Problem: Inefficient scheduling causes extended wait times and negatively impacts clinical efficiency, productivity, and patient experience. Wound care is time-consuming, with each appointment lasting 45 minutes, yet patients are scheduled every 15 to 30 minutes. An analysis of a large academic ambulatory wound center from January to December 2023 showed an average cycle time of 88 minutes with an average in-clinic wait time of more than 30 minutes. Purpose: This quality improvement (QI) project aimed to improve scheduling and clinical efficiency by reducing the cycle time (in-clinic wait time) among adult patients at an ambulatory wound care center by implementing acuity-based scheduling, an evidence-based, research- supported practice change. Acuity-based scheduling involves scheduling patients according to their level of acuity. It is the amount of time and resources required to ensure the timely throughput of patients in the clinic. Methods: The V. Larson Lohr productivity and acuity tool was used to classify patients' acuity levels. The QI lead tracked adherence to the acuity tool and monitored wait time data from the EPIC Slicer Dicer cycle time report, focusing on wait times to be roomed and wait times for the provider weekly. Results: Despite minimal wait time improvements due to staffing and high-acuity patients, overall cycle time decreased from 88 minutes to 70 minutes, emphasizing the need for appropriate staffing and room capacity. Conclusion: The findings of this project suggest that acuity-based scheduling allows for greater structure and efficiency in wound care centers. It ensures adequate resources, such as rooms and staff, are available to treat these complex patients and minimizes in-clinic wait time. Measuring and shortening cycle time can improve access to care, patient and staff satisfaction, and clinical efficiency.