Master of Public Health Degree Candidate Columbia University Mailman School of Public Health
Participants should be aware of the following financial/non-financial relationships: . Alex Sheen, DDS: I do not have any relevant financial / non-financial relationships with any proprietary interests.. Marcie Rubin, DrPH MPH MPA: I do not have any relevant financial / non-financial relationships with any proprietary interests.. Burton Edelstein, DDS MPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Abstract: OBJECTIVE: The purpose of this study is to conduct a qualitative analysis of oral health-related, CMS-facilitated demonstration programs to identify and compare 1) themes in model design, testing, and implementation and 2) facilitators and barriers to implementation.
METHODS: Based on a predetermined set of inclusion criteria, 10 demonstration programs were identified. Online queries using targeted search terms were conducted for each program. A set of 12 programmatic characteristics was identified to create standardized comparison criteria and a conceptual framework was developed to represent the relationships between these characteristics. Resulting data was compiled into individual reports for each demonstration program and a semi-structured interview guide was developed for use in key informant interviews with one representative from each of 10 demonstration programs. Representatives are asked to review, clarify, and expound upon data presented in the relevant reports. Interviews and information will be analyzed qualitatively and process and implementation themes will be identified and refined.
RESULTS: 12 characteristics were adapted into a conceptual framework that includes 6 domains: 1) Grant/Technical Assistance, 2) Stakeholders, 3) Inner (Care) Setting, 4) Outer (Contextual) Setting, 5) Intervention, and 6) Outcomes. Expected themes include: 1) Extending providers’ scope of practice, 2) Non-traditional settings of care, 3) Community-based and inter-organizational partnerships, and 4) CMS funding and technical assistance.
CONCLUSIONS: Pending, key informant interviews will add additional perspective and information not provided by online queries; the additional insight and data will help finalize programmatic and implementation themes. Barriers and facilitators to implementation will also be identified post interviews.
Source of Funding: Columbia University, College of Dental Medicine. This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number D88HP37554 “Postdoctoral Training in General, Pediatric, and Public Health Dentistry and Dental Hygiene” for the amount of $3,286,676. None of this endeavor is financed by nongovernmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
