G-2104-16937

The American Academy of Pediatrics (AAP) is the national member-organization of 67,000 pediatricians committed to the optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults.

Our work with AAP has historically supported the Campaign for Dental Health as a national leader in advancing and maintaining community water fluoridation. With their grant last year, and in partnership with the CareQuest Institute Health Improvement Team, AAP successfully updating of their model oral health risk assessment tool to be standardized within Fast Healthcare Interoperability Resources (FHIR) standards.

This proposal falls under the Advancing Equity funding initiative, and the Spread Learning Models to the Broader Safety Net sub-initiative and seeks to capitalize on the success of last year’s work to build the new version of the electronic oral health risk assessment. With this funding, AAP will implement three primary components that include implementing a national Project ECHO focused on the integration of oral health into primary care, pilot embedding the new electronic risk assessment into an electronic health record and into a new clinical workflow and provide capacity-building to pediatricians to approach oral health with a population health management lens. AAP will specifically focus their recruitment on pediatric practices that carry at least 50% uninsured or Medicaid insured patients. Through the ECHOseries, AAP will facilitate learning and capture impact in terms of the increase in risk assessments performed, fluoride varnish applied, anticipatory guidance and dental referrals provided. For the pilot of the FHIR risk assessment, they will partner with CareQuest Institute Health Improvement Team to provide guidance and capacity-building and will look to collect de-identified data from the pilot site that demonstrates capacity to capture, share, and report on risk factors, physical findings, and actions taken using the tool. In addition to capturing lessons for process improvement, they will develop a series of “How to” tools to facilitate the broader adoption of the FHIR standardized assessment tool.

The budget for this proposal is $155,597, which primarily goes to staff time, but includes$14,000 for expert speakers as a part of the ECHO series as well as $16000 for participant stipends.

The total organizational budget for the AAP is about $135M, which means that this grant would represent less than 1% of the organizational budget, though, our work has primarily been with the oral health section of the AAP.