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VALUE-BASED ORAL HEALTH CARE: IMPLEMENTATION LESSONS FROM FOUR CASE STUDIES.

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Summary

Implementing Value-Based Oral Health Care (VBOHC) faces challenges due to dentistry's siloed culture. This paper explores four case studies offering insights into overcoming these barriers for improved patient outcomes and value.

Keywords:
ImplementationPatient-reported outcome measuresPatient-reported outcomesPerceived oral healthSelf-reported oral healthValue-based health care

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Area of Science:

  • Oral Health
  • Healthcare Management
  • Value-Based Care

Background:

  • Value-Based Healthcare (VBHC) is prominent in medicine but underexplored in oral health.
  • Dentistry's innovation culture is siloed from the broader medical system, complicating VBHC adoption.
  • Key barriers include multidisciplinary units, patient-centered outcomes, cost attribution, and payment bundling.

Purpose of the Study:

  • To explore the implementation of Value-Based Oral Health Care (VBOHC).
  • To present case studies demonstrating strategies for overcoming VBOHC challenges.
  • To provide insights into the feasibility and actionability of VBOHC.

Main Methods:

  • Review of four distinct case studies in oral health care.
  • Analysis of the Nurse Practitioner-Dental (NPD) Model for multidisciplinary chronic disease monitoring.
  • Examination of Early Childhood Caries treatment, ClearChoice Dental Implant Centers, and Oral Maxillofacial Surgery payment models.

Main Results:

  • The Nurse Practitioner-Dental (NPD) Model demonstrates improved chronic disease monitoring.
  • Quality measures are effective for value measurement and patient-centered care in Early Childhood Caries.
  • ClearChoice Dental Implant Centers showcase effective cost attribution for value creation.
  • Proposed payment models address episodic care for Oral Maxillofacial Surgery.

Conclusions:

  • Despite implementation challenges, VBOHC is feasible and actionable.
  • Case studies offer practical learnings for integrating VBHC principles into oral health.
  • Addressing system-level factors and fostering collaboration are crucial for VBOHC success.