Is Your Coalition!Is Your Coalition!March 18, 2011March 18, 2011

TheThe

IntroductionIntroduction

My name is Erica GossoMy name is Erica Gosso I am a Graduate student at The I am a Graduate student at The

University of Minnesota, I am also University of Minnesota, I am also an experienced dental hygienist.an experienced dental hygienist.

I am here representing Minnesota I am here representing Minnesota Department of Health Department of Health

I am completing an internship in I am completing an internship in the Oral Disease Prevention and the Oral Disease Prevention and Oral Health Promotion UnitOral Health Promotion Unit..

OutlineOutline1.1. Where is the coalition now?Where is the coalition now?

2.2. Where is it headed?Where is it headed?

3.3. Results of the 2011 Summit Results of the 2011 Summit

4.4. Governance choices and Governance choices and coalition structure coalition structure

5.5. Next steps & ResourcesNext steps & Resources

6.6. QuestionsQuestions

Where the Coalition is now...Where the Coalition is now...

Work groups and work group chairsWork groups and work group chairs Interim initiativesInterim initiatives First Minnesota Oral Health Plan First Minnesota Oral Health Plan

DraftedDrafted Disparities revealed through the BSSDisparities revealed through the BSS Possible networks and partnerships Possible networks and partnerships

discusseddiscussed

Where Is the Coalition going…Where Is the Coalition going…

Develop identity of the Minnesota Oral Develop identity of the Minnesota Oral Health CoalitionHealth Coalition

Transitional Task Force/CommitteeTransitional Task Force/Committee Preparing for elections for leadership Preparing for elections for leadership

and committeesand committees Membership adoption/support Membership adoption/support

agreementsagreements Self governanceSelf governance Funding optionsFunding options Meetings frequency/CommunicationMeetings frequency/Communication

Role of Minnesota Department of Role of Minnesota Department of Health-Oral Health UnitHealth-Oral Health Unit

Technical support/ Use of MDH facilitiesTechnical support/ Use of MDH facilities

Coordination of work groups and Coordination of work groups and stakeholdersstakeholders

Coalition Coordinator ( ex-officio)Coalition Coordinator ( ex-officio)

Guidance for grants and fundingGuidance for grants and funding

Minnesota Oral Health Coalition is a Minnesota Oral Health Coalition is a separate entityseparate entity

Results from 2011 SummitResults from 2011 Summit

Prioritization Reactions/conclusions:Prioritization Reactions/conclusions: The approach needs to be systemic, not The approach needs to be systemic, not

narrownarrow

Access should be consistently availableAccess should be consistently available

Will need nontraditional delivery Will need nontraditional delivery systemssystems

Will need to collaborate – “work smarter, Will need to collaborate – “work smarter, not harder”not harder”

Results from 2011 Summit, Cont. Results from 2011 Summit, Cont. Implementation advice to the coalitionImplementation advice to the coalition Reach various stakeholdersReach various stakeholders Educate/change parental viewsEducate/change parental views Funding: Aggressive legislative workFunding: Aggressive legislative work Think “out of the box” on education sources Think “out of the box” on education sources

(daycare, grandparents)(daycare, grandparents) Present a united frontPresent a united front Have a smaller group act as executive committeeHave a smaller group act as executive committee Collaborate with other health educators – Collaborate with other health educators –

become efficientbecome efficient Keep dental professions “on board”Keep dental professions “on board”

Structure Needed for Self Structure Needed for Self GovernanceGovernance

Work Group Chairs/Vice chairs elected Work Group Chairs/Vice chairs elected Steering/Executive Committee with Steering/Executive Committee with

chair/vice chair and coalition coordinatorchair/vice chair and coalition coordinator Explore raising funds to hire coalition staff Explore raising funds to hire coalition staff Defined election process/use of MDH Defined election process/use of MDH

voting systemvoting system Determine terms of officers Determine terms of officers Bylaws approved and put into placeBylaws approved and put into place

Structure to Achieve State Oral Structure to Achieve State Oral Health Plan ObjectivesHealth Plan Objectives

Self governance with elected or Self governance with elected or volunteer leadershipvolunteer leadership

Guidance from Minnesota Department of Guidance from Minnesota Department of HealthHealth

Collaboration with coalition stakeholdersCollaboration with coalition stakeholders Steering Committee approved programsSteering Committee approved programs Funding though grants and donationsFunding though grants and donations Creation of identity; website, logo, & Creation of identity; website, logo, &

staffstaff

Executive/ Steering Committee

Prevention Work Group

Co-Chairs

Access to Care Work Group

Co-Chairs

Research Work Group

Co-Chairs

Workforce Work Group

Co-Chairs

Prevention Work Group

Workforce Work Group

Access to CareWork Group

ResearchWork Group

Policy CommitteeCo Chairs

Policy Committee

Structure Option 1Structure Option 1

5 committees under 5 committees under Steering/Executive committeeSteering/Executive committee– Policy committee/work groupPolicy committee/work group– Workforce committee/work groupWorkforce committee/work group– Access to Care committee/work groupAccess to Care committee/work group– Education & prevention committee/work Education & prevention committee/work

groupgroup– Research committee/work groupResearch committee/work group

Structure with Option 1Structure with Option 1

Approved member agreementsApproved member agreements Steering committee to approve and aid Steering committee to approve and aid

in all action plansin all action plans Bylaws signed into actionBylaws signed into action Application for 501 ( c)3 status-election hApplication for 501 ( c)3 status-election h Fundraising, grant writing, possible duesFundraising, grant writing, possible dues 2 year commitment for Officers2 year commitment for Officers Funding for activities/communicationsFunding for activities/communications

Option 2Option 2

Policy Committee

ResearchCommittee

Chair/Vice Chair

MDH(ex-officio)

Access to CareCommittee

Chair/Vice Chair

Coalition Members

Workforce Committee

Chair/Vice Chair

Education & Prevention Committee

Chair/Vice chair

Steering CommitteeChair/Vice Chair

Committee Chairs Coalition Coordinator

Structure for Option 2Structure for Option 2

All committees/work groups work All committees/work groups work circular with MDH and Steering circular with MDH and Steering committee.committee.

Steering committee just used for Steering committee just used for communication between members communication between members and meeting coordinationand meeting coordination

MDH support staff and facilitiesMDH support staff and facilities Each group working on action plans Each group working on action plans

alonealone

Structure for option 2Structure for option 2

No membershipNo membership Volunteer leadershipVolunteer leadership No fund raising/no money coordinationNo fund raising/no money coordination Coalition just used to build Coalition just used to build

partnerships/communicationpartnerships/communication Grants only on individual basis/ not Grants only on individual basis/ not

tax exempttax exempt ““Loose” affiliation less proactiveLoose” affiliation less proactive

Decisions Before Election for Decisions Before Election for BylawsBylaws

Do nominees have to meet specific criteria?Do nominees have to meet specific criteria? How many members on steering committee?How many members on steering committee? Specific structure; each work group evenly Specific structure; each work group evenly

represented in committee? Or each area of represented in committee? Or each area of state?state?

Who has authority to call a meeting?Who has authority to call a meeting? How often should meetings occur?How often should meetings occur? Term of Chair person/frequency of elections?Term of Chair person/frequency of elections?

Election Process Election Process and Tentative Datesand Tentative Dates

Process for electionProcess for election Process for nomination/volunteerProcess for nomination/volunteer MDH voting system available for MDH voting system available for

election or nominationselection or nominations Time and method for regular Time and method for regular

meetings of the steering meetings of the steering committee, task groups, and committee, task groups, and coalition members.coalition members.

FundingFunding Yearly dues for membershipYearly dues for membership

– to fund a staff hireto fund a staff hire– or activities?or activities?– Lobby?Lobby?

Donation could be set-up on websiteDonation could be set-up on website

Other resourcesOther resources– Grants Grants – FoundationsFoundations

501(c)3 requirements, option h501(c)3 requirements, option h

Reasons for Future Staff HireReasons for Future Staff Hire

Take attendance at meetings and eventsTake attendance at meetings and events Record and distribute meeting informationRecord and distribute meeting information Manage stakeholder database/ updatesManage stakeholder database/ updates Available for perspective members for Available for perspective members for

communicationcommunication Membership records/ election recordsMembership records/ election records Receipts for donations/member dues for tax Receipts for donations/member dues for tax

purposespurposes Tracking of funds/ActivitiesTracking of funds/Activities Coalition Communications between meetingsCoalition Communications between meetings

501(c)(3)Status for Non-Profit 501(c)(3)Status for Non-Profit OrganizationsOrganizations

Organization must be organized and Organization must be organized and operated exclusively for exempt purposesoperated exclusively for exempt purposes

After governing body is established, After governing body is established, application can be completed. Bylaws can application can be completed. Bylaws can be used as “organizing document”be used as “organizing document”

Organization able to receive tax-free Organization able to receive tax-free contributions and grants from contributions and grants from federal/state.federal/state.

Election h allows for some lobbyingElection h allows for some lobbying Forms and information available at Forms and information available at

www.irs.govwww.irs.gov

501(c)(3) Status501(c)(3) Status (h) Election (h) Election

Election h allows for lobbying while Election h allows for lobbying while under 501(c)3 statusunder 501(c)3 status

Rules of election hRules of election h– 20% of 120% of 1stst $500,000 of budget on $500,000 of budget on

lobbyinglobbying– Reduced percentages of budget on Reduced percentages of budget on

amounts above $500,000amounts above $500,000– Overall cap of $1 millionOverall cap of $1 million– Of permissible amounts only 25% Of permissible amounts only 25%

allowed for “grass roots” lobbyingallowed for “grass roots” lobbying

Transitional Task ForceTransitional Task Force

Interim group to investigate Interim group to investigate governance, bylaws, and election governance, bylaws, and election optionsoptions

Volunteers and work group chairs Volunteers and work group chairs interested in researching infrastructure interested in researching infrastructure and elections-make recommendationsand elections-make recommendations

Members could choose to be in Members could choose to be in elections themselves as wellelections themselves as well

Volunteer work sheet in packetsVolunteer work sheet in packets

Resources and SupportResources and SupportThe Centers for Disease Control & The Centers for Disease Control &

PreventionPrevention Health marketing & eHealth Health marketing & eHealth

marketingmarketing Research/Evaluation informationResearch/Evaluation information Partnership informationPartnership information Resources and ToolsResources and Tools Professional DevelopmentProfessional Development ““Best Practices” adviceBest Practices” advice

Resources & SupportResources & SupportOral Health AmericaOral Health America

Resource informationResource informationGrants Grants Funding recommendationsFunding recommendationsDonated dental productsDonated dental productsPartnership possibilitiesPartnership possibilities

Resources & SupportResources & SupportAssociation of State & Territorial Dental Association of State & Territorial Dental

DirectorsDirectors

Research resultsResearch results ““Best Practices” recommendationsBest Practices” recommendations Synopsis of state programsSynopsis of state programs Program support Program support Information on other coalition Information on other coalition

practicespractices

Resources & SupportResources & SupportThe Alliance for Justice OrganizationThe Alliance for Justice Organization

AdvocacyAdvocacy Community organizing practicesCommunity organizing practices Evaluation of coalition organizationEvaluation of coalition organization Funding Funding Lobbying informationLobbying information Legal guidanceLegal guidance

ReferencesReferences www.cdc.gov/healthmarketing/resources.htm#cawww.cdc.gov/healthmarketing/resources.htm#ca

mpaignmpaign www.irs.gov/pub/irs.pdf/p4221pc.pdfwww.irs.gov/pub/irs.pdf/p4221pc.pdf www.irs.govwww.irs.gov www.afj.org/for-non-profits-www.afj.org/for-non-profits-

foundationsfoundations www.astdd.org/state-oral-health-coalitionswww.astdd.org/state-oral-health-coalitions

-and-partnerships-and-partnerships

Resources Cont.Resources Cont. Berkoweitz B, Wolff T. The spirit of the coalition. American Public Health Berkoweitz B, Wolff T. The spirit of the coalition. American Public Health

Association, Washington, DC, 2000.  Available from: Association, Washington, DC, 2000.  Available from: http://www.apha.org/publications/bookstore/http://www.apha.org/publications/bookstore/..

Centers for Disease Control and Prevention, Division of Oral Health. Website.  Centers for Disease Control and Prevention, Division of Oral Health. Website.  Available from: Available from: http://www.cdc.gov/oralhealth/state_programs/OH_plans/index.htmhttp://www.cdc.gov/oralhealth/state_programs/OH_plans/index.htm.  (R. .  (R. Lavinghouze, Evaluation Scientist, CDC, Division of Oral Health, personal Lavinghouze, Evaluation Scientist, CDC, Division of Oral Health, personal communication, May 2005.)communication, May 2005.)

Wolff T. A practitioner’s guide to successful coalitions. American J Community Wolff T. A practitioner’s guide to successful coalitions. American J Community Psychol 2001 Apr;29(2):173-191.Psychol 2001 Apr;29(2):173-191.

U.S. Department of Health and Human Services. A national call to action to 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 promote oral health. Rockville, MD: U.S. Department of Health and Human services, Public Health Service, National Institutes of Health, National services, Public Health Service, National Institutes of Health, National Institute of Dental and Craniofacial Research, NIH Publication No. 03-5303, Institute of Dental and Craniofacial Research, NIH Publication No. 03-5303, Spring 2003.  Available from: Spring 2003.  Available from: http://www.surgeongeneral.gov/topics/oralhealth/nationalcalltoaction.htmhttp://www.surgeongeneral.gov/topics/oralhealth/nationalcalltoaction.htm..

Butterfoss FD, Kegler MC. Toward a Comprehensive Understanding of Butterfoss FD, Kegler MC. Toward a Comprehensive Understanding of Community Coalitions: Moving from Practice to Theory. In DiClemente RJ, Community Coalitions: Moving from Practice to Theory. In DiClemente RJ, Crosby RA, Kelger MC. (Eds.) Emerging Theories in Health Promotion Practice Crosby RA, Kelger MC. (Eds.) Emerging Theories in Health Promotion Practice and Research. San Francisco, CA: Jossey-Bass Publishers, 2002:157-193. and Research. San Francisco, CA: Jossey-Bass Publishers, 2002:157-193. (Community Coalition Action Theory)(Community Coalition Action Theory)

Butterfoss FD.Coalitions and partnerships in Community Health.San Butterfoss FD.Coalitions and partnerships in Community Health.San Francisco, CA; Jossey-Bass Publishers,2007.Francisco, CA; Jossey-Bass Publishers,2007.