Pediatric Oral Health Measures: HP2010 and NCQA James J. Crall, DDS, ScD University of Connecticut

Healthy People 2010 Health goals for the nation Represent an extension and revision of Healthy People 2000 Goals and Objectives Chapter 21: Oral Health

Healthy People Reduce the proportion of children and adolescents who have dental caries experience in their primary or permanent teeth. –21-1a. Preschoolers: primary teeth –21-1b. Primary or permanent teeth –21-1c. Adolescents: permanent teeth

Healthy People Reduce the proportion of children, adolescents, and adults with untreated dental decay (primary and permanent teeth). –21.2a,b,c: different age groups

Healthy People Increase the proportion of children who have received dental sealants on their molar teeth.

Healthy People Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water.

Healthy People Increase the proportion of children and adults who use the oral health care system each year.

Healthy People Increase the proportion of children and adolescents under age 19 years at or below 200 percent of the Federal Poverty Level who received any preventive dental service during the past year.

Healthy People (Developmental) Increase the proportion of school-based health centers with an oral health component.

Healthy People Increase the number of States and the District of Columbia that have a system for recording and referring infants and children with cleft lips, cleft palates, and other craniofacial anomalies to craniofacial anomaly rehabilitative teams.

Healthy People Increase the number of States (and the District of Columbia) that have an oral and craniofacial health surveillance system.

NCQA Pediatric Oral Health Performance Measures Developed under contract with HCFA by an expert panel Intended to serve as tools for monitoring performance of health plans; also can be used by public programs

NCQA Pediatric Oral Health Performance Measures Use of Dental Services by Children - Percent of enrollees who received: – A. any dental service – B. any preventive service – C. any treatment service

NCQA Pediatric Oral Health Performance Measures Dental Sealant Ratio (ratio of occlusal sealants to occlusal restorations) –The measure would examine first molars in 5 to 8 year olds and second molars in 11 to 14 year olds.

NCQA Pediatric Oral Health Future Measures Assessment of caries and periodontal disease status Treatment for new carious lesions in children Preventive services for caries-active children

NCQA Pediatric Oral Health Future Measures Pediatric Oral Health Survey Module that inquires about: – access, regular source of care, timely care, overall satisfaction, unmet needs.

NCQA Pediatric Oral Health Future Measures Value of Services – either the proportion of a plan’s premium dollars spent on clinical services or a plan’s actual expenditures for clinical services per member per month

Resources Healthy People 2010: – NCQA Pediatric Oral Health Performance Measures: –Crall JJ, Szlyk CI, Schneider DA, et al. Pediatric oral health performance measurement: current capabilities and future directions. J Public Health Dent 1999;59: