Population-centered Risk- and Evidence-based Dental Inter-professional Care Team

• Conditions: Dental Caries
• Interventions: Other: PREDICT

• Registration Number: NCT02312921
• Lead Sponsor: Advantage Dental Services, LLC

Brief Summary

The main goal of the payment and delivery system reform is to reduce disparities in oral health and dental care access of low-income mothers and children living in rural Oregon counties. The target population is children, pregnant women and new mothers enrolled in Oregon Health Plan (OHP) in rural Oregon.

Detailed Description

To implement a payment plan model based on global budgeting and Alternative Quality Contract (pay-for-performance) for dental providers within Advantage Dental Services, LLC with the goal of incentivizing implementation of delivery system changes aimed at reducing disparities in access and oral health for low-income mothers and children living in rural Oregon counties.

To implement delivery system changes where a team of dental providers (dentists, dental hygienists, case managers, community outreach workers and others) within Advantage Dental Services, LLC provide evidence-based screening, risk assessment and primary preventive care in non-conventional community settings (WIC, Head Start and similar settings) and seamless, timely and appropriate evidence-based care in Advantage dental clinics.

To evaluate and document the payment and delivery system changes to assess whether the changes result in (1) reductions in disparities in access for low-income mothers and children; (2) efficiency in allocation of limited resources with the application of evidence-based screening; (3) seamless and appropriate care for mothers and their child at high risk of dental caries

Study Timeline

• Study First Submitted: 2014-12-06
• Study First Submitted QC: 2014-12-08
• Study First Posted: 2014-12-09
• Study Start: 2016-01
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-08
• Last Update Posted: 2016-08-09
• Primary Completion: 2019-06
• Study Completion: 2019-06

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 14

Inclusion Criteria

• Children less than 21 years old and women who are pregnant or up to 2 months-post-partum.
• Enrollment in Medicaid and assigned by Oregon Health Authority to receive dental care from Advantage Dental Plan.
• Home address is located in the selected counties.

Exclusion Criteria

• None

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
PREDICT	PREDICT	Delivery system changes where a team of dental providers (dentists, dental hygienists, case managers, community outreach workers and others) within Advantage Dental Services, LLC provide evidence-based screening, risk assessment and primary and secondary preventive care in non-conventional community settings (WIC, Head Start and similar settings) and seamless, timely and appropriate evidence-based care in dental clinics. Payment plan model based on global budgeting and Alternative Quality Contract (pay-for-performance) for dental providers within Advantage Dental Services, LLC (Advantage) with the goal of incentivizing implementation of delivery system changes aimed at reducing disparities in dental care utilization and oral health for low-income mothers and children..

Primary Outcome Measures

Name	Time	Method
Untreated dental caries	2 years	Percentage of participants with untreated dental caries

Secondary Outcome Measures

Name	Time	Method
Consumer Satisfaction	2 years	Scores on the Dental Satisfaction Questionnaire
Dental care utilization	2 years	Percentage of participants 0-21 years of age and pregnant women who received a dental service