Implementing Dental Quality Measures in Practice

 描述（由申请人提供）：尽管国家投资口腔健康，但对质量方面的回报了解甚少。电子健康记录（EHR）的日益普及为我们提供了一种工具，可以随着时间的推移有效地收集质量指标，比较性能并跨站点汇集数据。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在EHR中广泛实施的牙科质量措施。为了利用这一巨大的变化，我们必须确保这些质量指标在EHR（目标1）的背景下明确有效地定义，并且可以在广泛的环境中实施（目标2）。在从业者、实践和人群水平上，关于这些质量测量的信息应该是可用的、有用的和容易理解的（目标3）。该提案涉及10所牙科学校和一个大型牙科集团实践（拥有54个办事处），分布在美国各地，在现有资助项目上有合作记录。研究人员热衷于使牙科护理更安全、更好：他们在这方面有着悠久的合作历史。该项目将对牙科环境的护理质量产生前所未有的看法 国家一级批准的措施。更广泛地说，该项目将提高牙科质量测量的意识：它还将产生关于如何与利益相关者分享有用和可用的牙科质量信息的可推广的知识。

 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.