Strategic Shift to a Diagnostic Model of Care in a Multi-Site Group Dental Practice
| Autor: | Muhammad F. Walji, Lyle McClellan, Soyun Kim, Alfa Yansane, Rachel B. Ramoni, Jini Etolue, Kristen Simmons, Joel M. White, Elsbeth Kalenderian, Peter Maramaldi |
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| Rok vydání: | 2016 |
| Předmět: |
Dental practice
medicine.medical_specialty Vision Framework Article Oral and gastrointestinal 03 medical and health sciences 0302 clinical medicine Documentation Clinical Research Diagnostic model Diagnosis medicine Forms 030212 general & internal medicine Dental/Oral and Craniofacial Disease Medical diagnosis Policies Medical education business.industry Multi site 030206 dentistry Policy analysis Leadership Dentistry Family medicine Diagnosis code business Utilization rate |
| Zdroj: | International journal of dentistry and oral health, vol 2, iss 4 International journal of dentistry and oral health |
| ISSN: | 2378-7090 |
| DOI: | 10.16966/2378-7090.209 |
| Popis: | Author(s): Kalenderian, E; Maramaldi, P; Kim, S; Etolue, J; McClellan, L; Simmons, K; Yansane, A; White, JM; Walji, MF; Ramoni, RB | Abstract: BackgroundDocumenting standardized dental diagnostic terms represents an emerging change for how dentistry is practiced. We focused on a mid-sized dental group practice as it shifted to a policy of documenting patients' diagnoses using standardized terms in the electronic health record.MethodsKotter's change framework was translated into interview questions posed to the senior leadership in a mid-size dental group practice. In addition, quantitative content analyses were conducted on the written policies and forms before and after the implementation of standardized diagnosis documentation to assess the extent to which the forms and policies reflected the shift. Three reviewers analyzed the data individually and reached consensuses where needed.ResultsKotter's guiding change framework explained the steps taken to 97 percent utilization rate of the Electronic Health Record and Dental Diagnostic Code. Of the 96 documents included in the forms and policy analysis, 31 documents were officially updated but only two added a diagnostic element.ConclusionChange strategies established in the business literature hold utility for dental practices seeking diagnosis-centered care.Practical implicationsA practice that shifts to a diagnosis-driven care philosophy would be best served by ensuring that the change process follows a leadership framework that is calibrated to the organization's culture. |
| Databáze: | OpenAIRE |
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