Title: 0795 - Surveying Oral Health Care at PACE Programs: Preliminary Results


Matthew Oishi (Presenter)
University of Iowa College of Dentistry

Leonardo Marchini, University of Iowa College of Dentistry
Elizabeth Momany, University of Iowa
Pamela Cacchione, University of Pennsylvania School of Nursing
Joan Gluch, University of Pennsylvania School of Dental Medicine
Robert Collins, University of Pennsylvania School of Dental Medicine
Howard Cowen, University of Iowa College of Dentistry
Peter Damiano, University of Iowa


Objectives: Programs of All-inclusive Care for the Elderly (PACE) offer nursing home eligible individuals home- and community-based long term services and support to keep them in their communities. PACE is an opt-in program, predominantly made up of the growing population of elders eligible for Medicaid and Medicare, a group with significant dental needs. PACE programs are required to provide dental care to participants, yet the extent of dental services remains unclear. The purpose of this abstract is to present the preliminary results of a survey about the delivery of dental care across all PACE programs in the USA.

Methods: The Code of Federal Regulations for PACE, the PACE Manual and pilot interviews with four PACE administrators about dental care at PACE programs were used to develop our survey instrument which includes items on workforce, location of oral health care, quality assurance, preventive protocols, oral health care utilization and demand, payment. The survey was deployed to PACE contacts provided by the CMS, using Qualtrics. Early results from 11 surveys have been analyzed thus far, with over 35 total responses expected by late spring.

Results: Among the respondents, only two programs mandated new enrollees receive an oral exam by a dentist, though, approximately half of programs provided comprehensive oral exams to over 75% of new enrollees. Eight programs also required participants to receive a cleaning every 6-12 months. Only one program provided oral hygiene products and no program had an oral hygiene daily routine. All programs provided dental care through contracted providers.

Conclusions: Preliminary results indicate dental care is an important part of PACE programs, warrant extending the survey to the remaining sites with minor changes, and show interesting variation among different sites. The results of this survey will help describe and categorize the delivery of oral health care services at PACE programs.

Student Presenter

This abstract is based on research that was funded entirely or partially by an outside source:
Delta Dental of Iowa Foundation

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: None