Optimizing Transition from Pediatric to Adult Care 2024 (Oakstone)

Date of Original Release: October 15, 2024

This activity was designed for physicians, NPs, and PAs in: pediatrics, internal medicine, family medicine, medicine-pediatrics, pediatric subspecialties, medical specialties and subspecialties; and psychologists, social workers, and counselors who support young adults and their families.

Learning Objectives

Upon completion of this activity, participants will be able to apply the following:

• Practice state-of-the-art care of chronic childhood conditions in adolescent and adult patients, including single system diseases, multisystem diseases, and intellectual/developmental disabilities
• Develop and implement practical strategies to successfully transfer and accept patients with chronic childhood conditions. Including care coordination and integration, supported decision making, practice redesign and team-based care, and adolescent health and wellness
• Assess healthcare systems and their impact on transition to adult care, including quality improvement, reimbursement strategies, national health policy, and population health
• Design your approach to patient and family engagement in chronic condition management and help them to achieve health equity through communication, assessing self-management skills and readiness to transition to adult healthcare settings, coping with chronic illness, supports for community living

+ Topics:

• 01 Defining Successful Transition of Young Adults in 2024 and Current Assessment from Got Transition – Niraj Sharma, MD, MPH and Susan Shanske, LICSW.mp4
  02 Teaching Self-Management Skills – Strategies and Best Practices Gleaned from Diabetes Care – Katharine Garvey, MD, MPH.mp4
  03 Maximizing Independence – Valuable Lessons from Care of Patients with Epilepsy – Tracey Milligan, MD, MS, FAAN, FAES, FANA.mp4
  04 Ensuring Adherence – Strategies and Best Practices Gleaned from Cystic Fibrosis – Gregory S. Sawicki, MD, MPH.mp4
  05 Faculty Q&A – Drs. Garvey, Milligan, and Sawicki.mp4
  06 The Use of Quality Improvement (QI) in Transition Care – Overview – Kitty O’Hare, MD.mp4
  07 Workshop – Transition Care Policy Writing – Niraj Sharma, MD, MPH and Ahmet Uluer, DO, MPH.mp4
  08 Workshop – Transition Quality Improvement (QI) – Creating a Current State Process Map – Madeline Chiujdea, BA, CPHQ, CLSSGB and Natalie Mann, BSE.mp4
  09 Workshop – Gap Analysis – Current State vs. Ideal State – Staci R. Eisenberg, MD, Colleen A. Monaghan, MD and Kitty O’Hare, MD.mp4
  10 Workshop – Inpatient QI Project Cycle Development – Ahmet Uluer, DO, MPH and Susan Shanske, LICSW.mp4
  11 Workshop – Getting Your Transition Project Started – Outpatient QI Project Cycle Development – Colleen A. Monaghan, MD and Staci R. Eisenberg, MD.mp4
  12 Workshop – Quality Improvement for Transition – Outpatient QI Project Cycle Development (Advanced) – Kitty O’Hare, MD.mp4
  13 Preparing Women with Chronic Conditions for Pregnancy – Strategies and Best Practices Gleaned from Congenital Heart Disease Care – Anne Marie Valente, MD.mp4
  14 Parent Guidance for Transitional Age Youth – Yoshio Kaneko, MD.mp4
  15 Substance Use Disorder in Transition-Age Youth – Scott Hadland, MD, MPH, MS.mp4
  16 Faculty Q&A – Drs. Hadland, Kaneko, and Valente.mp4
  17 Systems-Based Approach to Preparing Youth for Transition – A Care Management Model – Katherine H. Schiavoni, MD, MPP.mp4
  18 Embedding Health Equity into Transition of Care – Alexy D. Arauz Boudreau, MD, MPH.mp4
  19 Lessons of Twenty Years on Your Own Feet – Transitional Care in the Netherlands – Jane Sattoe, PhD.mp4
  20 Faculty Q&A – Drs. Boudreau, Schiavoni, and Sattoe.mp4
  21 Building a Road Map for Change – Improving Transitions to Adulthood – Elaine Gabovitch, MPA.mp4
  22 Inpatient Consult Service Models – Real World Lessons- Ahmet Uluer, DO, MPH.mp4
  23 Preparation Basics – How to Create a Medical Summary – Emergency Plan – Kristina Taylor, BS, BSN, RN.mp4
  24 Faculty Q&A – Ms. Gabovitch, Dr. Uluer, and Ms. Taylor.mp4
  25 Establishing and Maintaining a Comprehensive Transition Program – Ahmet Uluer, DO, MPH.mp4
  26 Roundtable – Connecting Patients Using Social Media and Technology – Jonathan S. Hausmann, MD.mp4
  27 Roundtable – Finding Adult Providers – Creating the Warm Handoff into the Soft Landing – Margaret E. Threadgill, MD, MBA.mp4
  28 Roundtable – Approach to Transition Care in a Community Health Center – Meaghan Hamilton, PNP, C. Alexis Hopkins, MPH, and Caitlin Erwin, BSN, RN.mp4
  29 Navigating College with Chronic Conditions – Patient and Provider Perspective – Janis Arnold, MSW, LICSW and Sneha Dave.mp4
  30 Perspectives – Patients, Parents, and Providers – Navigating the Complexities of Communication – Laurie N. Fishman, MD.mp4
  31 Health Care for Individuals with Down Syndrome – Diagnosis to Adulthood – Stephanie L. Santoro, MD.mp4
  32 Faculty Q&A – Drs. Fishman and Santoro.mp4
  33 Autism in Transition – Sarah J. Spence, MD, PhD.mp4
  34 The KIND Clinic – Gynecologic Care for Women with Intellectual Disabilities – Kathleen Nolan, NP.mp4
  35 Faculty Q&A – Dr. Spence and Ms. Nolan.mp4
  36 Educational Advocacy for Youth with Intellectual-Developmental Disability – Alison D. Schonwald, MD.mp4
  37 Assessing for Independence and Support Needs – Jennifer Turek Queally, PhD.mp4
  38 Faculty Q&A – Drs. Queally and Schonwald.mp4
  39 Breakouts – Outpatient Billing for Transition Care – Colleen A. Monaghan, MD.mp4
  40 Breakouts – Comorbid Mental Health Conditions – Lessons from Transplant – Kristine McKenna, PhD.mp4
  41 Breakouts – Developing an Outpatient Transition Clinic for Patients with Medical Complexity – Kristin M. Farias, MD.mp4
  42 Transition Medicine and National Health Policy – Niraj Sharma, MD, MPH.mp4
  43 Promoting Self-Management and Self-Advocacy – Sneha Dave and Colleen Huysman, MSW, LICSW.mp4
  44 Inflammatory Bowel Disease and Coping with a Chronic Condition – Sarah N. Flier, MD.mp4
  45 Lessons from Care of Patients with Sickle Cell Disease – Maureen Okam Achebe, MD, MPH.mp4
  46 Creating a Transition Program for Solid Organ Transplant – Dawn Freiberger, RN, MSN, CCTC, Lynne Helfand, MSW, LICSW, MPH, and Brendan Kimball, MBA.mp4
  47 Solid Organ Transplant and Navigating Chronic Care Transitions – Scott A. Elisofon, MD.mp4
  48 Cancer Survivorship and Adult Screening Guidelines – Ann H. Partridge, MD, MPH.mp4
  49 Measuring Care Coordination and Care Integration – Richard C. Antonelli, MD, MS.mp4
  50 Building Your Team – Lessons from Care of Patients with Spina Bifida – Erin McNamara, MD, MPH and Arda Hotz, MD.mp4
  51 Pregnancy and Women with Mobility Disabilities – Lisa I. Iezzoni, MD, MSc.mp4
  52 Young Adults with Chronic Pain – Rachael B. Coakley, PhD.mp4
  53 Palliative Care – Approaching Conversations in Youth with Life-Limiting Conditions – Elisabeth Dellon, MD, MPH and Ashley Allen, MD, MSPH.mp4
  54 Obesity in Adolescents and Young Adults with Shared Patient Perspectives – Fatima Cody Stanford, MD, MPH, MPA, MBA, FAAP, FACP, FAHA, FAMWA, FTOS, DABOM.mp4
  55 HIV in Teens – Anne M. Neilan, MD, MPH.mp4
  56 Sexual Health in Chronic Illness – Including Fertility – Julia C. Roboff, MSN, FNP-BC.mp4
  Questions.pdf
  Syllabus.pdf