1. Oral Health 2020: Shaping the Environment for the Future of Integration Matthew Bond, MPA Manager of Grants and Programs DentaQuest Foundation

2. Thinking in Systems Purpose Relationships Between Elements Elements

3. An Example Purpose: Score points; Win game Relationships Between Elements: Rules of the Game Elements: The Players

4. Oral Health??? Purpose: To fix teeth and make people’s mouths look nice Relationship Between Elements: isolation from other services, procedure based reimbursement, constricting policy environment, etc. Elements: providers, patients, policymakers, payers, etc.

5. Wicked Problems “Some problems are so complex that you have to be highly intelligent and well informed just to be undecided about them.” --Laurence J. Peter A wicked problem is a social or cultural problem that is difficult or impossible to solve for as many as four reasons: incomplete or contradictory knowledge, the number of people and opinions involved, the large economic burden, and the interconnected nature of these problems with other problems. --Jon Kolko

6. Scattered ClustersHub-and-SpokeMulti-Hub Core Periphery Time Where Most Network-Building Begins Self-Sustaining Network Networks: Patterns of evolution

8. Committed to Systems Outcomes 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 Improving the oral health of ALL

10. Redefining Purpose NOHIIN Grassroots

11. Relationships HRSA IPOHCCC Qualis Health

12. Elements NIIOH

13. Shaping the Environment for the Future of Integration Systems Changes – Redefining purpose – Changing relationships – Resourcing the elements Network Approach – Power of the collective – Rapid deployment of innovation – Knowledge and resource sharing