that minimize harm and provide support to the educational, research, and patient care missions of dental schools.

Each school will need to tailor its own strategy to sustain and improve its position within the university and academic health center. A strategic plan that focuses on both financial and nonfinancial issues is an important starting point.

To consolidate and strengthen the mutual benefits arising from the relationship between universities and dental schools, each dental school should work with its parent institution to

  • prepare an explicit analysis of its position within the university and the academic health center;
  • evaluate its assets and deficits in key areas including financing, teaching, university service and visibility, research and scholarly productivity, patient and community services, and internal management of change; and
  • identify specific objectives, actions, procedures, and timetables to sustain its strengths and correct its weaknesses.

To ensure that dental education and services are considered when academic institutions evaluate their role in a changing health care system, the committee recommends that dental schools coordinate their strategic planning processes with those of their academic health centers and universities.

To provide a sound basis for financial management and policy decisions, each dental school should develop accurate cost and revenue data for its educational, research, and patient care programs.

Because no single financing strategy exists, the committee recommends that dental schools individually and, when appropriate, collectively evaluate and implement a mix of actions to reduce costs and increase revenues. Potential strategies, each of which needs to be guided by solid financial information and projections as well as educational and other considerations, include the following:

  • increasing the productivity, quality, efficiency, and profitability of faculty practice plans, student clinics, and other patient care activities;
  • pursuing financial support at the federal, state, and local levels for patient-centered predoctoral and postdoctoral dental education, including adequate reimbursement of services for Medicaid and indigent populations and contractual or other arrangements for states without dental schools to


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