Dental Transformation Initiative

​
​Within the Medi-Cal 2020 Waiver, the Dental Transformation Initiative (DTI) aims to improve dental health for Medi-Cal children by focusing on high-value care, improved access, and utilization of performance measures to drive delivery system reform.  Local Dental Pilot Projects (LDPP) is part of Domain 4 of DTI under the Medi-Cal 2020 Waiver.  15 LDPPs across the state of California were funded under Domain 4 to implement Local Dental Pilot Projects (LDPP) to improve dental health for Medi-Cal children by addressing goals of the other 3 Domains through alternative programs.  San Francisco’s proposal is one of the 15 LDPPs selected.  

The San Francisco Dental Transformation LDPP is led by the San Francisco Department of Public Health, and is informed by the San Francisco Children Oral Health Strategic Plan and the strategies of Cavity Free SF .  Through 5 Local Dental Pilot Projects, SF DTI LDPP aims to create long-term changes to advance the oral health of San Francisco children.

Collective Goals

​
  • Increase the percentage of children on Denti-Cal ages 0-5 who receive a dental service during the year by 10% over 4 years to 53%
  • Decrease the percentage of kindergarteners with untreated tooth decay by half, from 16% to 8% over 4 years
  • Decrease the percentage of kindergarteners with caries experience by 5% to 30% over 4 years
  • Close the gap in caries experience between white and non-white kindergarteners by 8%, from 32% to 24%, over 4 years

Background


​​The San Francisco Dental Transformation Initiative Local Dental Pilot Project is based upon the Cavity Free SF Children's Oral Health Strategic Plan's five overarching strategies of:  Access, Integration, Promotion, Evaluation and Coordination.  SF DTI LDPP's activities are based upon the vision and goals of  Cavity Free SF strategic plan to increase access to oral health for San Francisco's young children, integrate oral health with overall health, increase awareness and practice of optimal children's oral health behaviors among diverse communities, develop ongoing oral health population based surveillance systems, and provide coordination for implementation of Strategic Plan.

The strategic plan serve as the theoretical and practical guide for the activities of the SF DTI LDPP.  The Cavity Free SF Implementation Coordinating Committee also serves as the advisory committee of the SF DTI LDPP.  

SF DTI Partners

​​San Francisco Dental Transformation Initiative
Local Dental Pilot Project
30 Van Ness Avenue, Suite 210
​San Francisco, CA 94102