September 2018 Volume LIII Number 5

 
 
 
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Pediatric Oral Health Research and Policy Center Updates

September 2018 Volume LIII Number 5

Drs. Miriyala and Lout Join the Policy Center Advisory Board

A warm welcome to Dr. Vinod Miriyala as expert consultant and Dr. Randall K. Lout as chair  of the Council for Clinical Affairs to the Advisory Board of the Pediatric Oral Health Research and Policy Center (POHRPC). Their expertise and insights will help the AAPD be more effective in the public policy arena by analyzing research data and relevant policy and carrying out health services research.

Dr. Vinod Miriyala completed his dental training in India (B.D.S) and the United States (D.D.S). He received his fellowship training in pediatric
dentistry from The Ohio State University/Nationwide Children’s Hospital of Columbus and a specialty training in dental public health from the University of Pittsburgh. He has previously held academic and research positions at various U.S. dental schools.

In addition to his clinical practices in Huntington, W.V., and Ironton, Ohio, Miriyala serves as a consultant for many community health centers and national health organizations. He is the past director of Oral Health Services at Lawrence County Family Medical Centers, and has directed community outreach and the dental public health department at University of Detroit Mercy. Miriyala is the 2016 recipient of James F. Quilty, Jr. Champions of Oral Health Award in Ohio.

Dr. Randall K. Lout is in private practice in Mesa and Phoenix, Ariz.He attended dental school at the University of Oklahoma. Following dental school, he completed his pediatric dental residency and Master of Science degree at the University of Minnesota. As part of his residency, his hospital training was at the University of Minnesota Hospitals and Hennepin County Medical Center in Minneapolis, Minn.

Following his training, he was awarded the Graduate Student Research Award by the American Academy of  Pediatric Dentistry. Prior to private practice, he held the position of assistant professor, University of Oklahoma College of Dentistry, Department of Pediatric Dentistry. In addition to being the current chair of the AAPD Council for Clinical Affairs, he serves on the Evidence-Based Dentistry Committee.

 

Medicaid Challenges: How the AAPD Can Help

If you are one of the seven in 10 pediatric dentists accepting patients covered by Medicaid/CHIP, then you no doubt encounter challenges  in its management and administration. You may resolve one or more Medicaid challenges by perusing the following Policy Center free materials offering expert tips on a variety of Medicaid-related topics. Visit http://www.aapd.org/policy_center/technical_briefs/ to view the full materials.

 
UNIQUE CONSIDERATIONS FOR MEDICAID AUDITS OF PEDIATRIC DENTAL PRACTICES

Help! It’s a Medicaid audit! This technical brief provides recom- mendations for consistent audit methods grounded in sound clinical practice, information on the impact of Medicaid audits on access to dental care, as well as current case studies of pediatric dental audits.

PUBLIC POLICY ADVOCATE TIP SHEET ON MEDICAID COMPLIANCE AND AUDIT ISSUES

This companion piece on Medicaid-related advocacy efforts dis- cusses how to establish relationships with state-level public insurance representatives, promote fair and consistent auditing practices, and survive an audit as a pediatric dental provider.

PEDIATRIC DENTIST TOOLKIT FOR SEEING PATIENTS WITH MEDICAID: CHANGING CHILDREN’S LIVES ONE SMILE AT A TIME

If you do not currently accept Medicaid/CHIP, this toolkit is an invaluable guide to getting a Medicaid program started in your pediat- ric dental practice. It covers such practical concerns as how to become a dental Medicaid provider, schedule patients wisely, find training op- portunities for team members, and efficiently administer Medicaid.

ARE YOUR KIDS COVERED? MEDICAID COVERAGE FOR ESSENTIAL ORAL HEALTH BENEFITS

This Medicaid advocacy resource identifies the pediatric dental procedures most crucial for coverage, catalogs the coverage of these procedures by state, and specifies problem areas of coverage for oral health services.

For example, the following 27 states cover SDF as of July 2018:
 
Alaska
Arizona
Arkansas
California (limited trial)
Florida
Georgia
Illinois
Indiana
Iowa
Kentucky
Massachusetts
Michigan
Minnesota
Missouri
Montana
Nevada
New Hampshire
New Jersey
North Carolina
Ohio
Oklahoma
Oregon
Tennessee
Vermont
Virginia
Washington
West Virginia
 
Spreading the Word about a Caries Predictive Model for Primary Care Providers

The Pediatric Oral Health Research and Policy Center continues to gain interprofessional visibility for its research study that explores oral health promotion in primary care. So far, we have been invited to the Society of Teachers of Family Medicine’s Conference on Practice Improve- ment, as well as The American Academy of  Pediatrics National Conference and Exhibition.

The study’s predictive model characterizes the likelihood a child would have oral disease or risks of future disease at the time of their first dental visit and is based upon information noted in the early well-child visits.

With such a predictive tool, health care providers could easily administer caries-risk assessment as a part of the well-child visit without taking time from other equally important health concerns. The full report can be found here: http://www.aapd.org/policy_center/oral_health_in_primary_care/.

Evidence-Based Dentistry Committee Update

The EBD Committee has formed a new workgroup on behavior guidance for the pediatric dental patient. The committee memebers are Drs. Vineet K. Dhar, Elizabeth S. Gosnell, Cameron L. Randall and Rebecca L. Slayton. The Committee nominated Dr. Vineet Dhar as the chair of the workgroup. The workgroup members will assess the quality of the existing systematic reviews.

Dr. James Coll was named as a consultant to the EBD Committee at the May Board meeting. Under the guidance of Dr. John Timothy Wright, members are developing a mission statement, vision and goals for the Committee.

The non-vital primary tooth pulp therapy guideline workgroup, comprised of Drs. James Coll (Chair), Kaaren Vaargas, Shahad Al Shamali, Chia-Yu Chen, Abdullah Marghalani and Reva Bhushan will be reviewing the literature and extracting data for conducting meta-analysis. Sys- tematic review protocol was submitted to PROSPERO (International Prospective Register of Systematic Reviews) for both in vivo and in vitro studies. Data extraction and draft meta-analysis is expected to be completed by Nov. 30, 2018.
 

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