Is Your Coalition! March 18, 2011

1. The Is Your Coalition! March 18, 2011

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 • Where is the coalition now? • Where is it headed? • Results of the 2011 Summit • Governance choices and coalition structure • Next steps & Resources • 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. 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

6. 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

7. 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”

8. 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”

9. 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

10. 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. 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

13. 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

14. Option 2

15. 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

16. 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

17. 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?

18. 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.

19. 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

20. 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

21. 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

22. 501(c)(3) Status (h) Election • Election h allows for lobbying while under 501(c)3 status • Rules of election h • 20% of 1st $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

23. 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

24. Resources and SupportThe Centers for Disease Control & Prevention • Health marketing & eHealth marketing • Research/Evaluation information • Partnership information • Resources and Tools • Professional Development • “Best Practices” advice

25. Resources & SupportOral Health America • Resource information • Grants • Funding recommendations • Donated dental products • Partnership possibilities

26. Resources & SupportAssociation of State & Territorial Dental Directors • Research results • “Best Practices” recommendations • Synopsis of state programs • Program support • Information on other coalition practices

27. Resources & SupportThe Alliance for Justice Organization • Advocacy • Community organizing practices • Evaluation of coalition organization • Funding • Lobbying information • Legal guidance

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

29. 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/. • 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.) • 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. • 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.