DQA Improvement Initiatives

These reports reflect analysis of Transformed Medicaid Statistical Information System (T­ MSIS) Analytic Files (TAFs) from the Centers for Medicare & Medicaid Services (CMS) by Key Analytics and Consulting, LLC. The data in the reports reflect the completeness and quality of data contained within T-MSIS TAFs. Data quality for each measure is assessed using the Data Quality Atlas as well as proprietary methods based on critical data elements required to calculate each measure. Contact dqa@ada org for questions about the dashboard reports.

Planned Updates:

• Follow Up after ED Visit & Care Continuity
• CY 2019 and CY 2020 data
• Sealant measures
• Adult measures

Following these releases, the dashboard reports will be updated annually as new data are available through T-MSIS from CMS. Additional Features, such as time trend reports, data export functionality, and print capability will be added as the project develops. Please send suggestions to dqa@ada.org

Last Updated: September 1, 2022

1. Overall measure quality: Check the overall data quality note at the bottom of the chart. Significant issues with data quality may result in extremely low scores. For example, if data on rendering provider taxonomy codes (NUCC codes) are completely missing in a particular state, then measure scores will be 0.00% for the “dental services” service type. Data quality is assessed based on evaluation of the critical data elements used to calculate each measure. Data quality is assessed for each measure, each state, and each year.
2. Insufficient data to display: For stratified measure scores (e.g., measure scores reported by age, race and ethnicity, urban or rural location, and sex) that have insufficient data noted, check the missing data note(s) at the bottom of the chart. Stratification variables that have more than10% of missing data are not reported. Individual stratification categories (such as a specific race and ethnicity classification) are not reported if the denominator is less than 30.
3. Service type is invalid: Select a different service type for the measure selected. Service type classifications for the purpose of measurement are based on federal definitions used by the Centers for Medicare & Medicaid Services: "Dental” services refer to services provided by or under the supervision of a dentist. "Oral health” services refer to services provided by other health care professionals (e.g., pediatricians). All service types do not apply to all measures. Non-applicable service types for specific measures are indicated below:
   1. Oral Evaluation: oral health services, dental or oral health services
   2. Caries Risk Documentation: dental services, oral health services
   3. Ambulatory Care Sensitive Emergency Department Visits for Dental Caries in Children: dental services, oral health services, dental or oral health services (select “N/A” in the service type filter)
   Please carefully review the DQA measure specifications for details on applicable service type.

Suggested Citation

Herndon J, Ojha D, Layman S, Colangelo E, Aravamudhan K. Dental Quality Alliance Oral Healthcare Quality State Profiles. American Dental Association in partnership with Key Analytics and Consulting. 2022.

Acknowledgement:

1. American Dental Association
2. Key Analytics and Consulting

The DQA Oral Healthcare Quality Dashboard dynamically-generated 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 a Data Use Agreement (DUA) RSCH-2020-55639 with the Centers for Medicare and Medicaid Services (CMS).