Despite the national investment oral health, there is little understanding of the return in terms of quality. The increasing adoption of electronic healt records (EHRs) gives us the tools to efficiently collect quality measures over time, compare performance, and pool data across sites. Recognizing this opportunity, both the Dental Quality Alliance as well as the Center for Medicare and Medicaid Services have framed dental quality measures for broad implementation in the EHR. To take advantage of this sea change, we must ensure that these quality measures are unambiguously and validly definable within the context of the EHR (Aim 1) and that they can be implemented across a wide range of settings (Aim 2). At the practitioner, practice, and population levels, information about these quality measures should be available, useful, and easy to understand (Aim 3). This proposal involves 10 dental schools, and one large dental group practice (with 54 offices) dispersed across the U.S. with a track record of collaboration on existing funded projects. The investigators are passionate about making dental care safer and better: they have a long history of collaborating to this end. This project will result in an unprecedented view of the quality of care in the dental setting according to measures endorsed at the national level. More broadly, this project will advance awareness of quality measurement in dentistry: it will also yield generalizable knowledge about how to share useful and usable views of dental quality information with stakeholders.

Public Health Relevance

Despite large investments in providing dental care, there is little understanding of the return in terms of quality. In this project we seek to assess how 11 organizations perform on well-defined quality measures. The results of this project will help to develop evidence-based recommendation to improve the quality of oral healthcare delivered in the future.

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Research Project (R01)
Project #
5R01DE024166-05
Application #
9647440
Study Section
Health Services Organization and Delivery Study Section (HSOD)
Program Officer
Riddle, Melissa
Project Start
2015-03-01
Project End
2020-02-29
Budget Start
2019-03-01
Budget End
2020-02-29
Support Year
5
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of Texas Health Science Center Houston
Department
Other Basic Sciences
Type
Schools of Dentistry/Oral Hygn
DUNS #
800771594
City
Houston
State
TX
Country
United States
Zip Code
77030
Neumann, Ana; Kalenderian, Elsbeth; Ramoni, Rachel et al. (2017) Evaluating quality of dental care among patients with diabetes: Adaptation and testing of a dental quality measure in electronic health records. J Am Dent Assoc 148:634-643.e1
Bhardwaj, Aarti; Ramoni, Rachel; Kalenderian, Elsbeth et al. (2016) Measuring up: Implementing a dental quality measure in the electronic health record context. J Am Dent Assoc 147:35-40