Patient-Centered Dental Home Project: Dental Quality Measurement Use Among Stakeholders
The goal of the Patient-Centered Dental Home (PCDH) project is to develop a PCDH model that complements and integrates with the patient-centered medical home. The model is being developed in four phases, using a consensus-based process with a broad-based National Advisory Committee (NAC), that began with identifying the essential characteristics of a PCDH and will culminate in a measurement framework to assess and improve PCDH quality across different care settings.
Phase 1 resulted in the following, consensus-built definition of a PCDH: The patient-centered dental home is a model of care that is accessible, comprehensive, continuous, coordinated, patient- and family-centered, and focused on quality and safety as an integrated part of a health home for people throughout the life span.1 In Phase 2, the NAC identified the conceptual components that fit within each PCDH characteristic. For example, within the characteristic of accessibility, components included timeliness and provider network adequacy. In Phase 3, the NAC identified measure concepts that reflect potential measures to be nested under each component. This phase explored how we can begin to measure the components identified in Phase 2. Phase 4 focuses on linking existing dental quality indicators to the PCDH framework, developing measure sets, and identifying measurement gaps. To help inform measure set development, we conducted a small pilot survey among a diverse group of members within the National Advisory Committee and several other organizations to explore the ways in which dental quality measurement is currently being utilized or may be utilized in the future. This report describes the methods and results of this pilot survey.