title: An Assessment Model for Evaluating Outcomes in Federally Qualified Health Centers' Dental Departments: Results of a 5 Year Study.
abstract: OBJECTIVE
  The purpose of this report was to establish baseline data on 10 oral health performance indicators over 5 fiscal years (2007 to 2008 through 2011 to 2012) for an Iowa health center. The baseline data provides an assessment model and reports outcomes based on the use of the model. Performance indicators show evidence of provider performance, accountability to stakeholders and provide the benchmarks required for dental management to develop future goals to improve oral health outcomes for atrisk populations.
  
  
  METHODS
  Using descriptive statistic, this report extrapolated data from the Iowa Health Center's computer management systems software, HealthPro, and Centricity electronic medical records, and analyzed using IBM® SPSS® 19. This report describes the change in utilization for number and type of visits for uninsured and Medicaid patients over 5 fiscal years (a fiscal year is measured from November 1 through October 31).
  
  
  RESULTS
  The number of patients receiving at least 1 dental visit in a measurement year showed n=81,673 procedures with 21% (17,167) being unduplicated patients. Preventive averaged 46%, restorative 18%, urgent care 22% and other procedures 14%.
  
  
  CONCLUSIONS
  Federally qualified health centers (FQHCs) with a dental component serve populations with the greatest health disparities. This population includes ethnic and racial minorities, uninsured, underinsured, rural residents, Medicaid and Medicare. Establishing baseline data for FQHCs provides a foundational tool that will allow dental management to analyze successes as well as deficiencies in the goal to provide increased utilization to oral health care for at-risk populations.
authors.forename: Sharon M
authors.initials: SM
authors.lastname: Grisanti
authors.forename: Linda D
authors.initials: LD
authors.lastname: Boyd
authors.forename: Lori
authors.initials: L
authors.lastname: Rainchuso
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003151:Community Health Centers / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D003729:Dental Care / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D003749:Dental Facilities / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D057286:Electronic Health Records / Q000706:statistics & numerical data; D005161:Facility Regulation and Control / Q000592:standards*; D005260:Female; D006801:Humans; D007484:Iowa; D008297:Male; D008484:Medicaid; D017057:Medically Uninsured; D006278:Medicare; D008875:Middle Aged; D017146:Models, Organizational; D009909:Oral Health / Q000592:standards*; D017063:Outcome Assessment, Health Care; D020399:Practice Management / Q000458:organization & administration; D012984:Software; D014481:United States; D055815:Young Adult
keywords: FQHCs; baseline data; oral health performance measures; practice management for community oral health