Step 1: Secure Senior Leadership Support

This guide is a supplement to the Six Core Elements. It is organized into nine steps that a health

care delivery system or individual practice can consider when implementing a QI process for HCT.

To start, select the Six Core Element package(s) appropriate for your system/practice:

• Transitioning Youth to an Adult Health Care Clinician for use by pediatric, family

medicine, and med-peds clinicians

• Transitioning to an Adult Approach to Health Care Without Changing Clinicians for use

by family medicine and med-peds clinicians

• Integrating Young Adults into Adult Health Care for use by clinicians caring for adults,

including family medicine and med-peds clinicians

Systems/clinicians can draw on the practical ideas presented in this guide when developing a

HCT implementation plan, when experiencing challenges, or when the way forward seems

unclear. The plan should be customized to fit the system/practice resources, patient

population, health care setting and the local context. For example, the scope of Pediatrics/

Internal Medicine/Family Medicine/General Practice is different in different countries and thus

the transition process needs to be locally adapted.

Note: The term “practice” will be used generically throughout the guide, and some of the points

in each of the steps need to be interpreted in light of the size of your practice/health care

delivery or public health system/program.How to Implement the Six Core Elements of Health Care Transition™ 3.0 3

The implementation steps are outlined below with suggested strategies and tips and include:

Step 1: Secure Senior Leadership Support

Step 2: Form the HCT Quality Improvement Team

Step 3: Develop an HCT Improvement Plan

Step 4: Raise Awareness About HCT Activities

Step 5: Implement the Six Core Elements of HCT

Step 6: Plan for Sustainability

Step 7: Plan for Spread

Step 8: Communicate Successes

Step 9: Tips for Success