Medicine. The Gatekeeper Five are critical to the tracking and monitoring of a large group of adolescents primed for transitioning into adult care, and should be a pivotal part of the multidisciplinary transitions team. Led by the health care providers, the multidisciplinary transition team should establish the following: 1) a detailed description of the intended results (i.e. roadmap the successful transition process at CHP); 2) a list of all constraints and barriers the program must address; and 3) a list of all assumptions related to the program. By drafting and approving these initial items, the group will build consensus and buy in from all those present. At subsequent meetings, a patient flow model should be introduced, to be developed jointly by the pediatric medical director, administrator and corresponding lead adult provider, and a list of all required work directly tied to the adolescent’s transition. This comprehensive list will help create a detailed and patient-specific schedule for when a patient reaches their self-assessed transfer point in their transition timeline. Additional input from youth representatives from the Children’s Hospital Advisory Network for Guidance and Empowerment (CHANGE) will help address challenges to successful health care transition. The CHANGE network should be utilized to the fullest, inclusive of the peer-to-peer contact perspective during transition. CHANGE was created to engage youth ages 16-26 who may experience challenges to successful health care transition, and typically has an active board of 10 to 20 young adult advocates. These advocates are responsible for maintaining contact with 40 additional adolescents through monthly networking events. The majority of youth involved have recently complete or are in the process of completing their own transition from pediatric to adult care. A tangential direction from this central CHANGE program would be to create and monitor transitioning adolescent and family-led support groups, held at neutral
Medicine. The Gatekeeper Five are critical to the tracking and monitoring of a large group of adolescents primed for transitioning into adult care, and should be a pivotal part of the multidisciplinary transitions team. Led by the health care providers, the multidisciplinary transition team should establish the following: 1) a detailed description of the intended results (i.e. roadmap the successful transition process at CHP); 2) a list of all constraints and barriers the program must address; and 3) a list of all assumptions related to the program. By drafting and approving these initial items, the group will build consensus and buy in from all those present. At subsequent meetings, a patient flow model should be introduced, to be developed jointly by the pediatric medical director, administrator and corresponding lead adult provider, and a list of all required work directly tied to the adolescent’s transition. This comprehensive list will help create a detailed and patient-specific schedule for when a patient reaches their self-assessed transfer point in their transition timeline. Additional input from youth representatives from the Children’s Hospital Advisory Network for Guidance and Empowerment (CHANGE) will help address challenges to successful health care transition. The CHANGE network should be utilized to the fullest, inclusive of the peer-to-peer contact perspective during transition. CHANGE was created to engage youth ages 16-26 who may experience challenges to successful health care transition, and typically has an active board of 10 to 20 young adult advocates. These advocates are responsible for maintaining contact with 40 additional adolescents through monthly networking events. The majority of youth involved have recently complete or are in the process of completing their own transition from pediatric to adult care. A tangential direction from this central CHANGE program would be to create and monitor transitioning adolescent and family-led support groups, held at neutral
OatesElectronicMHAEssay_4_2016.docx