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The Dental Quality Alliance Measure Sets can be found on this page.

Measure Set #1: Dental Caries in Children: Prevention & Disease Management (programmatic measures)   

 

 Purpose  Measure  AHRQ Domain
 Evaluating Utilization  Use of Services  Use of Services
   Preventive Services  Use of Services
   Treatment Services  Use of Services
 Evaluating Quality of Care  Oral Evaluation  Access/Process
   Topical Fluoride Intensity  Access/Process
   Sealant use in 6-9 years  Access/Process
   Sealant use in 10-14 years  Access/Process
   Care Continuity  Access/Process
   Usual Source of Services  Access/Process
 Evaluating Cost  Per-Member Per-Month Cost  Cost

 

Below are the detailed specifications for the DQA measures. As you implement these measures, we would like your feedback.  Please send us information on what worked, challenges you faced, and experiences with these measures.  This information will be used as the DQA reviews and updates measure specifications in the future.  Please send comments to Krishna Aravamudhan at aravamudhank@ada.org.

 

General Resources 

Why Adopt DQA Measures (PDF) 

Measure User Guide (PDF)

 Elevated Risk FAQ (PDF)

Utilization of Services 
       
      

Description: Percentage of all enrolled children who received at least one [dental/oral health] service within the reporting year.  Utilization of Services Specifications 

Oral Evaluation 
      

Description: Percentage of a. all enrolled children b. enrolled children who received at least one [dental/oral health] service who received a comprehensive or periodic oral evaluation within the reporting year.  Oral Evaluation Specifications 

Using “all enrolled” as the denominator is the first measure in the “Access” domain. Using “ all enrolled who received a service” as the denominator is a second measure in the “Process” domain. These measure can be used independently as needed

Sealants in 6 – 9 years
     

Description: Percentage of a. enrolled children b. enrolled children who received at least one [dental/oral health] service in the age category of 6-9 years at “elevated” risk (e.g. “moderate” or “high”) who received a sealant on a permanent first molar tooth within the reporting year. Sealants in 6-9 years Specifications

Using “all enrolled” as the denominator is the first measure in the “Access” domain. Using “ all enrolled who received a service” as the denominator is a second measure in the “Process” domain. These measure can be used independently as needed

Sealants in 10 – 14 years
      

Description: Percentage of a. enrolled children b. enrolled children who received at least one [dental/oral health] service in the age category of 10-14 years at “elevated” risk (e.g. “moderate” or “high”) who received a sealant on a permanent second molar tooth within the reporting year. Sealants in 10-14 years Specifications

Using “all enrolled” as the denominator is the first measure in the “Access” domain. Using “ all enrolled who received a service” as the denominator is a second measure in the “Process” domain. These measure can be used independently as needed

Topical Fluoride Intensity

       

Description: Percentage of a. all enrolled b. enrolled children who received at least one [dental/oral health] service who are at “elevated” risk (e.g. “moderate” or “high”) who received (1, 2, 3, 4 or more) topical fluoride applications within the reporting year. Topical Fluoride Intensity Specifications

Using “all enrolled” as the denominator is the first measure in the “Access” domain. Using “ all enrolled who received a service” as the denominator is a second measure in the “Process” domain. These measure can be used independently as needed

 Preventive Services

Description: Percentage of a. all enrolled b. enrolled children who received at least one [dental/oral health] service who are at “elevated” risk (e.g. “moderate” or “high”) who received topical fluoride application and/or sealants within the reporting year. Preventive Services Specification

 Using “all enrolled” as the denominator is the first measure in the “Access” domain. Using “ all enrolled who received a service” as the denominator is a second measure in the “Process” domain. These measure can be used independently as needed

 Treatment Services 
      

Description: Percentage of a. enrolled children b. enrolled children who received at least one dental service who received treatment service within the reporting year. Treatment Services Specifications

 Using “all enrolled” as the denominator is the first measure in the “Access” domain. Using “ all enrolled who received a service” as the denominator is a second measure in the “Process” domain. These measure can be used independently as needed

 Usual Source of Services  
    

 Description: Percentage of a. all enrolled in two consecutive years b. enrolled children who received at least one [dental/oral health] service in both years who visited the same practice or clinical entity in both years. Usual Source of Services Specifications

 Using “all enrolled” as the denominator is the first measure in the “Access” domain. Using “ all enrolled who received a service” as the denominator is a second measure in the “Process” domain. These measure can be used independently as needed

 Care Continuity   
      

Description: Percentage of a. all enrolled in two consecutive years b. enrolled children who received at least one [dental/oral health] service in both years who received a comprehensive or periodic oral evaluation in both years. Care Continuity Specifications

 Using “all enrolled” as the denominator is the first measure in the “Access” domain. Using “ all enrolled who received a service” as the denominator is a second measure in the “Process” domain. These measure can be used independently as needed

 PMPM Cost       

 Description: Total amount that is paid on direct provision of care per a. enrolled child b. enrolled child who accessed [dental/oral health] services within the reporting year reported per member per month (PMPM).  PMPM Cost

 Using “all enrolled” as the denominator is the first measure that gives the cost for "all enrolled" in the program/plan. Using “ all enrolled who received a service” as the denominator is a second measure that gives the cost for those who use a service in a year, i.e. among the utilizers of the program/plan.

The link to access the report for testing pediatric oral health performance measures in the Florida and Texas Medicaid and CHIP programs, as well as other formative documents can be accessed here: http://www.ada.org/7503.aspx.

The Dental Quality Alliance acknowledges the support from the American Dental Association Foundation for proving funding [in part] for this project.

The Dental Quality Alliance partnered with the University of Florida Institute for Child Health Policy for this project. Data support for this project was provided by the Florida Agency for Health Care Administration, Florida Healthy Kids Corporation, Texas Health and Human Services Commission, and DentaQuest.