Webinar Series — Health Care Transition & Title V Care Coordination Initiatives
A five-part Webinar Series featuring examples of best practices among state Title V agencies, tools and resources, and problem-solving strategies.
Session 1 · Starting A Transition Improvement Process Using the Six Core Elements of Health Care Transition
- Overview of Health Care Transition Baseline Results from Title V Care Coordination (CC) Programs
- Forming a HCT quality improvement team with CC team and youth/young adults/parents
- Defining HCT pilot population, timeline, measures of success
- Selecting HCT core elements and delineating roles of CC program and YSHCN providers
Recording & Handouts
Session 2 · Transition Preparation
- Identifying key components of HCT policy for CC programs that families/youth want to know
- Customizing transition readiness assessment (RA) for CC programs
- Piloting and disseminating HCT policy and RA
- Incorporating RA skill needs into plan of care and educating youth and families on needed skills
- Preparing medical summary and emergency care plan with youth and families and their providers
Recording & Handouts
Session 3 · Transfer to Adult Care
April 26, 2018 · 3:00 – 4:00 ET- Identifying willing adult primary and specialty providers
- Sequencing plans for transferring young adults with multiple providers
- Identifying ways to support adult practices (consultation, care coordination)
- Preparing transfer package and communicating with pediatric and adult practices
Session 4 · Integration into Adult Care
May 31, 2018 · 3:00 – 4:00 ET- Ensuring welcome and orientation FAQs from the adult practice to transferring young adults and pediatric practice
- Facilitating initial appointment to adult doctor, including confirmation of receipt of transfer package
- Supporting adult practice with CC assistance from Title V and linking to adult disability resources
Session 5 · Youth, Young Adult & Parent Engagement
June 28, 2018 · 3:00 – 4:00 ET- Identifying youth/young adults/parents to participate in HCT initiatives in Title V CC programs
- Providing transition education and training and mentoring opportunities
- Eliciting consumer feedback with HCT care coordination process
- Building youth/young adult/parent leadership roles on HCT within state Title V programs
The National Alliance to Advance Adolescent Health