Patient-Centered Transitions of Care Tools and Strategies

Tools and Strategies For Improving Transitions of Care

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Transitioning Adolescent Patients (TAP) from Pediatric to Adult Care: The UCSF-TAP Program

Transitioning Adolescent Patients (TAP) from Pediatric to Adult Care
The purpose of the UCSF-TAP program is to develop an institution-wide program to successfully transition adolescent patients with chronic health care needs from pediatric to adult-centered care at the University of California San Francisco (UCSF). This program includes two primary components: 1) A trainee intervention to educate pediatric trainees regarding the care and transition needs of children with chronic illness and 2) a patient component which includes development of an educational tool to facilitate the transition from pediatric to adult-centered care.

Health Care Transition: A Resident Learning Module

Health Care Transition: A Resident Learning Module
The project goal was to develop a transition curriculum for medical residents that would enhance residents’ knowledge base of transition issues, develop clinical skills to assess, plan and support transition for adolescent and young adult patients and promote residents’ self-efficacy in the integration of patients and families in the decision-making process through close mentoring of the transition process by faculty and patients who have experienced challenges and success in transition.

University of Chicago: EPOCH- Engineering Patient Oriented Clinic Handoffs

EPOCH: Engineering Patient Oriented Clinic Handoffs
The overall aim of this project is to redesign the end of year handoff process in an internal medicine residency clinic to become more patient-centered by incorporating the patient perspective and their suggestions into this process. To facilitate this redesign, our objectives for this project include: developing an understanding of the ways in which clinic patients perceive the end-of-year handoff process, developing an intervention for internal medicine training that supports a patient-centered end of year handoff, and evaluating the impact of this type of handoff on resident satisfaction, patient satisfaction, and patient outcomes. 

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