Oral Health Intervention in Adult Primary Care

Launched by CASE WESTERN RESERVE UNIVERSITY · Aug 12, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at ways to improve dental care for older adults who are enrolled in Medicaid. Specifically, it aims to see if a new approach that includes training for medical staff and changes to electronic health records can encourage these patients to visit the dentist more often. The study involves 12 medical practices, where some will receive the new training and tools, while others will provide standard dental advice. Participants will be followed for up to two years to see if these efforts lead to more dental visits.

To be eligible for the study, participants must be at least 55 years old, enrolled in the CareSource Medicaid plan, and attending non-urgent primary care visits at one of the participating sites. They should also be planning to stay in the area for the next year. If you join the study, you'll receive support and information about maintaining oral health, and your dental visits will be monitored over time. This trial is important because it aims to find effective ways to improve dental health in older adults, which can lead to better overall health outcomes.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• Practices:
• • Use Epic EHR
• • Have older adults covered by Medicaid
• • Located within 60 miles of the CWRU research offices
• Provider (medical staff or clinician):
• Medical staff (MA, nurse):
• • Do not float between practices
• • Plan not to leave practice within a year
• • Provide a signed and dated consent form
• Clinicians (Physician, NP):
• • Have a minimum of 2 patient-care days per week
• • Do not float between practices
• • Plan not to leave practice within a year
• • Provide signed and dated consent form
• Older Adult/Patient Participant:
• • Enrolled in CareSource Medicaid Plan
• • Female or male aged 55 years or older
• • Attending non-urgent primary care visits (PCV) at enrolled site
• • Provide signed and dated informed consent form
• • Planning to stay in the immediate area for the next year
• • Enrolled in the Adult Wellness Registry
• Exclusion Criteria:
• • The presence of any serious medical health condition (such as dementia or other cognitive disorder not allowing them to participate) where the clinician indicates they should not participate.
• • The presence of any serious mental health disorders such as schizophrenia where the clinician indicates they should not participate.