HAB HIV Performance Measures: 

Oral Health Services 

Performance Measure: Phase 1 Treatment Plan Completion 

Percentage of HIV-infected oral health patients1 with a Phase 12 treatment plan that is completed within 12 

months. 

Numerator: Number of HIV-infected oral health patients that completed Phase 12

 treatment within 

12 months of establishing a treatment plan. 

Denominator: Number of HIV-infected oral health patients with a Phase 1 treatment plan established 

in the year prior to the measurement year3 . 

Patient 

Exclusions: 

1. Patients who had only an evaluation or treatment for a dental emergency in the year 

prior to the measurement year.4 

Data Element: 

1. Is the patient HIV-infected? (Y/N) 

a. If yes, did the patient have a Phase 12 treatment plan established in the year 

prior to the measurement year3? (Y/N) 

1. If yes, was the Phase 12

 treatment plan completed within 12 months of 

establishment? (Y/N) 

Data Sources: 

 Data reports required by HRSA/HAB, such as the Ryan White HIV/AIDS Program 

Services Report (RSR), may provide useful data regarding the number of clients 

identified as receiving oral health services. 

 Electronic Health Record/Electronic Medical Record (A specific “dummy code” to 

signify when patient treatment is complete can be used to facilitate data collection.) 

 Oral health services patient record data abstraction by grantee of a sample of 

records 

 Provider billing systems may be used; however, this will be dependent on the 

completeness and accuracy of coding of the procedures of interest. 

National Goals, 

Targets, or 

Benchmarks for 

Comparison: 

None 

Outcome 

Measures for 

Consideration: 

 Rate of untreated dental disease and oral pathology in the practice population. 

Basis for Selection: 

Oral diseases are progressive and cumulative and can affect our ability to eat, the foods we choose, how we 

look, and the way we communicate. These diseases can affect economic productivity and compromise our 

ability to work at home, at school, or on the job. Health disparities exist across population groups at all ages. 

Over one third of the US population (100 million people) has no access to community water fluoridation. 

Over 108 million children and adults lack dental insurance, which is over 2.5 times the numbers who lack 

medical insurance. See: US Department of Health and Human Services. Oral Health in America: A Report of 

the Surgeon General: Executive Summary. Rockville, MD: US Department of Health and Human Services, 

National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000. See: 

http://www.surgeongeneral.gov/library/oralhealth. 

Oral Health Final | November 23, 2009| Page 9 of 10 
HAB HIV Performance Measures: 

Oral Health Services 

Performance Measure: Phase 1 Treatment Plan Completion 

Community and migrant health center oral health programs seek to increase access to oral health care for the 

underserved. This performance measure addresses two fundamental areas within community and migrant 

health center oral health programs: 1) the need to perform a comprehensive oral health exam that culminates 

with an accompanying treatment plan and 2) assuring that quality care is incorporated in the process of 

completing needed treatment in a timely manner. The measure facilitates the identification of contributing 

and restricting factors and practical low cost improvement options relevant to significant areas listed above. 

With access to codes associated with comprehensive oral exams and Patient Treatment Completion (PTC), 

most management information systems will be able to provide an average length of time associated with 

completion of treatment. With this information, staffing patterns, financial costs (overhead expenses) and 

efficiency of the oral health program can be assessed. These additional benchmarks could also be measured 

across health center programs at the local, regional and national levels. The ultimate goal is to measure and 

assure that health centers routinely and systematically deliver comprehensive, quality oral health services and 

patient treatment is completed within a reasonable amount of time. 

The performance measure is comprehensive in that subsequent performance analysis can broach a number of 

significant areas, such as: appointment scheduling, ratio of oral health providers to dental operatories, ratio of 

oral health providers to support staff, collaboration with medical colleagues emphasizing oral health as an 

essential component of an interdisciplinary approach to patient care, prioritization of patients and/or 

procedures, general productivity and efficiency. 

US Public Health Service Guidelines: 

None. 

References/Notes: 

1 “Patient” includes patients aged 12 months or older. 

2

Phase 1 treatment: Prevention, maintenance and/or elimination of oral pathology that results from dental 

caries or periodontal disease. This includes: restorative treatment; basic periodontal therapy (non surgical); 

basic oral surgery that includes simple extractions and biopsy; non-surgical endodontic therapy; and space 

maintenance and tooth eruption guidance for transitional dentition. 

3

Patients initiating Phase 1 treatment plan would not be captured in the denominator in the current 

measurement year. They would, if the care was completed on schedule, be captured in the performance data 

in the following measurement year. 

4 Pertinent ADA CDT codes for patient exclusion may include the following: D9110-Palliative (emergency) 

treatment of dental pain-minor procedure; and D0140-Limited Oral Evaluation-Problem Focused; however, 

the diagnostic and treatment procedures associated with emergency evaluation and treatment encounters 

(including those using these or other ADA CDT codes, as well as other procedures which may not be coded) 

should be considered when identifying excluded patients. 

Oral Health Final | November 23, 2009| Page 10 of 10