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Resources | Quality Improvement & Value Based Care



NNOHA supports your programs in your journey to deliver quality care that leads to positive patient outcomes.

NNOHA's Statement Against Churning

NNOHA strongly encourages health centers to adopt patient-centered approaches to care and partnering with patients to plan the most efficient way to complete treatment timely. The current standard of care is to provide quadrant dentistry when possible and NNOHA recommends that all health centers adopt that practice for their oral health program. Health centers should not engage in churning because it puts the organization at risk of legal and financial exposure. NNOHA advises health centers to be cautious of potential fraud and abuse violations under federal and state laws.

Quality Leads the Way: NNOHA Supports a Patient-Centered, Evidence- Based, and Ethical Approach to Dental Care

As part of its mission to improve the oral health of underserved populations, NNOHA advocates for continuous quality improvement and strategies to improve access to care, because a quality improvement approach inherently centers on the needs and outcomes of the patients served by the health care system.

Click here to read more about NNOHA's commitment to quality improvement

Quality Improvement Starter Kit

This resource, developed by AFL Enterprises, includes virtual training resources that can be used to share quality improvement techniques and practices more widely within your health center.

Dental Dashboard

Dashboards give a quick status  update for key measures and allow Health Center leadership to monitor  factors that affect quality and drive performance. Regularly seeing the  data for an organization makes it much easier to respond quickly to  areas of concern, or to change courses of action.

Diagnostic Codes Cheat Sheet

The Measurement workgroup of the NNOHA Quality Committee developed this resource to help with some of the challenges of using diagnostic codes. The workgroup has tried to simplify the diagnostic codes to a more manageable list that includes all aspects of dentistry. This resource can be used as a diagnostic code cheat sheet to be given to a new dentist or student at a health center. It can also be given as a guide to a healths center's IT team.

ADA Center for Evidence-Based Dentistry

The ADA’s EBD website provides systematically assessed evidence as tools and resources to support dentists’ clinical decisions.

Cultural Competency Program for Oral Health Professionals

This e-learning program provides oral health professionals with basic  knowledge and skills related to cultural and linguistic competency,  based on the HHS Office of Minority Health’s National Standards for  Culturally and Linguistically Appropriate Services in Health and Health  Care (the National CLAS Standards).

Dental Quality Alliance

The DQA is an organization of major stakeholders in oral health care delivery that will use a collaborative approach to develop oral health care measures.

Diagnostic Codes Fact Sheet

This document provides a summary of a conference call on diagnostic code usage, benefits and barriers of integrating diagnostic codes in Health Center oral health programs.

Diagnostic Codes in Health Center-Safety-Net Oral Health Programs

This report highlights findings of an environmental scan conducted in June 2012 to assess the knowledge base and current scope of usage of diagnostic codes.

Establishing Dental Treatment Guidelines for Adult Patients with Uncontrolled Hypertension Attending Acute Care

This promising practice describes how Choptank Community Health System established dental treatment guidelines for adult patients with uncontrolled hypertension who were attending acute care.

HRSA Health Center Program Compliance Manual

The Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC) is responsible for effective and efficient oversight of the Health Center Program. This includes ensuring that health centers comply with applicable statutory and regulatory requirements for the Health Center Program. The Health Center Program Compliance Manual serves as a streamlined and consolidated resource to assist health centers in understanding and demonstrating compliance with Health Center Program and Federal Torts Claims Act program requirements.

Integrated Pediatric Health Home Project: A Caries Prevention Project for Pediatric Medical / Dental Patients

This promising practice describes how El Rio Community Health Center instituted an integrated, preventive approach to caries prevention utilizing the pediatric medical and dental professional staff, while simultaneously increasing access to care.

Operations Manual for Health Center Oral Health Programs: Chapter 6 - Quality

This chapter explores Quality Improvement for health center dental programs. 

Oral Health Care During Pregnancy: A National Consensus Statement

This publication, developed by the National Maternal and Child Oral Health Resource Center (2012), presents a consensus statement that resulted from an expert workgroup meeting convened by the Health Resources and Services Administration in collaboration with the American College of Obstetricians and Gynecologists and the American Dental Association held on October 18, 2011, in Washington, DC. The consensus statement provides guidance on oral health care for pregnant women for both prenatal care health professionals and oral health professionals, pharmacological considerations for pregnant women, and guidance for health professionals to share with pregnant women.

Oral Health Integration in the Patient-Centered Medical Home (PCMH) Environment

This 2012 white paper, prepared to support the work of the Funders Oral Health Policy Group by Qualis Health, presents case studies of four Community Health Centers that have taken steps to have medical and dental delivery systems work more closely together and to incorporate oral health in their quality improvement processes. Drawing on insights from these case studies as well as national literature on this subject this paper identifies key lessons learned.

Scheduling to Increase Treatment Plan Completion Rates

In this promising practice, the dental department at Clinica Family Health Services in Denver, CO, describes how they used a quality improvement tool to implement a new scheduling template, with the goal of increasing treatment plan completion rates.

Smiles for Life

Developed by the Society of Teachers of Family Medicine Group on Oral Health, the Smiles for Life curriculum is designed to enhance the role of primary care clinicians in the promotion of oral health for all age groups through the development and dissemination of high-quality educational resources.

Special Care: An Oral Health Professional’s Guide to Serving Young Children with Special Health Care Needs

This resource, developed by the National Maternal and Child Oral Health Resource Center, is a series of five modules is designed to provide oral health professionals with information to help ensure that young children with special health care needs have access to health promotion and disease prevention services that address their unique oral health needs in a comprehensive, family-centered, and community-based manner. CE credit is available.



Making a gift to the National Network for Oral Health Access is one of the easiest ways to positively impact our work, enhance our services, and help our community strengthen and increase access to oral health services.  NNOHA is a 501(c)(3) non-profit organization. Your contributions are tax-deductible to the extent permitted by law.



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NNOHA is the largest group of safety-net oral health practitioners in the country, and our members all share a commitment to increasing access to quality oral health care for underserved populations. NNOHA is committed to providing the highest quality resources and support designed to meet the unique needs of our members and their programs.

Quality Improvement & Value Based Care

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