An Inventory Of Federally Sponsored HIV And HIV-Relevant Databases. Database: Ryan White CARE Act HIV/AIDS Dental Reimbursement Program


Purpose Of The Database And Study Design: The HIV/AIDS Dental Reimbursement Program assists accredited dental schools and post-doctoral dental programs with uncompensated costs resulting from provision of oral health care to HIV positive patients. The Commission on Dental Accreditation must accredit these institutions. Eligible institutions must document uncompensated costs of oral health care for HIV positive persons. Reimbursement levels reflect the number of patients served by each applicant institution and their unreimbursed oral health care costs, compared to the total number of patients served and total costs incurred across all eligible applicants. In Federal Fiscal Year 1997, 103 institutions received funding through this program.

Nature Of The Data Collected: Cross-sectional administrative and clinical data

Unit Of Analysis: Individual institutions applying for reimbursement

Data Collection Methods: Applicants received a standardized data collection form in March 1999 for reporting of aggregate patient and billing data for the period between July 1997 and June 1998.

General Attributes: Data are collected annually from each institution applying for reimbursement. Methods used to obtain the data submitted in the Dental Reimbursement Program Application vary among applicants.

Major Data Constructs And Key Data Elements: Data collected by the 1999 Program Application include: number of HIV positive patients treated by the applicant institution, method used to estimate the number of patients treated, demographic characteristics of the patients, reimbursement sources, amount of Ryan White CARE Act funds received, numbers of patients who received types of treatment services, estimated unreimbursed costs, methods used to estimate those costs, activities to be funded with the reimbursed costs, and narrative describing the institutions’ collaboration with Ryan White CARE Act planning councils, consortia, and other CARE Act-funded programs, as well as participation in outreach to persons with HIV and to other providers of HIV services.

Strengths And Weaknesses Of The Study Design And Database: The Program Application form was recently revised to gather more complete and accurate data. Detailed instructions for completing the Program Application form are included.

Gaps In The Data Collected And Factors Leading To The Gaps: None identified

Feasibility Of Linking With Other Databases: Individual institutions are identified in the Program Application. Linkage with other institution-specific data is feasible.

Process To Access The Database And Contact Person: This is not a database accessible to the public; functionally, the database is a contact database used by HRSA’s contractor to enter and verify submitted data. It is not currently formatted in a way that would allow easy access, or that allows searches/finds/sorts etc. as a typical database would. For further information contact: Barry H. Waterman, DMD, HRSA, HAB, Dental Reimbursement Program, Division of Community Based Services at (301) 443-1434.

Selected Citations:

There are two documents being prepared for publication in 2000. One is a Report of Aggregate Program Data for the 1998 reporting year; the other is an evaluation of the Dental Reimbursement Program conducted by a consultant/contractor.

Schneider DA, Hardwick KS, Marconi KM, Niemcryk SJ, et al. Delivery of oral health care through the Ryan White CARE Act to people infected with HIV. Journal of Public Health Dentistry. 53(4): 258-264, 1993.