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Harvard Optimizing Transition from Pediatric to Adult Care 2024

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Strategies and Best Practices for Effective Transition of Patients with Complex Medical Needs

Optimizing Transition from Pediatric to Adult Care — features faculty from Harvard Medical School, Brigham and Women’s Hospital, and Boston Children’s Hospital BRIDGES Adult Transition Program. It offers comprehensive guidance and practical strategies to help you identify appropriate adult care providers, improve existing transition processes, and tailor approaches based on patient age, condition, and abilities. Learn to develop policies and build transition teams that enhance coordination across care settings, leverage telehealth and social media innovations, and ensure up-to-date, portable medical summaries. Designed for pediatric, family medicine, internal medicine, and subspecialty providers, this course equips you with tools to optimize patient readiness, promote self-management, address sexual health and fertility, and support special patient populations with complex or rare conditions. Gain actionable insights to confidently navigate the evolving landscape of patient transition and reimbursement in 2024.

* Date of Original Release: May 1-3, 2024

LEARNING OBJECTIVES

At the completion of this course, you should be able to:

  • Manage chronic childhood conditions in adolescents and adults, including complex and developmental disorders.
  • Implement effective strategies for transferring and accepting patients, focusing on care coordination and team-based approaches.
  • Assess healthcare systems’ impact on transitions, including quality improvement and reimbursement.
  • Engage patients and families to support self-management, communication, and equitable care.

HARVARD OPTIMIZING TRANSITION FROM PEDIATRIC TO ADULT CARE 2024

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HARVARD OPTIMIZING TRANSITION FROM PEDIATRIC TO ADULT CARE 2024 TOPICS

1. Defining “Successful” Transition of Young Adults in 2024 and Current Assessment from Got Transition® – Niraj Sharma, MD, MPH and Susan Shanske, LICSW

2. Teaching Self-Management Skills: Strategies and Best Practices Gleaned from Diabetes Care – Katharine Garvey, MD, MPH

3. Maximizing Independence: Valuable Lessons from Care of Patients with Epilepsy – Tracey Milligan, MD, MS, FAAN

4. Ensuring Adherence: Strategies and Best Practices Gleaned from Cystic Fibrosis – Gregory S. Sawicki, MD, MPH

5. Faculty Q&A – Dr. Niraj Sharma; Drs. Garvey, Milligan, and Sawicki

6. The Use of Quality Improvement (QI) in Transition Care: Overview – Kitty O’Hare, MD

7. Preparing Women with Chronic Conditions for Pregnancy: Strategies and Best Practices Gleaned from Congenital Heart Disease Care – Anne Marie Valente, MD

8. Parent Guidance for Transitional Age Youth – Yoshio Kaneko, MD

9. Substance Use Disorder in Transition-Age Youth – Scott Hadland, MD, MPH, MS

10. Faculty Q&A – Dr. Niraj Sharma; Drs. Hadland, Kaneko, and Valente

QI Workshops 1A–1C

1A Transition Care Policy Writing – Niraj Sharma, MD, MPH and Ahmet Uluer, DO, MPH

1B Transition QI: Creating a Current State Process Map – Madeline Chiujdea, BA, CPHQ, CLSSGB and Natalie Mann, BSE

1C Gap Analysis: Current State vs. Ideal State – Staci R. Eisenberg, MD, Colleen A. Monaghan, MD and Kitty OHare, MD

QI Workshops 2A–2C

2A Inpatient QI Project Cycle Development – Ahmet Uluer, DO, MPH and Susan Shanske, LICSW

2B Outpatient QI Project Cycle Development (Beginners) – Colleen A. Monaghan, MD and Staci R. Eisenberg, MD

2C Outpatient QI Project Cycle Development (Advanced) – Kitty OHare, MD

1. Systems-Based Approach to Preparing Youth for Transition: A Care Management Model – Katherine H. Schiavoni, MD, MPP

2. Embedding Health Equity in a Population Health Approach – Alexy D. Arauz Boudreau, MD, MPH

3. Lessons of Twenty Years on Your Own Feet: Transition Care in the Netherlands – Dr. Jane Sattoe

4. Faculty Q&A – Susan Shanske, LICSW; Drs. Boudreau, Schiavoni, and Sattoe

5. Building a Road Map for Change: Improving Transitions to Adulthood – Elaine Gabovitch, MPA

6. Inpatient Consult Service Models: Real World Lessons – Ahmet Uluer, DO, MPH

7. Preparation Basics: How to Create a Medical Summary/Emergency Plan – Kristina Taylor, BS, BSN, RN

8. Faculty Q&A – Dr. Niraj Sharma; Ms. Gabovitch, Dr. Uluer, and Ms. Taylor

9. Building and Sustaining a Comprehensive Transition Program – Ahmet Uluer, DO, MPH

10. Navigating College with Chronic Conditions: Patient Perspectives – Janis Arnold, MSW, LICSW and Sneha Dave

Roundtables 3A–3C

3A Connecting Patients Using Social Media and Technology – Jonathan S. Hausmann, MD

3B Finding Adult Providers: Creating the Warm Handoff into the Soft Landing – Margaret E. Threadgill, MD, MBA

3C Approach to Transition Care in a Community Health Center – Meaghan Hamilton, PNP, C. Alexis Hopkins, MPH, and Caitlin Erwin, BSN, RN

Roundtables 4A–4C

4A Connecting Patients Using Social Media and Technology – Jonathan S. Hausmann, MD

4B Finding Adult Providers: Creating the Warm Handoff into the Soft Landing – Margaret E. Threadgill, MD, MBA

4C Approach to Transition Care in a Community Health Center – Meaghan Hamilton, PNP, C. Alexis Hopkins, MPH, and Caitlin Erwin, BSN, RN

1. Perspectives: Patients, Parents, and Providers – Navigating the Complexities of Communication – Laurie N. Fishman, MD

2. Down Syndrome through the Lifespan – Stephanie L. Santoro, MD

3. Faculty Q&A – Colleen A. Monaghan, MD; Laurie N. Fishman, MD, Ellen Brown, Stephanie L. Santoro, MD

4. Autism in Transition – Sarah J. Spence, MD, PhD

5. KIND Clinic: Gynecologic Care for Women with Intellectual Disabilities – Kathleen Nolan, NP

6. Faculty Q&A – Colleen A. Monaghan, MD; Dr. Spence and Ms. Nolan

7. Educational Advocacy for Youth with Intellectual/Developmental Disability – Alison D. Schonwald, MD

8. Assessing for Independence and Support Needs – Jennifer Turek Queally, PhD

9. Faculty Q&A – Drs. Queally and Schonwald

10. Transition Medicine and National Health Policy – Niraj Sharma, MD, MPH

11. Promoting Self-Management and Self-Advocacy – Sneha Dave and Colleen Huysman, MSW, LICSW

Breakouts 5A–5C

5A Outpatient Billing for Transition – Colleen A. Monaghan, MD

5B Comorbid Mental Health Conditions: Lessons from Transplant – Kristine McKenna, PhD

5C Outpatient Clinic for Children/Young Adults with Complex Medical Conditions – Kristin M. Farias, MD

1. Inflammatory Bowel Disease and Coping with a Chronic Condition – Sarah N. Flier, MD

2. Lessons from Care of Patients with Sickle Cell Disease – Maureen M. Achebe, MD

3. Creating a Transition Program for Solid Organ Transplant – Dawn Freiberger, RN, MSN, CCTC, Lynne Helfand, MSW, LICSW, MPH, and Brendan Kimball, MBA

4. Solid Organ Transplant and Navigating Chronic Care Transitions – Scott A. Elisofon, MD

5. Cancer Survivorship and Adult Screening Guidelines – Ann H. Partridge, MD, MPH

6. Measuring Care Coordination and Care Integration – Richard C. Antonelli, MD, MS

7. Building Your Team: Lessons from Care of Patients with Spina Bifida – Erin McNamara, MD, MPH and Arda Hotz, MD, MPH

8. Pregnancy and Women with Mobility Disabilities – Lisa I. Iezzoni, MD, MSc

9. Chronic Pain – Rachael B. Coakley, PhD

10. Palliative Care: Approaching Conversations in Youth with Life-Limiting Conditions – Elisabeth Dellon, MD, MPH and Ashley Allen, MD, MSPH

11. Obesity in Adolescents and Young Adults with Shared Patient Perspectives – Fatima Cody Stanford, MD

12. HIV in Teens – Anne M. Neilan, MD, MPH

13. Sexual Health in Chronic Illness (including Fertility) – Julia C. Roboff, MSN, FNP-BC

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