Transcription
GIS mapping of Medicaid-MassHealthACOs and Community Health CenterDental Clinics in MassachusettsHema SathishResident- Dental Public HealthDepartment of Health Policy & Health Services Research
Introduction The integration of oral health into medical care is an important step in optimizing overall health Massachusetts Medicaid program (MassHealth) 1 Accountable Care Organizations (ACOs) - A set of primary care providers partner with other specialtycare providers to deliver coordinated, patient-centered, value-based care for its members 2 The MassHealth ACO program includes an “oral evaluation” quality metric within the“Population Health” quality measure slate 3
ObjectiveThe objective of this project is to map out and identify the geographic proximityof community health center (CHC) dental clinics to MassHealth ACO practiceslocated across Massachusetts.
Arc GIS ArcGIS a web-based geographic information system software tool Creating maps Compiling geographic data Organizes layers of information into visualizations using maps Analyzes spatial location 4
MethodsState GovernmentWebsiteACO16 ACO (488 Locations)5ExcelSpreadsheetMassachusettsLeague of CHCs6CHCdentalclinic56 CHCDental ClinicsArc GIS
MassHealth ACOs
CHC Dental Clinics
ACOs and Dental Clinics
Proximity of Dental Clinics to ACOs
Proximity of Dental Clinics to ACOs
Findings Proximity of Dental clinics to their ACO– 60% within 5 miles– 77% within 10 miles– 70% are collocated with MassHealth ACOs (39/56 Dental CHCs) Average travel distance - 5.6 miles (range 0- 30.8 miles) Average travel time - 14 mins (range 0- 185 mins)
Conclusion The majority of MassHealth ACOs have a dental clinic either connectedto them or within close proximity thereby better facilitating theintegration of medical and dental care within the MA Medicaid program
Future Direction Even though there are significant number of CHC dental clinics co-located withMassHealth ACOs, communication and integration between the medical & dentalsystems can be improved Collect data on list of MassHealth dental providers Support development of a formal, bi-directional referral system between MassHealthmedical & dental providers
AcknowledgementsDr. Catherine Hayes, DMD, SM, DrMedScDental Director, MassHealthUMass Medical School, Office of Clinical AffairsDr. Elizabeth Kaye MPH, PhDProfessor of Health Policy & Health ServicesResearchBoston University Henry M. Goldman School ofDental MedicineDr. Neetu Singh DMD, MPHHealth Care For All
Thank you
References1.U.S. Department of Health and Human Services Oral Health Coordinating Committee (2016). U.S.Department of Health and Human Services Oral Health Strategic Framework, 2014-2017. Public healthreports (Washington, D.C. : 1974), 131(2), 242–2572.Primary Care ACO Plans. (2021). Retrieved 5 February 2021, from co-plans3.MA MassHealth- CMS approved DSRIP Protocol. (2021). Retrieved 8 February 2021, 312018.pdf4.Introduction to ArcGIS Pro (Demonstration). (2021). Retrieved 5 February 2021, tion id 13620&KeepThis true5.Full list of MassHealth ACOs and MCOs. (2021). Retrieved 5 February 2021, -of-masshealth-acos-and-mcos6.Massachusetts League of Community Health Centers. (2021). Retrieved 5 February 2021, fromhttps://www.massleague.org/
Even though there are significant number of CHC dental clinics co-located with MassHealth ACOs, communication and integration between the medical & dental systems can be improved Collect data on list of MassHealth dental providers Support development of a formal, bi-directional referral system between MassHealth
