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Six Core Elements of Health Care Transition™

What is Health Care Transition?

Health care transition, or HCT, is the process of moving from a child/family-centered model of health care to an adult/patient-centered model of health care, with or without transferring to a new clinician. It involves planning, transfer, and integration into adult-centered health care. The goals of health care transition are: 1) To improve the ability of youth and young adults with and without special health care needs to manage their own health care and effectively use health services, and; 2) To ensure an organized process in pediatric and adult health care practices to facilitate transition preparation, transfer of care, and integration into adult-centered health care.

What are the Six Core Elements™?

Got Transition's Six Core Elements of Health Care Transition 3.0 is the widely adopted approach called for in the 2018 Clinical Report on Health Care Transition from the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians. The Six Core Elements define the basic components of a structured transition process and include customizable sample tools for each core element. The Six Core Elements are tailored to the type of practice facilitating the health care transition and are presented in three distinct packages. They can be found below and summarized in the Side-by-Side Comparison on this page.


Download a PDF comparison of the three Six Core Elements packages.

How to Implement the Size Core Elements of Health Care Transition

How to Start Implementing the Six Core Elements in a Practice

The companion Implementation Guides are available to assist clinicians in establishing a process for integrating the Six Core Elements into their practice with youth/young adults and parents/caregivers, beginning early in adolescence and continuing into young adulthood.

For more information about the Six Core Elements, visit our FAQs.

Six Core Elements™ Approach and Timeline for
Youth Transitioning from Pediatric to Adult Health Care

Develop, discuss, and share transition and care policy/guide
Age 12-14
Tracking & Monitoring
Track progress using a flow sheet registry
Age 14-18
Assess self-care skills and offer education on identified needs
Age 14-18
Develop HCT plan with medical summary
Age 14-18
Transfer of Care
Transfer to adult-centered care and to an adult practice
Age 18-21
Transition Completion
Confirm transfer completion and elicit consumer feedback
Age 18-23

There are three sets of customizable tools available for different practice settings.

Click below for information and samples of each core element and full Six Core Elements packages.