Advancing healthcare transitions in the medical home: tools for providers, families and adolescents

Authors, Primary Lemly,Diana, C.;Weitzman,Elissa, R.;O'Hare,Kitty
Title Primary Advancing healthcare transitions in the medical home: tools for providers, families and adolescents with special healthcare needs
Periodical Full Current opinion in pediatrics
Pub Year 2013
Volume 25
issue 4
Start Page 439-446
Abstract PURPOSE OF REVIEW: The purpose of the present article is to review recent national guidelines regarding healthcare transition (HCT) planning for adolescents with special healthcare needs (SHCN) and to describe practical tools for use by the primary care pediatrician to implement these guidelines. RECENT FINDINGS: Approximately one in five adolescents in the United States has SHCN. Achieving successful transitions from child-oriented to adult-oriented healthcare for these patients can be difficult. Despite numerous barriers to HCT, innovations in healthcare delivery, including the patient-centered medical home and accountable care payment structures, may help overcome challenges. The American Academy of Pediatrics, American Academy of Family Physicians, and the American College of Physicians have provided explicit practice-level guidance for supporting HCT. The National Healthcare Transition Center developed the Six Core Elements of Healthcare Transition, recommending six detailed action steps for transitions from pediatric settings. Steps reflect guidelines and, along with novel patient-centered information technologies, may help support individuals and families navigating complex transitions. SUMMARY: It is time to integrate transition planning into the medical home. Further evidence is needed to identify transition strategies that improve outcomes. Although innovations in care delivery, payment structures, and information technologies may support HCT, pediatricians can and should implement already available and recommended transition steps.
Publisher Not Available
Place of Publication Not Available
Author/Address aDivision of Adolescent Medicine/Young Adult Medicine, Boston Children's Hospital bDepartment of Pediatrics, Harvard Medical School cDivision of General Medicine, Boston Children's Hospital dDepartment of Medicine, Brigham and Women's Hospital, (TRUNCATED)
PubMed Link
Reference Type(s) Not Available
Topic Tag(s) Care Coordination;Toolkits
Special Population(s) Children with Special Needs
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No