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Intro
Six Core Elements
1
Transition Policy
2
Tracking & Monitoring
3
Transition Readiness
4
Transition Planning
5
Transfer
of Care
6
Transfer Completion
Measuring Transition

Young Adult Tracking and Monitoring

  • Establish criteria and process for identifying transitioning young adults until age 26 and enter their data into a registry.
  • Utilize individual flow sheet or registry to track young adults' completion of the Six Core Elements.
  • Incorporate the Six Core Elements into clinical care process, using EHR if possible.

Description

Establishing a mechanism to track progress of each young adult as they receive the Six Core Elements is the second element in these health care transition quality recommendations. An individual flow sheet within the chart can be used to track individual patient progress with the Six Core Elements. Information from an individual flow sheet can be used to populate a registry and help to monitor the transition progress within a larger population. Practices may elect to start monitoring transition progress with a subset of young adults with chronic conditions. The long-term goal is to track health care transition progress among all young adults ages 18-26, with and without chronic conditions.



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Got Transition™ is a program of National Alliance Logo The National Alliance to Advance Adolescent Health supported by U39MC25729 HRSA/MCHB