Implementing Dental Quality Measures in Practice

 说明(申请人提供)：尽管国家对口腔健康进行了投资，但从质量方面对回报的了解很少。电子健康记录(EHR)越来越多地被采用，为我们提供了有效收集随时间推移的质量测量、比较性能和跨站点汇集数据的工具。认识到这一机会，牙科质量联盟以及医疗保险和医疗补助服务中心都制定了牙科质量措施，以便在电子病历中广泛实施。为了利用这一巨大变化，我们必须确保这些质量措施可以在《电子健康记录》(目标1)的范围内得到明确和有效的定义，并且可以在广泛的环境中实施(目标2)。在从业者、实践和人群层面，关于这些质量措施的信息应该是可用的、有用的和易于理解的(目标3)。这项提案涉及10所牙科学校和一个分布在美国各地的大型牙科小组诊所(有54个办事处)，在现有资助项目上有合作记录。研究人员热衷于让牙科护理更安全、更好：他们为此进行合作的历史由来已久。该项目将使人们对牙科环境中的护理质量有一个前所未有的认识 到国家一级认可的措施。更广泛地说，这个项目将提高人们对牙科质量测量的认识：它还将产生关于如何与利益相关者共享有用和有用的牙科质量信息视图的概括性知识。

 DESCRIPTION (provided by applicant): Despite the national investment oral health, there is little understanding of the return in terms of quality. The increasing adoption of electronic healt records (EHRs) gives us the tools to efficiently collect quality measures over time, compare performance, and pool data across sites. Recognizing this opportunity, both the Dental Quality Alliance as well as the Center for Medicare and Medicaid Services have framed dental quality measures for broad implementation in the EHR. To take advantage of this sea change, we must ensure that these quality measures are unambiguously and validly definable within the context of the EHR (Aim 1) and that they can be implemented across a wide range of settings (Aim 2). At the practitioner, practice, and population levels, information about these quality measures should be available, useful, and easy to understand (Aim 3). This proposal involves 10 dental schools, and one large dental group practice (with 54 offices) dispersed across the U.S. with a track record of collaboration on existing funded projects. The investigators are passionate about making dental care safer and better: they have a long history of collaborating to this end. This project will result in an unprecedented view of the quality of care in the dental setting according to measures endorsed at the national level. More broadly, this project will advance awareness of quality measurement in dentistry: it will also yield generalizable knowledge about how to share useful and usable views of dental quality information with stakeholders.