Reflections on developing a hospital-wide health care transition program
View abstract on PubMed
Summary
This summary is machine-generated.Pediatric hospitals face challenges in supporting adolescent transitions to adult care. Children's Hospital Los Angeles developed a formalized program, improving transition services for youth with chronic health conditions.
Area Of Science
- Healthcare transition
- Adolescent health
- Chronic condition management
Background
- Pediatric hospitals struggle to provide organized healthcare transitions for adolescents with chronic conditions.
- Systematic transition support programs face challenges in development and sustainability.
Purpose Of The Study
- To reflect on the development of transition services at Children's Hospital Los Angeles (CHLA) during the 2010s.
- To share lessons learned from building a comprehensive transition program at a large pediatric hospital serving a diverse population.
Main Methods
- Documenting the evolution of transition services at CHLA.
- Highlighting the progression from informal advocacy to a formalized, hospital-wide program.
- Correlating program development with national advances in transition frameworks and research.
Main Results
- CHLA's transition efforts evolved from informal beginnings to a collaborative approach.
- Philanthropic funding enabled the expansion and formalization of transition support.
- A cross-disciplinary program and infrastructure were established to aid adolescent transitions.
Conclusions
- CHLA's journey in developing hospital-wide transition services offers valuable insights.
- Lessons learned can inform other institutions aiming to enhance their transition programs.
- Successful transition support is crucial for adolescents with chronic health conditions entering adult care.
Related Concept Videos
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
• Overview of Hospital Stay: This section offers a concise summary of the patient's hospitalization, detailing the...
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

