Narrowing the rural oral healthcare gap: the 2017 rural interprofessional oral health practice symposium

Boynes, Sean G.; Heyward, Ce Ce; Kenney, Christine; Lauer-Kelly, Abigail; Nelson, Joni D.; Ohrenberger, Kelli; Veschusio, Christine; Diep, Vuong; Martin, Amy B.

doi:10.1186/s12903-018-0671-7

Cited by 6 publications

(8 citation statements)

References 3 publications

(4 reference statements)

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“…The symposium follows the format described in a previous publication evaluating rural interprofessional practice. 17 The participant group comprised leaders with varying health backgrounds related to oral health care, behavioral health, technology, business, and healthcare policy (Table 1). At the symposium, participants were randomly assigned to a table number based on registration dates and the total number of participants.…”

Section: Symposium Process and Methodologymentioning

confidence: 99%

“…The symposium was convened as a private event for 46 participants over the course of one and a half days in December 2019. The symposium follows the format described in a previous publication evaluating rural interprofessional practice 17 . The participant group comprised leaders with varying health backgrounds related to oral health care, behavioral health, technology, business, and healthcare policy (Table 1).…”

Section: Symposium Process and Methodologymentioning

confidence: 99%

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Understanding value in oral health: the oral health value‐based care symposium

Boynes¹,

Nelson

Diep³

et al. 2020

J Public Health Dent

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Objective: There are both opportunities and challenges with the implementation of oral health value-based care (OHVBC). To tackle concerns and advance conversation, a symposium was convened with subject matter experts to develop a gap analysis and capture insights into professional readiness for value-based care design. Methods: The symposium was convened as a private event for 46 participants over the course of one and a half days in December 2019. Thematic analyses utilized the OHVBC Readiness Framework (DentaQuest Partnership, 2019) to further codify conversations as part of the gap-analysis process. Poll Everywhere, a text messaging application that allows participants to answer questions in real time, was also employed to solicit responses. Results: Attendees of the symposium felt that OHVBC would have a large portion of market share within the next 10 years. A qualitative assessment of multiple table discussions determined that the participants developed more consensus around themes for the current state and the future-desired state than the actionplanning needed to close the gap between the two. This may relate to individual ideology, and the siloed environment is still prevalent in the oral health realm. In a postsymposium survey, respondent attendees did not perceive that COVID-19 would delay or negatively impact the adoption of OHVBC and may result in accelerating its utilization. Conclusion: The oral health community is experiencing multiple drivers to adopt more OHVBC within business and care models. However, there is still a lack of uniformity on how to execute this delivery model.

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Section: Symposium Process and Methodologymentioning

confidence: 99%

Section: Symposium Process and Methodologymentioning

confidence: 99%

Understanding value in oral health: the oral health value‐based care symposium

Boynes¹,

Nelson

Diep³

et al. 2020

J Public Health Dent

Self Cite

View full text Add to dashboard Cite

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“…Modifications to the BTS framework enlisted for the MORE Care initiative include reducing out-of-office time required of providers and staff by streamlining learning sessions and action period calls; applying one-on-one technical assistance for primary and dental care teams; and using ancillary meetings to foster IPP relationships and understanding of medical and dental practice operations. [6][7][8] The model for improvement was also utilized as a tool to produce local/practice-level health care change. 9 It identifies key aspects of improvement implementation that include the creation of measurable aims, improvement of data and information followed over time, identification of crucial change(s) that result in improvement, and a succession of testing cycles that allow care teams and organizations a method to assess change ideas.…”

Section: Collaborative Activitiesmentioning

confidence: 99%

“…The BTS is an ongoing progression of topic selection, faculty/expert recruitment, recruitment of participating clinical sites, a series of learning sessions that bring together multidisciplinary care teams, action periods (periods designed to test and implement favorable changes to achieve goals and understanding), and the use of the model for improvement. Modifications to the BTS framework enlisted for the MORE Care initiative include reducing out‐of‐office time required of providers and staff by streamlining learning sessions and action period calls; applying one‐on‐one technical assistance for primary and dental care teams; and using ancillary meetings to foster IPP relationships and understanding of medical and dental practice operations 6–8 …”

Section: Intervention Processmentioning

confidence: 99%

MORE Care: an evaluation of an interprofessional oral health quality improvement initiative

Kanan¹,

Ohrenberger²,

Bayham³

et al. 2020

J Public Health Dent

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Objective: This evaluation assesses the Medical Oral Expanded Care (MORE Care) initiative in four states that focused on oral health integration into primary care practices located in dental shortage areas. Methods: This analysis is conducted using self-reported primary data collected from each of the participating MORE Care clinics in South Carolina, Pennsylvania, Colorado and Oregon. Three measures: the percentage of pediatric patients with a) fluoride varnish applied, b) self-management goals reviewed, and c) risk assessed, were evaluated to compare the impact and timing of change tactics on participating teams. An engagement dashboard tool was also hand coded with inductive codes using an adapted grounded theory approach common in applied health services research, to iteratively identify themes that could illuminate or explain quantitative findings. Results: The average proportion of pediatric patients receiving fluoride varnish increased from 25 percent after the first collaborative learning session to 40 percent after the third collaborative learning session. The proportion of pediatric patients with self-management goals reviewed also improved, increasing from 25 percent to 62 percent. There was more variation in the proportion of pediatric patients with oral health risk assessments completed increasing from 47 percent to 77 percent. Qualitative analysis of MORE Care open text data produced three themes related to facilitators and barriers of project implementation and criteria for project success. Conclusions: The results of this analysis demonstrated that MORE Care is effective in creating an operational structure for integrating oral health care into primary care practices and most successful when participating clinics meet success criteria.

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“…The health, daily participation, and economic challenges confronted by rural families are becoming the focus of growing national interest 7 . Alongside heightened interest comes rapidly expanding research on health care disparities affecting rural adults and children 8,9 . Many rural residents, including indigenous populations compared to urban counterparts, have less access to rehabilitation services, prompting further study 10 …”

Section: Introductionmentioning

confidence: 99%

Performance on the American Board of Physical Medicine and Rehabilitation certifying examinations: Rural and urban physicians

Murphy

Raddatz

Robinson

2022

PM&R

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Background: Over 60 million people in the United States live in a rural community making up approximately 20% of the population. Data are minimal about the physiatrists who serve this rural population, their performance on certification examinations and how the American Board of Physical Medicine and Rehabilitation (ABPM&R) serves their ongoing educational, assessment, and practice needs. Objective: To compare the performance of rural and urban physicians on the Part I, Part II, and maintenance of certification (MOC) examinations along with subspecialty preference and continuance of primary certification. Design: Retrospective cross-sectional study. Setting: Board-eligible PM&R physicians and certified diplomates of the ABPM&R. Participants: Physicians who participated in an initial certification or maintenance of certification examination with the ABPM&R between 2010 and 2019. Methods: Comparisons of physician pass rates, mean scaled scores (aggregates), and program pass rates on ABPM&R certifying examinations were completed. Cross-reference to national database and ABPM&R practice site zip codes provided sociogeographic linkage. Interventions: Not applicable Main Outcome Measures: Physician mean scaled scores, pass rates, subspecialty preferences, and primary certification status. Results: There were no meaningful differences in performance on the ABPM&R Part I, II, and MOC examinations between rural and urban physiatrists. Most common subspecialty is the pain medicine certification whose diplomates most frequently drop their primary certification. Pediatric rehabilitation medicine certification is rare in rural localities and a health care disparity. Conclusion:The study found no meaningful differences in the performance of rural and urban physicians on the ABPM&R certifying examinations.

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Narrowing the rural oral healthcare gap: the 2017 rural interprofessional oral health practice symposium

Cited by 6 publications

References 3 publications

Understanding value in oral health: the oral health value‐based care symposium

Understanding value in oral health: the oral health value‐based care symposium

MORE Care: an evaluation of an interprofessional oral health quality improvement initiative

Performance on the American Board of Physical Medicine and Rehabilitation certifying examinations: Rural and urban physicians

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