Health Transition of Care Cohort 3 Final Meeting

Health Transition of Care Cohort 3 Final Meeting

Congratulations to the nine primary care practices (Cohort 3) who recently concluded their twelve-month participation in the Health Transitions of Care learning collaborative.  

Four teams of pediatric and adult practices used the “Got Transitions” framework and worked together to create and refine an efficient and sustainable workflow to assist youth and young adults as they transferred from pediatric to adult care. Transfer activities were considered for youth/young adults with and without special healthcare needs. One pediatric practice tested the use of the system of care referral hub as an alternative way of transitioning youth to adult care.  

Participating practices reported on their successes, challenges, and ideas for sustainability at the October final learning collaborative meeting. A common challenge highlighted in this collaboration was the lack of access to adult and pediatric primary care providers based on retirements. CTC-RI presented the practices’ pre- and post-assessment results and patient feedback survey results. Overall, 90% of the young adults felt that they had been sufficiently prepared to move to an adult provider. RIPIN concluded the meeting with an overview of their Self-Direction program. 

This learning collaborative was supported by RIDOH and UnitedHealthcare.