Journal article
Developing a caries risk registry to support caries risk assessment and management for children: A quality improvement initiative
Journal of public health dentistry, Vol.78(2), pp.134-143
03/01/2018
DOI: 10.1111/jphd.12253
PMID: 29077195
Abstract
Objectives: Health registries are commonly used in medicine to support public health activities and are increasingly used in quality improvement (QI) initiatives. Illustrations of dental registries and their QI applications are lacking. Within dentistry, caries risk assessment implementation and documentation are vital to optimal patient care. The purpose of this article is to describe the processes used to develop a caries risk assessment registry as a QI initiative to support clinical caries risk assessment, caries prevention, and disease management for children.
Methods: Developmental steps reflected Agency for Healthcare Research and Quality recommendations for planning QI registries and included engaging "champions," defining the project, identifying registry features, defining performance dashboard indicators, and pilot testing with participant feedback. We followed Standards for Quality Improvement Reporting Excellence guidelines.
Results: Registry eligibility is patients aged 0-17 years. QI tools include prompts to register eligible patients; decision support tools grounded in evidence-based guidelines; and performance dashboard reports delivered at the provider and aggregated levels at regular intervals. The registry was successfully piloted in two practices with documented caries risk assessment increasing from 57 percent to 92 percent and positive feedback regarding the potential to improve dental practice patient centeredness, patient engagement and education, and quality of care.
Conclusions: The caries risk assessment registry demonstrates how dental registries may be used in QI efforts to promote joint patient and provider engagement, foster shared decision making, and systematically collect patient information to generate timely and actionable data to improve care quality and patient outcomes at the individual and population levels.
Details
- Title: Subtitle
- Developing a caries risk registry to support caries risk assessment and management for children: A quality improvement initiative
- Creators
- Jesley C. RuffJill Boylston HerndonRoger A. HortonJulie LynchDawn C. MathwigAudra LeonardKrishna Aravamudhan
- Resource Type
- Journal article
- Publication Details
- Journal of public health dentistry, Vol.78(2), pp.134-143
- DOI
- 10.1111/jphd.12253
- PMID
- 29077195
- NLM abbreviation
- J Public Health Dent
- ISSN
- 0022-4006
- eISSN
- 1752-7325
- Publisher
- Wiley
- Number of pages
- 10
- Language
- English
- Date published
- 03/01/2018
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984283714902771
Metrics
24 Record Views