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Reflections on developing a hospital-wide health care transition program.

Ellen Iverson1,2, Caitlin S Sayegh1,3,2, Courtney Porter4

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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.

Keywords:
AdolescentsChronic health conditionsPediatricsSystems changeTransition

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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.