National and state surveillance systems for oral health have relied on sample-based screenings and self-reported surveys.1 Recent publications suggest the need and potential for use of data from syndromic surveillance systems and insurers to monitor indicators of oral health status, utilization of care, and costs of treatment.2,3 Few consensus indicators for oral health derived from these data sources exist, with the exception of a set of five ICD-9 codes comprising ambulatory care sensitive dental problems (ACS-DP).4 This paper describes North Carolina’s Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) data analyzed within CDC’s BioSense System to report state and county population-based rates of hospital emergency department (ED) utilization for ACS dental conditions.
Objective
This paper describes use of national and state syndromic surveillance systems for monitoring and evaluating usage of hospital emergency departments for ambulatory care sensitive dental problems.