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
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