{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T19:53:41Z","timestamp":1770234821938,"version":"3.49.0"},"reference-count":52,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T00:00:00Z","timestamp":1642550400000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Dental and Craniofacial Research","award":["R01DE024166"],"award-info":[{"award-number":["R01DE024166"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Longitudinal patient level data available in the electronic health record (EHR) allows for the development, implementation, and validations of dental quality measures (eMeasures).<\/jats:p><jats:p>\n          Objective\u2003We report the feasibility and validity of implementing two eMeasures. The eMeasures determined the proportion of patients receiving a caries risk assessment (eCRA) and corresponding appropriate risk-based preventative treatments for patients at elevated risk of caries (appropriateness of care [eAoC]) in two academic institutions and one accountable care organization, in the 2019 reporting year.<\/jats:p><jats:p>\n          Methods\u2003Both eMeasures define the numerator and denominator beginning at the patient level, populations' specifications, and validated the automated queries. For eCRA, patients who completed a comprehensive or periodic oral evaluation formed the denominator, and patients of any age who received a CRA formed the numerator. The eAoC evaluated the proportion of patients at elevated caries risk who received the corresponding appropriate risk-based preventative treatments.<\/jats:p><jats:p>\n          Results\u2003EHR automated queries identified in three sites 269,536 patients who met the inclusion criteria for receiving a CRA. The overall proportion of patients who received a CRA was 94.4% (eCRA). In eAoC, patients at elevated caries risk levels (moderate, high, or extreme) received fluoride preventive treatment ranging from 56 to 93.8%. For patients at high and extreme risk, antimicrobials were prescribed more frequently site 3 (80.6%) than sites 2 (16.7%) and 1 (2.9%).<\/jats:p><jats:p>\n          Conclusion\u2003Patient-level data available in the EHRs can be used to implement process-of-care dental eCRA and AoC, eAoC measures identify gaps in clinical practice. EHR-based measures can be useful in improving delivery of evidence-based preventative treatments to reduce risk, prevent tooth decay, and improve oral health.<\/jats:p>","DOI":"10.1055\/s-0041-1740920","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T23:38:48Z","timestamp":1642635528000},"page":"080-090","source":"Crossref","is-referenced-by-count":9,"title":["Caries Risk Documentation And Prevention: eMeasures For Dental Electronic Health Records"],"prefix":"10.1055","volume":"13","author":[{"given":"Suhasini","family":"Bangar","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences, School of Dentistry at Houston, University of Texas Health Science Center, Houston, Texas, United States"}]},{"given":"Ana","family":"Neumann","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences, School of Dentistry at Houston, University of Texas Health Science Center, Houston, Texas, United States"}]},{"given":"Joel M.","family":"White","sequence":"additional","affiliation":[{"name":"Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, San Francisco, California, United States"}]},{"given":"Alfa","family":"Yansane","sequence":"additional","affiliation":[{"name":"Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, San Francisco, California, United States"}]},{"given":"Todd R.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences, School of Dentistry at Houston, University of Texas Health Science Center, Houston, Texas, United States"}]},{"given":"Gregory W.","family":"Olson","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences, School of Dentistry at Houston, University of Texas Health Science Center, Houston, Texas, United States"}]},{"given":"Shwetha V.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences, School of Dentistry at Houston, University of Texas Health Science Center, Houston, Texas, United States"}]},{"given":"Krishna K.","family":"Kookal","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences, School of Dentistry at Houston, University of Texas Health Science Center, Houston, Texas, United States"}]},{"given":"Aram","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, United States"}]},{"given":"Enihomo","family":"Obadan-Udoh","sequence":"additional","affiliation":[{"name":"Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, San Francisco, California, United States"}]},{"given":"Elizabeth","family":"Mertz","sequence":"additional","affiliation":[{"name":"Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, San Francisco, California, United States"}]},{"given":"Kristen","family":"Simmons","sequence":"additional","affiliation":[{"name":"Willamette Dental Group, Hillsboro, Oregon, United States"}]},{"given":"Joanna","family":"Mullins","sequence":"additional","affiliation":[{"name":"Willamette Dental Group, Hillsboro, Oregon, United States"}]},{"given":"Ryan","family":"Brandon","sequence":"additional","affiliation":[{"name":"Willamette Dental Group, Hillsboro, Oregon, United States"}]},{"given":"Muhammad F.","family":"Walji","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences, School of Dentistry at Houston, University of Texas Health Science Center, Houston, Texas, United States"}]},{"given":"Elsbeth","family":"Kalenderian","sequence":"additional","affiliation":[{"name":"Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, San Francisco, California, United States"},{"name":"Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, United States"},{"name":"Department of Dental Management, School of Dentistry, University of Pretoria, Pretoria, South Africa"}]}],"member":"194","published-online":{"date-parts":[[2022,1,19]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1377\/hlthaff.27.3.759","article-title":"The triple aim: care, health, and cost","volume":"27","author":"D M Berwick","year":"2008","journal-title":"Health Aff (Millwood)"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1370\/afm.1713","article-title":"From triple to quadruple aim: care of 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