DQA Improvement Initiatives

The DQA is committed to participating in and designing initiatives that support system-wide improvement within oral health. The information below highlights some of the resources and initiatives that the DQA has developed to champion quality improvement in oral health.

Oral Healthcare Quality: State Profiles

State-level infographic reports that present an overview of oral healthcare quality using DQA quality measures are available for download. These reports reflect analysis of Transformed-Medicaid Statistical Information (T-MSIS) Analytic Files (TAF) from the Centers for Medicaid & Medicare Services (CMS) by Key Analytics and Consulting. Contact dqa@ada.org for questions or additional data.

September 2021 Releases

July 2021 Releases

Notes regarding interpretation of state profiles: 

1. National sample values are based on analyses of the preceding 29 states and will be updated as additional states are included. 

2. Arrows in the overview table in each profile denote a measure score change (increase or decrease) of at least 0.5% relative to prior year or >±3 caries-related ED visits per 100,000 member months.

3. Some states have measure scores for some years that are not reportable (N/R) due to significant missing data in critical data fields that are needed to calculate the measure.

These states were prioritized based on data quality and completeness. The DQA is planning additional releases with more state profiles later in 2021 - stay tuned to this page for ongoing updates!

These Oral Healthcare Quality State Profile reports are part of a research project titled "The State of Oral Healthcare Use, Quality and Spending: Findings from Medicaid and CHIP Programs," made possible through Data Use Agreement (DUA) RSCH-2020-55639 with the Centers for Medicaid and Medicare Services. The data in the infographics reflect the completeness and quality of data contained within T-MSIS TAFs. For more information on each state’s data quality, please visit the Data Quality Atlas.

Suggested Citation

Herndon J, Ojha D, Layman S, Colangelo E, Aravamudhan K. Oral Healthcare Quality Reports. Dental Quality Alliance State Profiles. American Dental Association in partnership with Key Analytics and Consulting. September 2021.

Quality Improvement Resources

Quality Innovator Spotlights

To support system-wide improvement, the DQA has conducted an environmental scan to identify projects that could be used as examples of quality improvement. The projects highlighted through the Quality Innovators Spotlight series are shown below sorted by program, plan or practice/community level improvement below.

Program level improvement

SmileConnect®, an Altarum program (PDF)

Virginia Oral Health Learning Collaborative (PDF)

Plan level improvement

PreventistrySM (PDF)

Practice/community level improvement

Medical Oral Expanded Care (MORE Care) (PDF)

Early Childhood Caries Collaborative Project (PDF)

UCLA’s First 5 L.A. 21st Century Community Dental Homes Project (PDF)

Personalized Care: Caries Risk Assessment (PDF)

Opioid Prescription Reduction (PDF)

NNOHA (National Network for Oral Health Access) Dashboard Collaborative (PDF)

Marshfield Clinic Health System - Dental Quality Improvement Initiative (PDF)

Medicaid Quality Improvement Learning Academy

The DQA conducted a state level learning collaborative to promote system wide improvement. The pilot included state teams from Kansas, Missouri and Ohio. Below are resources related to the pilot:

Medicaid Quality Improvement Learning Academy (MeQILA) infographic (PDF)

DQA Medicaid Quality Improvement Learning Academy: Report from the DQA Implementation and Evaluation Committee (PDF)

Center for Oral Health Systems Integration and Improvement: Maternal and child health

The DQA is participating in this collaborative effort to improve existing systems of care in maternal and child health populations. The DQA is responsible for establishing a set of MCH oral health quality indicators to monitor services delivered in public health programs and systems of care. This four year cooperative agreement is funded by the Maternal and Child Health Bureau. For more information, please visit the COHSII website.