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 New Health Care Transition Efforts: Clinical Resources, Interactive Website and State Title V Partnership

By Daniel Beck and Margaret McManus
Got Transition/Center for Health Care Transition Improvement, The National Alliance to Advance Adolescent Health

Got Transition, the federally funded Center for Health Care Transition Improvement, is the new national resource center dedicated to expanding the availability of effective health care transition supports. Funded by the Maternal and Child Health Bureau, this new center began its first year's activities by updating the Six Core Elements of Health Care Transition (Version 2.0) and launching a new website.

The Six Core Elements are a set of clinical resources that define the basic components of transition support and are based on the 2011 Clinical Report on Health Care Transition, jointly developed by the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians. Three Six Core Elements packages are available in English and Spanish for 1) practices serving youth who will transition out of pediatric care into adult care, 2) practices serving youth who will remain with the same provider but need to transition to adult-focused care, and 3) practices accepting new young adults into adult care.

Each package includes sample tools that are customizable and available for download. They include a sample transition policy, a tracking mechanism, a readiness/self-care assessment tool, a plan of care template, medical summary, emergency care plan, transfer checklist, and a transfer letter. Each package also includes consumer feedback surveys and two new measurement tools to assess progress in transition quality improvement. According to Dr. Patience White, the codirector of Got Transition, "We are pleased to make available these new resources to stimulate new quality improvement efforts aimed at ensuring that all youth effectively transition from pediatric to adult-focused care."

Got Transition is also launching its newly redesigned website, The site includes an interactive health provider section that corresponds to the Six Core Elements packages. It also includes a set of frequently asked questions developed by and for youth, young adults, and families, as well as new information for researchers and policymakers and a robust listing of transition resources.
To build state Title V leadership in transition, Got Transition has started starting to work with six states – Maryland, Ohio, Oregon, Rhode Island, Texas and Wisconsin – to promote more widespread use of the Six Core Elements using quality improvement strategies. Future plans are to develop a set of webinars and slide decks that all Title V agency staff can use as they further their important efforts at achieving transition improvements.

For more information on Got Transition, please visit ​