Clinical trial NCT02312921: Population-centered Risk- and Evidence-based Dental Inter-professional Care Team
Official title: Reducing Oral Health Disparity Through Outreach, Evidenced-Based Care, Global Budgeting and the Alternative Quality Contract
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Dental Caries
Keywords: managed healthcare
child
dental care
Lead sponsor: Advantage Dental Services, LLC
Sponsor class: INDUSTRY
Collaborators: name: Robert Wood Johnson Foundation
name: University of Chicago
name: University of Washington
First posted: 2014-12-09
Enrollment: 14
Sex: ALL
Maximum age (years): 21
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: 80,000 children on Medicaid nested in 14 rural Oregon Counties.

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

Eligibility criteria: 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

Primary outcomes:
measure: Untreated dental caries
timeFrame: 2 years
Secondary outcomes:
measure: Consumer Satisfaction
timeFrame: 2 years
measure: Dental care utilization
timeFrame: 2 years
Other outcomes:
Locations:
Study officials:
affiliation: Advantage Dental Services, LLC
name: Peter Milgrom, DDS
role: STUDY_DIRECTOR
References:
citation: Cunha-Cruz J, Milgrom P, Shirtcliff RM, Bailit HL, Huebner CE, Conrad D, Ludwig S, Mitchell M, Dysert J, Allen G, Scott J, Mancl L. Population-centered Risk- and Evidence-based Dental Interprofessional Care Team (PREDICT): study protocol for a randomized controlled trial. Trials. 2015 Jun 20;16:278. doi: 10.1186/s13063-015-0786-y.