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首页> 外文期刊>Journal of public health dentistry >Positioning operations in the dental safety net to enhance value-based care delivery in an integrated health-care setting
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Positioning operations in the dental safety net to enhance value-based care delivery in an integrated health-care setting

机译：在牙科安全网中定位操作，以增强综合保健环境中基于价值的护理送货

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Objectives Impact of implementing data-driven performance metric-tracking across a 10-dental center infrastructure established by Family Heath Center of Marshfield (FHC-M) was examined for relative impact on achieving value-based care delivery in serving a patient population characterized by 88% Medicaid representation. Methods To track progress toward national benchmarks for preventive care delivery, dental quality analytics dashboard tracking was implemented in real time with sharing of performance metrics across centers. Compliance rate with Uniform Data Systems reporting requirements for sealant placement on permanent first molars in children aged 6-9 years of age at moderate-to-high risk of caries was targeted at FHC-M dental centers for comparison with those of other community health centers statewide and nationally. Hygienist-to-dentist ratio to support robust sealant placement capacity was further examined. Results Uniform Data Systems data for rate of sealant placement between 2016-2018 revealed that FHC-M consistently exceeded rates reported statewide and nationally. For this quality indicator, performance across all dental practices in 27 states reported by Centers for Medicare and Medicaid Services in 2018 achieved 23% in 2017 compared to 73% and 52% placement rates reported by FHC-M and community health centers, respectively. A 1:1 hygienist-to-dentist was documented across FHC-M dental centers compared to 0.5:1 reported nationally. Conclusions Implementation of quality metric dashboard and a 1:1 dentist-to-hygienist ratio supported realization of value-based dental care delivery relative to caries prevention in a moderate-to-high risk pediatric Medicaid population through achievement of robust sealant placement. Importance of adequate hygienist staffing, "same day" sealant placement and performance feedback supported by technology are highlighted.
机译：目标：在马什菲尔德家庭健康中心（FHC-M）建立的10个牙科中心基础设施中实施数据驱动的绩效指标跟踪，对其对实现基于价值的医疗服务的相对影响进行了研究，该中心的患者群体的医疗补助占88%。方法为了跟踪预防性医疗服务国家基准的进展，牙科质量分析仪表板跟踪在各中心之间实时实施，并共享绩效指标。FHC-M牙科中心针对6-9岁儿童永久性第一磨牙上密封剂放置的统一数据系统报告要求的符合率，并与州内和全国范围内的其他社区卫生中心进行比较。卫生员与牙医的比例，以支持强大的密封剂放置能力进一步检查。结果2016年至2018年间，美国统一数据系统（Uniform Data Systems）的密封剂植入率数据显示，FHC-M的植入率始终超过州和全国报告的植入率。就这一质量指标而言，医疗保险和医疗补助服务中心2018年报告的27个州所有牙科实践的绩效在2017年达到23%，而FHC-M和社区卫生中心报告的安置率分别为73%和52%。FHC-M牙科中心记录的卫生员与牙医的比例为1:1，而全国报告的比例为0.5:1。结论在中高危儿童医疗补助人群中，实施质量指标仪表板和牙医与卫生员比例为1:1的方法，有助于实现与龋齿预防相关的价值型牙科护理。强调了卫生员配备充足的重要性，以及技术支持下的“当天”密封剂放置和性能反馈。

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