EQIPP: Oral Health 

ACCME Accreditation Statement

Enduring Material

The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAP designates this enduring material for a maximum of 8.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program is accredited for 8.50 NAPNAP CE contact hours of which .50 contain pharmacology (Rx), (0 related to psychopharmacology) (0 related to controlled substances), content per the National Association of Pediatric Nurse Practitioners Continuing Education Guidelines.

The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 8.50 hours of Category 1 credit for completing this program.

This activity is acceptable for a maximum of 8.50 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

Performance Improvement

The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The AAP designates this PI CME activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

This program is accredited for 20 NAPNAP CE contact hours of which .50 contain pharmacology (Rx), (0 related to psychopharmacology) (0 related to controlled substances), content per the National Association of Pediatric Nurse Practitioners Continuing Education Guidelines. 

The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 20 hours of Category 1 credit for completing this program. 

This activity is acceptable for a maximum of 20 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

Course Goals

The goals of this EQIPP: Oral Health course are to:

 - Acquaint you with the oral health policies endorsed by the AAP and the AAPD, which mutually outline the PCPs’ explicit responsibilities for providing oral health care.
 - Help you create plans for improvement to address gaps identified in key clinical activities of oral health care. You will collect baseline and follow-up data as you work to improve care and processes through Plan, Do, Study, and Act (PDSA) cycles.

Learning Objectives

By the end of this course, you should be familiar with:

-The concept of a dental home
-The roles of PPHP in facilitating the establishment of a dental home
-The various facets involved and barriers in setting up a dental home
-The dental caries process and impact of Early Childhood Caries (ECC)
-The process of performing a caries risk assessment
-Groups that are at high risk for dental caries
-The importance of maternal oral health
-Age-specific oral health anticipatory guidance
-Oral health and injury prevention patient education
-Fluoride varnish—who should apply it and how it is applied
-Families’ concerns about fluoride varnish and how to address them
The process for procuring, storing, and billing for fluoride varnish

Measure and improve care delivery and processes concerning oral health services by doing the following:

-Collect and analyze baseline data to establish a starting point for improvement.
-Identify one or more performance gaps in one or more key activities of oral health care
-Create an improvement plan for closing identified performance gap(s) by clarifying the improvement idea to be tested:

AIM: What are we trying to improve or accomplish?
MEASURES: How will we know that a change made is an improvement?
CHANGES: What changes can we make that will result in improvement?

-Test your ideas quickly, on a small scale, so you can determine if the changes lead to improvement.
-Collect and analyze follow-up data to measure the results of your test.
-Determine how to sustain successful changes and how to systematically integrate them into the culture, processes, and workflow of your practice.
-Create additional improvement plans and repeat PDSA cycles until you reach the maximum potential of providing optimal oral health care for patients in your practice.

Disclosure of Commercial Support for AAP CME Activities

Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities

The AAP CME/CPD program develops, maintains, and improves the competence, skills, and professional performance of pediatricians and pediatric healthcare professionals by providing quality, relevant, accessible, and effective educational experiences that address gaps in professional practice.  The AAP CME/CPD program strives to meet the educational needs of pediatricians and pediatric healthcare professionals and support their lifelong learning with a goal of improving care for children and families.  (AAP CME/CPD Program Mission Statement, May 2015)

The AAP recognizes that there are a variety of financial relationships between individuals and commercial interests that require review to identify possible conflicts of interest in a CME activity. The “AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities” is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities by identifying and resolving all potential conflicts of interest prior to the confirmation of service of those in a position to influence and/or control CME content. The AAP has taken steps to resolve any potential conflicts of interest.

All AAP CME activities will strictly adhere to the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support: Standards to Ensure the Independence of CME Activities. In accordance with these Standards, the following decisions will be made free of the control of a commercial interest: identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content, selection of educational methods, and evaluation of the CME activity.

The purpose of this policy is to ensure all potential conflicts of interest are identified and mechanisms to resolve them prior to the CME activity are implemented in ways that are consistent with the public good. The AAP is committed to providing learners with commercially unbiased CME activities.

Dr. Melinda Clark, who reviewed this extended activity, has nothing to disclose

Disclosure of Financial Relationships

All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that the individual either has no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. Listed below are the disclosures provided by individuals in a position to influence and/or control CME activity content.

A commercial interest is defined as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Original Course Disclosures

We may discuss the use of fluoride varnish for caries prevention as part of EQIPP, which is an off label use in the US.

Commercial Supporters

Produced by the American Academy of Pediatrics.

Product-Specific Advertising

No product-specific advertising of any type appears in this activity.  No links to product websites appear in this activity.

List of Principal Faculty and Credentials

Patricia Braun, MD
Melinda Clark, MD
Jeffrey Karp, MD

AAP Staff:

Lori Morawski
Tamiko O'Brill

Instructional Designer:

Rebekah Harris

Original Course Authors: As a courtesy to our learners original course authors are listed below.

Ruth Ballweg, MPA, PA-C
Patricia Braun, MD, MPH, FAAP
Melinda Clark, MD
Donna Hallas, PhD, PNP-BC, CPNP, PMHS, FAANP
Russell Maier,MD
Rebecca L Slayton, DDS, PhD

AAP Staff: 

Lauren Barone
HeowCh’ng Ang
Linda O’Brien
Lori Morawski, MPH, CHES

Instructional Designer:

HeowCh’ng Ang

List of Oral Health In Primary Care Online Course Reviewers:

Suzanne Boulter, MD, FAAP
Karen Kamachi, MD, FAAP

Name of Medium or Combination of Media Used

Internet course

Method of Physician Participation in the Learning Process

This educational content contains full-color images and informational charts, 2 case studies, assessments, an invitation to create and/or add to My Learning Plan, and a course evaluation.

Estimated Time to Complete the Educational Activity

You should be able to complete this course in 2-4 months.

Instructions for Claiming Credit

Enduring Material

You may claim 8.50 AMA PRA Category 1 Credit(s)™ after completing this course. In order to complete the course, you must pass the assessment with a score of 70% or greater. Then click on the Claim Credit link in the course and follow the instructions.

PI CME

After completing the PI CME cycle, you may claim 20 AMA PRA Category 1 Credit(s)™. Then click on the Claim Credit link in the course and follow the instructions.

Dates of Original Release and Most Recent Review or Revision

This course was launched on June 2, 2016. This course will remain online until December 31, 2020. It will no longer be certified for credit after December 31, 2020.

Termination Date

This course will remain online until December 31, 2020. It will no longer be certified for credit after December 31, 2020.

List of Hardware/Software Requirements

Recommended browsers:

Internet Explorer 9.0 and above
Firefox 2.0 and above
Safari 1.3.2 and above
Opera 7.5 and above

Recommended browser settings:

JavaScript enabled
Cookies enabled
SSL 2.0 & SSL 3.0 enabled
Flash Player Plug-in (version 7.0 +)
Adobe Reader Plug-in (version 6.0 +)

Provider Contact Information

[email protected] [Subject: EQIPP: Oral Health]

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