{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:34:49Z","timestamp":1777523689119,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T00:00:00Z","timestamp":1624492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007917","name":"USDA\/ARS","doi-asserted-by":"crossref","award":["# 58-3092-0-001"],"award-info":[{"award-number":["# 58-3092-0-001"]}],"id":[{"id":"10.13039\/100007917","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2022,6]]},"abstract":"\n Objective:<\/jats:title>\n Identify factors contributing to time a family spends in a Multidisciplinary Craniofacial Team Clinic (MDCT) and implement an intervention to reduce this time.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Interventional: a restructuring of clinics to serve those patients requiring fewer provider encounters separately.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n An American Cleft Palate-Craniofacial Association-accredited MDCT in an academic children\u2019s hospital.<\/jats:p>\n <\/jats:sec>\n \n Patients\/Participants:<\/jats:title>\n One hundred sixty-seven patients with craniofacial diagnoses.<\/jats:p>\n <\/jats:sec>\n \n Interventions:<\/jats:title>\n Time data were tabulated over \u223c2 years. Following 9 months of data collection, patients requiring fewer provider encounters were scheduled to a separate clinic serving children with craniosynostosis, and data were collected in the same fashion for another 14 months.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures:<\/jats:title>\n Principal outcome measures included total visit time and proportion of the visit spent without a provider in the room before and after clinic restructuring.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The average time spent by family in a clinic session was 161.53 minutes, of which 64.3% was spent without a provider in the room. Prior to clinic restructuring, a greater number of provider encounters was inversely associated with percentage of time spent without a provider ( P < .001). Upon identifying this predictor, scheduling patients who needed fewer provider encounters to a Craniosynostosis Clinic session resulted in reduction in absolute and percentage of time spent without a provider ( P < .001).<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The number of provider encounters is a significant predictor of the proportion of a clinic visit spent without a provider. Clinic restructuring to remove patient visits that comprise fewer provider encounters resulted in a greater percentage of time spent with a provider in an MDCT.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656211021705","type":"journal-article","created":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T05:04:42Z","timestamp":1624511082000},"page":"779-784","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Improvement in Total and Face-to-Face Provider Time in a Multidisciplinary Craniofacial Team Clinic: An Interventional Study"],"prefix":"10.1177","volume":"59","author":[{"given":"Alexis C.","family":"Wood","sequence":"first","affiliation":[{"name":"USDA\/ARS Children\u2019s Nutrition Research Center, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Alejandra Garcia","family":"de Mitchell","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, The Children\u2019s Hospital of San Antonio, Baylor College of Medicine, San Antonio, TX, USA"},{"name":"Division of Plastic Surgery, University of Texas Health Science Center, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6769-2801","authenticated-orcid":false,"given":"Ruchi","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, The Children\u2019s Hospital of San Antonio, Baylor College of Medicine, San Antonio, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,24]]},"reference":[{"key":"bibr1-10556656211021705","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003485"},{"key":"bibr2-10556656211021705","unstructured":"American Cleft Palate-Craniofacial Association. Standards for approval of cleft palate and craniofacial teams. 2019. Accessed June 10, 2021. https:\/\/acpa-cpf.org\/team-care\/standardscat\/standards-of-approval-for-team-care\/"},{"issue":"5","key":"bibr3-10556656211021705","first-page":"393","volume":"20","author":"Bleustein C","year":"2014","journal-title":"Am J Manag Care"},{"key":"bibr4-10556656211021705","doi-asserted-by":"publisher","DOI":"10.1007\/s00291-003-0122-x"},{"key":"bibr5-10556656211021705","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2001.3551"},{"key":"bibr6-10556656211021705","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31824e67c2"},{"key":"bibr7-10556656211021705","first-page":"1655","volume":"7","author":"McMullen M","year":"2013","journal-title":"Clin Ophthalmol"},{"key":"bibr8-10556656211021705","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20161013-05"},{"key":"bibr9-10556656211021705","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618776069"},{"key":"bibr10-10556656211021705","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2077.74491"},{"key":"bibr11-10556656211021705","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-008-9153-8"},{"key":"bibr12-10556656211021705","unstructured":"Statistical RCT. R: A language and environment for statistical computing. R Foundation for Computing, Vienna, Austria. 2020. Accessed June 10, 2021. https:\/\/www.r-project.org\/"},{"key":"bibr13-10556656211021705","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569-35.6.473"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656211021705","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656211021705","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656211021705","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:37Z","timestamp":1777393297000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656211021705"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,24]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1177\/10556656211021705"],"URL":"https:\/\/doi.org\/10.1177\/10556656211021705","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,24]]}}}