What to Think About When Planning for Sustainability
Two critical issues are linked to the sustainability of rural oral health programs:
Ongoing funding and resources, such as staff time, are important to sustaining rural oral health programs. It
take years before the revenue generated from the program offsets the associated costs, so it is critical to
identify funding opportunities and resources early. It may be possible to bill Medicaid or other insurers for
dental services provided and/or use a sliding fee scale. Regardless of the financing mechanism, it is critical
to monitor trends in Medicaid and insurance payment policy in the event that changes occur.
For information on other funders of rural health programs, see Funders of Rural Programs in the Rural Community Health
Rural oral health programs have collaborated with schools, Federally Qualified Health Centers (FQHCs), Area Health Education Centers (AHECs),
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) sites, and other state and local
agencies to develop partnerships. Some programs have established an oral health consortium or steering committee
in the community as a vehicle for sustainability. By developing a consortium or committee, organizations have an
opportunity to meet regularly, have open communication, identify resources and capacity, and build sustainable
relationships that can improve oral health in the community. These meetings are also an opportunity for the
program to acknowledge and thank partners for their continued support. It is important to be aware of any staff
changes in partner organizations, as such changes can affect the viability of partnerships in the long term.
Resources to Learn More
Plan for Oral Health, December 2017
Outlines a strategic plan for improving oral health in the state of Kentucky. Covers workforce, data collection,
evaluation metrics, business of dentistry, and inter-professional collaboration of systemic healthcare and oral
health. Offers recommendations on increasing dental workforce in underserved areas, improving health literacy,
and supporting policies to improve prevention.
Organization(s): Kentucky Department for Public Health, Division of Maternal and Child Health
The Community Guide to
Adult Oral Health Program Implementation
Provides detailed information, including case studies and other resources, useful when implementing state and
local oral health programs for older adults, from the early stages of development through evaluation. Topics
also include: forming partnerships, program design, financing, and sustainability.
Organization(s): Administration for Community Living (ACL), Office on Women's Health (OWH)