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Funding of the UM Community Based Education Program. Stephen J. Stefanac DDS MS Associate Dean for Patient Services. Background. UM CBDE began in 1935, current model in 2000 No RWJ funds; initial State/Medicaid grant Michigan has adult Medicaid dental benefits

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Funding of the um community based education program

Funding of the UM Community Based Education Program

Stephen J. Stefanac DDS MS

Associate Dean for Patient Services


Background
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



Staffing
Staffing

  • Assistant Dean for CBDE (.9 FTE)

  • Adjunct Professor (.6 FTE)

    • QA and faculty development

  • Support staff (2 FTE)


Practice types
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


Practice types1
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


Practice type
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


Practice type1
Practice Type

  • Special Programs

    • Time limited, often pilot sites

    • Donated services

    • School receives expenses for travel and lodging




Final notes
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


Funding of the um community based education program

J Dent Educ. 2011 Oct;75(10 Suppl):S42-47

Thank you!

stefanac@umich.edu

734.764.1558