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Oral Health Assessment by Lay Personnel for Older Adults
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Developing and testing pediatric oral healthcare quality measures
Jill Boylston Herndon1, James J Crall2,3, Krishna Aravamudhan3
1Department of Health Outcomes and Policy, Institute for Child Health Policy, University of Florida College of Medicine, Gainesville, FL, USA.
Journal of Public Health Dentistry
|February 17, 2015
Summary
The Dental Quality Alliance developed and tested the first set of pediatric oral healthcare quality measures. These validated measures are ready for implementation to improve children's oral health outcomes.
Area of Science:
- Health Services Research
- Dental Public Health
- Quality Improvement Science
Background:
- The Centers for Medicare and Medicaid Services requested the formation of the Dental Quality Alliance (DQA) in 2008.
- The DQA is a multi-stakeholder group focused on developing oral healthcare quality measures.
- Initial efforts concentrated on pediatric oral healthcare quality.
Purpose of the Study:
- To describe the processes for developing and testing pediatric oral healthcare quality measures.
- To provide recommendations for the implementation of these measures.
- To validate the first set of fully specified and tested pediatric oral healthcare quality measures.
Main Methods:
- A literature review and environmental scan identified 112 measure concepts.
- The RAND/UCLA modified Delphi approach rated measure concepts on importance, feasibility, and validity.
- A proposed set of measures underwent testing for feasibility, reliability, and validity.
Main Results:
- 59 of 112 measure concepts met inclusion criteria; 21 were rated as "high scoring."
- 11 pediatric quality and care delivery measures were developed and tested.
- 10 measures met all criteria and were approved by the DQA; they are being incorporated into public and commercial programs.
Conclusions:
- Broad stakeholder engagement and rigorous testing led to the development of validated pediatric oral healthcare quality measures.
- These measures demonstrate high feasibility for implementation in public and private sectors.
- This represents a significant step toward improving children's oral healthcare and health outcomes.
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