title: Drivers Advancing Oral Health in a Large Group Dental Practice Organization.
abstract: Three change drivers are being implemented to high standards of patient centric and evidence-based oral health care within the context of a large multispecialty dental group practice organization based on the commitment of the dental hygienist chief operating officer and her team.
  
  
  
  A recent environmental scan elucidated 6 change drivers that can impact the provision of oral health care. Practitioners who can embrace and maximize aspects of these change drivers will move dentistry forward and create future opportunities. This article explains how 3 of these change drivers are being applied in a privately held, accountable risk-bearing entity that provides individualized treatment programs for more than 417,000 members. To facilitate integration of the conceptual changes related to the drivers, a multi-institutional, multidisciplinary, highly functioning collaborative work group was formed.
  
  
  
  The document Dental Hygiene at a Crossroads for Change(1) inspired the first author, a dental hygienist in a unique position as chief operating officer of a large group practice, to pursue evidence-based organizational change and to impact the quality of patient care. This was accomplished by implementing technological advances including dental diagnosis terminology in the electronic health record, clinical decision support, standardized treatment guidelines, quality metrics, and patient engagement to improve oral health outcomes at the patient and population levels. The systems and processes used to implement 3 change drivers into a large multi-practice dental setting is presented to inform and inspire others to implement change drivers with the potential for advancing oral health.
  
  
  
  Technology implementing best practices and improving patient engagement are excellent drivers to advance oral health and are an effective use of oral health care dollars. Improved oral health can be leveraged through technological advances to improve clinical practice.
authors.affiliation: BSDH, RDH, MHA, Willamette Dental Group, P.C., OR, USA. Electronic address: ksimmons@willamettedental.com.
authors.forename: Kristen
authors.initials: K
authors.lastname: Simmons
authors.affiliation: MHA, Willamette Dental Group, P.C., OR, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Gibson
authors.affiliation: DDS, MS, School of Dentistry, University of California, San Francisco, San Francisco, CA, USA.
authors.forename: Joel M
authors.initials: JM
authors.lastname: White
mesh_terms: D020000:Decision Support Systems, Clinical; D003813:Dentistry; D055094:Evidence-Based Dentistry; D005260:Female; D006124:Group Practice, Dental / Q000639:trends; D006801:Humans; D009909:Oral Health; D009910:Oral Hygiene
keywords: Caries risk; Clinical decision support systems; Electronic Health Records; Periodontal diagnosis; Practice guidelines; Willamette Dental Group