Improving the Quality of Oral Healthcare through Case Management
An Introduction to Online Learning Modules
Webinar: November 28th, 2018
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Improving the Quality of Oral Healthcare through Case Management II
Learning Modules |
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I. Introduction
II. Learning Modules:
1. Principles of Quality Improvement
2. Principles of Medicaid Dental Practice Management-Part 1
3. Goal Setting
4. Process and Outcome Measurement
5. Principles of Medicaid Dental Practice Management- Part 2
6. Principles of Case Management
Resources Module
7. Dental Case Management - Addressing Appointment Compliance Barriers-D9991
8. Dental Case Management - Care Coordination-D9992
9. Dental Case Management - Motivational Interviewing-D9993
10. Dental Case Management - Patient Motivation-Oral Health Literacy-D9994
III. Continuing Education Units (CEU) will be granted upon completion of each module and submission of the respective pre and post-test.
IV. RI EOHHS Authorization to bill Medicaid for case management services
will be granted upon completion of all modules, pre and post-tests; and submission of all pre and post-tests. [NOTE: Pending approval by RI EOHHS]
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Module 1: Principles of a Quality Improvement [1 CEU]
Take the Module 1 Pre-Test
Upon completion of this learning session, participants will:
- Gain knowledge of the Dental Quality Alliance (DQA)
- Understand what is meant by quality improvement (QI) and why it is important in dentistry
- Understand the difference between quality assurance and quality improvement
- Understand how to use data to assess quality improvement goals.
- Learn how to establish an office plan for setting improvement goals; collecting data and assessing progress and achievement of QI goals
Module 1 - Presentation
Module 1 Presentation with Script
Take Module 1 Post-Test Now
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Module 2: Principles of Dental Practice Management- Part 1 [1 CEU]
Take the Module 2 Pre-Test
Upon completion of this module, participants will gain understanding, knowledge, skill, and competency regarding (the):
- Current economics of the dental healthcare delivery system
- Changes in Medicaid dental programs
- New opportunities for dental practices
- Specific considerations for the delivery of dental care to adult Medicaid beneficiaries
- Dental office capacity
- Why setting goals is important for dental office sustainability
- Barriers that might prevent the achievement of goals
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Module 3: Goal Setting [1 CEU]
Take the Module 3 Pre-Test
Upon completion of this module, participants will:
- Understand goals designed for dental office sustainability.
- Define overall dental office capacity.
- Set practice goals for their dental office based on their capacity.
- Identify at least 3 barriers that might prevent them from achieving those goals.
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Module 4: Process and Outcome Measurement [1 CEU]
Take the Module 4 Pre-Test
Upon completion of this module, participants will gain knowledge and understanding of:
- The difference between QI and QA
- QI Strategies for Medicaid Dental Practice Management
- Assessing Strategies through Measurement [Plan-Do-Study-Act]
- Measuring QI-Using data
- Data collection
- Dashboard development and routine data analysis
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Module 5: Principles of Medicaid Dental Practice Management - Part 2 [1 CEU]
Take the Module 5 Pre-test
Upon completion of this module participants will gain understanding, knowledge, skill, and competency managing:
- Excess demand
- Low demand
- Emergencies
- Additional data reporting
- Other practice barriers
Module 5 - Presentation
Module 5 Presentation and Script
Take Module 5 Post-Test Now
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Module 6: Principles of Dental Case Management [1 CEU]
Take the Module 6 Pre-Test
Upon completion of this module, participants will:
- Recognize and describe the new opportunities for dentistry in delivering patient-centered oral healthcare across the population;
- Understand key components of case management services and how each effects the patient experience;
- Describe the role that state agencies, MCOs, and community supports play in effective communication and care coordination;
- Identify the role and benefits of dental office case management; and
- Learn how to document case management services delivered in the dental office setting to help monitor care.
Module 6 - Presentations
[Part 1]
[Part 2]
Module 6 Presentation with Script
Take Module 6 Post-Test Now
MSDA recognizes AAPD and Dr. Paul Reggiardo for their controbution of content and slides.
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Module 7:
Dental Case Management: Addressing Appointment Compliance Barriers
CDT Code: D9991
[1 CEU]
Take Module 7 Pre-Test
Upon completion of this module, participants will:
- Recognize new opportunities for dentistry in delivering case management services;
- Understand key components of addressing appointment compliance barriers;
- Identify the benefits of dental office case management;
- Describe the role that state agencies and community supports may play in reducing transportation barriers;
- Learn how to document case management services delivered in the dental office setting to help monitor care & improvements.
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Module 8:
Dental Case Management: Care Coordintion
CDT Code: D9992
[1 CEU]
Take the Module 8 Pre-Test
Upon completion of this module, participants will:
- Identify ways by which care coordination can improve a patient’s motivation to improve oral health;
- Understand key components of implemeting care coordination services;
- Develop a working knowledge of how community supports; Medicaid Health Plans; and the Medicaid agency contribute to effective care coordination;
- Understand the role each dental office professional plays in implementing case management services;
- Learn how to effectively monitor patient care and outcomes; and bill Medicaid for case management services.
Take Module 8 Post-Test
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Module 9:
Dental Case Manegment: Motivational Interviewing [1 CEU]
CDT Code: D9993
Upon completion of this module, participants will:
- Identify ways in which motivational interviewing can help to improve a patient’s desire to improve their oral health;
- Understand key components of delivering motivational interviewing services;
- Develop a working knowledge of how community supports; the Medicaid Health Plans; and the Medicaid agency contribute to effective communication and care coordination;
- Understand the role each dental office professional plays in assessing patient needs and in delivering case management services;
- Learn how to effectively document and monitor patient care and outcomes; and bill Medicaid for the delivery of case management services.
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Module 10:
Dental Case Manegment: Improving Oral Health Literacy [1 CEU]
CDT Code: D9994
Take the Module 10 Pre-Test
Upon completion of this module, prticipants will:
- Learn strategies for improving patient oral health literacy;
- Learn key components of delivering oral health literacy services; and
- Understand the role each dental office professional plays in both conducting a Needs Assessment and in delivering case management services.
Module 10 - Presentation and Script
Take Module 10 Post-Test |
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Acknowledgements
Improving the Quality of Oral Healthcare through Case Management is a professional education and training program designed to advance the knowledge, skill, and competency of the dental workforce.
The curricula is made up of six core training modules and four dental case management code billing modules which have been made available through the generous support of the following organizations and agencies:
- Rhode Island Department of Health
- Rhode Island Executive Office of Health and Human Services
- Rhode Island Dental Association
- Medicaid|Medicare|CHIP Services Dental Association
- Health Resources and Services Administration
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Faculty
Ms. Martha Dellapenna is the MSDA Center Director. In this role, Ms. Dellapenna provides oversight to the projects and activities of each the five divisions within the Center. She is the former Project Manager for the Rhode Island Oral Health Access Project. Ms. Dellapenna joined the RI Department of Human Services in the Center for Child and Family Health in 2003 through its project management contractor, Xerox. Ms. Dellapenna’s primary role at that time was to manage the development of RIte Smiles, the state’s first managed care dental program for young children. Ms. Dellapenna is also the current Chair of the Center for Medicare and Medicaid Services (CMS) Oral Health Technical Advisory Group.
Ms. Mary E. Foley is the Executive Director of the Medicaid|Medicare|CHIP Services Dental Association (MSDA). Ms. Foley is a dental hygienist and holds a Masters Degree in Public Health with a concentration in Epidemiology and Biostatistics from the University of Massachusetts School of Public Health and Health Policy. Earlier in her career, she served as the Director of the Massachusetts Department of Public Health, Office of Oral Health. In this role she had oversight of state dental public health programs addressing surveillance; access; prevention; and education. Just prior to her current position, Ms. Foley served as the Dean of the Forsyth School of Dental Hygiene at the Massachusetts College of Pharmacy and Health Sciences in Boston, Massachusetts. Since joining the Medicaid|Medicare|CHIP Services Dental Association, Ms. Foley has been instrumental in broadening national stakeholder collaboration, and advancing state program policy and protocols to improve the health, health care and costs for all Medicaid programs and their beneficiaries.
Timothy S. Martinez, DMD, is the Associate Dean of Community Partnerships and Access to Care at the UNE College of Dental Medicine. Dr. Martinez recently relocated to the New England area after spending six and a half years developing the community-based dental programs for Western University of Health Sciences College of Dental Medicine in Pomona, California. He served as program evaluator at the Forsyth Institute from 2010 to 2011; state dental Medicaid director at the Commonwealth of Massachusetts, Executive Office of Health and Human Services from 2006 to 2009; and dental consultant at the Office of Public Protection, Board of Registration in Dentistry, Massachusetts Department of Public Health from 2005 to 2009. Dr. Martinez also served as dental director for Harbor Health Services Inc. from 1999 to 2003 and dental director at Boston Healthcare for the Homeless from 1994 to 2003. He earned a Doctor of Dental Medicine degree from the Harvard School of Dental Medicine.
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