Enhancing Collaborative Relationships Between State Oral Health Programs and Dental/Dental Hygiene Education Institutions Beverly Isman, Monette McKinnon, Nicholas Mosca

Discussion Points Rationale for conducting a collaborative ASTDD & ADEA members’ survey Rationale for conducting a collaborative ASTDD & ADEA members’ survey Survey results Survey results Examples of success Examples of success Untapped opportunities and recommendations Untapped opportunities and recommendations

Rationale No current inventory of collaborative relationships No current inventory of collaborative relationships ASTDD and ADEA commitment to conduct joint projects of mutual benefit ASTDD and ADEA commitment to conduct joint projects of mutual benefit Promote leveraging of resources at the state level Promote leveraging of resources at the state level Foster stronger partnerships within states Foster stronger partnerships within states

Needs of State Oral Health Programs Research and evidence-based practice expertise and resources Research and evidence-based practice expertise and resources Data collection and statistical analysis Data collection and statistical analysis Evaluation expertise Evaluation expertise Advocacy for public health programs Advocacy for public health programs Workforce for projects, community education and clinical care Workforce for projects, community education and clinical care

Needs of Dental and Allied Dental Education Programs Sites for student extramural placements Sites for student extramural placements Teaching expertise in public health Teaching expertise in public health Data for planning and research Data for planning and research Supplies, equipment for clinical projects Supplies, equipment for clinical projects Neutral party to convene meetings/forums/coalitions Neutral party to convene meetings/forums/coalitions Funds for community services, adjunct faculty, special projects Funds for community services, adjunct faculty, special projects

Understanding Relationships SOHP & Dental Education Web-survey of state dental directors conducted by the Association of State and Territorial Dental Directors (ASTDD) and the American Dental Education Association (ADEA) Center for Public Policy and Advocacy Web-survey of state dental directors conducted by the Association of State and Territorial Dental Directors (ASTDD) and the American Dental Education Association (ADEA) Center for Public Policy and Advocacy Secondary survey completed by or telephone with faculty members who were identified as the “academic-side” collaborator by state dental directors Secondary survey completed by or telephone with faculty members who were identified as the “academic-side” collaborator by state dental directors

5 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 what is covered? Is there a financial relationship and what is covered? Have you encountered any barriers in these relationships? Have you encountered any barriers in these relationships? How would you improve your collaboration? How would you improve your collaboration?

Response 46 state + DC OH programs responded to web survey (90% response) 46 state + DC OH programs responded to web survey (90% response) Only 1 state did not have collaboration; 42 provided contact info for other survey, with 26 providing info for more than one school or dept Only 1 state did not have collaboration; 42 provided contact info for other survey, with 26 providing info for more than one school or dept Collaborations were with 39 different dental schools, 23 dental hygiene or assisting schools, and 4 other schools (PH, nursing, medical) Collaborations were with 39 different dental schools, 23 dental hygiene or assisting schools, and 4 other schools (PH, nursing, medical) 46 faculty in 25+ states responded to or telephone survey 46 faculty in 25+ states responded to or telephone survey

States with Partnerships that Answered Both Surveys (N=25) Alabama Alabama Arizona Arizona Arkansas Arkansas California California Connecticut Connecticut District of Columbia District of Columbia Georgia Georgia Hawaii Hawaii Illinois Illinois Iowa Iowa Kansas Kansas Maine Maine Massachusetts Massachusetts Michigan Michigan Mississippi Mississippi Missouri Missouri Nebraska Nebraska Nevada Nevada New York New York Oklahoma Oklahoma Oregon Oregon Pennsylvania Pennsylvania Tennessee Tennessee Utah Utah Wisconsin Wisconsin

Relationships 19 SDD have faculty appointments; only 3 are paid; 7 had more than one appt 19 SDD have faculty appointments; only 3 are paid; 7 had more than one appt 24 states provide funding to dental academic programs; only one SOHP received funding (for joint research) 24 states provide funding to dental academic programs; only one SOHP received funding (for joint research)

Relationships cont % of collaborations centered on access to care, planning/policy development, preventive programs, teaching at the school, or extramurals 40-50% of collaborations centered on access to care, planning/policy development, preventive programs, teaching at the school, or extramurals 12 states noted other relationships: TA, program admin, fund cancer CE program, coalitions, dental recruitment, special projects, PANDA, BSS, student requests 12 states noted other relationships: TA, program admin, fund cancer CE program, coalitions, dental recruitment, special projects, PANDA, BSS, student requests

Funding Supports… Staff and faculty time/expertise— consultation Staff and faculty time/expertise— consultation Equipment/supplies Equipment/supplies Travel Travel Dental residencies and extramurals for students Dental residencies and extramurals for students Programs and research Programs and research

Noted Barriers Noted Barriers No state dental director or no dental school No state dental director or no dental school Administrative red tape & bureaucracy for contracts, etc Administrative red tape & bureaucracy for contracts, etc Tight budget or cuts Tight budget or cuts Insufficient staff or time to get involved Insufficient staff or time to get involved State dental society thinks everything must go through them State dental society thinks everything must go through them Restricted dental hygiene practice laws; laws also prohibit student externships (DE) Restricted dental hygiene practice laws; laws also prohibit student externships (DE) Few geriatric initiatives Few geriatric initiatives

Key Areas of Collaboration Contract Agreements for Services Contract Agreements for Services Oral disease surveillance – BSS data collection Oral disease surveillance – BSS data collection Community or population-level prevention (sealants, fluoride varnish; mobile vans, school-based, clinics) Community or population-level prevention (sealants, fluoride varnish; mobile vans, school-based, clinics) Planning and Research Planning and Research Coalition / Summit / Task Force/ Advisory council Coalition / Summit / Task Force/ Advisory council Consultation or TA services Consultation or TA services Library and data resources Library and data resources Education Education Classroom teaching / CE Classroom teaching / CE Student extramural rotations Student extramural rotations Student projects or research Student projects or research

Promising Models WI - preventive programs WI - preventive programs CO - integrate med/dent CO - integrate med/dent NC - research NC - research NH - student extramurals NH - student extramurals VT - advocacy/legislation VT - advocacy/legislation SC - craniofacial team SC - craniofacial team PA - CE on oral cancer PA - CE on oral cancer CT – assistant dean CT – assistant dean

Special Opportunities Create interagency initiatives and projects Create interagency initiatives and projects Convene strategic alliances and coalitions Convene strategic alliances and coalitions Engage in frequent and open communication Engage in frequent and open communication Create solutions to contracting and other barriers Create solutions to contracting and other barriers Create sample MOUs Create sample MOUs Conduct joint research Conduct joint research Create regional networks Create regional networks Apply for/share federal dollars Apply for/share federal dollars Create statewide oral health plan Create statewide oral health plan Educate policymakers and the public Educate policymakers and the public Address licensing and regulatory issues Address licensing and regulatory issues Highlight best practices Highlight best practices Post resources on websites Post resources on websites

Summary Most states have excellent collaborations Most states have excellent collaborations Some people have worked in both settings Some people have worked in both settings Some states need to increase dialogue and create more formal relationships Some states need to increase dialogue and create more formal relationships Both groups have skills and resources that create synergy and can leverage other resources Both groups have skills and resources that create synergy and can leverage other resources Working together can address workforce and funding challenges in a positive manner Working together can address workforce and funding challenges in a positive manner

Support for Project HRSA Cooperative Agreement U44MC00177 to ASTDD HRSA Cooperative Agreement U44MC00177 to ASTDD Thanks to Dr. Richard Valachovic (ADEA) and Dr. Lewis Lampiris (ASTDD) for marketing surveys to dental school deans and state dental directors Thanks to Dr. Richard Valachovic (ADEA) and Dr. Lewis Lampiris (ASTDD) for marketing surveys to dental school deans and state dental directors Thanks to staff at the Mississippi Department of Health for conducting telephone survey Thanks to staff at the Mississippi Department of Health for conducting telephone survey