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However, dissemination and implementation researchers often pay little attention to what happens after programs are implemented. An essential function of the public health nurse operating at the executive management or leadership level is to evaluate overall effectiveness, quality, and sustainability of programs and to design systems\u2010level quality initiatives and evaluation plans that foster program sustainability. This article applies a conceptual framework for sustainability to an oral health program serving persons experiencing homelessness, exploring the essential programmatic, community, and organizational factors that have positively impacted the long\u2010term sustainability of the program. Lessons learned from a model program that has thrived in a political and economic resource poor climate may assist the public health nurse in planning and developing health programs that can withstand the test of time even in the most challenging of circumstances.<\/jats:p>","DOI":"10.1111\/phn.13232","type":"journal-article","created":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T11:58:45Z","timestamp":1690286325000},"page":"709-716","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case study of the long\u2010term sustainability of an oral health program for persons experiencing homelessness"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8806-7813","authenticated-orcid":false,"given":"Mary","family":"Lashley","sequence":"first","affiliation":[{"name":"Public Health Nursing Towson University Towson Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,7,25]]},"reference":[{"issue":"964","key":"e_1_2_9_2_1","first-page":"1","article-title":"Sustainability by design. 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