Dental Population Health/Disease Management
References:* BUMEDINST 6320.82A Department of the Navy Standards of Oral Health Care of 22 Jan 2009
*SerM3/5HCS 09UM35505 Accessing Electronic Dental Digital Images for Continuity of Care of 11 Feb 2009 (See Dental Corps NKO site – Dental Instructions page)
* BUMEDINST 6600.17 Administration of Local Anesthetic Agents by Dental Hygienists of 10 Apr 2009
*BUMEDNOTE 6600 Revised DD Form 2322, Dental Laboratory Work Authorization and Interim Change to MANMED Chapter 6 of 21 May 2009
*SerM3/5/AT-62221 Navy Medicine’s Quarterly Dental Metrics Reporting Tool (Most recent FY version)
*BUMEDINST 6600.16A Oral Disease Risk Management Protocols in the Navy Medical health Care System of 23 Aug 2010
BUMEDINST 6600.18 Implementation and Standardization of Dental Classification Guidelines of 23 Aug 2010
*BUMEDINST 6600.19 NAVMED 6600/13, Dental Examination Form; NAVMED 6600/14, Dental Treatment Form; and NAVMED 6600/15, Current Status Form of 3 Sep 2010
*BUMEDINST 6600.20 CH-1 of 23Feb 11 NAVMED 6600/16 Oral Problem List of 23 Aug 2010
*BUMEDINST 6600.3B Use of Dental Implants in the Navy Medical Health Care System of 13 Jan 2011 / Command POC:
Standard / Yes / No / Comments/Notes
Is informed consent obtained when indicated?
If Rx is given–name, dosing and dispensing instructions documented?
Current medications documented, and reconciled if necessary?
Do record entries reflect logical and complete narrative of appropriate treatment based on treatment plan?
Accurate charting on Current Status Form?
Universal protocol followed where required?
If Odontogenic infection, is temperature recorded.
- Is follow up adequate?
- Is an Odontogenic Infection log utilized?
- Pain assessment performed and documented?
- Learning needs assessment performed or reviewed?
- Is dental disease classified in accordance with the Navy’s
- Standardized Dental Classification Guidelines?
Correct oral cancer risk assigned during annual dental exam?
Correct protocol followed for moderate/high caries risk patients?
Is there a recall system in place to ensure appropriate follow up for high risk oral cancer, caries, and perio patients?
Is it utilized?
Is a A9624 code taken if caries prevention medications (Fluoride) are prescribed for moderate/high caries risk patients?
Is D4341/D4342 credit taken only if PSR 3 and above are annotated in the record?
Is DIRS (workload) accounting aligned with treatment notes entry?
What is the clinic’s process/policy for determining frequency fortaking radiographs?
Note: Radiographs only should be ordered by the dentist based on individual needs of the patient, presenting problem, and review of the patient’s medical and dental histories.
If dental hygienists administer local anesthetic agents, are they trained in accordance with BUMED policy?
Is the training documented in the member’s training record?
Does the command conduct ongoing competency reviews and document the competency review in the member’s training record?
Volume and quality indicators should include, at a minimum, the number of injections, appropriate patient outcomes, and appropriate responses to adverse patient outcomes. / BUMEDINST 6600.17 of 10 Apr 2009
Where applicable, does the dental laboratory use DD Form 2322, Dental Laboratory Work Authorization?
Regional Oversight: Does the clinic/command receive feedback from the Regional Dental Officer upon submission of Navy Medicine’s Quarterly Dental Metrics Reporting Tool?
Are comment sections used to comment on trends, intervention for corrective actions, and feedback?
Are NAVMED Forms 6600/13, 14, 15 and 16 used according to BUMED guidance?
If the facility is involved in the use of dental implants, has a written protocol been developed and a copy provided to the Navy Medicine Specialty Leader for Dental Implants?
Date submitted to the Specialty Leader? / BUMEDINST 6600.3B Use of Dental Implants in the Navy Medical Health Care System of 13 Jan 2011
To assure continuity of care and minimize needless re-take of radiographs, are dental digital images from local dental imaging systems available to providers after service members transfer to new command? (e.g., images downloaded to a CD and enclosed in the record jacket upon member’s transfer)
Additional Comments:
1