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Community Oral Health Initiative: Driving value-based transformation in North Carolina.

Christine Kanan1, Stephanie Clester2, Daijah Street Davis3

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The Community Oral Health Transformation (COrHT) Initiative improved patient care delivery in North Carolina dental clinics. This program emphasized medical-dental integration for comprehensive, person-centered oral health services.

Keywords:
access to caremedical dental integrationoral health careoral health equityoral health policyperson-centered care

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Area of Science:

  • Oral Health
  • Health Services Research
  • Public Health

Background:

  • CareQuest Institute for Oral Health aims to improve oral health for all through programmatic initiatives.
  • The Community Oral Health Transformation (COrHT) Initiative is a program designed to train dental clinics in providing equitable, integrated, and accessible care.
  • This initiative involved collaboration with the North Carolina Oral Health Collaboration (NCOHC) and the Blue Cross Blue Shield (BCBS) of North Carolina Foundation.

Purpose of the Study:

  • To evaluate the impact of the COrHT Initiative on dental clinics in North Carolina.
  • To assess the effectiveness of medical-dental integration (MDI) as part of comprehensive, person-centered care.
  • To identify programmatic strengths and weaknesses for future implementation, sustainability, and policy development.

Main Methods:

  • A mixed-methods study design was employed, collecting both quantitative and qualitative data.
  • Quantitative data included patient demographics, claims data, and financial measures.
  • Qualitative data comprised interviews conducted at midpoint and program conclusion, alongside an outcome evaluation.

Main Results:

  • Descriptive statistics were analyzed for 11 participating dental clinics and a control clinic.
  • Aggregated clinic data indicated improvements in patient care delivery measures.
  • Qualitative findings and outcome evaluation provided insights into the initiative's effectiveness.

Conclusions:

  • The COrHT Initiative demonstrated positive impacts on patient care delivery within participating dental clinics.
  • Medical-dental integration is a crucial component of comprehensive, person-centered oral health care.
  • The study provides valuable insights for the future implementation, sustainability, and policy surrounding oral health initiatives.