Transfer of Care
- Contact young adult and parent/caregiver 3 to 6 months after last pediatric visit to confirm transfer of responsibilities to adult practice and elicit feedback on experience with transition process.
- Communicate with adult practice confirming completion of transfer and offer consultation assistance, as needed.
- Build ongoing and collaborative partnerships with adult primary and specialty care providers.
Confirming transfer completion, arranging for pediatric consultation (as needed), and assessing youth and family experience with transition support are all part of the sixth element in these health care transition quality recommendations. Communicating with the adult provider about the pediatric provider's residual responsibility for care until the first visit is completed and the young adult selects the adult provider as his/her primary care medical home is necessary. Until the young adult has made and kept an appointment establishing care in the new medical home, the pediatric provider should expect to have some residual responsibility for care. Examples may include medication refills or acute care visits. In addition, communicating with the adult practice about available pediatric consultation assistance is also important. To evaluate the success of the transition process, having a mechanism to obtain and incorporate the feedback from youth and families will improve the practice's approach to transition. Such a survey can be done three to six months after transfer.