Closing the Divide: Integrating Medical & Dental Health Care

Des Moines, IA US
November 15, 2019

Cost and Registration

The cost to attend is $50. Click here to register. 

If you have questions, please contact Dr. Buckingham-Schutt, PhD, RDN, LD via email or call 515-271-2162.

Target Audience

Medical and dental healthcare professionals. 


Join The Harkin Institute for Public Policy & Citizen Engagement for the upcoming conference, “Closing the Divide: Integrating Medical and Dental Health Care” to learn more about effective strategies and inter-professional approaches to provide quality care for your patients.

We know that oral health is critical to overall health; however, the current model for health care is not set up to support collaboration between oral health and primary care. The Institute of Medicine and others have proposed integrating oral health into primary care as a way to expand access to recommended treatments and promote better health overall. This integration is starting to occur through new approaches to training for both dental and medical providers, promotion of team-based care, and development of medical treatments for oral health problems.

Join presenters that will share ideas and successful practices from across the United States, including keynote speaker Dr. Bruce Donoff, DMD, MD, Dean of the School of Dental Medicine at Harvard University. Plus, this is a great opportunity to network with your peers. The conference will include lunch and a social-networking event immediately following the final presentation.

Educational Need

Since the founding of dental schools as institutions distinct from medical schools, dentistry—its practice, service delivery, and insurance coverage, for example—and dental care have been kept separate from medical care in the United States. This separation is most detrimental to undeserved groups at highest risk for poor oral health. As awareness grows of the important links between oral and general health, physicians and dentists are collaborating to develop innovative service delivery and payment models that can reintegrate oral health care into medical care. 

Oral health affects a person’s overall health, income, and quality of life. Yet, the dental care delivery system remains divorced from the rest of the health care system. The notion of dentistry as a field separate from medicine is a historical phenomenon that has been reinforced through legislation, education, and service delivery. This division places an undue burden of dental disease on the most vulnerable Americans who face barriers to accessing dental care.

As the importance of oral health is increasingly recognized and practice patterns evolve to integrate oral health care into general health care, future generations of physicians and dentists can assume innovative oral health leadership roles. Medical and dental education will need to address the distinct needs of these future clinicians.

Interprofessional education—beyond providing future professionals with specific clinical skills—presents promising opportunities to re-envision oral and general health care. The importance of preparing for team-based practice is reflected in accreditation requirements for nursing, medical, and dental education, all of which mandate inclusion of interprofessional experiences during training. Dentists and physicians trained in the importance of integrating oral health into our conceptions of overall health can be powerful advocates for eliminating barriers to such integration; some of the most important barriers to address include a lack of interoperable electronic health records, differing reimbursement structures, and persistent health disparities. Interprofessional education models lead to knowledge sharing, improved understanding and communication and, most importantly, better patient care.

As awareness of inequality in access to oral health and its importance in overall health grows, dentists, physicians, and other health professionals have begun to take up the mantle of oral health integration. Such efforts can take the form of novel insurance structures, practice models, or other innovations. Above all, both dental and medical education will play critical roles in preparing future practitioners for these changes. Working and training together, trainees in medicine and dentistry can unify oral and general health care.


8 amRegistration
9:20 am

Keynote Address: Statement of the Challenge

Bruce Donoff, DMD, MD, Dean of the School of Dental Medicine and Walter C. Guralnick; Distinguished Professor of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine   

10:20 amBreak
10:45 am

Overcoming our History: The Challenges of Integration         

Panel provides insight on:

  • How practice patterns affect integration: understanding each other’s perspective
  • Cross-education between Medicine and Oral Health        

Panel members:

12 pmLunch
1 pm

Iowa-Based Innovation

David Johnsen, DDS, MS, Dean, College of Dentistry and Dental Clinics; Professor, Department of Pediatric Dentistry, University of Iowa
David Asprey, PhD, PA-C, Associate Dean for Medical Education and Professional Programs, Carver College of Medicine, University of Iowa

1:45 pm

Lessons to Consider From a Stand-Alone Ambulatory Surgery Center (ASC) Model

Viveka Rydell-Anderson, Esq, CEO, PDI Surgery Center

2:30 pm

A Path Forward: Recommendations for Future Direction

Panel provides insight:

  • Healthcare delivery: Provide information on how professional guidelines and cross-disciplinary, integrated care teams can lead to better outcomes and efficient care
  • Healthcare education: Identify how to change medical and dental school curriculum to include interdisciplinary professional course work
  • Pilot projects: Ongoing or future medical-dental integration pilot projects in Iowa

Panel members: 

  • Amanda DeLandsheer, MHSE, Project Director, Altarum
  • Bruce Donoff, DMD, MD, Dean of the School of Dental Medicine and Walter C. Guralnick; Distinguished Professor of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine   
  • Hugh Silk, MD, MPH, Co-Principal Investigator and Site PI for Center for Integration of Primary Care and Oral Health (CIPCOH), Professor, Department of Family Medicine & Community Health, University of Massachusetts Medical School
  • J. Michael Metts, DO, Pediatrician, MercyOne Des Moines, Iowa 
3:45 pmClosing Remarks
4 pmAdjourn

    Course summary
    Available credit: 
    • 5.25 AMA PRA Category 1 Credits
    • 5.25 AOA Category 2­A
    • 5.25 CE Contact Hour(s)
    • 5.25 IBON
    Course opens: 
    Course expires: 
    Event starts: 
    11/15/2019 - 9:00am
    Event ends: 
    11/15/2019 - 4:00pm
    Drake University
    2875 University Avenue
    Olmsted Center, Parents Hall
    Des Moines, IA 50311
    United States
    +1 (515) 271-3711

    The Olmsted Center is a hub of student activity at Drake. From early morning studying to late-night programming, the building is always busy during the semester.  The Olmsted Center offers recreational facilities, a coffee-shop, event spaces, study areas, and also houses many university departments.

    Reserved parking is available in Parking Lot 16 - Olmsted Center (located immediately east of Aliber Hall).


    From the East and North

    At the northeast edge of Des Moines, I-80 and I-35 join and go west around the city while I-235 goes through Des Moines. Take I-235 west for about seven miles and exit on Exit 6 for 31st Street toward Historic Site/Terrace Hill. Turn right (north) onto 31st Street. Follow the road for one-half mile, then turn right (east) onto University Avenue. Travel a couple blocks on University Avenue until you reach Drake’s campus.

    From the West and South

    At the southwest edge of Des Moines, I-80 and I-35 join and go east around the city while I-235 goes through Des Moines. Take I-235 west for about seven miles and exit on Exit 6 for 31st Street toward Historic Site/Terrace Hill. Turn right (north) onto 31st Street. Follow the road for one-half mile, then turn right (east) onto University Avenue. Travel a couple blocks on University Avenue until you reach Drake’s campus.


    Amanda DeLandsheer, MSHE, is a Project Director in Altarum’s Center for Healthy Women and Children group. She leads federal, state, and privately-funded quality improvement projects focused on medical and dental providers in Michigan, California, and Arkansas.Ms. DeLandsheer supported Altarum’s launch of a first-of-its kind statewide oral health monitoring system, Michigan’s Dental Registry (MiDR). Ms. DeLandsheer currently leads the implementation of the SmileConnect CME Arkansas program funded by Delta Dental of Arkansas, the Michigan’s Dental Registry (MiDR) Maintenance project funded by Michigan Department of Health and Human Services (MDHHS), the perinatal and WIC expansion analysis for MiDR funded by philanthropic foundations and MDHHS. Ms. DeLandsheer holds a Master of Science degree in Health Education and her Bachelors of Science in Kinesiology from the University of Michigan.

    R. Bruce Donoff, MD attended Brooklyn College as an undergraduate, received his DMD from the Harvard School of Dental Medicine (HSDM and his MD from the Harvard Medical School in 1973. Dr. Donoff’s professional career has centered on Harvard’s Faculty of Medicine and the Massachusetts General Hospital’s Department of Oral and Maxillofacial Surgery. Dr. Donoff is the Dean of the Harvard School of Dental Medicine. He has published over one hundred papers, authored textbooks and lectured worldwide. He helped launch a new Harvard Initiative ‐ Integrating Oral Health and Medicine, a project of great importance to him. He currently is a member of the Council on Dental Education and serves on the Licensure Committee and chairs the Dental Admission Test Committee. Dr. Donoff has received numerous honors during his academic career, including the American Association of Oral and Maxillofacial Surgeons Research Recognition Award, the William J. Gies Foundation Award for Oral and Maxillofacial Surgery, Fellow of the American Association for the Advancement of Science, the Alpha Omega Achievement Award and the Distinguished Alumni and Faculty Awards from the Harvard School of Dental Medicine. In 2014 he was a Shils‐Meskin awardee for leadership in the dental profession.

    David C. Johnsen, DDS received his DDS degree from the University of Michigan in 1970 and his MS in pediatric dentistry from Iowa in 1973. He became board certified in pediatric dentistry in 1978. Dr. Johnsen served on the faculty of West Virginia University from 1974-1980. He received the Outstanding Teacher Award in 1976. Dr. Johnsen was on the faculty at Case Western Reserve University from 1980-1995 where he served as department chair, intermittently as director of the residency program, and as interim dean in 1993. He has been dean of the UI College of Dentistry since 1995. Dr. Johnsen's research has focused on innervation of teeth as an indicator of capacity to transmit pain sensory impulses and also on caries patterns in preschoolers. The latter area included demonstration projects and consulting at the national level in the Women and Infant Clinics (WIC) and the Head Start programs. He has also published on a variety of clinical and educational topics.

    J. Michael Metts, DO, FAAP, FACOP, is a primary care pediatrician for MercyOne Pediatric Care Clinic in Pleasant Hill, Iowa. He served as the Chair of the Department of Pediatrics and Specialty Medicine at Des Moines University from 2003-2015 and has over 10 years of experience as a Pediatric Hospitalist before returning to primary care medicine in 2015. He is active in Cavity Free Iowa, a medical-dental initiative, launched in 2017, focused on early oral health care and prevention of early childhood caries. His focus has been to educate primary care physicians about the importance
    of oral health in the care of their patients.

    Kamyar Nasseh, PhD is a health economist at the American Dental Association and has been with the organization since May 2012. Dr. Nasseh has published recent articles in Health Affairs, Health Services Research, The American Journal of Public Health and the Journal of the American Dental Association (JADA). Dr. Nasseh received his PhD in Economics in 2007 from Michigan State University.

    Bob Russell, DDS, MPH, MPA, CPM, FACD serves as the Public Health Dental Director for the State of Iowa, Department of Public Health. Bobby resides in Des Moines where he also serves on the Board of Directors and Vice President of the Region VII Head Start Association, the Board of Directors of the National Academy for State Health Policy (NASHP), the Iowa Hawk-I Advisory Committee, the Free Clinics of Iowa Advisory Committee, and the Lifelong Smiles Dental Coalition.

    Viveka Rydell-Anderson, Esq came to the US in 1989, received her JD from UC Berkeley School of Law (Boalt Hall), her B.A. with honors from UCLA, and completed the Stanford Business School’s Executive Program for Nonprofit Leaders in 2008. She worked for eight years as a litigator with Bingham McCutchen, and Coblentz Patch, Duffy & Bass in San Francisco. She is a Professor of Law at Empire Law School, serves on the Master of Legal Studies (MLS) Advisory Committee, and was a 2016 Aspen Institute Health Scholar. Recruited by the PDI Board of Directors in 2006 to bring their dream of a non-profit surgery center to reality, she took PDI from start-up to a dependable resource for patients from 33 Northern California counties. She negotiated better insurance contracts, secured a special exemption from Center for Medicare & Medicaid Services (CMS), and promotes health equity on the local, state and national level.

    Hugh Silk, MD, MPH is the medical director of a Wellness and Primary Care Center in Leominster as a part of Community Healthlink providing creative and meaningful care to patients with mental health issues. He is a Professor in the Department of Family Medicine and Community Health. He also teaches at the Harvard School of Dental Medicine. Hugh does public health work in oral health access and training health care providers to address oral health as part of overall health. He is currently working on a five year HRSA grant to evaluate and implement oral health in medical and dental schools and primary care residency programs across the country.

    Aaron Todd, MPP serves as the Chief Executive Officer of the Iowa Primary Care Association, a membership organization supporting and advocating on behalf of Iowa’s fourteen community health centers and the 216,000+ patients they serve annually, and two sister companies: INConcertCare, focused on health information technology and data analytics, and IowaHealth+, a clinically integrated network owned by Iowa’s community health centers. Previously, Aaron worked for the Iowa Legislature, leading research and negotiations on health and human services policy and budget decisions on behalf of the Senate Majority. Aaron earned a Master in Public Policy from Rutgers University and a Bachelor of Science from Iowa State University.


    Relevant to the content of this educational activity, the following individual(s) have no conflict(s) with commercial interest companies to disclose.

    • David Asprey, PhD, PA-C, Speaker
    • Lyndi Buckingham-Schutt, PhD, RDN, LD, Activity Director and Planning Committee Member
    • Jeff Chaffin, DDS, MPH, MBA, MHA, Planning Committee Member
    • Michelle Dekker, Planning Committee Member
    • Amanda DeLandsheer, MHSE, Speaker
    • Bruce Donoff, DMD, MD, Speaker
    • Jennifer Groos, MD, Planning Committee Member
    • David Johnsen, DDS, MS, Speaker
    • J. Michael Metts, DO, Speaker
    • Kamyar Nasseh, PhD, Speaker
    • Bob Russell, DDS, MPH, MPA, CPM, FACD, Planning Committee Member
    • Viveka Rydell-Anderson, Esq, Speaker
    • Hugh Silk, MD, MPH, Speaker
    • Emily Schettler, Activity Coordinator and Planning Committee Member
    • Bruce Thorsen, Planning Committee Member
    • Aaron Todd, MPP, Speaker
    • Laurie Traetow, CAE, Planning Committee Member

    Continuing Education Credit

    • MD:  This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and The Harkin Institute at Drake University. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 5.25 AMA PRA Category 1 Credit(s)™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.
    • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 5.25 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
    • Nurses: Des Moines University continuing education is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 5.25 continuing education contact hour(s). Nurses must attend the entire session within each day to receive credit. Partial session credit is prohibited and will be forfeited. 
    • Other Healthcare Professionals: This live activity is designated for a maximum of 5.25 AMA PRA Category 1 Credit(s)™.


    No commercial interest company provided financial support for this continuing education activity.


    The speakers will also disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director. Commercial interest companies providing financial support did not have input in developing the agenda for this educational activity. The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

    Available Credit

    • 5.25 AMA PRA Category 1 Credits
    • 5.25 AOA Category 2­A
    • 5.25 CE Contact Hour(s)
    • 5.25 IBON


    Please login or Create an Account to take this course.

    The cost to attend is $50. Click here to register. 

    If you have questions, please contact Dr. Buckingham-Schutt, PhD, RDN, LD via email or call 515-271-2162.