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This IOHPCP report describes the structured approach, processes and outcomes addressed at the three components of the IOHPCP initiative. Concomitantly, HRSA synthesized the following recommentations:

1. Apply oral health core clinical competencies within primary care practices to increase oral health care access for safety net populations in the united States.

2. Develop infrastructure that is interoperqable, accessible accross clinical settings, and enhances adoption of the oral health core clinical competencies. The defined, essential elements of the oral health clinical competencies should be used to inform decision-making and measure health outcomes.

3. Modify payment policies to efficiently address costs of implementing oral health competencies and provide incentives to health care systems and practitioners. 

4. Execute programs to develop and evaluate implementation strategies of the oral health core clinical competencies into primary care practice.