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Our nursing home is created by researchers and strategies, foreign nations four point two million nurses for seeding transformation across primary, acute and chronic care settings. By way of example, our recent partnership with the Primary Care collaborative resulted in their publication highlighting a scope of today's integration efforts across the US.

It's a great resource for those seeking examples of interprofessional initiatives that highlight collaboration between primary care and dental providers, including The disruption that we're witnessing today provides a unique opportunity to think differently about the way we work together, collective impact has been foundational to accelerating change and to align it growing in a professional oral health field.

The change is never easy, especially when we don't have a shared concept of where we want to end up. So, in this defining moment, integration is critical to our work, potentially transforming the way much of today's care would be delivered.

The bidirectional relationship between oral and other systemic diseases provides a strong rationale for integrating oral health and primary care. However, policymakers and clinicians often use the terms, collaboration, co-location, and integration interchangeably, and inconsistently, to describe these varied approaches to practice.

Depending on the needs of specific communities, we know that all of these models have value. But while we work to create a shared understanding of the terms to characterize that, the things that are taking place in practice, we're also exploring whether benchmarking degrees of collaborations can help us identify next steps or best practices to prepare our workforce and health systems to the backlog feature care that we face for the pandemic.

We advance a vision of transformed, Integrated Practice, where providers and patients view the operation as a single health system, treating the whole person using shared decision making, EHRs, and payment systems, An equitable system, or principles of prevention, whole person care, are applied to all patients, not only targeted groups.

Then having the right people in the right place for the right reason can change ideas and practice. And the key is having the right tools and resources to really have an impact on the knowledge, skills, and attitudes of our providers. We can achieve our vision of oral health for all, unless we change our approach to oral health care.

We really need to move beyond the symptoms of health disparities to aiming our policies and funding, changing the structure, and creating those disparities. We appreciate that along with us. They're making the right thing to do, the easy thing to do. Thank you, Anita, for sharing how we can work together across the health professions to improve oral health and reduce disparities. And I wanted to start with the follow up question for Dr.

Could you share with us what states are participating in the CMS Learning collaborative? Yes, absolutely. So, this is a very action oriented learning collaborative that supports the States in the design and the implementation of quality improvement projects. Would emphasis, again, is providing access to fluoride varnish for very young children under six, and the 13 states we're working with our Alaska, California, Connecticut, Idaho, Louisiana, Massachusetts, Mississippi, New York, North Dakota, Oklahoma, Oregon, South Dakota in Washington, and has been really an incredible opportunity to connect with the states.

I love, I think you said the action is very local to understand the challenges and help them overcome those with the principles of quality improvement. Thank you. We had a few questions come in about disparities and oral health and the American Indian and Alaska Native population and I know in the infographic that NIHCM created, we, you know, tried to include some data. But I know there's just also some data collection challenges and was hoping, Dr. Chalmers and others.

Could you speak to that to the extent you have experience working, working with that population and addressing those disparities? Yes, share these well-known disparities. And what I can assure everyone, is that the administration is very much committed to collecting quality data, to your point.

Sometimes the data is hard to find, But we, we are committed to developing strategies to address these needs. But the nice thing about being in an administration that is so supportive in addressing health equity, is that we can find creative tools to address them. I'd like to add, I'd like to add to that if I could, just from the perspective of my role as chair of the advisory Committee and training in Medicine and Dentistry, one of the solutions that our committee has identified, and just recently, is preparing a letter that will go to the Secretary of HHS.

And the Congressional committees, is to really prioritize development funds, funding, and development of programs, on hands that support IHS delivery sites. And we're hoping that that will be another way to systemically push some of these changes into the areas of need. And a few other questions came in about disparities and access disparities for people living with disabilities. Are there any innovations or sort of other strategies that you could share with the audience about reaching, reaching those people?

I guess, I would, it's clearly an important need in a very underserved population. And, and, again, the committee is now looking to use their 19th report, which they're annually prior to the Secretary in Congress to really support funding for programs that address the needs of individuals with developmental disabilities, just isn't IDD specifically.

And if I could share my clinical perspective, you know, I've had the opportunity to treat many children with developmental disabilities, and the challenge they face as they age into adulthood is finding providers that will address their needs adequately. As I mentioned in my earlier remarks, as sometimes, the operating room is the safest place for them to receive care.

But we've also seen such an advancement in preventive measures that, again, just really training the workforce to address the needs of the individuals with disability, and providing points of axes that are convenient for them.

And, and really could put them on a trajectory to good oral health. We have a lot of questions coming in that we're gonna have to follow up with some of the speakers individually since we're almost out of time and I know Katie, some specific questions about getting some great insights from you on the school programs. But maybe just to close, you know Katie spoke about some of the innovations coming out of pandemic or other lessons learned if you would, each one to share with us.

You know, something that you didn't get a chance to say today or another innovation that you'd like to leave us with. This has been a really powerful presentation with a lot of great data, a lot of great insights for our audience. So, Katie, do you want to start, is there anything else that you've been seeing that you want to share? Overall reflection, I'd share is that things that we want thought impossible are actually possible, and so how do we leverage that momentum and insight to do better?

I mean, I think the shifts in policy and payment that are occurring due to the pandemic or something we need to pay great attention to, successfully meeting the needs of more individuals and particularly their scientific innovations that are coming from the telehealth space, which really can provide, go a long way I think to providing access and collaboration across providers and patients. Chalmers, I just want to thank you for the opportunity to bring a focus on this very important issue.

And this is the, it's the beginning to start the conversations, and it needs to be translated into action so we could see improved oral health for all the beneficiaries. Thank you for the opportunity. Well, thank you to our really excellent speakers for being with us today. Thank you to our audience. We will be sharing a transcript and a recording of this. We also would love to have your feedback. You can take a moment to complete a brief survey, and also invite you to check out our other resources.

I mentioned our recent infographic on oral health. You can also access the speakers' slides and additional resources on our website, and we also invite you to register for our next webinar that is occurring next week. That will focus on the impact of long So, thank you, all, again, for joining us today.

Health Equity. Event Materials. Download Agenda. Download Speaker Biographies. Description Transcript. Because, next slide, please. So, what have we learned? We can't do this alone. Skip to main content. R1 Minor Radio Blackout Impacts. HF Radio: Weak or minor degradation of HF radio communication on sunlit side, occasional loss of radio contact. Navigation: Low-frequency navigation signals degraded for brief intervals. GOES Magnetometer. Electric Power Transmission. Historically, the data have been presented in the E earthward , P parallel and N normal coordinate system where: Hp: magnetic field vector component, points northward, perpendicular to the orbit plane which for a zero degree inclination orbit is parallel to Earth's spin axis.

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