changing the world of dentistry with dental informatics

Center for Dental Informatics

1 of 49

Changing the world of dentistry with dental informatics

Changing the world of dentistry with dental informaticsTitus Schleyer, DMD, PhDAssociate Professor and DirectorCenter for Dental InformaticsUniversity of Pittsburgh

2nd World Virtual Congress of Dental Students, May 9, 2012


2 of 49


First, how to ask questions …

• type in the chat window

or• raise your hand

with this button


3 of 49


Time to practice!

My biggest question about electronic dental records is …

[Please type your answer into the chat window.]


4 of 49


Outline

• Part I: How did electronic dental records (EDR) originate?

• Part II: What do EDRs do?• Part III: How do you know you are

a good dentist?


5 of 49

Changing the world of dentistry with dental informaticsPart I: How did electronic dental records (EDR)

originate?

US public domain image


6 of 49


“With the advent of the ‘red tape’ office, control of the routine paperwork is an increasing problem often solved by computer automation.”

EJ Neiburger, Dental computing applications, 1986


7 of 49


Dental office applications - 1986• spreadsheets• database management• word processing• appointments• billing and statements• patient records• insurance claims• recall


8 of 49


What has made today’s EDRs possible?• transition from DOS to Windows• all data – and many artifacts – in

dentistry now digital• data acquisition technologies

(digital cameras [intra- and extraoral], digital radiology, Florida Probe, etc.)

• cheap hardware and network bandwidth


9 of 49


Today’s EDR landscape

© N. Dappen, http://www.daysedgeproductions.com/, 2012


10 of 49


Main companies• Dentrix Dental Systems

(www.dentrix.com)

• Patterson(www.eaglesoft.net)

• Carestream Dental(www.carestreamdental.com)

• Mogo(www.mogo.com)

• Curve Dental(www.curvedental.com)

• Dental Symphony(www.dentalsymphony.com)


11 of 49


Adoption of EDRs


12 of 49


Part II: What do EDRs do?

© freefotouk, http://www.flickr.com/photos/freefoto/5982549938/, 2012


13 of 49


Components of EDRs

• patient registration• medical and medication history• extraoral and intraoral exam• hard and soft tissue charting• treatment planning• patient education• imaging• scheduling


14 of 49


Patient registration


16 of 49


Medical and medication history

Medical and medication history


18 of 49


Extraoral and intraoral exam

Extraoral and intraoral exam


20 of 49


Hard and soft tissue charting


23 of 49


Treatment planning


25 of 49


Patient education


27 of 49


Imaging


28 of 49


Scheduling


30 of 49


A novel approach to designing EDRs


37 of 49


Part III: How do you know you are a good dentist?

[Please type your answer into the chat window.]


38 of 49


How do you know whether you are a good dentist?

The marginal gap of your crowns is < 30 micron.

Your patients get better.

You make lots of money.

You believe that you are.

ValidityCriterion


39 of 49


How do you know your patients are getting better?

Paper Computer

The data conundrum:The data are there, but you can’t get to them.


40 of 49


Order from chaos - an information model for general dentistry• extract data from ~100 de-

identified patient records• combine with results from previous

studies• validate information item list

(~1,100 fields) through Delphi study

• construct information modelAcharya A, et al. Electronic dental record information model. Int J Med Eng Inform. 2009;1(4):418-34.


41 of 49


A brief tour of the Dental Information Model


42 of 49


43 of 49

What is all this good for?

The Dental Information Model enables standardized data extraction and reporting from EDRs.

What else can you do with an information model?

Information model

Database User interface

Data interchange

Forms

National HealthInformation Infrastructure/

Health Information ExchangeResearch


45 of 49


How do we advance dental informatics?

By getting you involved!


46 of 49


How can you get involved?

• join the Dental Informatics Online Community (www.dentalinformatics.org)

• participate in dental informatics research

• complete an online dental informatics certificate (2013)

• get an advanced degree in dental informatics


47 of 49

Please visit us at:http://di.dental.pitt.eduTwitterFacebook /titusschleyerScribd }

Thank You for Your Attention!Questions, comments?

H. Torres-Urquidy

P. Hernandez J. Irwin A. Acharya

… NIDCR award 1R21DE021178 (Data extraction using EDR in dental PBRN) and many others.

H. Spallek

Thanks to:

T. Thyvalikakath

M. Song© CDI 2008


48 of 49


This talk: http://scr.bi/VWDCDS2012


49 of 49


Suggested readings• Schleyer T, et al. Informatics innovation in clinical care: a

visionary scenario for dentistry. electronic Journal of Health Informatics. 2011;6(4):e36.

• Irwin JY, et al. A preliminary model of work during initial examination and treatment planning appointments. Br Dent J. 2009;206(1):e1. PMID: 19119286

• Acharya A, et al. Electronic dental records information model. Int J Med Eng Inform. 2009;1(4):418-34.

• Thyvalikakath TP, et al. A usability evaluation of four commercial dental computer-based patient record systems. J Am Dent Assoc. 2008;139(12):1632-42. PMID: 19047669

• Schleyer T, et al. A qualitative investigation of the content of dental paper-based and computer-based patient record formats. J Am Med Inform Assoc. 2007;14(4):515-26. PMID: 17460133

• Bader JD. Challenges in quality assessment of dental care. J Am Dent Assoc. 2009;140(12):1456-64. PMID: 19955057

changing the world of dentistry with dental informatics

Documents

med eng inform

electronic dental records

information model

intraoral exam

medication history

dent assoc

dental informatics

chat window