Toward Implementing Primary Care at Chairside

Developing a Clinical Decision Support System for Dental Hygienists

Stefanie L. Russell, Ariel Port Greenblatt, Danni Gomes, Shirley Birenz, Cynthia A. Golembeski, Donna Shelley, Matthew McGuirk, Elise Eisenberg, Mary Northridge

Research output: Contribution to journalArticle

Abstract

Introduction The goal of this project was to use the Consolidated Framework for Implementation Research (CFIR) as the theoretical foundation for developing a web-based clinical decision support system (CDSS) for primary care screening and care coordination by dental hygienists at chairside. Methods First, we appraised New York State education and scope of practice requirements for dental hygienists with input from health experts who constituted a Senior Advisory Board for the project, and reviewed current professional guidelines and best practices for tobacco use, hypertension and diabetes screening, and nutrition counseling at chairside. Second, we created algorithms for these four health issues (tobacco, hypertension, diabetes, and nutrition) using evidence-based guidelines endorsed by authoritative professional bodies. Third, an information technology specialist incorporated the algorithms into a tool using an iterative process to refine the CDSS, with input from dental hygienists, dentists, Senior Advisory Board members and research staff. Results An evidence-based CDSS for use by dental hygienists at chairside for tobacco use, hypertension and diabetes screening, and nutrition counseling was developed with the active participation of the individuals involved in the implementation process. Conclusions CDSS technology may potentially be leveraged to enhance primary care screening and coordination by dental hygienists at chairside, leading to improved patient care. Using the CFIR as a pragmatic structure for implementing this intervention across multiple settings, the developed CDSS is available for downloading and adaptation to diverse dental settings and other primary care sensitive conditions.

Original languageEnglish (US)
Pages (from-to)145-151
Number of pages7
JournalJournal of Evidence-Based Dental Practice
Volume15
Issue number4
DOIs
StatePublished - Dec 1 2015

Fingerprint

Clinical Decision Support Systems
Dental Hygienists
Primary Health Care
Tobacco Use
Hypertension
Counseling
Research
Guidelines
Technology
Professional Practice
Information Services
Health
Dentists
Practice Guidelines
Tobacco
Patient Care
Tooth
Education

Keywords

  • Care coordination
  • Clinical decision support system
  • Dental hygienist
  • Health screening
  • Implementation science
  • Primary care

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Toward Implementing Primary Care at Chairside : Developing a Clinical Decision Support System for Dental Hygienists. / Russell, Stefanie L.; Greenblatt, Ariel Port; Gomes, Danni; Birenz, Shirley; Golembeski, Cynthia A.; Shelley, Donna; McGuirk, Matthew; Eisenberg, Elise; Northridge, Mary.

In: Journal of Evidence-Based Dental Practice, Vol. 15, No. 4, 01.12.2015, p. 145-151.

Research output: Contribution to journalArticle

Russell, SL, Greenblatt, AP, Gomes, D, Birenz, S, Golembeski, CA, Shelley, D, McGuirk, M, Eisenberg, E & Northridge, M 2015, 'Toward Implementing Primary Care at Chairside: Developing a Clinical Decision Support System for Dental Hygienists', Journal of Evidence-Based Dental Practice, vol. 15, no. 4, pp. 145-151. https://doi.org/10.1016/j.jebdp.2015.08.003
Russell, Stefanie L. ; Greenblatt, Ariel Port ; Gomes, Danni ; Birenz, Shirley ; Golembeski, Cynthia A. ; Shelley, Donna ; McGuirk, Matthew ; Eisenberg, Elise ; Northridge, Mary. / Toward Implementing Primary Care at Chairside : Developing a Clinical Decision Support System for Dental Hygienists. In: Journal of Evidence-Based Dental Practice. 2015 ; Vol. 15, No. 4. pp. 145-151.
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