Enhancing Collaborative Relationships Between State Oral Health Programs and Dental/Dental Hygiene Education Institutions

1
Enhancing Collaborative Relationships Between
State Oral Health Programs and Dental/Dental
Hygiene Education Institutions

• Beverly Isman, Monette McKinnon,
• Nicholas Mosca

2
Discussion Points

• Rationale for conducting a collaborative ASTDD
  ADEA members survey
• Survey results
• Examples of success
• Untapped opportunities and recommendations

3
Rationale

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

4
Needs of State Oral Health Programs

• Research and evidence-based practice expertise
  and resources
• Data collection and statistical analysis
• Evaluation expertise
• Advocacy for public health programs
• Workforce for projects, community education and
  clinical care

5
Needs of Dental and Allied Dental Education
Programs

• Sites for student extramural placements
• Teaching expertise in public health
• Data for planning and research
• Supplies, equipment for clinical projects
• Neutral party to convene meetings/forums/coalition
  s
• Funds for community services, adjunct faculty,
  special projects

6
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
• Secondary survey completed by email or telephone
  with faculty members who were identified as the
  academic-side collaborator by state dental
  directors

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5 Focus Areas for Questions

• Do you have a working relationship?
• What kinds of collaborations occur?
• Is there a financial relationship and what is
  covered?
• Have you encountered any barriers in these
  relationships?
• How would you improve your collaboration?

8
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
• 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 email or
  telephone survey

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States with Partnerships that Answered Both
Surveys (N25)

• New York
• Oklahoma
• Oregon
• Pennsylvania
• Tennessee
• Utah
• Wisconsin

• Illinois
• Iowa
• Kansas
• Maine
• Massachusetts
• Michigan
• Mississippi
• Missouri
• Nebraska
• Nevada

• Alabama
• Arizona
• Arkansas
• California
• Connecticut
• District of Columbia
• Georgia
• Hawaii

10
Relationships

• 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)

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Relationships cont.

• 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
Funding Supports

• Staff and faculty time/expertiseconsultation
• Equipment/supplies
• Travel
• Dental residencies and extramurals for students
• Programs and research

13
Noted Barriers

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

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Key Areas of Collaboration

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

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Promising Models

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

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Special Opportunities

• Apply for/share federal dollars
• Create statewide oral health plan
• Educate policymakers and the public
• Address licensing and regulatory issues
• Highlight best practices
• Post resources on websites

• Create interagency initiatives and projects
• Convene strategic alliances and coalitions
• Engage in frequent and open communication
• Create solutions to contracting and other
  barriers
• Create sample MOUs
• Conduct joint research
• Create regional networks

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Summary

• Most states have excellent collaborations
• Some people have worked in both settings
• 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
• Working together can address workforce and
  funding challenges in a positive manner

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Support for Project

• 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 staff at the Mississippi Department of
  Health for conducting telephone survey