1. Is Your Coalition! March 18, 2011 The

2. Introduction  My name is Erica Gosso  I am a Graduate student at The University of Minnesota, I am also an experienced dental hygienist.  I am here representing Minnesota Department of Health  I am completing an internship in the Oral Disease Prevention and Oral Health Promotion Unit.

3. Outline 1. Where is the coalition now? 2. Where is it headed? 3. Results of the 2011 Summit 4. Governance choices and coalition structure 5. Next steps & Resources 6. Questions

4. Where the Coalition is now...  Work groups and work group chairs  Interim initiatives  First Minnesota Oral Health Plan Drafted  Disparities revealed through the BSS  Possible networks and partnerships discussed

5. Initial Coalition Vision

6. Where Is the Coalition going…  Develop identity of the Minnesota Oral Health Coalition  Transitional Task Force/Committee  Preparing for elections for leadership and committees  Membership adoption/support agreements  Self governance  Funding options  Meetings frequency/Communication

7. Role of Minnesota Department of Health-Oral Health Unit  Technical support/ Use of MDH facilities  Coordination of work groups and stakeholders  Coalition Coordinator ( ex-officio)  Guidance for grants and funding  Minnesota Oral Health Coalition is a separate entity

8. Results from 2011 Summit Prioritization Reactions/conclusions:  The approach needs to be systemic, not narrow  Access should be consistently available  Will need nontraditional delivery systems  Will need to collaborate – “work smarter, not harder”

9. Results from 2011 Summit, Cont. Implementation advice to the coalition  Reach various stakeholders  Educate/change parental views  Funding: Aggressive legislative work  Think “out of the box” on education sources (daycare, grandparents)  Present a united front  Have a smaller group act as executive committee  Collaborate with other health educators – become efficient  Keep dental professions “on board”

10. Structure Needed for Self Governance  Work Group Chairs/Vice chairs elected  Steering/Executive Committee with chair/vice chair and coalition coordinator  Explore raising funds to hire coalition staff  Defined election process/use of MDH voting system  Determine terms of officers  Bylaws approved and put into place

11. Structure to Achieve State Oral Health Plan Objectives  Self governance with elected or volunteer leadership  Guidance from Minnesota Department of Health  Collaboration with coalition stakeholders  Steering Committee approved programs  Funding though grants and donations  Creation of identity; website, logo, & staff

12. Executive/ Steering Committee Prevention Work Group Co-Chairs Prevention Work Group Policy Committee Co Chairs Policy Committee Workforce Work Group Co-Chairs Workforce Work Group Access to Care Work Group Co-Chairs Access to Care Work Group Research Work Group Co-Chairs Research Work Group

13. Structure Option 1  5 committees under Steering/Executive committee –Policy committee/work group –Workforce committee/work group –Access to Care committee/work group –Education & prevention committee/work group –Research committee/work group

14. Structure with Option 1  Approved member agreements  Steering committee to approve and aid in all action plans  Bylaws signed into action  Application for 501 ( c)3 status-election h  Fundraising, grant writing, possible dues  2 year commitment for Officers  Funding for activities/communications

15. Option 2 Steering Committee Chair/Vice Chair Committee Chairs Coalition Coordinator Education & Prevention Committee Chair/Vice chair Workforce Committee Chair/Vice Chair Coalition Members Access to Care Committee Chair/Vice Chair MDH (ex-officio ) Research Committee Chair/Vice Chair Policy Committee

16. Structure for Option 2  All committees/work groups work circular with MDH and Steering committee.  Steering committee just used for communication between members and meeting coordination  MDH support staff and facilities  Each group working on action plans alone

17. Structure for option 2  No membership  Volunteer leadership  No fund raising/no money coordination  Coalition just used to build partnerships/communication  Grants only on individual basis/ not tax exempt  “Loose” affiliation less proactive

18. Decisions Before Election for Bylaws  Do nominees have to meet specific criteria?  How many members on steering committee?  Specific structure; each work group evenly represented in committee? Or each area of state?  Who has authority to call a meeting?  How often should meetings occur?  Term of Chair person/frequency of elections?

19. Election Process and Tentative Dates  Process for election  Process for nomination/volunteer  MDH voting system available for election or nominations  Time and method for regular meetings of the steering committee, task groups, and coalition members.

20. Funding  Yearly dues for membership – to fund a staff hire – or activities? –Lobby?  Donation could be set-up on website  Other resources –Grants –Foundations  501(c)3 requirements, option h

21. Reasons for Future Staff Hire  Take attendance at meetings and events  Record and distribute meeting information  Manage stakeholder database/ updates  Available for perspective members for communication  Membership records/ election records  Receipts for donations/member dues for tax purposes  Tracking of funds/Activities  Coalition Communications between meetings

22. 501(c)(3)Status for Non-Profit Organizations  Organization must be organized and operated exclusively for exempt purposes  After governing body is established, application can be completed. Bylaws can be used as “organizing document”  Organization able to receive tax-free contributions and grants from federal/state.  Election h allows for some lobbying  Forms and information available at www.irs.gov

23. 501(c)(3) Status (h) Election  Election h allows for lobbying while under 501(c)3 status  Rules of election h –20% of 1 st $500,000 of budget on lobbying –Reduced percentages of budget on amounts above $500,000 –Overall cap of $1 million –Of permissible amounts only 25% allowed for “grass roots” lobbying

24. Transitional Task Force  Interim group to investigate governance, bylaws, and election options  Volunteers and work group chairs interested in researching infrastructure and elections-make recommendations  Members could choose to be in elections themselves as well  Volunteer work sheet in packets

25. Resources and Support The Centers for Disease Control & Prevention  Health marketing & eHealth marketing  Research/Evaluation information  Partnership information  Resources and Tools  Professional Development  “Best Practices” advice

26. Resources & Support Oral Health America  Resource information  Grants  Funding recommendations  Donated dental products  Partnership possibilities

27. Resources & Support Association of State & Territorial Dental Directors  Research results  “Best Practices” recommendations  Synopsis of state programs  Program support  Information on other coalition practices

28. Resources & Support The Alliance for Justice Organization  Advocacy  Community organizing practices  Evaluation of coalition organization  Funding  Lobbying information  Legal guidance

29. References  www.cdc.gov/healthmarketing/resources.htm#campaign www.cdc.gov/healthmarketing/resources.htm#campaign  www.irs.gov/pub/irs.pdf/p4221pc.pdf www.irs.gov/pub/irs.pdf/p4221pc.pdf  www.irs.gov www.irs.gov  www.afj.org/for-non-profits-foundations www.afj.org/for-non-profits-foundations  www.astdd.org/state-oral-health-coalitions-and- partnerships www.astdd.org/state-oral-health-coalitions-and- partnerships www.astdd.org/state-oral-health-coalitions-and- partnerships

30. Resources Cont.  Berkoweitz B, Wolff T. The spirit of the coalition. American Public Health Association, Washington, DC, 2000. Available from: http://www.apha.org/publications/bookstore/. http://www.apha.org/publications/bookstore/  Centers for Disease Control and Prevention, Division of Oral Health. Website. Available from: http://www.cdc.gov/oralhealth/state_programs/OH_plans/index.htm. (R. Lavinghouze, Evaluation Scientist, CDC, Division of Oral Health, personal communication, May 2005.) http://www.cdc.gov/oralhealth/state_programs/OH_plans/index.htm  Wolff T. A practitioner’s guide to successful coalitions. American J Community Psychol 2001 Apr;29(2):173-191.  U.S. Department of Health and Human Services. A national call to action to promote oral health. Rockville, MD: U.S. Department of Health and Human services, Public Health Service, National Institutes of Health, National Institute of Dental and Craniofacial Research, NIH Publication No. 03-5303, Spring 2003. Available from: http://www.surgeongeneral.gov/topics/oralhealth/nationalcalltoaction.htm. http://www.surgeongeneral.gov/topics/oralhealth/nationalcalltoaction.htm  Butterfoss FD, Kegler MC. Toward a Comprehensive Understanding of Community Coalitions: Moving from Practice to Theory. In DiClemente RJ, Crosby RA, Kelger MC. (Eds.) Emerging Theories in Health Promotion Practice and Research. San Francisco, CA: Jossey- Bass Publishers, 2002:157-193. (Community Coalition Action Theory)  Butterfoss FD.Coalitions and partnerships in Community Health.San Francisco, CA; Jossey- Bass Publishers,2007.