The Center for Oral Health Systems Integration and Improvement (COHSII) was led by OHRC, in partnership with the Association of State and Territorial Dental Directors (ASTDD) and the Dental Quality Alliance (DQA). COHSII was supported by a 4-year cooperative agreement from the Maternal and Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA).

COHSII worked with key stakeholders to improve systems of care in support of a quality-improvement, patient-centered approach to address the oral health needs of the maternal and child health (MCH) population. Over the 4-year project period, COHSII addressed three goals (1) providing TA and training to states and Maternal and Child Health Bureau–funded oral health projects, (2) establishing a set of MCH oral health quality indicators, and (3) developing and disseminating resources for the public health community. COHSII also worked with five state Title V MCH agencies and primary care settings to implement strategies to improve the integration of oral health care into primary care.