public–private partnership. Fucillio added that there are 27 members of the Alliance funders group who are focused solely on oral health. He mentioned that three foundations are sponsoring an interprofessional collaborative on oral health. Fucillio is hopeful that when norms, communication patterns, and the way business is done change, systems will change. Bailey added that one way to “span the silos” is to involve top leadership because they have control across all of the silos. From his perspective Bailey suggested that stating health literacy as a priority across an agency, in his case, the Department of Health and Human Services, is an effective way to motivate integration. He added that agency staff may work within silos, but that this does not preclude having a coordinated effort across silos. Bailey suggested that having a public–private national oral health plan serves to focus on priority areas. Individual agencies can tie into a national strategic framework. He likened this to a zipper that connects all of the partners even though each is working on their own element of the plan.



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