The Practice Transformation team at WCHQ has adjusted its work to include a specific focus on supporting quality of care during the coronavirus pandemic. Our goal is to help members continue to provide quality care for all patients. Specifically, the Quality Planning Committee has modified its April meeting to be an opportunity for members to share and ask questions of each other and the WCHQ team regarding their needs during this time. Our steering teams have been modified to include relevant discussions on coronavirus preparations related to each clinical topic. To date, we have had requests for topics including: caring for chronic disease patients, procedures for child and adolescent vaccinations, health disparities, and the impact on health care quality during a pandemic.

The HHS Office of Minority Health (OMH) is teaming up with the Office of Disease Prevention and Health Promotion (ODPHP) Move Your Way campaign for National Minority Health Month in April. The theme is Active and Healthy, and they will be promoting activities to incorporate small amounts of activity into daily life. Check out their website for more information.

WCHQ will host conversations and share resources on the Wisconsin Heart Health Community of Practice throughout the month of April. To join our conversations and access the resources, you will need to become a member of the Wisconsin Heart Health Community of Practice. Join the Community of Practice here. If you prefer to have a personal invitation sent directly to your email, please contact Cara Winsand.

WCHQ has built a strong reputation for providing excellent education opportunities for our members. We will continue to provide relevant and quality education in 2020, but depending on the circumstances, content might be delivered differently.

Cancelled: April 21 Assembly on behavioral health. WCHQ appreciates the presenters’ willingness to share their projects and best practices. This Assembly will either be rescheduled as an in-person meeting later this year, or the presentations will be recorded and posted to WCHQ’s Online Community.

Tentative: WHQ Statewide Quality Improvement Event June 16. This event has not been cancelled. A decision will be made by mid-April with member feedback and advice.

Still On: September 17 Assembly on health disparities; and November 12 Assembly on Adolescent and Child Health.

WCHQ knows our members value opportunities to meet in-person to network with their colleagues across the state. In these times of social distancing and extremely busy times for health care providers, if you are not registered for WCHQ’s Online Community, I would encourage you to take a minute to do it now. By registering now, you can access member-only areas of the site and it will allow you to register for online or in-person education in a few steps. Click here to join.

Amit Acharya, BDS, MS, PhD, executive director of the Marshfield Clinic Research Institute, presented their work to map and understand the workflow of dentists and how that information can be used to integrate medical and dental health records. The research was focused on gaining insights into what is important for health care providers to know about dental visits and adapting the EHR to highlight these items. He also discussed the Marshfield Clinic integrated care model using a patient with diabetes as an example, stressing the importance of dental and medical providers working together to address this population and other patients with multiple chronic health conditions. WCHQ hosted the third annual Oral Health Summit in Wausau March 3. The Summit brought thought leaders in the industry together to discuss innovations in delivering oral health, approaches for measuring quality in dental health settings, and strategies related to integrating dental and medical care in primary care settings.

Fred Eichmiller, DDS, BSME, vice president and science officer at Delta Dental of Wisconsin, is providing expert input on dental measurement nationally through the Dental Quality Alliance at the American Dental Association and Delta Dental. He discussed the work that is under way to determine the best tools for reporting patient-reported outcomes and he will continue to update the group as they close the loop on that project. Dr. Eichmiller also discussed current and past DQA measures for the group to consider.

HealthPartners’ Todd Thierer, DDS MPH, associate dental director of primary and pediatric dentistry, presented about the triple aim in providing care; health, experience, and affordability. He shared the unique position of HealthPartners with more than 70 dental providers who are integrated across their health system. He discussed HealthPartners’ emphasis on disease management, risk assessment, and risk reduction. Dr. Thierer shared the unique pay incentives that drive the dentists to provide preventive services for patients while providing incentives for quality.

Children’s Health Alliance of Wisconsin is leading the Medical-Dental Integration Project in Wisconsin. CHA’s Dana Fischer and Jenna Linden described the project that embeds dental hygienists in pediatric clinics to provide screening, education, fluoride application, and referrals. The discussion about their model was robust with members brainstorming about how to implement the model within their respective systems.

Gabrielle Rude, PhD, WCHQ director of practice transformation, led a discussion focused on value and measurement. As she shared examples of WCHQ’s current improvement activities, summit members expressed interest in joining these projects along with their medical colleagues. Participants brainstormed a list of potential measures that WCHQ staff will explore further. The group agreed the focus should be on the development of new, cross-cutting dental/medical measures

The group expressed excited about unifying dental professionals and leader organizations to improve access to and improve the quality of dental care regionally. The group is committed to advancing the integration of medical and dental services in all settings to improve population health.

In addition to the presenters, participants included: Jesley Ruff, DDS, ForwardDental; Charles Huntley HealthPartners; John Zweig, DMD, and Charles Lernarduzzi, DDS, Dental Associates; Harshad Hegde, Marshfield Clinic Research Institute; Greg Theis, DDS and Doug Ballweg, Delta Dental; Tom Raimann, DDS and Matthew Rossetto, Wisconsin Dental Association; Karen Ordinans and Matt Crespin, The Children’s Health Alliance of Wisconsin; and, Elizabeth Rydell, DDS, Midwest Dental.

For information about the WCHQ Oral Health Collaborative, contact Jen Koberstein.