1. A quality improvement evaluation of a standardized intervention for children with medical complexity transitioning to adult care.
- Author
-
Esser, Kayla, Adams, Sherri, Chung, Christopher, McKay, Taylor, Moore, Clara, Wagman, Hayley, Lee, Stephanie, and Orkin, Julia
- Subjects
- *
HUMAN services programs , *CHRONIC diseases in children , *EVALUATION of human services programs , *NURSING records , *TREATMENT effectiveness , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *TRANSITIONAL care , *PRE-tests & post-tests , *MEDICAL records , *ACQUISITION of data , *QUALITY assurance , *EVALUATION , *CHILDREN - Abstract
Children with medical complexity have medical fragility, chronic disease, technology dependence, and high healthcare use. Their transition to adult health care at age 18 involves medical and social elements and follows no standardized process. Our goal was to improve transition readiness in children with medical complexity using a transition intervention within a Complex Care program. All children with medical complexity aged 14 to 18 were included in this quality improvement (QI) project (n = 54). We conducted a pre- and post-intervention chart review to assess transition outcomes and implemented a transition intervention for 6 months, which included an age-stratified checklist, charting template, and transition rounds. Before the intervention, 72% of 17- to 18-year-old patients had documented transition discussions, which increased to 86%. Patients with a family physician increased as well (61% to 73% for 17- to 18-year-olds). Three transition education rounds were held. The intervention increased transition readiness, provided tools to facilitate transition, and created a forum for conversation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF