The Coalition is committed to creating positive policy and systems change through collaboration and unity around the policy agenda. During 2014 and early 2015 the Coalition worked to develop a theory of change that succinctly addresses the primary mechanisms for advancing policy change in service to the mission. The theory of change was approved by the Board at the Annual Meeting of June 26, 2015.

The MCOH Logic Model was developed for an external evaluation conducted in April of 2012. It illustrates the overall thrust of the organization in effecting policy, engagement, and improving the oral health of Missouri.