Enhancing Collaborative Relationships Enhancing Collaborative Relationships Between State Oral Health Programs and Between State Oral Health Programs and

Dental/Dental Hygiene Education InstitutionsDental/Dental Hygiene Education Institutions

Beverly Isman, Monette McKinnon, Beverly Isman, Monette McKinnon, Nicholas MoscaNicholas Mosca

Discussion PointsDiscussion Points

Rationale for conducting a Rationale for conducting a collaborative collaborative ASTDD & ADEA members’ surveyASTDD & ADEA members’ survey

Survey resultsSurvey results Examples of successExamples of success Untapped opportunities and Untapped opportunities and

recommendationsrecommendations

RationaleRationale

No current inventory of collaborative No current inventory of collaborative relationshipsrelationships

ASTDD and ADEA commitment to ASTDD and ADEA commitment to conduct joint projects of mutual benefitconduct joint projects of mutual benefit

Promote leveraging of resources at the Promote leveraging of resources at the state levelstate level

Foster stronger partnerships within Foster stronger partnerships within statesstates

Needs of State Oral Health Needs of State Oral Health ProgramsPrograms

Research and evidence-based practice Research and evidence-based practice expertise and resourcesexpertise and resources

Data collection and statistical analysisData collection and statistical analysis Evaluation expertiseEvaluation expertise Advocacy for public health programsAdvocacy for public health programs Workforce for projects, community Workforce for projects, community

education and clinical careeducation and clinical care

Needs of Dental and Allied Needs of Dental and Allied Dental Education ProgramsDental Education Programs

Sites for student extramural placementsSites for student extramural placements Teaching expertise in public healthTeaching expertise in public health Data for planning and researchData for planning and research Supplies, equipment for clinical projectsSupplies, equipment for clinical projects Neutral party to convene Neutral party to convene

meetings/forums/coalitionsmeetings/forums/coalitions Funds for community services, adjunct Funds for community services, adjunct

faculty, special projectsfaculty, special projects

Understanding RelationshipsUnderstanding Relationships SOHP & Dental EducationSOHP & Dental Education

Web-survey of state dental directors Web-survey of state dental directors conducted by the Association of State and conducted by the Association of State and Territorial Dental Directors (ASTDD) and the Territorial Dental Directors (ASTDD) and the American Dental Education Association American Dental Education Association (ADEA) Center for Public Policy and (ADEA) Center for Public Policy and AdvocacyAdvocacy

Secondary survey completed by email or Secondary survey completed by email or telephone with faculty members who were telephone with faculty members who were identified as the “academic-side” identified as the “academic-side” collaborator by state dental directorscollaborator by state dental directors

5 Focus Areas for Questions5 Focus Areas for Questions

Do you have a working relationship?Do you have a working relationship? What kinds of collaborations occur?What kinds of collaborations occur? Is there a financial relationship and Is there a financial relationship and

what is covered?what is covered? Have you encountered any barriers Have you encountered any barriers

in these relationships?in these relationships? How would you improve your How would you improve your

collaboration?collaboration?

Response Response

46 state + DC OH programs responded to web 46 state + DC OH programs responded to web survey (90% response)survey (90% response) Only 1 state did not have collaboration; 42 Only 1 state did not have collaboration; 42

provided contact info for other survey, with 26 provided contact info for other survey, with 26 providing info for more than one school or deptproviding info for more than one school or dept

Collaborations were with 39 different dental Collaborations were with 39 different dental schools, 23 dental hygiene or assisting schools, schools, 23 dental hygiene or assisting schools, and 4 other schools (PH, nursing, medical)and 4 other schools (PH, nursing, medical)

46 faculty in 25+ states responded to email or 46 faculty in 25+ states responded to email or telephone surveytelephone survey

States with PartnershipsStates with Partnerships that that Answered Both Surveys (N=25)Answered Both Surveys (N=25)

AlabamaAlabama ArizonaArizona ArkansasArkansas CaliforniaCalifornia ConnecticutConnecticut District of District of

ColumbiaColumbia GeorgiaGeorgia HawaiiHawaii

Illinois Illinois IowaIowa KansasKansas MaineMaine MassachusettMassachusett

ss MichiganMichigan MississippiMississippi MissouriMissouri NebraskaNebraska Nevada Nevada

New York New York OklahomaOklahoma OregonOregon PennsylvaniaPennsylvania TennesseeTennessee UtahUtah WisconsinWisconsin

RelationshipsRelationships

19 SDD have faculty appointments; 19 SDD have faculty appointments; only 3 are paid; 7 had more than one only 3 are paid; 7 had more than one appt appt

24 states provide funding to dental 24 states provide funding to dental academic programs; only one SOHP academic programs; only one SOHP received funding (for joint research)received funding (for joint research)

Relationships cont.Relationships cont.

40-50% of collaborations centered on 40-50% of collaborations centered on access to care, planning/policy access to care, planning/policy development, preventive programs, development, preventive programs, teaching at the school, or extramuralsteaching at the school, or extramurals

12 states noted other relationships: TA, 12 states noted other relationships: TA, program admin, fund cancer CE program admin, fund cancer CE program, coalitions, dental recruitment, program, coalitions, dental recruitment, special projects, PANDA, BSS, student special projects, PANDA, BSS, student requestsrequests

Funding Supports…Funding Supports…

Staff and faculty time/expertise—Staff and faculty time/expertise—consultationconsultation

Equipment/suppliesEquipment/supplies Travel Travel Dental residencies and extramurals Dental residencies and extramurals

for studentsfor students Programs and researchPrograms and research

Noted Barriers Noted Barriers No state dental director or no dental schoolNo state dental director or no dental school Administrative red tape & bureaucracy for Administrative red tape & bureaucracy for

contracts, etccontracts, etc Tight budget or cutsTight budget or cuts Insufficient staff or time to get involvedInsufficient staff or time to get involved State dental society thinks everything must State dental society thinks everything must

go through themgo through them Restricted dental hygiene practice laws; Restricted dental hygiene practice laws;

laws also prohibit student externships (DE)laws also prohibit student externships (DE) Few geriatric initiativesFew geriatric initiatives

Key Areas of CollaborationKey Areas of Collaboration Contract Agreements for ServicesContract Agreements for Services

Oral disease surveillance – BSS data collectionOral disease surveillance – BSS data collection Community or population-level prevention (sealants, Community or population-level prevention (sealants,

fluoride varnish; mobile vans, school-based, clinics)fluoride varnish; mobile vans, school-based, clinics) Planning and ResearchPlanning and Research

Coalition / Summit / Task Force/ Advisory councilCoalition / Summit / Task Force/ Advisory council Consultation or TA servicesConsultation or TA services Library and data resourcesLibrary and data resources

EducationEducation Classroom teaching / CE Classroom teaching / CE Student extramural rotationsStudent extramural rotations Student projects or researchStudent projects or research

Promising ModelsPromising Models

WI - preventive programsWI - preventive programs CO - integrate med/dent CO - integrate med/dent NC - researchNC - research NH - student extramuralsNH - student extramurals VT - advocacy/legislationVT - advocacy/legislation SC - craniofacial team SC - craniofacial team PA - CE on oral cancerPA - CE on oral cancer CT – assistant deanCT – assistant dean

Special Opportunities Special Opportunities

Create interagency Create interagency initiatives and projectsinitiatives and projects

Convene strategic Convene strategic alliances and coalitionsalliances and coalitions

Engage in frequent and Engage in frequent and open communicationopen communication

Create solutions to Create solutions to contracting and other contracting and other barriersbarriers

Create sample MOUsCreate sample MOUs Conduct joint researchConduct joint research Create regional networksCreate regional networks

Apply for/share federal Apply for/share federal dollarsdollars

Create statewide oral Create statewide oral health planhealth plan

Educate policymakers Educate policymakers and the publicand the public

Address licensing and Address licensing and regulatory issuesregulatory issues

Highlight best practicesHighlight best practices Post resources on Post resources on

websiteswebsites

SummarySummary

Most states have excellent collaborationsMost states have excellent collaborations Some people have worked in both settingsSome people have worked in both settings Some states need to increase dialogue and Some states need to increase dialogue and

create more formal relationshipscreate more formal relationships Both groups have skills and resources that Both groups have skills and resources that

create synergy and can leverage other create synergy and can leverage other resourcesresources

Working together can address workforce and Working together can address workforce and funding challenges in a positive mannerfunding challenges in a positive manner

Support for ProjectSupport for Project

HRSA Cooperative Agreement HRSA Cooperative Agreement U44MC00177 to ASTDDU44MC00177 to ASTDD

Thanks to Dr. Richard Valachovic (ADEA) Thanks to Dr. Richard Valachovic (ADEA) and Dr. Lewis Lampiris (ASTDD) for and Dr. Lewis Lampiris (ASTDD) for marketing surveys to dental school deans marketing surveys to dental school deans and state dental directorsand state dental directors

Thanks to staff at the Mississippi Thanks to staff at the Mississippi Department of Health for conducting Department of Health for conducting telephone surveytelephone survey