Table A.1

Overview of Models and Implementation Strategies

	Bluegrass Community Health Center	Holyoke Health Center	Salina Family Healthcare Center	Salud Family Health Center	Yakima Valley Farm Workers Clinic
Model Type	Physician Champion	Physician Collaborator	Physician-led Interprofessional Care Team	Physician-led Interprofessional Care Team	Physician Collaborator
Target Population	Pediatric and chronic disease patients	Pediatric, veterans, HIV patients, etc.	Pediatric	Pediatric	Pediatric
Risk Assessment	Performed by: registered nurse or certified nurse assistant	Entered into HER by nurse, or medical assistant	Performed by: dental hygienist through EHR; “Inreach” connects primary care patients to oral health services	Performed by: dental hygienist	Performed by: EHR and Outreach and Primary Care Team Members
Oral Health Evaluation	Provided by: family physician	Performed by: nurses and medical assistants, family physician confirms or alters	Performed by: dental hygienist on a family physician-led care team	Performed by: dental hygienist on a family physician-led care team	Limited oral screening performed by family physician; Oral health assessment performed (generally same-day) by: dental assistant or dentist at dental clinic
Preventive Intervention	Fluoride varnish; Performed by: family physician	Fluoride varnish; Performed by: nurse or medical assistant, under a standing order of family physician	Fluoride varnish; Performed by: dental hygienist	Fluoride varnish; Performed by: dental hygienist	Fluoride varnish; Performed by: dentist or dental assistant at dental clinic
Communication and Education	Performed by: all care team members, led by family physician's commitment to oral health education	Performed by: nurse or medical assistant, reinforced by family physician	Performed by: dental hygienist, reinforced by family physician	Performed by: dental hygienist, reinforced by family physician	Performed by: WIC staff in WIC clinics, dental staff at dentist visits
Interprofessional Collaborative Practice	Family physician refers to community dentists for further dental treatment	EHR facilitates collaboration between medical/dental	Dental hygienists work as interprofessional care team members on a collaborative practice model under physician leadership	Open communication between medical and dental for consults and appointments	Dental Outreach Coordinator serves as hub to facilitate same-day dental appointments for patients whom the family physician has flagged as needing dental services
Strategic Factors	Family physician acts as “champion” for oral health integration in primary care	Family physician collaborates with care team to ensure patient receives referral to co-located dental clinic through EHR	Family physician leads an interprofessional care team to seamlessly integrate oral health into the primary care setting	A culture of oral health integration is created, as family physician has open-door policy for impromptu dental consults	A dental care coordinator and EHR are leveraged to facilitate interprofessional collaboration among medical and dental