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Research ArticleCritical Issues in Dental Hygiene

Community Oral Health Initiative: Driving value-based transformation in North Carolina

Christine Kanan, Stephanie Clester, Daijah Street Davis, Heather Edly, Crystal Adams and J. Steven Cline
American Dental Hygienists' Association June 2024, 98 (3) 13-18;
Christine Kanan
CareQuest Institute for Oral Health, Boston, MA, USA
BSPH
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  • For correspondence: [email protected]
Stephanie Clester
CareQuest Institute for Oral Health, Boston, MA, USA
RDH, MA
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Daijah Street Davis
Blue Cross and Blue Shield of North Carolina Foundation, Durham, NC, USA
MPH
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Heather Edly
North Carolina Oral Health Collaborative, Foundation for Health Leadership and Innovation, Cary, NC, USA
JM, RDH, BSPH, CHES
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Crystal Adams
North Carolina Oral Health Collaborative, Foundation for Health Leadership and Innovation, Cary, NC, USA
MA, CDA, RDH
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J. Steven Cline
North Carolina Oral Health Collaborative, Foundation for Health Leadership and Innovation, Cary, NC, USA
DDS, MPH
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Abstract

CareQuest Institute for Oral Health’s mission is to improve the oral health of all. One way to achieve this is through programmatic initiatives, which train dental clinics to provide equitable, integrated and accessible care for their communities. The Community Oral Health Transformation (COrHT) Initiative, allowed CareQuest Institute to collaborate with the North Carolina Oral Health Collaboration (NCOHC) and Blue Cross Blue Shield (BCBS) of North Carolina Foundation to implement and support the initiative in North Carolina. This mixed methods study was designed to collect quantitative and qualitative data while 11 dental clinics and a control clinic participated in the program through the end of the program. Quantitative data included patient demographics, claims data, and financial and data measures. Descriptive statistics of participating clinics and the control clinic were analyzed, and aggregated clinic data showed improvements in patient care delivery measures. Qualitative interviews were also conducted at midpoint and conclusion, and an outcome evaluation was completed. This short report will provide readers with results from the COrHT Initiative, with an emphasis on medical-dental integration (MDI) as an integral component of comprehensive, person-centered care. The evaluation of programmatic strengths and weaknesses has been included to identify the potential for future implementation, sustainability, and policy making.

Keywords
  • access to care
  • oral health equity
  • oral health care
  • oral health policy
  • medical dental integration
  • person-centered care
  • Received April 8, 2024.
  • Accepted May 10, 2024.
  • Copyright © 2024 The American Dental Hygienists’ Association
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American Dental Hygienists' Association: 98 (3)
American Dental Hygienists' Association
Vol. 98, Issue 3
June 2024
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Community Oral Health Initiative: Driving value-based transformation in North Carolina
Christine Kanan, Stephanie Clester, Daijah Street Davis, Heather Edly, Crystal Adams, J. Steven Cline
American Dental Hygienists' Association Jun 2024, 98 (3) 13-18;

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Community Oral Health Initiative: Driving value-based transformation in North Carolina
Christine Kanan, Stephanie Clester, Daijah Street Davis, Heather Edly, Crystal Adams, J. Steven Cline
American Dental Hygienists' Association Jun 2024, 98 (3) 13-18;
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Keywords

  • access to care
  • oral health equity
  • oral health care
  • oral health policy
  • medical dental integration
  • person-centered care

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