Here are examples from the handout in the Materials folders above for this course, and specifically this lesson.
Purpose
Integration into adult practice is the fourth element in the Six Core Elements of Health Care Transition™ (HCT). This includes planning with the pediatric clinician for the young adult’s transfer and ensuring receipt of current medical information. Adult practices should receive the young adult’s transfer package from the pediatric practice and communicate with the pediatric provider about their residual responsibility for care until the first visit to the adult provider is completed. The adult practice should make a pre-visit contact (call, email, text) to welcome the new young adult, remind them of their upcoming appointment, and identify any special needs or preferences. See sample integration into adult practice tools in Section III. • Communicate with young adult’s pediatric clinician(s) and arrange for consultation assistance, if needed .
Objectives
• Prior to first visit, ensure receipt of transfer package, including final transition readiness assessment, plan of care with transition goals and prioritized actions, medical summary and emergency care plan, and, if needed, legal documents, condition fact sheet, and additional clinical records .
• Make pre-visit appointment reminder welcoming new young adult and identifying any special needs and preferences .
Quality Improvement:
This is an ongoing process. In the handout PDF in the Materials section, there are some examples of flow analysis and problem approaches. This graphic is an illustration on how to use one of these tools.
