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Oral Health Care Delivery Within the Accountable Care Organization
Christine Blue1, Sheila Riggs2
1DHSc, MS, Division of Dental Hygiene, Department of Primary Dental Care, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.
The Journal of Evidence-Based Dental Practice
|May 31, 2016
Summary
Integrating oral health into primary care through accountable care organizations (ACOs) offers a value-based healthcare model. Dental hygienists and therapists are key to this prevention-focused, comprehensive system.
Area of Science:
- Healthcare systems design
- Public health initiatives
- Interprofessional healthcare models
Background:
- Accountable Care Organizations (ACOs) present opportunities for integrating oral health into primary care.
- Minnesota's health care reform inspired a model for ACOs that embed oral health services.
- Allied dental professionals, like dental hygienists and therapists, can facilitate this integration cost-effectively.
Purpose of the Study:
- To describe a vision for integrating oral health into primary care within an ACO framework.
- To highlight the role of allied dental professionals in advancing oral health integration.
- To explore the potential of interdisciplinary, team-based approaches for population health, including oral health.
Main Methods:
- Conceptual model development based on health care reform.
- Expert perspectives from dental insurance and hygiene education sectors.
- Analysis of principles from patient-centered medical homes and accountable care communities.
Main Results:
- ACOs can strategically design comprehensive health systems where oral health is part of primary care.
- Dental hygienists and therapists are integral to value-based healthcare delivery within ACOs.
- An interdisciplinary team approach can enhance both individual and population health outcomes.
Conclusions:
- ACOs and accountable care communities represent a paradigm shift towards prevention-based healthcare.
- This model encompasses a holistic view of health, including behavioral, social, and environmental factors.
- Embedding oral health measures within general healthcare ensures a comprehensive system.
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