September 30, 2024

Transitions of Care Pediatric Focus

Health Care Transitions

September 30, 2024

Attendees: Sarah Corathers, Faisal Malik, Jordan Ross, Don Buckingham, Lauren Waterman, Abha Choudhary, Sarah Rosenheck, Mai Tran, Sheila Dennehy, Inas Thomas, Sean DeLacey, Ines Guttmann-Bauman, Todd Alonso, Jennifer Pfieffer, Katie Craft, Risa Wolf, Andrea Mucci, Mark Clements

Adult Perspective on Quality Measures:

• Landed measure on retention
  • How they capture retention of care once transitioned
  • Retention data can lead to outcomes

Perspective on Quality Measures:

• Which core elements do we want to focus on as a Collaborative?
  • Core Element 3: Transition Readiness
  • Core element 4: Transition Planning
• Which core element does a documented transition plan fall under?
  • Core Element 4: Transition Planning
• Creating a process measure
  • Population
  • Timeline
  • Who is eligible
  • If you don’t have a tool pick tool
• Another way to think is increasing number of centers completing (x/6) core elements

Standardization on Assessment:

• Consistently delivering Transition Assessment to all patients starting by age 16 annually

Next steps:

• centers query baseline data of adolescents with T1D % age > 16 with an assessment within past 12 months
• % T1D age > 18 with transition readiness assessment within past 12 months
  • Centers please use this link to add in responses

Link to recording: https://youtu.be/32ZYcFIDzT4