QIAT developed a framework to support quality measurement and improvement spanning from the site of care (i.e., individual practices and clinics) to broader systems of care (e.g., a Medicaid program). The framework provides a conceptual structure of what should be measured and monitored to improve population oral health. In light of estimates that clinical care may contribute as little as 20 percent to health outcomes for chronic diseases, the framework accounts for the significant impact of non-clinical factors and behaviors (e.g., social, economic, and environmental factors and health behaviors) on the oral health of the MCH population. ¹

A glossary is provided for terms used in the framework.

Framework for Oral Health Quality Performance Measurement and Improvement

1. McGovern L, Miller G, Hughes-Cromwick P. 2014. The Relative Contribution of Multiple Determinants to Health Outcomes. Princeton, NJ: Robert Wood Johnson Foundation.