1. TEXAS ORAL HEALTH COALITION February 25, 2016| Austin, Texas

2. Purpose:  To reflect on progress made since 2012 across five priority areas: community fluoridation, dental home, oral health literacy, statewide surveillance system, and integrating oral health into elder services.  To build alignment on our work in Texas with the vision, goals and targets of the OH 2020 Movement

3. Introduce yourself by describing:  What brought you into the work of oral health?  What is the most inspiring change that you are seeing in the work today?

4. Desired Outcomes By the end of the day we will have:  An opportunity to connect, learn and plan together  A shared understanding of the progress made and challenges remaining in the implementation of the TxOHC 2012 priorities  An update on oral health workforce issues  A shared understanding of the drivng forces of inequity and oral health as a social justice issue  A shared understanding of the Oral Health 2020 Network:  Systems change framework,  Network building approach, and  Vision, goals and targets  An opportunity to coordinate and align our work in Texas with the OH 2020 Movement  A list of recommendations and actions to be taken in 2017/2017 by the TxOHC

5. What I see everywhere in the world are ordinary people willing to confront despair, power, and incalculable odds in order to restore some semblance of grace, justice, and beauty to this world. Paul Hawken

6. Getting Grounded 2012 Priorities  Progress to Date  Challenges Remaining

7.  Fluoridate all Community Water Systems  Support the Development of the Dental Home through Professional Education  Improve Oral Health Literacy across Texas  Create a Statewide Oral Health Surveillance System to Collect Oral Health Data across the Lifespan  Integrate Oral Health into all Elder-Care Services and Facilities Texas Statewide 2012 Priorities

8. At Tables:  Did anything surprise you?  Were there any glaring omissions from the summaries of progress?  Would you add any additional challenges?

9. Getting Grounded Oral Health Workforce  Workforce Distribution  Potential Impact

10. Justice is what love looks like in public. Cornel West

11. Oral Health as a Social Justice Issue  Everyone should have the same opportunities to live a healthy life.  A person in poor oral health is not healthy.  Nobody should suffer from a chronic disease that is completely preventable.  Until we all have an equal opportunity to live happy and healthy lives, we will live in an unjust society.  It’s our responsibility to advocate for and mobilize the many who don’t have access to oral health care and prevention.

12. In Trios:  What are your key takeaways from the video?  What do you see as the conditions and underlying forces that have created this system?  Share an example from your own experience where you have seen the oral health system fail and where you have seen oral health inequities play out.

13. Building a National Movement for Oral Health 13 1999- : Early days in Massachusetts 2001 & 2003: Surgeon General calls oral disease a “silent epidemic” 2007: 12-year old Maryland boy dies from untreated dental abscess 2008-2009: Moving beyond Massachusetts 2009: ADA Access to Care Summit

14. Building a National Movement for Oral Health 14 2009-2010: Systems-Change Framework adopted US National Oral Health Alliance founded 2009-2010: National Interprofessional Initiative on Oral Health builds momentum 2011: Oral Health 2014 and Strengthening the Oral Health Safety Net initiatives launched 2012-2013: Innovation Fund launched Also launched: National Community Committee/PRC Community Response Fund 2013: Oral Health 2014 and Strengthening the Oral Health Safety Net initiatives expanded

15. Time to Eat!

16. Yogi Berra “If you don’t know where you’re going, you’ll end up somewhere else.”

17.  Systems Change  Systems thinking  A framework for oral health  Network Approach  Social impact networks  The evolution of the Oral Health 2020 Network  The Oral Health 2020 Network Infrastructure today  Vision, Goals and Targets  Overview  Alignment with Texas priorities Oral Health 2020 Movement

18. “Addiction is finding a quick and dirty solution to the symptom of the problem, which prevents or distracts one from the harder and longer-term task of solving the real problem.” Systems Thinking

19. 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 A Systems Frame for Oral Health Improving the Oral Health of All

20. Social Impact Networks Scattered ClustersHub-and-SpokeMulti-Hub Core Periphery Time Where Most Network-Building Begins Self-Sustaining Network

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22. Network and Support Infrastructure

24.  Fluoridate all Community Water Systems (Target 1—examples: AAP, HRiA)  Support the Development of the Dental Home through Professional Education (Target 6—examples: NIIOH, State University of Iowa Public Policy Center)  Improve Oral Health Literacy across Texas (All Targets, Target 7— examples: Head Start Age 1 Connect the Dots, Frameworks and the NOHCT)  Create a Statewide Oral Health Surveillance System to Collect Oral Health Data across the Lifespan (Target 5—example: CDHP and ASTDD)  Integrate Oral Health into all Elder-Care Services and Facilities (Target 4—examples: Lunder-Dineen, Oral Health America) Texas Statewide 2012 Priorities and the Oral Health 2020 Network

25. The Oral Health 2020 Movement:  Moving forward in Texas

26. In Groups of Four:  List the 2-3 goals we need to accomplish in this target area in 2016/2017  Identify the key and critical organizations (hubs) currently working in this target area  List the two highest leverage actions to be taken statewide and by your organization, to move the action and coordinate efforts in this target area