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Clinical Report on Transition Reaffirmed

The clinical report, “Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home,” from the American Academy of Pediatrics, American Academy of Family Physicians,  and American College of Physicians, originally published in 2011, received a statement of reaffirmation in the November 2015 issue of Pediatrics. It provides detailed guidance on how pediatricians, family physicians, and internists can incorporate better transition supports into their busy practices for all adolescents, including those with special health care needs, as they transition to an adult model of health care. The report calls for all transitions in care to be based on adequate preparation, proactive communication, and early engagement of patients, families, and referring and accepting physicians. It also provides strategies  to overcome common challenges, including an algorithm to guide physicians through the transition process. Got Transition's Six Core Elements of Health Care Transition were aligned with the 2011 clinical report.

Transition QuickGuide and Webinar on Health Care and Career Planning

Got Transition has partnered with the Office of Disability Employment (Department of Labor) and the Youth Transitions Collaborative to create a Transition QuickGuide for youth and young adults (ages 12-30), including those with disabilities and chronic health conditions. The QuickGuide includes information and resources about health insurance, self-care management, transition from pediatric to adult health care, decision-making, and career planning to help young people manage their health care needs in order to make their career goals a reality. A related joint letter from ODEP and HRSA’s Maternal and Child Health Bureau emphasizes the importance of expanding access to health care services and work-based experiences for youth with chronic health conditions and disabilities. Click here to read more.

This Alliance of organizations also hosted a webinar that discussed the importance of young adults managing their own health and career goals as they transition to adulthood. It included the personal experiences of Got Transition's consumer expert, Teresa Nguyen, as well as a young adult and parent team from the ODEP-funded National Collaborative on Workforce and Disability for Youth (NCWD/Youth)  YouthACT program. Click HERE to find a video of the webinar and its corresponding materials!

New Article on Transition Pilot in DC Medicaid Managed Care Plan

The Journal of Pediatric Nursing, in its recent volume on transition, includes a new Got Transition collaborative project with a DC-based Medicaid managed care plan that serves SSI eligible youth and young adults. The project involved customizing the Six Core Elements of Health Care Transition into the plan’s care management system and piloting it the transition model with young adults with chronic mental health, developmental, and complex medical conditions. The first-of-its-kind pilot project demonstrated an effective approach for delivering recommended transition services in a managed care plan. Read about the collaborative project here.

Tip Sheet for Adult Providers Integrating Young Adults with ID/DD into Their Practice

Got Transition has released a tip sheet to guide adult health care providers in receiving new young adult patients with intellectual and developmental disabilities (ID/DD) into their practice. Written by Dr. Carl Cooley of Crotched Mountain Foundation and Dartmouth’s Geisel School of Medicine and Dr. Thomas Cheetham of Tennessee’s Department of Intellectual and Developmental Disabilities and Vanderbilt University, this resource provides suggestions for preparing the office and staff for welcoming new young adults with ID/DD, including training and consumer engagement. It also offers tips for what to do before, during, and after the young adult’s first visit. Click here for the tip sheet.

Incorporating Transition into Epic Electronic Health Record Software: A Survey of Expert Users

A Got Transition report, Incorporating Transition into Epic Electronic Health Record Software: A Survey of Expert Users, discusses ways of incorporating the Six Core Elements of Health Care Transition into Epic. This report is only available to Epic users and can be accessed using your Epic UserWeb login credentials by clicking HERE.

Federal Interagency Strategy for Transition Published

The Federal Partners in Transition Workgroup (which includes the Departments of Labor, Education, Health and Human Services, and the Social Security Administration) released its The 2020 Federal Youth Transition Plan: A Federal Interagency Strategy. The plan provides recommendations for federal cross-system initiatives on transition related to community engagement, education, employment, health, and independent living. Recommendations related to health care include facilitated access to quality health care and health care insurance, health professional development on asset-based delivery approaches, and creation of a benefits counseling model that promotes self-determination and person-centered planning.

Tip Sheet Available for Transition Improvement Process

A practical set of steps and lessons learned for starting a Transition Improvement process is now available. These tips have been learned from transition improvement projects across the country. They are intended for use by pediatric, family medicine, and internal medicine primary care and specialty practices as well as by health systems, health plans, and payers in concert with the clinical tools and measurement resources available at Got Transition. Click here to access this new information.

Transition Quality Improvement Results

Substantial  improvements were made in transition clinical processes in both pediatric and adult practices using the Six Core Elements of Health Care Transition, according to a study published in the Journal of Adolescent Health.  As the first transition quality improvement project evaluating the use of the Six Core Elements, these positive results indicate the feasibility of an organized transition process.   The participating practices were large DC-based pediatric and adult academic health care centers participating in a 2-year learning collaborative directed by The National Alliance to Advance Adolescent Health. Read the article here.



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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