eMeasure Title Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
eMeasure Identifier
(Measure Authoring Tool)
74 eMeasure Version number 4
NQF Number Not Applicable GUID 0b81b6ba-3b30-41bf-a2f3-95bdc9f558f2
Measurement Period January 1, 20xx through December 31, 20xx
Measure Steward Centers for Medicare & Medicaid Services
Measure Developer National Committee for Quality Assurance
Endorsed By None
Description
Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period.
Copyright
Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets.  

CPT(R) contained in the Measure specifications is copyright 2004-2013 American Medical Association. LOINC(R) copyright 2004-2013 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2013 International Health Terminology Standards Development Organisation. ICD-10 copyright 2013 World Health Organization. All Rights Reserved.
Disclaimer
These performance Measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications.

THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.

Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].
Measure Scoring Proportion
Measure Type Process
Stratification
Population 1: age 0-5
Population 2: age 6-12
Population 3: age 13-20
Risk Adjustment
None
Rate Aggregation
None
Rationale
The literature reflects that fluoride varnish when applied to the teeth of high-risk children, reduces, in conjunction with anticipatory guidance provided to the caregiver, the risk of the child developing caries.
Clinical Recommendation Statement
Fluoride varnish applied every six months is effective in preventing caries in the primary and permanent dentition of children and adolescents.  Two or more applications of fluoride varnish per year are effective in preventing caries in high-risk populations (Hutter 2006).
Improvement Notation
A higher score indicates better quality
Reference
JA. Wentraub, F. Ramos-Gomez, B. Jue, S. Shain, CI. Hoover, JDB. Featherstone, and SA. Gansky. Fluoride Varnish Efficacy in Prevention ECC. J Dent Res 85(2): 172-176, 2006.
Reference
Hutter JW, Chan JT, Featherstone JDB, Ismail A, Kingman A, Stamm J, Tinanoff N, Wefel JS, Zero DT.  Professionally Applied Topical Fluoride:  Evidence-Based Clinical Recommendations.  Journal of the American Dental Association, 137(8): 1151-1159, 2006.
Definition
None
Guidance
None
Transmission Format
TBD
Initial Patient Population
Children, age 0-20 years, with a visit during the measurement period.
Denominator
Equals initial patient population
Denominator Exclusions
None
Numerator
Children who receive a fluoride varnish application
Numerator Exclusions
Not Applicable
Denominator Exceptions
None
Measure Population
Not Applicable
Measure Observations
Not Applicable
Supplemental Data Elements
For every patient evaluated by this measure also identify payer, race, ethnicity and sex.

Table of Contents


Population criteria

Data criteria (QDM Data Elements)

Reporting Stratification

Supplemental Data Elements




Measure Set
Not Applicable