Funding of the UM Community Based Education Program Stephen J. Stefanac DDS MS Associate Dean for Patient Services

Background  UM CBDE began in 1935, current model in 2000  No RWJ funds; initial State/Medicaid grant  Michigan has adult Medicaid dental benefits  Current class size: 110 students  D4 students rotate 10 weeks – usually 2 week intervals – moving to D3s for 2 weeks 30 D4 students out /wk., 1-3 students/site  Most clinics contract for students wks./yr.  School pays for transportation and housing

Rotation Length Year Number of Weeks

Staffing  Assistant Dean for CBDE (.9 FTE)  Adjunct Professor (.6 FTE) QA and faculty development  Support staff (2 FTE)

Practice Types  Federally Qualified Health Clinics (9) Clinics receive $25,000/student from State Medicaid School receives $36,000/student/yr Lost student income/day at School: $165

Practice Types  Community Health Clinics (9) Some managed by MCDC (6) – 501(c)3 School receives $95/day + 5% production Averaging $125/day  Indian Health (2) School receives $36,000/student/yr No state payment to clinics

Practice Type  Private practice model (1) Practice takes Medicaid, charges predoc fees School receives $165 day/student No housing/transportation expenses  Other - no income Community college assisting program Dental school owned local clinic Local charity clinic Correctional facilities Event clinics

Practice Type  Special Programs Time limited, often pilot sites Donated services School receives expenses for travel and lodging

5 Year CBDE Income vs. Expenses

FY Budget

Final Notes  We take risks  Not always about the money  Vigorously promote the program  Data and outcomes driven  Sites and students appreciate that we deal with transportation and housing  Sites realize a benefit from having our students  Future: IPE and grants

Thank you! J Dent Educ Oct;75(10 Suppl):S42-47