funding of the um community based education program stephen j. stefanac dds ms associate dean for...
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Funding of the UM Community Based Education Program
Stephen J. Stefanac DDS MSAssociate 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 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
Rotation LengthYear Number of
Weeks
2005-2006 3
2006-2007 4
2007-2008 4
2008-2009 8
2009-2010 8
2010-2011 8
2011-2012 10
2012-2013 10
2013-2014 12
Staffing Assistant Dean for CBDE (.9 FTE) Adjunct Professor (.6 FTE)
• QA and faculty development Support staff (2 FTE)
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 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 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 Type Special Programs
• Time limited, often pilot sites• Donated services• School receives expenses for travel and
lodging
5 Year CBDE Income vs. Expenses
FY 2011-12 Budget
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
