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Integration of Medical and Dental Care and Patient Data

Author: Valerie Powell

Publisher: Springer Science & Business Media

Published: 2012-01-18

Total Pages: 449

ISBN-13: 1447121848

This book informs readers of the needs and rationale for the integration of medical and dental care and information with an international perspective as to how and where medical and dental care separated into specific domains. It provide high level guidance on issues involved with care and data integration and how to achieve an integrated model of health care supported by integrated HIT. A patient typically expects that a visit to a dentist can usually be resolved immediately. This expectation places a premium on instant, accurate, thorough, and current information. The state-of-the-art of fully integrated (dental-medical) electronic health record (EHR) is covered and this is contrasted with the current state of dental-medical software. While dentists in the US Veterans Health Administration (VHA), the US Indian Health Service (IHS), or the US military, for example, have access to fully integrated health records, most US clinicians still gather information from separate sources via fax or phone calls. The authors provide an in-depth discussion of the role of informatics and information science in the articulation of medical and dental practices and clinical data with the focus on applied clinical informatics to improve quality of care, practice efficiency, coordination and continuity of care, communication between physicians and dentists and to provide a more comprehensive care for the patients. Lastly, the book examines advances in medical and dental research and how these may affect dentistry in the future. Most new advances in healthcare research are information-intensive.

Integration of Medical and Dental Care and Patient Data

Author: Valerie Powell

Publisher: Springer Science & Business Media

Published: 2012-01-18

Total Pages: 449

ISBN-13: 1447121856

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Integration of Medical and Dental Care and Patient Data

Author: Amit Acharya

Publisher: Springer

Published: 2018-11-30

Total Pages: 350

ISBN-13: 3319982982

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This largely revised second edition comprehensively reviews the need and rationale for the integration of medical and dental patient data. The reader will find extensive guidance on issues involved with care and data integration, and how to achieve an integrated model of healthcare. The book discusses how the use of state-of-the-art, fully integrated (dental-medical), electronic health records can improve clinical, financial as well as societal outcomes. In the book you will also find different aspects that play a role in integration including existing clinical software implementations (and their paths for integration), clinical touch points, and how current and future developments will facilitate the integration process in a more efficient way. This second edition of Integration of Medical and Dental Care and Patient Data details the available methods and technologies for successfully integrating patient medical and dental data. It is, therefore, an important and timely update for informaticians and a broad range of both dental and medical professionals and other health professionals (dental assistants, hygienists, nurses) as well as clinical students entering the professional environment.

Big Data in Dental Research and Oral Healthcare

Author: Tim Joda

Publisher: MDPI

Published: 2021-04-01

Total Pages: 112

ISBN-13: 3036504567

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Progress in information technology has fostered a global explosion of data generation. Accumulated big data are now estimated to be 4.4 zettabytes in the digital universe; and trends predict an exponential increase in the future. Health data are gathered from professional routine care and other expanded sources including the social determinants of health, such as Internet of Things. Biomedical research has recently moved through three stages in digital healthcare: (1) data collection; (2) data sharing; and (3) data analytics. With the explosion of stored health data, dental medicine is edging into its fourth stage of digitization using new technologies including augmented and virtual reality, artificial intelligence, and blockchain. Big data collaborations involve interactions between a diverse range of stakeholders with analytical, technical and political focus. In oral healthcare, data technology has many areas of application: prognostic analysis and predictive modeling, the identification of unknown correlations of diseases, clinical decision support for novel treatment concepts, public health surveys and population-based clinical research, as well as the evaluation of healthcare systems. The objective of this Special Issue is to provide an update on the current knowledge with state-of-the-art theory and practical information on human and social perspectives that determine the uptake of technological innovations in big data science in the field of dental medicine. Moreover, it will focus on the identification of future research needs to manage the continuous increase in health data and to accomplish its clinical translation for patient-centered research and personalized dentistry. This Special Issue welcomes all types of studies and reviews considering the perspectives of different stakeholders on technological innovations for big data science in all dental disciplines. Kind regards,

Dental Education at the Crossroads

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1995-01-12

Total Pages: 365

ISBN-13: 0309176395

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Six dental schools have closed in the last decade and others are in jeopardy. Facing this uncertainty about the status of dental education and the continued tension between educators and practitioners, leaders in the profession have recognized the need for purpose and direction. This comprehensive volumeâ€"the first to cover the education, research, and patient care missions of dental schoolsâ€"offers specific recommendations on oral health assessment, access to dental care, dental school curricula, financing for education, research priorities, examinations and licensing, workforce planning, and other key areas. Well organized and accessible, the book: Recaps the evolution of dental practice and education. Reviews key indicators of oral health status, outlines oral health goals, and discusses implications for education. Addresses major curriculum concerns. Examines health services that dental schools provide to patients and communities. Looks at faculty and student involvement in research. Explores the relationship of dental education to the university, the dental profession, and society at large. Accreditation, the dental workforce, and other critical policy issues are highlighted as well. Of greatest interest to deans, faculty, administrators, and students at dental schools, as well as to academic health centers and universities, this book also will be informative for health policymakers, dental professionals, and dental researchers.

Teeth

Author: Mary Otto

Publisher: The New Press

Published: 2017-03-14

Total Pages: 263

ISBN-13: 1620972816

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An NPR Best Book of 2017 "[Teeth is] . . . more than an exploration of a two-tiered system—it is a call for sweeping, radical change." —New York Times Book Review "Show me your teeth," the great naturalist Georges Cuvier is credited with saying, "and I will tell you who you are." In this shattering new work, veteran health journalist Mary Otto looks inside America's mouth, revealing unsettling truths about our unequal society. Teeth takes readers on a disturbing journey into America's silent epidemic of oral disease, exposing the hidden connections between tooth decay and stunted job prospects, low educational achievement, social mobility, and the troubling state of our public health. Otto's subjects include the pioneering dentist who made Shirley Temple and Judy Garland's teeth sparkle on the silver screen and helped create the all-American image of "pearly whites"; Deamonte Driver, the young Maryland boy whose tragic death from an abscessed tooth sparked congressional hearings; and a marketing guru who offers advice to dentists on how to push new and expensive treatments and how to keep Medicaid patients at bay. In one of its most disturbing findings, Teeth reveals that toothaches are not an occasional inconvenience, but rather a chronic reality for millions of people, including disproportionate numbers of the elderly and people of color. Many people, Otto reveals, resort to prayer to counteract the uniquely devastating effects of dental pain. Otto also goes back in time to understand the roots of our predicament in the history of dentistry, showing how it became separated from mainstream medicine, despite a century of growing evidence that oral health and general bodily health are closely related. Muckraking and paradigm-shifting, Teeth exposes for the first time the extent and meaning of our oral health crisis. It joins the small shelf of books that change the way we view society and ourselves—and will spark an urgent conversation about why our teeth matter.

Integration of Oral Health Assessments Into the Primary Care Practice Setting

Author: Rebecca Ann Leggett

Publisher:

Published: 2016

Total Pages: 43

ISBN-13:

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Background: Millions of Americans continue to live with one or more oral diseases, including dental caries, which lead to periodontal disease. Periodontal disease continues to have a significant impact on those with chronic disease states, such as diabetes. Multiple reasons exist for why a significant improvement in oral health has not occurred since the original call to action was released. These reasons include lack of provider buy-in, access to dental providers, poor patient oral health literacy, and lack of finanical resources. Purpose: The purpose of this scholarly project was to integrate an oral health-screening tool for healthcare providers to use to guide oral health screening examinations in an effort to improve interdisciplinary care for patients who have been diagnosed with diabetes. This project was also designed to improve the documentation of discrete data elements of the oral health exam within the electronic health record (EHR) utilized in the Coordinated Care Organization (CCO). Methods: Using the Rosswurm and Larrabee Model for Change to Evidence Based Practice (EBP), a process improvement project was conducted implementing the Oral Health Assessment Tool (OHAT) in primary care practice setting within the CCO. Lewin's Change theory provided additional guidance in asking the healthcare providers to implement this change project into their practice. Findings: The project was conducted as a pilot project in a clinic located in Southern Oregon over a four-week period of time where a total of fifty-five patients with a diagnosis of Diabetes Mellitus were evaluated. Of this number, thirty-one patients were screened using the OHAT flowsheet. A healthcare provider experience questionnaire was also administered at the conclusion and provided necessary feedback in how to improve upon the processes that were employed during the rollout of the project. Recommendations: Further study is needed in using the OHAT in additional clinical sites within the primary care practice setting in order to compare the original results with the new data. Additional continuing education on oral health for healthcare providers should include how to conduct oral health assessments, thus improving the comfort level of the primary care providers (PCP) and clinical staff in using the OHAT. Further work is also warranted on how to improve the communication between medical and dental care providers.

The U.S. Oral Health Workforce in the Coming Decade

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-11-24

Total Pages: 183

ISBN-13: 0309147948

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Access to oral health services is a problem for all segments of the U.S. population, and especially problematic for vulnerable populations, such as rural and underserved populations. The many challenges to improving access to oral health services include the lack of coordination and integration among the oral health, public health, and medical health care systems; misaligned payment and education systems that focus on the treatment of dental disease rather than prevention; the lack of a robust evidence base for many dental procedures and workforce models; and regulatory barriers that prevent the exploration of alternative models of care. This volume, the summary of a three-day workshop, evaluates the sufficiency of the U.S. oral health workforce to consider three key questions: What is the current status of access to oral health services for the U.S. population? What workforce strategies hold promise to improve access to oral health services? How can policy makers, state and federal governments, and oral health care providers and practitioners improve the regulations and structure of the oral health care system to improve access to oral health services?

Connected Medical Devices

Author: John Zaleski

Publisher: CRC Press

Published: 2015-03-27

Total Pages: 232

ISBN-13: 1498757448

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This book explores how medical device integration (MDI) supports quality patient care and better clinical outcomes by reducing clinical documentation transcription errors, improving data accuracy and density within clinical records and ensuring the complete capture of medical device information on patients. It begins with a comprehensive overview of the types of medical devices in use and the ways in which those devices interact, then examines factors such as interoperability standards, patient identification, clinical alerts and regulatory and security considerations.

Extending Medicare Coverage for Preventive and Other Services

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2000-05-07

Total Pages: 410

ISBN-13: 0309068894

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This report, which was developed by an expert committee of the Institute of Medicine, reviews the first three services listed above. It is intended to assist policymakers by providing syntheses of the best evidence available about the effectiveness of these services and by estimating the cost to Medicare of covering them. For each service or condition examined, the committee commissioned a review of the scientific literature that was presented and discussed at a public workshop. As requested by Congress, this report includes explicit estimates only of costs to Medicare, not costs to beneficiaries, their families, or others. It also does not include cost-effectiveness analyses. That is, the extent of the benefits relative to the costs to Medicareâ€"or to society generallyâ€"is not evaluated for the services examined. The method for estimating Medicare costs follows the generic estimation practices of the Congressional Budget Office (CBO). The objective was to provide Congress with estimates that were based on familiar procedures and could be compared readily with earlier and later CBO estimates. For each condition or service, the estimates are intended to suggest the order of magnitude of the costs to Medicare of extending coverage, but the estimates could be considerably higher or lower than what Medicare might actually spend were coverage policies changed. The estimates cover the five-year period 2000-2004. In addition to the conclusions about specific coverage issues, the report examines some broader concerns about the processes for making coverage decisions and about the research and organizational infrastructure for these decisions. It also briefly examines the limits of coverage as a means of improving health services and outcomes and the limits of evidence as a means of resolving policy and ethical questions.