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A Systematic Review of Transition Measures and the “Triple Aim”

A new systematic review of transition measures, released in the December issue of Pediatrics by the Got Transition staff, found that transition intervention studies seldom consistently measure their impact in terms of the “Triple Aim” (consumer experience, population health, and costs of care).   A total of 33 studies, published between 1995 and 2013, met the systematic review criteria for inclusion. Of these, population health measures were used most frequently, typically in the form of disease-specific outcomes.   Service use and, to a less extent, costs of care were measured in about half of the studies.  Experience of care was measured in only one quarter of studies, most often in terms of care generally, not in terms of transition support specifically. Only 3 studies examined all 3 domains of the Triple Aim.  Read the article here.

College Medical Directors Call for Better Approach to Transition

In the November issue of Pediatrics, Boston Children’s Hospital and Dartmouth authors report on the results of a national survey of medical directors from four-year colleges.  Lemly et al. found that medical directors receive variable health information for incoming youth, most often immunization records, a medical history form completed by students, and proof of insurance.  Few colleges systematically identify and track youth with special needs or receive medical records or communication from incoming student’s primary care providers.  The study concluded with the need to “further involve and integrate college health in the national discussion about improving health care transitions of youth with special needs.” Read the article here.

Editorial on Adolescent Engagement and Transition in JAH

In the September issue of the Journal of Adolescent Health, Margaret McManus explains the importance of adolescent engagement in health care. The editorial emphasizes the need to improve measurement of adolescent engagement and references Got Transition’s new transition readiness assessment tool.  It also calls for health plans and providers to consider the continuum of adolescent engagement pertaining to direct care as well as to involvement of youth as staff, peer educators, advisory group members, and other leadership positions. Read the editorial here.

Got Transition in the Wall Street Journal!

In the "Informed Patient" column on the front page of the Wall Street Journal's Personal Journal section, Laura Landro discusses the challenges of transitioning young adults from pediatric to adult health care, especially for those youth with special health care needs. The article highlights the work of Got Transition in addition to Nemours/Alfred I. duPont Hospital for Children, the Society of General Internal Medicine, and the Endocrine Society. Click here to read the article and learn more!

Six Core Elements 2.0

Got Transition launches its new website and releases the new Six Core Elements of Health Care Transition (2.0) with corresponding clinical tools and measurement resources. There are three sets of customizable tools available for different practice settings: 1) transitioning youth to adult health care providers, 2) transitioning to an adult approach to health care without changing providers, and 3) integrating young adults into adult health care. Aligned with the AAP/AAFP/ACP Clinical Report on Transition, the Six Core Elements are intended for use in primary and specialty settings. Originally developed in 2009, this updated version incorporates the results of several transition learning collaboratives, an examination of transition innovations in the U.S. and abroad, and reviews by over 50 pediatric and adult health care professionals and youth and family experts. See the Health Care Providers section for more information about the new Six Core Elements.

Transition as MCHB National Performance Measure

Transition from pediatric to adult health care has been proposed as one of the Maternal and Child Health Bureau’s national performance measures. Stay tuned to the MCHB website for an announcement.

Employment & Transition Partnerships

Got Transition has formed a new partnership with the Department of Labor’s Office of Disability Employment Policy and the HSC Foundation’s Youth Transitions Collaborative to disseminate career planning and health care transition resources and to identify and develop resources and educational opportunities related to health care and employment transition planning.



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Got Transition™ is a program of National Alliance Logo The National Alliance to Advance Adolescent Health supported by U1TMC31756 HRSA/MCHB