%0 Journal Article
%T Survey of North American Multidisciplinary Cleft Palate and Craniofacial Team Clinic Administration
%A Alison Snyder-Warwick
%A Gary B. Skolnick
%A Kamlesh B. Patel
%A Kristin D. Pfeifauf
%A Sibyl Scheve
%A Sybill D. Naidoo
%J The Cleft Palate
%@ 1545-1569
%D 2019
%R 10.1177/1055665618776069
%X This study aims to provide an understanding of the ways cleft palate (CP) and craniofacial teams address billing, administration, communication of clinical recommendations, appointment scheduling, and diagnosis-specific protocols. An online clinic administration survey was developed using data from an open-ended telephone questionnaire. The online survey was distributed by e-mail to the American Cleft Palate-Craniofacial Association (ACPA) nurse coordinator electronic mailing list, used regularly by the ACPA and its members to communicate with teams. The response was 34.1% (42/123). Two incomplete records were excluded, as were any inconsistent responses of 3 teams submitting duplicate records. Six (15.8%) of 38 teams do not charge for clinic visits. For all other teams, some or all providers bill individually for services (68.4%) or a single lump sum applies (10.5%). Patients of 34 (89.5%) of 38 teams occasionally or often neglect to schedule or attend follow-up appointments. Twenty-six (66.7%) of 39 team directors were plastic surgeons. Phone is a common method of contacting families for scheduling (60.0%) and appointment reminders (82.5%). Most teamsĄŻ providers (90.0%) routinely communicate findings to each other during postclinical conference. Most teams saw patients with isolated cleft lip (43.6%), cleft lip and palate (64.1%), or isolated CP (59.0%) annually. The breadth of strategies team clinic administration strategies warrants further exploration of the variations and their effects on patient-centered outcomes including the quality of life, satisfaction, cost, and resource utilization
%K cleft palate
%K craniofacial
%K multidisciplinary treatment
%K clinic organization
%U https://journals.sagepub.com/doi/full/10.1177/1055665618776069