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

Dental Caries Clinical Trial

— PREDICT  

Official title:

Reducing Oral Health Disparity Through Outreach, Evidenced-Based Care, Global Budgeting and the Alternative Quality Contract

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT02312921
• Other study ID #: RWJF
• Status: Enrolling by invitation
• Phase: N/A
• First received: December 6, 2014
• Last updated: August 8, 2016
• Start date: January 2016
• Est. completion date: June 2019

Study information

• Verified date: August 2016
• Source: Advantage Dental Services, LLC
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Observational

Clinical Trial 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.

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

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 14
• Est. completion date: June 2019
• Est. primary completion date: June 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A to 21 Years

Eligibility

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:

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Dental Caries

Intervention

Other:
• PREDICT
Allied dental personnel provide screening and preventive services in community settings and case managers serve as patient navigators to arrange referrals of children who need dentist services. The intervention is paired with a compensation system for high performance (pay-for-performance) with efficient performance monitoring. PREDICT focuses on: 1) identifying eligible children and gaining caregiver consent for services in community settings (e.g., schools); 2) providing risk-based preventive and caries stabilization services efficiently at these settings; 3) providing curative care in dental clinics; and 4) incentivizing local delivery teams to meet performance benchmarks.

Locations

Country	Name	City	State
n/a

Sponsors (4)

Lead Sponsor	Collaborator
Advantage Dental Services, LLC	Robert Wood Johnson Foundation, University of Chicago, University of Washington

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Untreated dental caries	Percentage of participants with untreated dental caries	2 years	No
Secondary	Consumer Satisfaction	Scores on the Dental Satisfaction Questionnaire	2 years	No
Secondary	Dental care utilization	Percentage of participants 0-21 years of age and pregnant women who received a dental service	2 years	No