dental quality alliance measures · microsoft powerpoint - ppt0000095 [read-only] author: sandi...
TRANSCRIPT
![Page 1: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/1.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
Krishna Aravamudhan
Dental Quality Alliance Measures
![Page 2: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/2.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
![Page 3: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/3.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
Mission
Advance the field of performance measurement to improve oral health, patient care, and safety through a consensus building process.
Objectives:
•To identify and develop evidence-based oral health care performance measures and measurement resources.•To advance the effectiveness and scientific basis of clinical performance measurement and improvement.•To foster and support professional accountability, transparency,and value in oral health care through the development, implementation and evaluation of performance measurement.
![Page 4: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/4.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
Measure Development: Pediatric Oral Health Project
• Environmental Scan
• Starter Set of Concepts
• Fully Specified Measures
![Page 5: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/5.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
Limitations to existing pediatric measures
• Limited availability of clear specifications• Lack of standardization in measurement, with many
duplicates• Limited evidence to support many of the measures
currently available• Limited measurement of all aspects of care• Lack of an organized system relating disease risk to
diagnostic measures• Limited availability of measures of patient safety• Limited measures across multiple care delivery systems
including medical, dental and public health.
![Page 6: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/6.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
• Data Source• Numerator• Denominator• Data Elements• Calculation• Purpose• Stratifications
![Page 7: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/7.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
E-Specification
![Page 8: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/8.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
Refer to handout!
![Page 9: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/9.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
By age (years): <1; 1-2; 3-5; 6-7; 8-9; 10-11; 12-14; 15-18; 19-20
By payer type: e.g. Medicaid; CHIP programs; private commercial benefit programs.
By provider payment mechanism: e.g. Fee-for-service, PPO or discounted fee-for-service, Capitation plan, Encounter fee plus used in FQHCs
By geographic location or region
By service location: e.g., private dental office, community clinic or health center, dental school clinic, school-based dental clinic
By patient race/ethnicity/language/socioeconomic status
Stratifications
![Page 10: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/10.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
Selecting a measure
• What
• Why
• How
• Whom
![Page 11: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/11.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
![Page 12: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/12.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
Determinants of health
![Page 13: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/13.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
![Page 14: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/14.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
![Page 15: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/15.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
Health Records
RegistriesAdministrative Database
(claims and encounters)
Patient surveys
(satisfaction, experience with care and health
status)
National surveys
![Page 16: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/16.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
% of higher risk children in the practicereceiving sealants
% of higher risk children enrolled in the health plan receiving sealants
% of higher risk children eligible for the program (e.g. Medicaid) receiving sealants
![Page 17: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/17.jpg)
© 2013 Dental Quality Alliance© 2013 Dental Quality Alliance
• James J. Crall, DDS, MS, ScD,
• Craig W. Amundson, DDS,
• Rob D. Compton, DDS,
• Chris Farrell, RDH, BSDH, MPA,
• Jed J. Jacobson, DDS, MS, MPH,
Funding Support [in part] from ADA Foundation
Data from DentaQuest
DQA Research and Development Committee
![Page 18: Dental Quality Alliance Measures · Microsoft PowerPoint - Ppt0000095 [Read-Only] Author: Sandi Created Date: 5/15/2013 2:13:26 PM](https://reader033.vdocuments.mx/reader033/viewer/2022043005/5f8b6450b278a01e8b151d72/html5/thumbnails/18.jpg)
18
Visit: http://www.ada.org/dqa
THANK YOU!