- New Dental Quality Alliance (DQA) Dental Caries in Children Measures
The Dental Quality Alliance Measure Sets can be found on this page.
Measure Set #1: Dental Caries in Children: Prevention & Disease Management (programmatic measures)
Use of Services*
Use of Services
Use of Services
Use of Services
|Ambulatory Care Sensitive Emergency Department Visits for Dental Caries**||Outcome|
|Follow-up after Emergency Department Visit for Dental Caries**||Process|
Evaluating Quality of Care
Topical Fluoride Intensity*
Sealant use in 6-9 years*
Sealant use in 10-14 years*
Usual Source of Services
|eMeasure: Oral Health Care Continuity for Children 2-20 Years**||Process|
|eMeasure: Oral Health Sealants for Children 6-9 Years**||Process|
Per-Member Per-Month Cost
**Additional Pediatric Measures
Below are the detailed specifications for the DQA measures. As you implement these measures, we would like your feedback. Please send us information on what worked, challenges you faced, and experiences with these measures. This information will be used as the DQA reviews and updates measure specifications in the future. Please send comments to Diptee Ojha at Ojhad@ada.org.
Why Adopt DQA Measures (PDF)
Measure User Guide (PDF)
Elevated Risk FAQ (PDF)
Utilization of Services
Description: Percentage of all enrolled children under age 21 who received at least one dental service within the reporting. Utilization of Services Specifications (PDF)
Description:Percentage of enrolled children under age 21 who received a comprehensive or periodic oral evaluation within the reporting year. Oral Evaluation Specifications (PDF)
Sealants in 6 – 9 years
Description: Percentage of enrolled children in the age category of 6-9 years at "elevated" risk (i.e., "moderate" or "high") who received a sealant on a permanent first molar tooth within the reporting year. Sealants in 6-9 years Specifications (PDF)
Sealants in 10 – 14 years
Description: Percentage of enrolled children in the age category of 10-14 years at “elevated” risk (i.e., “moderate” or “high”) who received a sealant on a permanent second molar tooth within the reporting year. Sealants in 10-14 years Specifications (PDF)
Topical Fluoride Intensity
Description: Percentage of enrolled children aged 1-21 years who are at “elevated” risk (i.e. “moderate” or “high”) who received at least 2 topical fluoride applications within the reporting year. Topical Fluoride Intensity Specifications (PDF)
For internal quality improvement and research purposes (e.g. monitoring trends/changes over time within programs and plans), a variety of additional parameters may be used to obtain information regarding disparities. For example, a measure can be analyzed using a denominator that only includes those who utilize services (utilizers) -- i.e. among those who received a dental service in the reporting year. Data on various measures also can be stratified on certain characteristics of the population (age ranges, race/ethnicity, urban vs. rural locations, etc.) to provide additional information on variations within programs or plans. To obtain detailed specifications for the full set of DQA measures that includes these additional parameters to support research (not endorsed by NQF) access here. You may also obtain detailed specifications for the additional pediatric DQA measures (not endorsed by NQF).
The report for testing pediatric oral health performance measures in the Florida and Texas Medicaid and CHIP programs, as well as other formative documents, can be found at DQA Measure Activities.
The Dental Quality Alliance acknowledges the support from the American Dental Association Foundation for proving funding [in part] for this project.
The Dental Quality Alliance partnered with the University of Florida Institute for Child Health Policy for this project. Data support for this project was provided by the Florida Agency for Health Care Administration, Florida Healthy Kids Corporation, Texas Health and Human Services Commission, and DentaQuest.
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