Cost of Cleft Team Care at an Academic Children's Hospital.

Background: The financial burden of cleft-craniofacial team care is substantial, and high costs can hinder successful completion of team care.

Solution: Collaboration with multiple stakeholders including providers, insurers, and patient guardians, as well as hospital administrators, is critical to increase patient retention and improve final clinical outcomes.

What We Do That Is New: At our cleft and craniofacial center, charges for a team care visit fall into one of three categories-hospital fees, professional fees, or external fees.

Using an Intake Form and Clinic Dashboard to Tailor and Improve the Cleft Team Clinic Visit for Families.

Background: Multidisciplinary cleft care protocols commonly do not incorporate family needs, concerns, and preferences.

Solution: A family-centered model would incorporate family needs, concerns, and preferences with a view toward lessening burden of care while achieving outcomes important to families.

What We Do: Our Intake Form helps us adapt visits to better meet families' needs, and our Dashboard enables Team Coordinators to direct efficient patient flows, lessening wait times and care burden.

One Multidisciplinary Cleft and Craniofacial Team's Experience in Shifting to Family-Centered Care.

Family-centered care is a high-priority focus area in health care and is associated with increased family satisfaction and quality of life, better health outcomes and family follow-up, decreased burden of care, and improved efficiency of resource utilization. Motivated by our aim to improve clinic efficiency and patient retention, our multidisciplinary cleft palate and craniofacial center has been undergoing a complex family-centered reorganization over the past 3 years. We seek to share our experience in hope the information will be a useful starting point to other teams in structuring their own family-centered improvements.

Survey of North American Multidisciplinary Cleft Palate and Craniofacial Team Clinic Administration.

Objective: 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.

Design: 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.

A survey of cleft team patient experience in obtaining dental care.

Objective: To assess patient experiences in obtaining dental care in a team setting without an affiliated dental school.

Design And Participants: Three hundred seventy-four patients in the cleft team database met inclusion criteria of diagnosis of cleft lip and/or palate, and current age of 7 to 12 years. Demographic information and experiences in obtaining dental care were ascertained using a standardized series of questions.