1. Funding of the UM Community Based Education Program Stephen J. Stefanac DDS MS Associate Dean for Patient Services

2. Background  UM CBDE began in 1935, current model in 2000  No RWJ funds; initial State/Medicaid grant  Michigan has adult Medicaid dental benefits  Current class size: 110 students  D4 students rotate 10 weeks – usually 2 week intervals – moving to D3s for 2 weeks 30 D4 students out /wk., 1-3 students/site  Most clinics contract for students 36-40 wks./yr.  School pays for transportation and housing

4. Rotation Length Year Number of Weeks 2005-20063 2006-20074 2007-20084 2008-20098 2009-20108 2010-20118 2011-201210 2012-201310 2013-201412

5. Staffing  Assistant Dean for CBDE (.9 FTE)  Adjunct Professor (.6 FTE) QA and faculty development  Support staff (2 FTE)

6. Practice Types  Federally Qualified Health Clinics (9) Clinics receive $25,000/student from State Medicaid School receives $36,000/student/yr Lost student income/day at School: $165

7. Practice Types  Community Health Clinics (9) Some managed by MCDC (6) – 501(c)3 School receives $95/day + 5% production Averaging $125/day  Indian Health (2) School receives $36,000/student/yr No state payment to clinics

8. Practice Type  Private practice model (1) Practice takes Medicaid, charges predoc fees School receives $165 day/student No housing/transportation expenses  Other - no income Community college assisting program Dental school owned local clinic Local charity clinic Correctional facilities Event clinics

9. Practice Type  Special Programs Time limited, often pilot sites Donated services School receives expenses for travel and lodging

10. 5 Year CBDE Income vs. Expenses

11. FY 2011-12 Budget

12. Final Notes  We take risks  Not always about the money  Vigorously promote the program  Data and outcomes driven  Sites and students appreciate that we deal with transportation and housing  Sites realize a benefit from having our students  Future: IPE and grants

14. Thank you! stefanac@umich.edu 734.764.1558 J Dent Educ. 2011 Oct;75(10 Suppl):S42-47