Better Together: Co-Location of Dental and Primary Care Provides Opportunities to Improve Oral Health
This brief presents findings from a study to assess oral health care capacity in community health centers (CHCs) in California. Topics include the geographic distribution of CHCs with co-located oral and primary care; size, productivity, and revenues of co-located sites compared to those without on-site oral health care capacity; and opportunities to improve access to oral health care in CHCs.
Core Principles & Values of Effective Team-Based Health Care
This paper identifies basic principles and expectations to guide coordinated collaboration among health professionals and families, ultimately to help accelerate interprofessional team-based health care. The paper contains descriptions of the principles of team-based care, which include shared goals, clear roles, mutual trust, effective communication, and measurable processes and outcomes. A discussion of the implications of team-based care's principles and values is also included.
Evaluating Interprofessional Education and Collaborative Practice: What Should I Consider When Selecting a Management Tool?
This primer provides basic information about good practices and processes in interprofessional-education- and collaborative-practice-measurement instruments and use. Topics include the importance of validity, five sources of validity evidence, how much validity an evaluation tool should have, and things to consider when selecting a tool. Appendices include a glossary of measurement tools, rules of thumb when appraising validity data, common threats to validity, and information on the National Center Resource Exchange.
Integration of Oral Health and Primary Care Practice
This report describes the structured approach, processes, and outcomes of an initiative to improve early detection and prevention of oral health problems by enhancing primary care health professionals' competence in the area of oral health. The recommendations and implementation strategies provide guidance for designing a competency-based, interprofessional practice model to integrate oral health care and primary care. Appendices include oral health core clinical competency domains and their associated competencies and major systems essential for implementation of core clinical oral health competencies.
Journal of the California Dental Association interprofessional education and practice series
This dedicated journal series addresses challenges and opportunities in bringing health professionals out of their silos to improve the safety and quality of care delivered using a multidisciplinary team approach. The three journal issues in the series were released in January, September, and October 2014.
January's issue addresses the roles of federal legislation and evolving health care systems in promoting medical-dental collaboration, building a foundation for interprofessional education and practice, lessons learned from interprofessional practice in health centers, trends and emerging concepts in the dental benefits marketplace, and interprofessional education between dentistry and nursing.
September's issue provides a synopsis of panel proceedings from the Conference on Interprofessional Education and Practice: Creating a Vision for the Dentist of the Future, which was held on February 3–4, 2014, in San Francisco, CA. The issue also addresses building collaborative practice skills, lessons learned from the development and practice of craniofacial teams, and interprofessional practice in the era of accountability.
October's issue summarizes the major drivers bringing dentistry and medicine together and the consequences of keeping the two professions separate. It also discusses and provides an example of changes in dental education needed to enable dentists and physicians to work collaboratively in the evolving health care system, and it provides a commentary on the potential of oral physician–training models (i.e., training models for a new designation of oral health professional that provides services beyond traditional oral health services).
Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules Under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA Rules
This final rule, published in the federal register, provides a list of proposed modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules; public commentary on each proposed modification; responses to the public commentary; and the final rule and its effective and compliance dates.
Oral Health: An Essential Component of Primary Care—White Paper
This paper presents an oral-health-care-delivery framework for primary care health professionals and oral health professionals to partner to expand preventive services and promote oral health. The framework describes the importance and aspects of a team approach to oral health, offers a sample workflow on how a primary care practice might incorporate oral health services, approaches for how oral health services can be implemented into a practice incrementally, developing a referral network and key components of an effective referral process, leveraging health information technology for improved oral health, educating and training members of the primary care team, and using a quality-improvement process to monitor progress and effectiveness. The framework also addresses barriers to integration and suggests actions to spur implementation among partners.
Oral Health Integration in the Patient-Centered Medical Home (PCMH) Environment: Case Studies from Community Health Centers
This paper documents four case studies of community health centers that have taken steps to ensure that health-care-delivery systems and oral-health-care-delivery systems work closely together and to incorporate oral health into their quality-improvement processes. Topics include models for integrating oral services care into the primary care setting, findings on oral-health-care delivery in the safety net that can influence work toward the patient-centered medical home model, and changes in health policy and health care reimbursement that are needed to support integrated primary care and oral health care.
Quality Oral Health Care in Medicaid Through Health IT: Final Report
This report explores the potential of health information technology (health IT) to increase access to oral health care among vulnerable populations. The report addresses whether and how health IT and the Medicaid electronic health record incentive program can be used as tools to improve access to high-quality oral health care for children and adolescents enrolled in Medicaid and the Children's Health Insurance Program.
Returning the Mouth to the Body: Integrating Oral Health & Primary Care
This issue brief synthesizes key points from a meeting of funders, researchers, and practitioners convened on April 17, 2012, in Washington, DC, to discuss benefits of and challenges and approaches to integrating oral health care and primary care. Topics include the scope of the problem, the case for integration, practical challenges and considerations, practice models for integrating delivery and financing systems, areas for grantmaker investment, and conclusions.
A Standard Framework for Levels of Integrated Healthcare
This framework describes six levels of collaboration and integration in the delivery of primary care. The levels include minimal collaboration, basic collaboration at a distance, basic collaboration on site, close collaboration on site with some systems integration, close collaboration approaching an integrated practice, and full collaboration in a transformed or merged practice. Matrices providing descriptions of how health professionals work; key differences for clinical delivery, patient experiences, practice and organization, and business models; and the advantages and disadvantages of each level of collaboration and integration are presented.
Triple Aim: Health, Care, and Cost
This journal article offers an overview of the Triple Aim approach, which provides a framework for integrating population-based health care. The article defines Triple Aim, identifies preconditions for achieving integration, describes the role of the "integrator" who focuses and coordinates services to help the population, and highlights examples of successful integration.
Collaborative Practice Assessment Tool
This tool includes 56 questions that are rated on a seven-point scale to assess strengths and weaknesses in collaborative practice. The purpose of the tool is to identify areas for educational and/or quality-improvement interventions. The tool addresses mission, meaningful purpose and goals, general relationships, team leadership, general responsibilities and autonomy, communication and information exchange, community linkages and coordination of care, decision-making and conflict management, and patient involvement. The tool also provides a form that respondents can use to identify what the team does well related to collaborative practice, identify collaboration challenges, and define areas where help is needed to improve collaborative practice.
Key Elements to Incorporate Oral Health in the Pediatric Electronic Health Record
This chart lists required oral-health-risk-assessment items as well as other elements for inclusion in pediatric electronic health records. Items include risk assessment for dental caries and information on referral, fluoride, and dental insurance status. Additional elements on environmental, biological, psychosocial, and pragmatic issues are suggested. Resources on oral health education, access to care, and preventive services are also provided.
Safety Net Dental Clinic Manual
This manual is designed to help dental clinic staff with all aspects of clinic development and ongoing operations. Topics include partnerships and planning, facility design and staffing, financing, clinic operations, quality improvement, and program sustainability. Links to sample policies, efficiency tips, professional standards, supply lists, floor plans, design tips, equipment photographs, customizable budget worksheets, funding strategies, quality-improvement plans, fact sheets, and websites are included.
A User's Guide for Implementation of Interprofessional Oral Health Core Clinical Competencies: Results of a Pilot Project
This guide for health centers describes a set of interprofessional oral health core clinical competencies designed to foster integration of oral health care into primary health care. The guide also provides information about three pilot projects' experiences related to implementing the competencies. Contents include recommendations to inform planning, training systems, health information systems, clinical care systems, and evaluation systems. Challenges and resources are discussed.
