1. from Pediatric to Adult Care
FloridaHATS:
Building Bridges
from Pediatric to Adult Care
October 14, 2014 1

2. Health Care Transition
Preparation
Increased responsibility for health care self-management; understanding and planning for changes in health needs, insurance, and providers in adulthood; should occur across ages
The purposeful, planned movement of adolescents and young adults, with and without SHCN, from child-centered to adult-oriented health care systems.
Health Care Transition (HCT)
Transfer of Care
Discrete event, physical transfer from a pediatric to an adult provider; should occur between ages
Preparation is a process that should occur over time, starting at age It involves increasing the patients responsibility for managing their own health (like take medications independently, being able to communicate with providers, making their own doctor’s appts, etc.). It’s also understanding and planning for changes in insurance coverage and health care needs in adulthood.
Transfer is the discrete event, or hand-off from a pediatric provider to an adult provider, which ideally happens between ages
Transition is complete when the patients is established in an adult medical home.
Successful Transition
Patients are engaged in and receive on-going patient-centered adult care.

3. Florida Strategic Plan for HCT
Health Care Financing
Education and Training
Advocacy
Service Delivery Systems 3

4. A Public Health Approach

5. Clearinghouse of HCT Information
Clearinghouse of HCT Information

6. 10 Steps to Successful Health Care Transition

7. #1: Start Early! Begin preparing for transition even when young.

8. #2: Focus on responsibility for health care Taking responsibility for health care should be based on age and abilities. You can become more independent by learning important skills like talking to your doctor, asking questions, scheduling appointments, arranging transportation, filling prescriptions and taking medication on your own.

9. Pediatricians Adult Physicians
Child- friendly Expectations for
mature patients
Family-centered Patient-centered
Interact primarily Interact with patient
with parents
Nurturing Empower individual
Prescription Collaborative
Developmental Focus Disease Focus 9

10. Self-Management Videos
Short Videos
with step-by-step instructions

11. #3: Create a health summary Put important information about personal health in one place, including medications and plans for emergencies.

13. #4: Create a health care transition plan Work with your health care team (e.g., primary care provider, nurse care coordinator, social worker) to develop a written transition plan that includes future goals, services that will be needed, who will provide them, and how they will be paid for.

14. Transition Toolkit

15. #5: Maintain wellness Support good habits that will continue into adulthood. Talk about risky behaviors such as alcohol use and smoking, as well as sexuality and relationships. You should spend time alone with your doctor at every office visit.

16. Self-Advocacy Guides

17. #6: Know options for health insurance and public assistance programs in adulthood.

18. Health Insurance Plan for change in insurance coverage Medicaid
Parents’ plan
Employer-based
Marketplace plans

19. #7: Find Adult Providers If still in the care of pediatric providers, identify a primary care physician and specialists who provide care for adults.

20. HillsboroughHATS
Post Card

21. #8: Include health in other areas of transition Ask your primary care physician to provide documentation of medical conditions and special health care needs for other programs and agencies.

23. #9: Integrate HCT activities in your Transition IEP or 504 Plan

24. School Resources Parent/ Student Classroom Handouts Curriculum
Links to Lesson Plans

25. #10: Learn about community services and supports for adults Be knowledgeable about rights and responsibilities at age 18! Discuss guardianship and decision-making options, as needed.

27. Contacts HillsboroughHATS Marybeth Dunn, MPH Coalition Coordinator
(727)
FloridaHATS
Janet Hess, DrPH, MPH
FloridaHATS Project Director
(813)