{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:41:12Z","timestamp":1777524072505,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this quality improvement (QI) initiative was to improve access, scheduling, and completion of interdisciplinary team visits for children with cleft lip with or without cleft alveolus (CL\u2009\u00b1\u2009A).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Institute for Healthcare Improvement Model for Improvement<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Large pediatric academic medical center in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Eighty-four (84) children with CL\u2009\u00b1\u2009A ages 2 months to 28 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Key drivers included: (1) Parent and team member education, (2) scheduling procedures, (3) customized team visits. Interventions were designed around these themes and included expanded patient education materials, increased nursing engagement in dissemination of patient education, redesigned team visit scheduling systems, and improved coordination and customization of team visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>The main outcome included the proportion of children with CL\u2009\u00b1\u2009A who received their first cleft team visit prior to age 2 years, out of all children with CL\u2009\u00b1\u2009A who underwent lip repair during the QI project period. The secondary outcome measure was the number of days between missed team visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The proportion of children with CL\u2009\u00b1\u2009A who received timely team care increased from 30% to 77%. The frequency of missed team visits also increased from an average of every 20 days to every 76 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Targeted interventions aimed at improving education, access, scheduling, and completion of team visits can reliably promote improvements in the rates of children with CL\u2009\u00b1\u2009A receiving interdisciplinary team care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251333662","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T03:36:16Z","timestamp":1745206576000},"page":"1385-1391","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Improving Team Care for Patients with Cleft Lip and Alveolus: A Quality Improvement Initiative"],"prefix":"10.1177","volume":"63","author":[{"given":"Kayla","family":"Bruns","sequence":"first","affiliation":[{"name":"Nationwide Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Holstine","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Pearson","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital"},{"name":"Department of Plastic and Reconstructive Surgery, The Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Kirschner","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital"},{"name":"Department of Plastic and Reconstructive Surgery, The Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Moreman","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9388-1339","authenticated-orcid":false,"given":"John","family":"Munday","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makaela","family":"Somma","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Smith","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Samora","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4148-4729","authenticated-orcid":false,"given":"Adriane L.","family":"Baylis","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital"},{"name":"Department of Plastic and Reconstructive Surgery, The Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.1589"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617739564"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.10.018"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000008000"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1597\/06-207.1"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199906000-00007"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03367-5"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619900625"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221125377"},{"issue":"4","key":"e_1_3_3_11_2","first-page":"1","article-title":"Is team care standard care for children with cleft lip\/alveolus? A survey of current team practices and perceptions. Abstract accepted for the annual meeting of the American Cleft Palate Craniofacial Association","volume":"57","author":"Baylis AL","year":"2020","unstructured":"Baylis AL, Deatherage J, Pearson G, Khansa I, Smith A, Finlen U, Mercado A, Crerand C, Rabkin A, Bilitzo B, et al. Is team care standard care for children with cleft lip\/alveolus? A survey of current team practices and perceptions. Abstract accepted for the annual meeting of the American Cleft Palate Craniofacial Association. Cleft Palate Craniofac J. 2020;57(4S):1-143.","journal-title":"Cleft Palate Craniofac J"},{"key":"e_1_3_3_12_2","unstructured":"American Cleft Palate Craniofacial Association. 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