Investigation of the Omaha System for Dentistry

Summary

Objective: Today, dentists and hygienists have inadequate tools to identify contributing factors to dental disease, diagnosis of disease or to document outcomes in a standardized and machine readable format. Increasing demand to find the most effective care methodologies make the development of further terminologies for dentistry more urgent. Preventive care is the focus of early efforts to define best practices. We reviewed one possibility with a history of public health documentation that might assist in these early efforts at identifying best practices.

Methods: This paper examines, through a survey of dentists, the Omaha System Problem Classification Scheme. The survey requested that dentists rate the usefulness of knowing about specific signs and symptoms for each of the 42 problems within the Problem list of the Omaha System. Results: Using a weighted scoring system, 22 of the 42 problems received over 50% of the possible maximum score and 30 of the 42 problems received at least 25% of the possible points. Conclusion: These findings suggests that further evaluation of The Omaha System, may be useful to dentistry. At a minimum, the survey provides additional information about non-physiological problems, signs, and symptoms that may be appropriate for documentation purposes within an electronic health record (EHR) used in dentistry.

Citation: Jurkovich MW, Ophaug M, Salberg S, Monsen K. Investigation of the Omaha System for Dentistry. Appl Clin Inf 2014; 5: 491–502 http://dx.doi.org/10.4338/ACI-2014-01-RA-0001

Keywords

Omaha system - dentistry - electronic health records - problem classification - SNOMED CT

• References

• 1 White JM. et al. Evaluating a dental diagnostic terminology in an electronic health record. J Dent Educ 2011; 75 (Suppl. 05) 605-615.
• 2 Kalenderian E. et al. The development of a dental diagnostic terminology. J Dent Educ 2011; 75 (Suppl. 01) 68-76.
• 3 National Association of Dental Plans.. Statistical review of member reports. 2012 Accessed July 2013.
• 4 Lewis C, Stout J. Toothaches in U. S. Children. Archives of Pediatric Adolescent Medicine 2010; 164: 1059-1063.
• 5 U.. S. General Accounting Office. Extent of dental disease in children has not decreased, and million are estimated to have untreated tooth decay. GAO-08–1121. Washington, DC: U. S > General Accounting Office, September; 2008
• 6 Current Dental Terminology 2011. American Dental Association 2010
• 7 Palmer C. Dental Quality Alliance role needed for ADA implementation. American Dental Association web site. http://www.ada.org/news/7252.aspx. Accessed September 2012.
• 8 Benson T. Principles of Health Interoperability, HL7 and SNOMED. 2010
• 9 Wall TP, Vujicic M, Nasseh K. Recent trends in utilization of dental care in the United States. J Dent Educ 2012; 76 (Suppl. 08) 1020-1027.
• 10 Martin KS. The Omaha System: A key to practice, documentation and information management. 2nd ed. Omaha, NE: Health Connection Press; 2009: 484.
• 11 The Omaha System.. http://omahasystem.org Accessed August 2012.
• 12 SurveyMonkey.. www.surveymonkey.com Accessed August 2012.
• 13 ICD10CM_2012 –U. S.. Department of Health and Human Services, Centers for Medicare & Medicaid Services; ICD-10_CM [computer file]: International Classification of Disease. Tenth Revision. Clinical Modification: December 1 2011 Hyattsville, MD; provided for public viewing only, and not valid for use prior to October 1, 2013.
• 14 ICD9CM 2013(updated) –U. S.. Department of Health and Human Services, Centers for Medicare & Medicaid Services; ICD-10_CM [computer file]: International Classification of Disease. Ninth Revision. Clinical Modification: October 1 2012 Baltimore, MD.