Population-centered Risk- and Evidence-based Dental Inter-professional Care Team
PREDICT
Reducing Oral Health Disparity Through Outreach, Evidenced-Based Care, Global Budgeting and the Alternative Quality Contract
1 other identifier
observational
14
0 countries
N/A
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jan 2016
Typical duration for all trials
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 6, 2014
CompletedFirst Posted
Study publicly available on registry
December 9, 2014
CompletedStudy Start
First participant enrolled
January 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2019
CompletedAugust 9, 2016
August 1, 2016
3.4 years
December 6, 2014
August 8, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Untreated dental caries
Percentage of participants with untreated dental caries
2 years
Secondary Outcomes (2)
Consumer Satisfaction
2 years
Dental care utilization
2 years
Study Arms (2)
PREDICT
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 and secondary preventive care in non-conventional community settings (WIC, Head Start and similar settings) and seamless, timely and appropriate evidence-based care in dental clinics. Payment plan model based on global budgeting and Alternative Quality Contract (pay-for-performance) for dental providers within Advantage Dental Services, LLC (Advantage) with the goal of incentivizing implementation of delivery system changes aimed at reducing disparities in dental care utilization and oral health for low-income mothers and children..
Control
Usual care
Interventions
Allied dental personnel provide screening and preventive services in community settings and case managers serve as patient navigators to arrange referrals of children who need dentist services. The intervention is paired with a compensation system for high performance (pay-for-performance) with efficient performance monitoring. PREDICT focuses on: 1) identifying eligible children and gaining caregiver consent for services in community settings (e.g., schools); 2) providing risk-based preventive and caries stabilization services efficiently at these settings; 3) providing curative care in dental clinics; and 4) incentivizing local delivery teams to meet performance benchmarks.
Eligibility Criteria
80,000 children on Medicaid nested in 14 rural Oregon Counties.
You may qualify if:
- 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.
You may not qualify if:
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Advantage Dental Services, LLClead
- Robert Wood Johnson Foundationcollaborator
- University of Chicagocollaborator
- University of Washingtoncollaborator
Related Publications (1)
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.
PMID: 26091669DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Peter Milgrom, DDS
Advantage Dental Services, LLC
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 6, 2014
First Posted
December 9, 2014
Study Start
January 1, 2016
Primary Completion
June 1, 2019
Study Completion
June 1, 2019
Last Updated
August 9, 2016
Record last verified: 2016-08