As conversation becomes commitment, we need your input.
Please review the draft consensus statement as well as the five levers below. Please click to leave your comments or suggested edits.
Emerging Network Consensus Statement
This is a draft, circulated for your input. Every comment is read by the drafting team. Input closes September 1. A revised statement and the full convening report follow in September, and the virtual kickoff at the end of September or the start of October will walk through what changed and why.
Oral health is a public good and a fundamental measure of our nation’s commitment to the health, dignity, and well-being of all people. The 2026 National Santa Fe Group Convening, Oral Health as a Pathway to Wellness and Longevity, assembled an interdisciplinary forum to identify the actions needed to make oral health an inseparable component of overall health.
We resolve that the separation of oral health from the nation’s healthcare systems can no longer be accepted. Meaningful progress requires dismantling structural barriers, directing resources where needs are greatest, and ensuring equitable access to integrated care. This effort extends beyond improving coordination between medical and dental services. It represents an opportunity to transform how the United States defines health, organizes care, allocates resources, and holds institutions accountable for improving well-being.
We commit to a shared vision: a future in which every person has access to integrated, equitable, person-centered care, and in which oral health is fully embedded within the nation’s approach to health, wellness, and longevity.
We affirm a shared commitment to ensuring that oral health is recognized, financed, delivered, and measured as an essential component of whole-person care. The evidence is clear: the long-standing separation of oral health from the broader healthcare system contributes to preventable disease, fragmented care, inequitable access, avoidable costs, and diminished quality of life. We commit to mobilizing collective action through commitment to aligned network priorities, sustained leadership, enabling infrastructure, and accountability.
We also commit to changing the narrative by recognizing oral health as a vital pathway to wellness and longevity.
We further affirm that communities most affected by health inequities must be active partners in shaping priorities, designing solutions, implementing changes, and evaluating outcomes. Together, we will align our efforts, measure progress, share learning, and advance the systems change necessary to ensure that oral health is no longer treated as separate from health itself.
We, the undersigned organizations, endorse this Consensus Statement and commit to advancing the integration of oral health and overall health within our respective organizations, communities, and spheres of influence.
Comments and suggested wording are grouped by passage and delivered to the drafting team. Nothing is published on your behalf, and your email address is never shown. Input closes September 1.
The Five Focus Levers
The levers and prototypes fell, broadly, into five interdependent themes. Each one below has its own comment thread.
Narrative Change & Shared Vision
Meta-leverA meta-lever to build political will and shift public understanding of oral health toward longevity and wellness.
National “Oral Health is Health” public affairs campaign.
Workforce, Education & Literacy
Focus leverBuilds oral health literacy for patients, providers, and policymakers. Unlocks all other levers.
Dental and medical licensure requirements that include education on oral health as health.
Integrated Care Delivery Models
Focus leverShifts from episodic, treatment-focused silos to frontline prevention and interprofessional care.
Scaling interprofessional, equity-based care models in hospitals, schools, and FQHCs.
Public Policy & Financing Reform
Focus leverAligns payment incentives with whole-person wellness and prevention.
Common legislative and reimbursement platform.
Data, Tech & Interoperability
Focus leverServes as connective tissue allowing providers to see the whole patient and generates evidence for policy.
EHR interoperability mandate & diagnostic code pilot.
Small groups reconvened to propose prototypes that would address the strategic levers identified earlier in the convening, then shared their levers, prototype ideas, and potential impacts with the full convening. Facilitators noted a striking amount of convergence. The exercise was not designed to reach agreement on plans of action. Rather, it revealed a high level of alignment around the most critical levers to push.
Read the source documents
Learn moreThe rest of the interim report: how the convening ran, what we found, equity, and the collective action network
What will it take for oral health to be inseparable from whole-person health in policy, practice, education and financing?
This interim report offers an initial look at what we heard and learned during the event, as participants worked together to answer this question. A full convening report is in development for September.
What emerged
- Participants found substantial alignment around five interdependent strategic levers, with equity as a cross-cutting theme.
- Participants expressed strong interest in a distributed collective-action network.
- The next phase will focus on refining the shared vision, organizing collaborative work and identifying appropriate backbone support.
What happens next
- A full convening report, with a living framework for collective action, will be shared in September.
- A consensus statement has been drafted. Give your input on this page until September 1.
- A virtual kickoff at the end of September or the start of October to refine frameworks and plan next steps.
A Fresh Convening Framework
Appreciative Inquiry: start from assets, not deficits.
The process was structured according to the principles of Appreciative Inquiry, an approach that begins with existing assets, imagines desired outcomes, and develops shared designs and commitments to action. Panels were used to provoke, inspire and inform but the substantive work took place through small groups, full-room report-outs, informal conversations, and individual commitments.
Post-convening survey respondents unanimously reported that they formed new connections with other participants. They described the convening as energetic, motivational, and solutions-oriented, and enjoyed the asset-based approach.
Building on What Works
A group of “ignitors” was invited to share brief stories of their work, touching on global collaboration, state-level advocacy, pediatric care, health communication, and federal payment policy. These comments led into small, multistakeholder discussions where participants exchanged stories of successful integration and identified cross-cutting themes that could be areas of potential collaboration.
We start with what is already working, with the people who did not wait for the system to be ready but built something real in the space that existed and proved integration is possible.
Appreciative Inquiry was paired with a systems change lens, recognizing the need to shift “the conditions that hold a problem in place.” Speakers shared lessons learned from developing and scaling “living models” of integration. Candid comments revealed successful and failed attempts, uneven adoption, and the challenges to achieving sustainability.
- Hospital oral-care protocols that reduce pneumonia risk
- Free interprofessional curricula
- Community collaborative practice in rural hospitals
The separation is structural. It is built on how we finance care, how we bill it, how we train clinicians and how we measure health and wellness. The missing connective tissue is collective action.
Equity as a Cross-Cutting Theme
Equity was identified as a cross-cutting theme or “north star” for the emerging network. While equity was not consistently explicit across lever and prototype presentations, it can serve as both an underlying driver and a lens through which to continue the Appreciative Inquiry design process. For example, an equity lens encourages us to ask design questions like:
How will patient and community advocates participate as co-creators of public messaging?
How can integrated care models be co-designed and tested in settings serving under-resourced communities?
How will proposed financing reforms reduce disparities and who may still be excluded?
Forging a Collective Action Network
A commitment to distributed rather than centralized leadership.
Participants called for a strong network that can serve as the binding “glue” across diverse initiatives, and an agreed-upon vision and consensus statement for the network. With a commitment to distributed rather than centralized leadership, the network’s role would primarily be to convene people across sectors, share resources and data, support shared accountability, and build alignment around shared language and vision. Participants noted that this will require a backbone organization.
Commitment card responses
Before leaving, participants filled out “commitment cards” describing the diverse interests, capacities, and spheres of influence they can contribute to this emerging network. These results reflect initial interests, capacities, or intended contributions rather than confirmed assignments.
Responses indicate that in some areas, such as direct implementation and network-weaving, the network is starting with high levels of commitment, while in areas like fundraising and resource development there is a clear need for additional expertise.
Commitment card responses, n=71Who was not in the room
The convening was not representative of all the sectors with a stake in this work. Participants pointed out the need, in the next phases, to engage more people with lived experience as well as employers, payers, federal and state partners, technology vendors, and frontline clinicians outside professional associations.
Taking Action Post-Convening
You can contribute now
React to any passage, suggest wording, or comment on the five focus levers. Open until September 1.
Go to the statement → Add a story, policy idea, or prototypeThe Share page keeps three open channels for contributing to the collective record at any time.
Open the Share page → Bring someone with youCopy-ready posts, graphics, and press materials for sharing this work with colleagues and partners.
Open the Media Kit →