, according to the foundation’s definition:

  • Assures conditions exist for the highest standard of health and well-being that reflect every person’s needs.
  • Reallocates power and resources.
  • Dismantles oppressive systems.
  • Heals harm from system imbalances.
  • Eliminates racism and discrimination as factors to predict life expectancy and health outcomes.

Following heightened attention on racial justice issues in summer 2020, we’ve seen equity intentionally applied to policing, housing, education, and other areas. Equity is also essential to oral health. You deserve fair and just opportunities no matter who you are or where you come from, so as to get resources to stay healthy and access care when and where you need it, all without barriers.

BIPOC populations, historically underserved and under-resourced, have significant need and opportunities to improve oral health. By taking intentional steps to place equity front and center in our work, we have opportunities to help bridge the oral health equity gap and eliminate disparities.

Prevention—by using community-based interventions—and access—by using care setting–based interventions—remain strategic priorities. Goals for our prevention work are to expand community water fluoridation, influence healthy oral health behaviors, and address root causes of poor oral health.

For our access work, our goals are to achieve policy changes—such as an increased investment in the pediatric Medicaid dental program and greater access to community water fluoridation statewide; to increase culturally appropriate care; to advance innovative models of care—which includes addressing oral health concerns during medical visits; and to expand access for those experiencing the greatest barriers.

In our new strategic plan, we will look for ways to deepen our work and focus on BIPOC populations in communities across the state to bridge the equity gap. We will look for ways to have more authentic, engaged, and frequent conversations with community members and partners. Our aim is to think differently about our prevention and access work and to move the needle in partnership with BIPOC people.

See Full Strategic Plan

Benefits Beyond Oral Health

Oral disease is mostly preventable. Families, businesses, and taxpayers save money and thrive through oral disease prevention. Tooth decay is the number-one chronic disease of early childhood. (See page 3.) Classroom instruction can be difficult, if not impossible, for a child suffering the pain of cavities. For adults, it is hard to get a job if you are missing teeth or to keep a job if you are in pain from oral disease. The health of the mouth is one of the most visible indicators of economic inequality.

Oral health matters to overall health. Research shows links between poor oral health and serious or potentially life-threatening conditions. A few examples are diabetesheart diseasestroke, and pregnancy complications.

People can have better overall health when they have healthy smiles. From an equity standpoint, the advancement of good oral health for all makes sense.

Bold Action Brings Potential Of Big Rewards

The Arcora Foundation plan has flexibility. Working this way comes with some risk. We could try new approaches and not succeed. But what if we do succeed? Our plan allows us to be nimble so we can course correct, try a different approach, or scale up if we succeed in a big way.

The plan relies on relationships. We must co-create solutions to reach our priority populations where they are. Community engagement and partnerships are integral to the plan’s success. Community, state, and national groups, the dental and medical community, policy makers, and others will be key collaborators on this journey.

At Arcora Foundation, our name reflects our equity-driven mission —bending the arc of oral health toward equity. Our new, three-year strategic plan—which launches in January 2022—sharpens our focus to address significant disparities in oral health. With the help of our partners, bridging the equity gap is possible—so everyone can reach their full potential with healthy smiles and good overall health.

Board of Trustees receives national recognition for diversity, equity and inclusion

At Arcora Foundation, our name reflects our mission—bending the arc of oral health towards equity. Our Board of Trustees understands the importance equity, along with diversity and inclusion, have in our work to advance oral health in communities across Washington with no one left behind.

Our Board defines equity as an ardent journey toward assuring availability of appropriate, tailored resources and treatment for every person to access opportunities and reach their full potential based on where they are and where they want to go. Further, health equity is the assurance of the conditions for the highest standard of health and well-being for every person, as defined by each of those affected. Power and resources must be reallocated, oppressive systems dismantled, and harm caused by system imbalances must be healed. When health equity is achieved, racism and discrimination will no longer factor in predicting life expectancy and health outcomes.

These frameworks help our Board and Foundation take our mission from a statement to a core element of how we engage with communities.

Diversity, Equity and Inclusion Board Committee

Our Board’s leadership in championing diversity, equity and inclusion extends to how the Foundation functions internally. In 2020, to further integrate equity into the core of our Board’s work, Trustees and Arcora Foundation team members developed an ad-hoc Diversity, Equity and Inclusion (DEI) Committee.

Our DEI Board Committee aims to foster Arcora Foundation Trustees’ learning, development, and interest in DEI and social justice. It also aims to support Arcora Foundation’s DEI work through making recommendations to the Board that center social justice and equity in the strategic plan, governance and policies. The committee works to vet and recommend resources to the full Board that will encourage continuous learning and growth, and practices examining the systems and processes within which the Board operates to develop awareness and understanding of power dynamics. This awareness informs the Board’s efforts toward equity-focused policy and programs.

National Recognition for DEI Efforts

On Nov. 9, the National Association of Corporate Directors (NACD) named our Board as finalist for their DE&I Awards. The annual award goes to forward-thinking boards that leverage the power of diversity, equity and inclusion to enhance their governance and create long-term value for their organizations and stakeholders.

“This national recognition is a great honor that reflects the engagement of my fellow board members and the dedication of the Foundation team,” said Arcora Foundation Board Chair Joe Finkbonner. “The integration of diversity, equity, and inclusion into what we do and who we are continues and is a journey we’re committed to for the long haul.”

Read more about the award and the other finalists.

Centering DEI to Improve Community Health

Diversity, equity, and inclusion are essential to effectively address disparities and improve health equity for all. While oral health is generally improving across all Washington children, racial disparities are still deep and widespread:

  • Hispanic and American Indian/Alaskan Native children have 50% higher rates of cavities than their white classmates.
  • Pacific Islander children experience untreated decay at rates over twice that of white children.

Noting the intersection of race and socioeconomic status, it is alarming that twice as many children from low-income households suffer from rampant tooth decay than children from higher-income households.

Next year will mark a new chapter in how we work to address disparities. In September of 2021, our Board approved our new, three-year strategic plan. With it, we will take intentional steps to place equity front and center in our work to bridge the oral health equity gap. We will deepen the focus of our prevention and access priorities on racial/ethnic communities—specifically Black, Indigenous, and People of Color—where disparities in oral disease and access to care are significant.

We can’t do this work alone. To be successful, we must include and learn from people of diverse racial/ethnic communities. We must understand not only what oral health disparities exist, but how the Foundation can best support our partners to make meaningful, lasting, culturally appropriate change. With this, more people can have the resources and access they need to have good oral and overall health.