Community Oral Health Transformation (COrHT) Initiative

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COrHT Overview

The Community Oral Health Transformation (COrHT) Initiative serves as a learning community for the implementation of medical-dental integration and value-based oral health care. COrHT accomplishes this by bringing together stakeholders that believe healthy people and healthy communities are interconnected, oral diseases are systemic, and a transformation of health care is necessary for quality of life. 

This unique model is designed to:

  1. Align stakeholders and assess the potential of their oral health system
  2. Develop consensus on the needed improvement
  3.  Implement necessary change management utilizing a tested Three Domain Framework
  4. Identify and understand best practices for dissemination and spread

A Learning Community That Aims to Change Oral Health

CareQuest Institute’s report provides more information about the Massachusetts experience and key findings that include:

  • There was a steady increase in caries risk assessments (CRAs) at the FQHCs over the course of the learning community, from a total of 275 in June 2020 to 1365 in Nov. 2020.
  • By the end of the learning community, 75% of participants agreed or strongly agreed that the traditional dentistry model will need to significantly transform in the next five years.
  • Seven of the eight participating FQHCs reported that they were confident or extremely confident in their ability to use primary and secondary interventions. 

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A Learning Community That Aims to Change Oral Health Cover

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How the COrHT Initiative Is Transforming Oral Health

When the COVID-19 pandemic shut down in-person oral health care, CareQuest Institute's COrHT Initiative brought together ideas and communities to help dental practices in Massachusetts transform. With help from the Three Domain Framework, organizations like the Dimock Center, a Federally Qualified Health Center in Roxbury, found new ways to provide person-centered care that will last long after the pandemic recedes. 

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A Three Domain Framework to Innovating Oral Health Care

Dentistry is changing rapidly and the COVID-19 pandemic has highlighted key opportunities within the oral health care system. A paper by CareQuest Institute for Oral Health outlines a Three Domain Framework that creates a new model in dentistry, a roadmap for the future that will be cost-effective, efficient, and more equitable.

Learn more about a Three Domain Framework

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