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News & Announcements

New Transition of Care Video Series for Neurology

The Child Neurology Foundation has released a Transition of Care Video Series that demonstrates the unique experience and needs of young adult patients transitioning from a child neurologist to an adult neurologist. Two videos show the journey of patients and their families as they approach the transition to adult health services. The Series also showcases perspectives and experiences of 5 national transitions experts–child and adult providers who care for individuals with neurologic conditions–through in-depth interviews.

New Report Analyzes Health Care Transition in Care Coordination Programs

A new Got Transition report, “Baseline Assessment of Health Care Transition Implementation in Title V Care Coordination Programs” 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 Transitoin 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 New Adolescent Medicine Resident Curriculum on Transition

The Society for Adolescent Health and Medicine (SAHM) developed a new 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.

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

Got Transition released a new 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.

Standards for Systems of Care for CYSHCN Streamlined and Updated

The Association of Maternal & Child Health Programs has recently released an updated version of the National Standards for Systems of Care that strive to serve the nation’s 11 million children and youth with special health care needs. Version 2.0 of the National Standards for Systems of Care for Children and Youth with Special Health Care Needs, produced in partnership with the National Academy for State Health Policy with support from the Lucile Packard Foundation for Children’s Health, sets the core components for the structure and process of effective systems of care while streamlining content for easier use by states and stakeholders. "Transition to Adulthood" remains a core domain for System Standards. Find the comprehensive System Standards HERE.

The National Alliance to Lead 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.

Free CME Podcast on Transition

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.

New 2017 Transition Coding and Reimbursement Tip Sheet Available

Got Transition and the American Academy of Pediatrics released a new 2017 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 seven clinical vignettes with recommended CPT and ICD-10 codes. Click HERE for the tip sheet.

NCWD Releases Young Person's Guide to Health Care Transition

A Young Person's Guide to Health Care Transition is a report from the National Collaborative on Workforce and Disability that speaks directly to youth about moving from pediatric to adult health care. The report considers topics such as changing providers, living a healthy lifestyle, paying for health care, and managing their own health and wellness. "Taking charge of your health care transition goes hand in hand with helping you achieve your career and life goals."

New Report on Innovative State Tile V Transition Efforts

A new Got Transition report, “Transition to Adult Health Care and State Title V Program Directions: A Review of 2017 Block Grant Applications” examines the FY 2017 state Title V block grant applications from 32 states that selected the transition national performance measure. This report presents current information about state Title V transition strategies and evidence-informed measures. It provides examples of innovative transition strategies, recommendations for states, and information about the new transition measure from the National Survey of Children’s Health that will be used to report state and national transition performance.

Free Pediatric Maintenance of Certification Transition Module Available

The University of California San Diego/Rady Children’s Hospital with the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) partnered with Got Transition to develop a new pediatric Maintenance of Certification (MOC) Part 4 Module on transition. The web-based activity – “Transitioning Youth from Pediatric to Adult-Centered Care – will evaluate adequacy of participant documentation of patients' transition from pediatric to adult centered care within the 6 Core Element framework developed by Got Transition: Center for Health Care Transition Improvement. Eligible participants include clinicians who actively evaluate pediatric patients with chronic diseases on a frequent enough basis to report data on 30 patient visits over a year period. This activity will provide MOC Part IV credits to participants who successfully meet completion criteria. To learn more about completion criteria and to register for FREE, email Kim Rose (KRose@naspghan.org) by March 31, 2017 and mention “GotTransition.org/UC San Diego/Rady Children’s Hospital."

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 one-hour CME 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 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.

National Young Adult Transition Advisory Group Formed

Got Transition has created a National Young Adult Transition Advisory Group to advise the organization on young adult perspectives on health care transition. The advisory group consists of young adults with and without disabilities between the ages of 18-25 that come from diverse geographic locations and ethnic backgrounds. They all represent various state and national health-related organizations around the country. The Young Adult Transition Advisory Group will ensure that young adult consumer perspectives are included in Got Transition’s plans moving forward. They will help review tools designed to educate and inform young adults on the importance of health care transition, guide Got Transition’s social media platforms to relay important health care transition-related messages and resources to youth and young adults, and bolster Got Transition’s partnerships with their organizational affiliates.

ACP Releases New 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 new 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.

Two Reports on 32 States Selecting Health Care Transition as a State Public Health Priority

A new Got Transition report, “State Title V Health Care Transition Performance Objectives and Strategies: Current Snapshot and Suggestions,” analyzes the FY 2016 State Title V Action Plans from the 32 states that have selected transition as one of their priorities to address over the next five years. The report offers specific suggestions for 1) aligning transition objectives with the new transition measure in the upcoming National Survey of Children's Health and the Six Core Elements of Health Care Transition, and 2) selecting measurable strategies related to expanding availability of adult providers, assessing health care transition implementation, and increasing quality improvement and educational efforts using the Six Core Elements. 

Got Transition has also released a report, “Aligning National Title V Performance Measures on Transition, Medical Home, Preventive Care, and Insurance: Suggested Strategies for States,” which offers strategies to state Title V agencies and their partners on linking performance improvements and innovations for transition with medical home, adolescent well care, well care for women, and adequate health insurance. 

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

Got Transition has released a new 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.

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.

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

Got Transition’s newest 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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