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ORAL HEALTH COALITIONS A CRITICAL ELEMENT OF SUCCESS…BUT WHY? Minnesota Oral Health Summit January 23, 2009
What is a Coalition? <ul><li>Definition:  a group of individuals and/or organizations with a common interest who agree to ...
Goals of a Coalition <ul><li>Coalition goals are as varied as coalitions themselves, but often contain elements of one or ...
Why Develop a Coaliltion? <ul><li>Concentrate the community's focus on a particular problem. </li></ul><ul><li>Create alli...
Early View of Oral Health in Kansas <ul><li>No dental school, limited number of dental hygiene programs </li></ul><ul><li>...
The Straw that Broke the Camel’s Back
Something Had to be Done! <ul><li>The answer?  A coalition! </li></ul><ul><li>Convened multiple interested stakeholders </...
OHK Mission & Priorities <ul><li>Mission:  </li></ul><ul><li>To improve oral </li></ul><ul><li>health in Kansas </li></ul>...
OHK Public Policy Success <ul><li>State office of oral health & dental director </li></ul><ul><li>Legislative task force o...
OHK Programs and Projects <ul><li>Annual oral health conference </li></ul><ul><li>Dental Champions Leadership Program </li...
Elements of Success <ul><li>Vision, leadership & passion </li></ul><ul><li>Collaboration </li></ul><ul><li>Funding </li></...
A View of Kansas Today   <ul><li>Increase in the number of dentists accepting Medicaid/SCHIP </li></ul><ul><li>Educational...
And, Kansas’ Grade Today?
Resources <ul><li>Coalition building:  University of Kansas Community Tool Box at  www.ctb.ku.edu </li></ul><ul><li>Kansas...
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ORAL HEALTH COALITIONS A CRITICAL ELEMENT OF SUCCESS...BUT WHY?

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Transcript of "ORAL HEALTH COALITIONS A CRITICAL ELEMENT OF SUCCESS...BUT WHY?"

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