oral health coalitions a critical element of success...but why?
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- 1. ORAL HEALTH COALITIONS A CRITICAL ELEMENT OF SUCCESSBUT WHY? Minnesota Oral Health Summit January 23, 2009
2. What is a Coalition?
- Definition:a group of individuals and/or organizations with a common interest who agree to work together toward a common goal.
- Coalitions may be loose associations in which members work for a short time to achieve a specific goal, and then disband, or they may also become organizations in themselves, with governing bodies, particular community responsibilities, funding, and permanence.
- Regardless of their size and structure, they exist to create and/or support efforts to reach a particular set of goals.
3. Goals of a Coalition
- Coalition goals are as varied as coalitions themselves, but often contain elements of one or more of the following:
- Influencing or developing public policy, usually around a specific issue.
- Changing people's behavior.
- Building a healthy community.
4. Why Develop a Coaliltion?
- Concentrate the community's focus on a particular problem.
- Create alliances among those who might not normally work together.
- Keep the community's approach to issues consistent.
5. Early View of Oral Health in Kansas
- No dental school, limited number of dental hygiene programs
- Very limited dental services offered in safety net clinics
- No Medicaid coverage for adult dental services
- Very few providers accepting Medicaid or SCHIP
- No state leadership or funding
- Relatively no data
- Programs focused at the community level, with little impact
- LOTS of frustration
- One pricipal funder with oral health as a priority (interest in community water fluoridation)
6. The Straw that Broke the Camels Back 7. Something Had to be Done!
- The answer?A coalition!
- Convened multiple interested stakeholders
- Formed steering committee
- Engaged professional support
- Initiated regular communication
- Determined areas of priority
- Created a short-term strategic plan
- Hired an Executive Director
- Oral Health Kansas (OHK) was born in 2003
8. OHK Mission & Priorities
- Mission:
- To improve oral
- health in Kansas
- through advocacy,
- public awareness
- and education
- Priority Areas:
- Workforce
- Access to Care
- Prevention
- Oral Health Status
- Leadership
9. OHK Public Policy Success
- State office of oral health & dental director
- Legislative task force on access for adults
- Medicaid reimbursement to physicians for application of fluoride varnish
- AEGD clinical residency program
- Extension of Medicaid dental benefits to certain adult populations (frail elders; developmentally and physically disabled and head injured; pregnant women)
- Extended Care Permit law for registered dental hygienists
- Changes made to the Dental Practice Act to allow rural areas more flexibility to hire dental providers
- Oral health included in health reform conversation
10. OHK Programs and Projects
- Annual oral health conference
- Dental Champions Leadership Program
- Extended Care Permit project designed to increase the number of RDHs and community based programs providing preventive oral health services
- System of care projects for specific populations, including the developmentally disabled and frail elders
- Sponsored reports:The Declining Supply of Dental Services:Implications for Access and Options for Reform(KHI, 2005) andKansas Health Reform:Options for Adding Dental Benefits(NASHP, 2008); Oral Health Report Card (OHA, 2009)
11. Elements of Success
- Vision, leadership & passion
- Collaboration
- Funding
- Members from multiple disciplines, including some unusual suspects
- Advocay infused throughout all priority areas
- Coalition independent of the OOH
- Focus on systems level change, in advocacy & programs
- Decisions made by consensus, put off issues that caused controversy
- Early victories = trust & credibility
12. A View of Kansas Today
- Increase in the number of dentists accepting Medicaid/SCHIP
- Educational opportunities soon to be available for dentists through AEGD program, increased number of dental hygiene training programs
- Safety net clinic capacity has nearly tripled since 2003, thanks in large part to the shared investments of private philanthropy and the state of Kansas
- Dental hub and spoke model implemented in the safety net system
- Approximately 90 RDHs now taking advantage of Extended Care Permits
13. And, Kansas Grade Today? 14. Resources
- Coalition building:University of Kansas Community Tool Box atwww.ctb.ku.edu
- Kansas oral health data and reports:Kansas Health Institute atwww.khi.org
- Oral Health Kansas atwww.oralhealthkansas.org
- Contact me:Teresa Schwab at[email_address]or at 785.393.0039.
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