PROGRAM OUTLINE DOCUMENT AGENCY INFORMATION: Legal Entity: County of San Bernardino Contract #: HW002 Dept/Division: Arrowhead Regional Medical Center Phone #: 909-876-0984 Project Name: ARMC First 5 Dental Program Fax #: 909-876-0990 Address: 400 North Pepper Blvd. Colton, CA 92324 Mailing Address: 952 South Mt. Vernon Ave. Suite C Colton, CA 92324 Website: PROGRAM CONTACT: Name: Carla R. Lidner-Baum, DDS, MS Phone #: 909-876-0984 Title: Program Director Fax #: 909-876-0990 Email: mclidner@aol.com FISCAL CONTACT: Name: Vere Williams Phone #: 909-580-1428 Title: Accountant II Fax #: 909-580-1190 Email: williamsv@armc.sbcounty.gov CONTRACT REPRESENTATIVE: Name: Barbara Hanson Phone #: 909-580-3170 Title: Associate Hospital Admin. Ambulatory Services Fax #: 909-580-1190 Email: mhansonb@armc.sbcounty.gov ADDITIONAL CONTACT: Name: Edison Michael Medina Phone #: 909-876-0984 Title: Program Manager Fax #: 909-876-0990 Email: medisonmedina@sbcglobal.net ADDITIONAL CONTACT: Name: Jane Ellis, DDS Phone #: 909-876-0984 Title: Program Dentist Fax #: 909-876-0990 Email: watermarkje@aol.com ARMC Dental (OH) – HW002 Page 1 of 3 TYPE OF AGENCY: School Districts K-8 K-12 Community Based Organization County/State Educational Institution County Government Agency Other Government Agency Private Entity/Institution For Profit Non-Profit Other - please describe: Faith Based Organization FIRST 5 FOCUS AREA & STRATEGY: Early Care and Education: Early Education Access to Quality Childcare Quality Provider Programs Health and Well-Being Early Screening & Intervention Primary Care Services Health Care Access Health & Safety Education Oral Health Family Support Family Resource Centers & Case Management Parent Education Systems Integration Integrated Systems Planning & Implementation Organizational Capacity Building Countywide Information Referral Systems STAFF ANALYST II : INVESTMENT: Year Amount 2010-2011 $ 1,367,866 2011-2012 $ 1,367,866 2012-2013 $ 1,367,866 TOTAL $ 4,103,598 ARMC Dental (OH) – HW002 Page 2 of 3 Project Description: Arrowhead Regional First 5 Dental Program is committed to improving the oral health of very young children by ensuring that at least 8,500 children (5 years of age and under) residing in San Bernardino County will have the opportunity for dental education, dental screening exams and referral to treatment providers (dentists). At least 75 pregnant mothers will receive at least one dental treatment and at least 1,500 parents will be educated directly related to each child’s needs in terms of insurance usage, level of care needed, and guidance for prevention and ongoing oral health. In the endeavor to increase sustainable dental services, the dental program will bring dental prevention awareness to the pediatric physician’s office where dental caries prevention can be assisted at an earlier stage of tooth eruption (during infant/child well-checks and immunization appointments.) Monthly lectures will be conducted with pediatricians in San Bernardino County, where 150 pediatric physicians/residents will be instructed in the techniques of fluoride varnish application as part of the child’s immunization appointment. Arrowhead Regional First 5 Dental’s goal is that physician’s offices will incorporate these practices and will continue to provide these services (long-term) for the benefit of children in San Bernardino County. Performance Target 1: By June 30, 2011 of the 8500 participants in the A.R.M.C. Dental Program, 1500 children and 75 pregnant mothers will receive dental treatment as verified by dental claims submitted to us. Performance Target 2: Performance Target #2: By June 30, 2011, ,1500 parents will receive oral health education from the A.R.M.C First 5 Dental Program regarding good hygiene practices as verified by a the clinician database. Performance Target 3: By June 30th, 2011 of the 150 participants in the A.R.M.C First 5 Dental Training Program, 75 will improve in skill level related to oral health practices for children perinatal through age 5 as verified by a survey. ARMC Dental (OH) – HW002 Page 3 of 3