The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2021
Improvement in Total and Face-to-Face Provider Time in a Multidisciplinary Craniofacial Team Clinic: An Interventional Study.
СтатьяПоддержка правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wood Alexis C, de Mitchell C Alejandra Garcia, Kaushik Ruchi
Аннотация
OBJECTIVE: Identify factors contributing to time a family spends in a Multidisciplinary Craniofacial Team Clinic (MDCT) and implement an intervention to reduce this time.
DESIGN: Interventional: a restructuring of clinics to serve those patients requiring fewer provider encounters separately.
SETTING: An American Cleft Palate-Craniofacial Association-accredited MDCT in an academic children's hospital.
PATIENTS/PARTICIPANTS: One hundred sixty-seven patients with craniofacial diagnoses.
INTERVENTIONS: Time data were tabulated over ∼2 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.
MAIN OUTCOME MEASURES: Principal outcome measures included total visit time and proportion of the visit spent without a provider in the room before and after clinic restructuring.
RESULTS: 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).
CONCLUSIONS: 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.
DESIGN: Interventional: a restructuring of clinics to serve those patients requiring fewer provider encounters separately.
SETTING: An American Cleft Palate-Craniofacial Association-accredited MDCT in an academic children's hospital.
PATIENTS/PARTICIPANTS: One hundred sixty-seven patients with craniofacial diagnoses.
INTERVENTIONS: Time data were tabulated over ∼2 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.
MAIN OUTCOME MEASURES: Principal outcome measures included total visit time and proportion of the visit spent without a provider in the room before and after clinic restructuring.
RESULTS: 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).
CONCLUSIONS: 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.