Oral Health 2020: Shaping the Environment for the Future of Integration

Matthew Bond, MPAManager of Grants and ProgramsDentaQuest Foundation

Thinking in Systems

Purpose

Relationships Between Elements

Elements

An Example

Purpose: Score points; Win game

Relationships Between Elements: Rules of the Game

Elements: The Players

Oral Health???

• Purpose: To fix teeth and make people’s mouths look nice

• Relationship Between Elements: isolation from other services, procedure based reimbursement, constricting policy environment, etc.

• Elements: providers, patients, policymakers, payers, etc.

Wicked Problems

“Some problems are so complex that youhave to be highly intelligent and well informed

just to be undecided about them.”--Laurence J. Peter

A wicked problem is a social or cultural problem that is difficult or impossible to solve for as many as four reasons: incomplete or contradictory knowledge, the number of people and opinions involved, the large economic burden, and the interconnected nature of these problems with other problems.--Jon Kolko

Scattered Clusters Hub-and-Spoke Multi-Hub Core Periphery

TimeWhere Most Network-Building Begins Self-Sustaining Network

Networks: Patterns of evolution

Committed to Systems Outcomes

POLICY-Oral health is a key component of health policy-Oral health policy consistent at local, state and federal levels -Oral health measurement systems in place-Policy to allow expanded workforce

FINANCING-Sufficient funding to support care, prevention and training-Alignment of payment with evidence, prevention, disease management and outcomes

CARE-Dental workforce sufficient to meet needs efficiently & effectively-Care based on evidence, prevention, disease management and outcomes-Oral health integrated into all aspects of health care-Consumer focused care delivery

COMMUNITY-Oral health integrated into education and social services-Optimal oral health literacy-Strong community prevention and care infrastructure-Provider base representative of community

Improving the oral health of ALL

Redefining Purpose

• NOHIIN

• Grassroots

Relationships

• HRSA IPOHCCC

• Qualis Health

Elements

• NIIOH

Shaping the Environment for the Future of Integration

• Systems Changes– Redefining purpose– Changing relationships– Resourcing the elements

• Network Approach– Power of the collective– Rapid deployment of innovation– Knowledge and resource sharing