MOC Fluoride Varnish Project
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Program Background


The Ohio Association of Community Health Centers and Nationwide Children’s Hospital are proud to announce the nation’s first collaboration to sponsor the implementation and demonstration of a quality improvement project in practice using the American Board of Medical Specialties Maintenance of Certification (ABMS MOC®) program. OACHC gained sponsorship from Nationwide Children’s Hospital to provide Maintenance of Certification (MOC) credits for the execution of a fluoride varnish quality improvement program within Ohio’s 43 Community Health Centers. This program is based on the Early Childhood Oral Health Initiative (ECOH) that integrates preventative oral health practices within the primary care settings to improve young Ohioans oral health outcomes.

The ECOH Initiative has been active in Ohio’s health centers since 2008. It enables access and integrates oral health screenings as a standard of care during well-child checks for children nine to thirty six months of age within community health centers in Ohio.



ECOH Initiative goals:

  • Establish regular dental care for children by one year of age
  • Establish oral health screenings, caries risk assessments, fluoride varnish applications and to provide guidance and education to children’s caregivers regarding oral health
  • Significantly reduce oral health issues for children under three years old

Nationwide Children’s Hospital functions as the external sponsor organization of MOC credits for providers. The ABMS MOC® was developed to assist that physicians in attaining their goal of lifelong learning and competency.  


Modular Trainings

Modular One

Caries Risk Assessment, Fluoride Varnish and Counseling
Assessment Tool Smiles for Life
Assessment Tool AAPD Caries Risk Assessment
Knee-to-Knee Training Video

Modular Two

Child Oral Health  


Relationship of Oral to Systemic Health


DentaQuest Institute is excited to share new video resources on how to speak with caregivers and patients about various topics related to Early Childhood Caries (ECC) prevention and management.  There are seven short (1-3 minute) videos that address many of the scenarios providers face every day.  We hope these resources are useful and help you to better navigate these topics with patients and families.  A special thank you to the Boston Children’s Hospital team (particularly Dr. Zameera Fida).

Modular Three

Quality Improvement

PDSA Cycles
Run Charts
How to Capture the Data
Dummy Codes (CPT)
Oral Health Documentation

Modular Four

Oral Health and the Pregnant Patient

Motivational Interviewing

The Ineffective Physician: Non-Motivational Approach
The Effective Physician: Motivational Interviewing Demonstration



Key Driver Diagram

Monthly Progress Report - To be completed and submitted on monthly basis to

Smiles for Life Curriculum – (Continuing Education Curriculum Overview)
The Smiles for Life curriculum consists of eight 45-minute modules covering core areas of oral health relevant to medical clinicians.  User competencies are measure through assessments at course completion.  For each course a user must score an 80% or higher to receive credit.

Smiles for Ohio Fluoride Varnish
- Training for Primary Medical Care Providers Serving Young Children Enrolled in Medicaid

ECOH Program Guide

Chew Chew Brochure [Printable]

Chew Chew Brochure, Spanish [Printable]

Contact Us

2109 Stella Court

Columbus, OH 43215

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