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Caries Risk Documentation And Prevention: eMeasures For Dental Electronic Health Records.

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Electronic health records enable dental quality measures for caries risk assessment and preventive care. These measures identify practice gaps and improve evidence-based treatment delivery for better oral health.

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Area of Science:

  • Dental Public Health
  • Health Informatics
  • Preventive Dentistry

Background:

  • Longitudinal patient data in electronic health records (EHRs) facilitate the creation and validation of dental quality measures (eMeasures).
  • These measures are crucial for monitoring and improving the quality of dental care.
  • EHR data offers a robust platform for developing process-of-care metrics.

Purpose of the Study:

  • To assess the feasibility and validity of implementing two dental eMeasures: caries risk assessment (eCRA) and appropriateness of care (eAoC).
  • To evaluate the proportion of patients receiving caries risk assessments and appropriate preventive treatments.
  • To identify variations in care delivery across different clinical settings.

Main Methods:

  • Utilized patient-level data from EHRs across two academic institutions and one accountable care organization.
  • Defined numerator and denominator criteria for eCRA and eAoC measures.
  • Validated automated queries for data extraction and analysis.

Main Results:

  • Automated queries identified 269,536 eligible patients across three sites.
  • The overall proportion of patients receiving a caries risk assessment was 94.4% (eCRA).
  • Fluoride preventive treatment for high-risk patients ranged from 56% to 93.8%; antimicrobial prescribing varied significantly by site.

Conclusions:

  • EHR-based eMeasures, including eCRA and eAoC, effectively identify gaps in clinical practice.
  • Implementing these measures can enhance the delivery of evidence-based preventive treatments.
  • Utilizing EHR data supports efforts to reduce tooth decay and improve overall oral health outcomes.