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News & Announcements

2018 Updated Clinical Report on Transition Released

The AAP, AAFP, and ACP have updated the original 2011 clinical report on health care transition. This updated clinical report, "Supporting the Health Care Transition from Adolescence to Adulthood in the Medical Home," provides new practice-based quality improvement guidance on key elements of transition: planning, transfer, and integration into adult care. It also includes new recommendations pertaining to infrastructure, education and training, payment, and research.

For more about the updated clinical report, read the press release.

Offer Feedback on the Six Core Elements TODAY

Got Transition is updating the Six Core Elements of Health Care Transition packages and their sample tools. We are asking for your feedback through this survey. Please offer your feedback TODAY!

Two Reports on Health Care Transition in State Title V Programs

Got Transition has published two reports describing health care transition activities in state Title V agencies. The first report, A Comparison of Health Care Transition Implementation in State Title V Care Coordination Programs Between 2017 and 2018, summarizes states’ assessment results of their Six Core Elements implementation in care coordination programs.

Another Got Transition report summarizes the health care transition efforts of 37 states and jurisdictions whose state Title V agencies selected the HCT national performance measure, as described in their states’ 2018 applications. The report, Health Care Transition in State Title V Programs: A Review of 2018 Block Grant Applications and Recommendations for 2020, highlights examples of states’ HCT innovations and provides ten recommendations around HCT for the 2020 Block Grant Application.

Report Offers Value-Based Transition Payment Recommendations

To address long-standing gaps in payment for transition to adult care, this report presents new value-based payment (VBP) recommendations for pediatric to adult health care transition. Funded by the Lucile Packard Foundation for Children’s Health, this report is intended to guide commercial and Medicaid payers, health plans, employers, and pediatric and adult systems of care in implementing and evaluating VBP options for transitional care. The report, Recommendations for Value-Based Transition Payment for Pediatric and Adult Health Care Systems, is the result of an expert panel of payers, plans, professional organizations, and advocacy groups convened by The National Alliance to Advance Adolescent Health and 65 key informant interviews with major stakeholder groups. For more information, check out our press release on the new report.

New Study on US Health Care Transition Performance

A new study in Pediatrics presents transition planning results among youth with special health care needs, and, for the first time youth without special health care needs, from the 2016 National Survey of Children’s Health. The study, Transition Planning Among US Youth With and Without Special Health Care Needs, reveals that nationally, only 17% of youth with special health care needs and 14% of youth without special health care needs met the overall federal Maternal and Child Health Bureau transition performance measure. This underscores the need for health care providers to work with youth and parents/caregivers to prepare for transition by discussing the eventual shift to a provider who cares for adults, actively working with youth to gain self-care skills or understand changes in health care at age 18, and having time alone with the patients during preventive care visits.

The National Alliance Receives 5-Year Federal Grant to Continue Got Transition

The National Alliance to Advance Adolescent Health received a 5-year award from the federal Maternal and Child Health Bureau (MCHB) within the U.S. Department of Health and Human Services, Health Resources and Services Administration to continue its operation of Got Transition, the national resource center on health care transition (HCT). The goal of this new award will be to spread the adoption of evidence-informed HCT improvements as part of a comprehensive system of services for youth and young adults with and without special health care needs, focusing special attention on low-income and medically underserved populations.

For more information on the grant announcement, read the press release here.

Preventive Care and Transition Toolkit Available

Got Transition, in collaboration with University of California San Francisco’s (UCSF) Adolescent and Young Adult Health National Resource Center, has released "Incorporating Health Care Transition Services into Preventive Care for Adolescents and Young Adults: A Toolkit for Clinicians." The Preventive Care and Transition Toolkit provides suggested questions and anticipatory guidance for clinicians to introduce health care transition during preventive visits with early adolescents (ages 11-14), middle adolescents (ages 15-17), late adolescents (ages 18-21), and young adults (ages 22-25), consistent with the AAP/AAFP/ACP Clinical Report on Health Care Transition. The toolkit is available in both ENGLISH and SPANISH.

For more information about the toolkit, read our press release HERE.

UPDATED: 2018 Transition Coding and Reimbursement Tip Sheet Available

Got Transition and the American Academy of Pediatrics released a new 2018 Transition Coding and Reimbursement Tip Sheet to support the delivery of recommended transition services in pediatric and adult primary and specialty care settings. The new tip sheet includes a list of updated transition-related CPT codes, including the new code for transition readiness assessment, and current Medicare fees and RVUs for these services.  It also includes a new set of eight clinical vignettes with recommended CPT and ICD-10 codes. Click HERE for the tip sheet.

AAP Transition ECHO

The American Academy of Pediatrics (AAP) Transition ECHO is a virtual community that serves as a forum for health care professionals to learn how to successfully transition youth from pediatrics to the adult care system. A standardized curriculum with 7 sessions was developed in partnership with Got Transition that consists of slide sets and interactive videos on several aspects of health care transition, including how to begin a transition process, how to find and partner with adult providers, how to engage families, and more.

Report Analyzes Health Care Transition in Care Coordination Programs

Got Transition has released a report, “Baseline Assessment of Health Care Transition Implementation in Title V Care Coordination Programs” that examines HCT efforts in 32 Title V states that selected transition as a national performance measure. This report presents a snapshot of state Title V care coordination program implementation of the Six Core Elements of Health Care Transition. It provides a summary of the initial assessment scores and levels of implementation and outlines an upcoming webinar series on how to implement HCT in care coordination programs. If you are a state that would like your results of the assessment to be sent to you, please contact Samhita Ilango at silango@thenationalliance.org.

Got Transition Publishes Systematic Review on Transition

Got Transition has published a systematic review in The Journal of Pediatrics that identifies statistically significant positive outcomes in pediatric-to-adult transition studies using the triple aim framework of population health, consumer experience, and utilization and costs of care. The systematic review found that structured transition interventions often resulted in positive outcomes. The entire article can be READ HERE.

SAHM's Adolescent Medicine Resident Curriculum on Transition

The Society for Adolescent Health and Medicine (SAHM) has developed a Adolescent Medicine Resident Curriculum, divided into ten core content modules. It is designed both for four-week adolescent medicine rotations and for residents’ longitudinal training. Learning objectives are linked with educational and clinical resources to enhance Adolescent Medicine education. The tenth core content module is dedicated to Transition to Adult Care.

Earn CME Credits in Transition

Health Services for Children with Special Needs (HSCSN) is offering a free online one-hour CME course on health care transition. The course features the experiences of physicians in busy pediatric, family medicine, and internal medicine practices in the District of Columbia who successfully implemented the Six Core Elements of Health Care Transition using quality improvement methodologies. The course was developed in collaboration with The National Alliance to Advance Adolescent Health/Got Transition, HSCSN, and the DC Department of Health.

Also available online: Got Transition's Dr. Patience White sat down with Dr. Mike Patrick (host of PediaCast CME from the Nationwide Children's Hospital) to talk about health care transition and the Six Core Elements. The hour-long podcast, "Transitioning Pediatric Patients to Adult Health Care," describes the design and implementation of a transition program within a clinical practice to ensure a smooth transition for pediatric patients. It is intended for primary care physicians, pediatric subspecialists, and other health care professionals who provide care for pediatric patients. Listeners can take a short Post Test to receive their free Continuing Medical Education (CME) credit.

Tip Sheet Links 2017 Patient-Centered Medical Home Standards with Six Core Elements

Got Transition has released a tip sheet to help practices incorporate transition as part of their application process for becoming a patient-centered medical home (PCMH). Using the 2017 Standards for Patient-Centered Medical Home Recognition from the National Committee for Quality Assurance (NCQA), this practice resource includes a table that cross-walks NCQA PCMH criteria and guidance with specific linked Six Core Elements tools. Click HERE for the tip sheet.

The National Alliance Leads Transition Payment Roundtable

The Lucile Packard Foundation for Children’s Health recently funded The National Alliance to lead an expert committee of public and private payers and health plan leaders to develop recommendations and action steps for advancing payment innovations in pediatric-to-adult transition care. This one-year effort will result in strategic guidance to build high-level support among payers and plans to incorporate transition into payment innovations and to encourage the recognition of transition-related services in both pediatric and adult care settings. To read more about the transition payment roundtable, click here.

ACP Releases Transition Tools for Pediatric to Adult Health Care Transition

Dr. Wayne Riley, the President of the ACP, and Dr. Carol Greenlee, the chair of ACP’s Transitions Initiative, announced the release of specialized toolkits to facilitate more effective transition and transfer of young adults into the adult health care setting at the ACP’s 2016 Annual Meeting in Washington, DC. The transition toolkit contains condition-specific tools, including transition readiness assessments, self-care assessments, and medical summaries customized from Got Transition’s Six Core Elements of Health Care Transition. Transition tools are available for the following subspecialties and diseases: general internal medicine (intellectual/developmental disabilities and physical disabilities), cardiology (congenital heart disease), endocrinology (type 1 diabetes, turner syndrome, growth hormone deficiency), gastroenterology (inflammatory bowel disease is coming soon), hematology (general hematology, sickle cell disease, hemophilia), nephrology (end-stage renal disease), and rheumatology (juvenile idiopathic arthritic, systematic lupus erythematosus). This ACP Transitions Initiative was a collaborative effort with Got Transition/Center for Health Care Transition Improvement, the Society of General Internal Medicine, and the Society for Adolescent Health and Medicine.

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.



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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