Transitions of Care (Pediatric to Adult Focused Care)

This project aims to understand barriers and challenges of adolescents transitioning to adult primary and subspecialty care and work toward system improvement to facilitate a smooth transition of care.

We engage pediatric and adult focused clinicians to address these challenges and barriers that prevent young adults from accessing high quality primary and specialty care.  Our work is guided by Got Transition’s Six Core Elements of Health Care Transition to support successful health care transitions for Medicaid-eligible youth.

Our team brings together faculty and staff from VCHIP and the Department of Medicine Quality Program to strengthen our progress in building a sustainable model for supporting health care transitions for Medicaid-eligible adolescents who are transitioning from pediatric to adult subspecialty and primary care.

VCHIP Transition Data Brief

This report provides an overview of efforts in Vermont, led by VCHIP to develop and support effective systems for transitions of care for adolescents and young adults (AYA) moving from pediatric to adult health care settings.

Read the data brief here: Pediatric to Adult Health Care Transitions: Lessons Learned from Quality Improvement in Vermont (PDF)   

a boy's journey map showing the transition from pediatric to adult care

Stephen's Journey Map

This journey map illustrates the experiences of Stephen, a 22-year-old young adult living with Type 1 diabetes. This visual representation is based on a hypothetical patient and their experience transitioning from pediatric to adult care represents the challenges many young people face.