1. Transition to Adult Care: Resources for Pediatricians
Janet Hess, DrPH, MPH
September 18, 2014
Transition to Adult Care: Resources for Pediatricians 1

2. Health Care Transition
Preparation
Increased responsibility for health care self-management; understanding and planning for changes in health needs, insurance, and providers in adulthood; should occur across ages
The purposeful, planned movement of adolescents and young adults, with and without SHCN, from child-centered to adult-oriented health care systems.
Health Care Transition (HCT)
Transfer of Care
Discrete event, physical transfer from a pediatric to an adult provider; should occur between ages
Preparation is a process that should occur over time, starting at age It involves increasing the patients responsibility for managing their own health (like take medications independently, being able to communicate with providers, making their own doctor’s appts, etc.). It’s also understanding and planning for changes in insurance coverage and health care needs in adulthood.
Transfer is the discrete event, or hand-off from a pediatric provider to an adult provider, which ideally happens between ages
Transition is complete once the patient is established in an adult medical home
Successful Transition
Patients are engaged in and receive on-going patient-centered adult care.

3. The AAP, AAFP, and ACP recommend transition planning as a standard of care for all adolescents
Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics. 2011;128: , 3

4. Information & Referral
Population Model
Chronic Condition
Care Coordination
Transition Plan
Preparation
Assessment
Information & Referral
YSHCN
Enhanced
Planning
All Youth
Pediatric Care System
Adult Care System

5. Do you have a practice policy for transitioning patients to an adult model of care?
What steps do you take to prepare adolescents and their families for the change?

6. Florida’s clearinghouse for health care transition information at

7. Transition Toolkit

8. Transition Toolkit Visit www.jaxhats.ufl.edu or www.FloridaHATS.org
Account Set Up
address
Which position best describes you?
Medical Provider
Youth and/or Caregiver
Case Manager
Teacher

18. HillsboroughHATS
Post Card

19. Educational
Materials

21. Self-Advocacy Guides

22. Self-Management Videos 9 short videos with step-by-step instructions

23. Transition 2 Go

25. Health Care Professionals
Training for
Health Care Professionals
Web-based, video format
Recently updated with current evidence-based materials
10 modules
minutes each; 3 hours total
Posted on FLHATS web site
Free CME/CE (4 contact hrs) through Florida Area Health Education Center,

27. Contact Janet Hess, DrPH, MPH, CHES FloridaHATS Project Director
University of South Florida
(813)