{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:24:54Z","timestamp":1787498694666,"version":"build-2736575974"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PRM"],"published-print":{"date-parts":[[2021,12,23]]},"abstract":"<jats:p>PURPOSE: The objective of this study was to analyze the effects on patient access by decreasing missed appointments after hiring a clinic coordinator using medical informatics. METHODS: A single-center retrospective analysis of the rates of missed appointments before and after hiring a clinic coordinator in a multidisciplinary spinal differences clinic were analyzed using a commercially available business software system (SAP\u00ae Business Objects). The total number of clinic visits was collected for each month to determine the access available for patients. RESULTS: The median number of missed appointments per clinic by month before employing the clinic coordinator was higher than in the two years following implementation (p\u200a&lt;\u200a0.0005). No differences were seen in the number of available appointment slots per month indicating no new clinics were needed to improve patient access (p\u200a=\u200a0.551). Projected billing amounts prior to hiring the clinic coordinator indicated that $91,520 was lost in the 2 years prior to hiring this coordinator compared to $30,160 lost during the 2 years following the creation of this position (p\u200a=\u200a0.0009). CONCLUSION: Hiring a clinic coordinator decreased the rate of missed appointments and was a cost-efficient intervention to improve patient access and provide effective patient care in a multidisciplinary setting.<\/jats:p>","DOI":"10.3233\/prm-200790","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T11:23:05Z","timestamp":1637320985000},"page":"661-666","source":"Crossref","is-referenced-by-count":3,"title":["Determining the impact of a clinic coordinator on patient access and clinic efficiency in a pediatric multidisciplinary spina bifida clinic using medical informatics"],"prefix":"10.1177","volume":"14","author":[{"given":"Matthew J.","family":"McLaughlin","sequence":"first","affiliation":[{"name":"University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA"},{"name":"Department of Pediatrics, Children\u2019s Mercy \u2013 Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann C.","family":"Modrcin","sequence":"additional","affiliation":[{"name":"University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA"},{"name":"Department of Pediatrics, Children\u2019s Mercy \u2013 Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy P.","family":"Hickman","sequence":"additional","affiliation":[{"name":"University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Hoffman","sequence":"additional","affiliation":[{"name":"University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA"},{"name":"Department of Pediatrics, Children\u2019s Mercy \u2013 Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"issue":"2","key":"10.3233\/PRM-200790_ref1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1111\/j.1540-5915.2007.00158.x","article-title":"Clinic overbooking to improve patient access and increase provider productivity","volume":"38","author":"LaGanga","year":"2007","journal-title":"Decision Sciences"},{"issue":"3","key":"10.3233\/PRM-200790_ref2","doi-asserted-by":"publisher","first-page":"350","DOI":"10.4300\/JGME-D-10-00199.1","article-title":"Missed appointments in resident continuity clinic: patient characteristics and health care outcomes","volume":"3","author":"Nguyen","year":"2011","journal-title":"J Grad Med Educ"},{"issue":"8","key":"10.3233\/PRM-200790_ref3","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1089\/apc.2013.0073","article-title":"Missed office visits and risk of mortality among HIV-infected subjects in a large healthcare system in the United States","volume":"27","author":"Horberg","year":"2013","journal-title":"AIDS Patient Care STDS"},{"issue":"5","key":"10.3233\/PRM-200790_ref4","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1310\/hct1305-289","article-title":"Missingscheduled visits in the outpatient clinic as a marker of short-termadmissions and death","volume":"13","author":"Mart\u00ednez Columbi","year":"2012","journal-title":"HIV Clin Trials"},{"key":"10.3233\/PRM-200790_ref5","unstructured":"Pico E , Wilson P , Haas R . Spina Bifida. In: Alexander, Matthews, editors. Pediatric Rehabilitation: Principles and Practices. 4th Edition ed. 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