# Implementing Dental Quality Measures in Practice

> **NIH NIH R01** · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · 2022 · $715,840

## Abstract

Implementing Dental Quality Measures in Practice
Project Summary
Each year in the US, over 195,000 active dental practitioners provide care to more than 127 million patients,
costing more than $117 billion annually. Despite this national investment in oral health, there is little
understanding of the return in terms of quality. Although there is strong evidence for effective strategies for
treating and preventing caries, oral health remains a significant burden for both children and adults. We are
currently faced with an uneven oral healthcare delivery system where a few lucky patients receive evidence-
based and person-centered care. Our current quality measurement work has shown that we can use data
captured in electronic health records to accurately measure the quality of dental care. We have also
demonstrated that there is a large gap between the current state of how dental clinics perform and the desired
performance, especially for dental caries. In our current award (R01DE024166), we discovered that a large
proportion of patients (44%-77%) were not being treated for their existing dental caries. Even when treated,
13% to 24% of existing patients were being diagnosed again with new decay within 6 months of their last
treatment.
 Our overarching goal is to provide the right care to the right patient at the right time. In order to do this,
we first need to setup a practice-level learning health system (LHS) supported by an effective informatics
infrastructure, relevant data governance and a culture of learning that drives evidence-based dental practice.
Hence as the next step in our research agenda, the objective of this application is to improve dental care
quality relating to caries management strategies, the oral health condition with the highest impact, by
developing a multi-component intervention, that includes key components of an LHS.
 We will conduct the study at four large and diverse dental institutions: UT Houston, the University of
California San Francisco, HealthPartners and Willamette Dental Group/Skourtes Institute. In Aim 1, we identify
and understand the contributing factors (conduct problem analysis) leading to the current level of performance
through chart reviews, patient and provider interviews, and targeted clinic observations. In Aim 2, we design
and develop strategies to improve the quality of dental caries management at the institutions, using a human-
centered design approach for developing effective and actionable Audit and Feedback and EHR-based Clinical
Decision Support. In Aim 3, we implement and evaluate the improvement strategies and determine their impact
on quality measure performance, acceptability, fidelity and identify the barriers and facilitators for its use. Early
and continuous engagement of key stakeholders in all phases of the project will increase the likelihood of
developing, implementing and adopting sustainable solutions.
 The outcomes of our research will arm dental providers with both the knowle...

## Key facts

- **NIH application ID:** 10469566
- **Project number:** 5R01DE024166-07
- **Recipient organization:** UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
- **Principal Investigator:** Elsbeth Kalenderian
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $715,840
- **Award type:** 5
- **Project period:** 2015-03-01 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10469566

## Citation

> US National Institutes of Health, RePORTER application 10469566, Implementing Dental Quality Measures in Practice (5R01DE024166-07). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10469566. Licensed CC0.

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