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

Thank you!

stefanac@umich.edu734.764.1558

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