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Introduction / Implementation
Center for Oral Health Systems Integration and Improvement

Title V MCH Services Block Grant Oral Health Toolkit


States are required to:

  • Develop at least one ESM for each selected NPM.
  • Develop three to five state performance measures (SPMs) to address priority needs not addressed by the NPMs.
  • Finalize an action plan that lists state priority needs, objectives, strategies and activities, ESMs, and three to five SPMs.

In this way, process inputs/outputs are captured in ESMs, which describe the short-/medium-term outcomes of NPMs, which move the needle on long-term impact (NOMs).


Oral Health Workflow