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Pediatric to Adult Care Transitions Initiative

This American College of Physicians (ACP) Initiative is a collaborative effort to develop a toolkit to facilitate more effective transition and transfer of young adults from pediatric to adult care, with a major focus on providing a framework for the adult care clinicians. 

This new toolkit contains disease/condition-specific tools developed by internal medicine subspecialties to assist physicians in transitioning young adults with chronic diseases/conditions into adult care settings.

This effort is under the direction of ACP’s Council of Subspecialty Societies (CSS) in collaboration with Got Transition (GT)/Center for Health Care Transition Improvement, Society of General Internal Medicine (SGIM), and Society for Adolescent Health and Medicine (SAHM).  This project is also part of the College’s High Value Care Coordination Project  - a part of ACP’s broader high value care initiative - which attempts to help physicians to provide the best possible care to their patients while simultaneously reducing unnecessary costs to the healthcare system.

Customized Tools for Diseases and Conditions

Sets of disease-specific tools that consist of information adapted from the Got Transition Six Core Elements of Health Care Transition that are customized to assist with and improve the transition experience for young adults with specific diseases and/or chronic conditions. The tools include the following minimum disease-specific tools:

  • Transition Readiness Assessment
  • Medical Summary/Transfer Record
  • Self-Care Assessment

Access Specialty Tools 

About This Project

The sets of tools in the ACP Pediatric to Adult Care Transitions Toolkit were developed by subgroups that were formed by participating societies belonging to ACP's Council of Subspecialty Societies (CSS) and reviewed by ACP Steering Committee, which included representatives from primary and specialty care internal medicine, medicine-pediatrics, adolescent medicine and Got Transition leadership and review teams from the American Academy of Pediatrics.

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