Consensus & Interim Report

Consensus & Interim Report

Draft for network input

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.

2What we are saying together

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.

Preamble 1 of 6

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 2 of 6

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 3 of 6

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 4 of 6

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.

PoliciesPayment modelsEducationWorkforce developmentCare deliveryResearchData interoperabilityHealth literacyCommunity partnerships

We also commit to changing the narrative by recognizing oral health as a vital pathway to wellness and longevity.

We further affirm 5 of 6

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.

In closing 6 of 6

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.

What happens to your input

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.

3Where we converged

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-lever

A meta-lever to build political will and shift public understanding of oral health toward longevity and wellness.

Example prototype

National “Oral Health is Health” public affairs campaign.

Workforce, Education & Literacy

Focus lever

Builds oral health literacy for patients, providers, and policymakers. Unlocks all other levers.

Example prototype

Dental and medical licensure requirements that include education on oral health as health.

Integrated Care Delivery Models

Focus lever

Shifts from episodic, treatment-focused silos to frontline prevention and interprofessional care.

Example prototype

Scaling interprofessional, equity-based care models in hospitals, schools, and FQHCs.

Public Policy & Financing Reform

Focus lever

Aligns payment incentives with whole-person wellness and prevention.

Example prototype

Common legislative and reimbursement platform.

Data, Tech & Interoperability

Focus lever

Serves as connective tissue allowing providers to see the whole patient and generates evidence for policy.

Example prototype

EHR interoperability mandate & diagnostic code pilot.

Whole Person Health, Wellbeing & Equity

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
From the interim report

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.
From the interim report

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.

DiscoverWhat is already working?
DreamWhat could full integration look like?
DesignWhat will we build, and with whom?
DeployWhat do we commit to?

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.

From the interim report

Building on What Works

Global collaboration State advocacy Pediatric care Health communication Federal payment policy

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.
Day 1 Opening Session

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.

Living models cited
  • 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.
Day 1 Opening Session

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?

From the interim report

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=71
Direct implementationchanging practice, policy, or contracts
54%
Network weavingconnecting people across sectors
49%
Communications & storytellingsharing data and stories
45%
Data, measurement & evaluationtracking metrics and evidence
35%
Administrative / backbonecoordinating, tracking progress
21%
Fundraising & resource developmentsecuring funding
8%
Other
7%

Who 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.

If you know who else belongs here, tell us.

Taking Action Post-Convening

The conveningOver 120 leaders across oral health care, public health, education, policy, financing, industry and advocacy.June 22–24
Draft statement and interim reportDistributed for further discussion. This page.August, now
Full convening reportA living framework for collective action, a proposed evaluation approach and accompanying data from the Appreciative Inquiry design process.September
Virtual network launchReview findings, refine focus areas, adjust commitments, and organize next steps.End of September or early October
Draft consensus statement & interim report · days left to comment