“Supporting the Health Care Transition from Adolescence to Adulthood” was jointly authored by the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians as best practice for all primary and specialty care physicians involved in this stage of an individual’s life course. The guidance was included in the clinical report published in the July 2011 of Pediatrics.
This clinical report contains detailed and explicit practice-level guidance for supporting the health care transition of youth and young adults. The report includes an algorithm that provides a logical map as transition support unfolds during adolescence and young adulthood.
Got Transition supports practices, practice networks, and other practice improvement projects in the implementation of these best practices with a change agenda and toolkit called the Six Core Elements of Health Care Transition.
Got Transition developed the six-item Health Care Transition Index (pediatric and adult versions) to measure progress toward better transition support in practice settings. The HCT Index was modeled after the Center for Medical Home Improvement’s popular Medical Home Index. The Got Transition LCs use the HCT Index to score practices on six indicators corresponding to components of the algorithm. Each practice assesses the quality of their health care transition support at baseline and at the end of the LC experience.
Less than half of US youth with special health care needs receive the health care transition supports and services they need, according to the 2009-10 National Survey of Children with Special Health Care Needs.