The Hospitalist’s Perspective on Healthcare Transition

Chapter

Abstract

This chapter focuses on this emerging topic, highlighting the hospitalist’s perspective on transitioning AYASHCN into adult models of inpatient care. Using a variety of clinical scenarios, common issues facing inpatient providers and delineation of critical elements of transition planning for these youth, their families, and healthcare teams are addressed. An argument is made for the imperative of integrating hospital care into a comprehensive approach to transition planning, particularly for children with more complex medical needs and anticipated ongoing hospitalizations. Both pediatric and adult hospitalists, as well as other inpatient providers, could adopt strategies to effectively plan and carry out this element of the transition process. Long-term proactive strategies and short-term fixes are proposed.

Keywords

Special healthcare needs Inpatient care Transition Hospitalist 

References

  1. 1.
    Goodman DM, Hall M, Levin A, et al. Adults with chronic health conditions originating in childhood: inpatient experience in children’s hospitals. Pediatrics. 2011;128(1):5–13.CrossRefGoogle Scholar
  2. 2.
    CSHCN core system outcomes: goals for a system of care. The national survey of children with special health care needs chartbook 2009–2010. http://mchb.hrsa.gov/cshcn0910/core/co.html. Accessed 30 Nov 2016.
  3. 3.
    Got Transition. Center for health care transition improvement. 2016. http://www.gottransition.org/. Accessed 4 Apr 2016.
  4. 4.
    American Academy of Pediatrics, American Academy of Family Physicians, American College of Physicians, Transitions Clinical Report Authoring Group, Cooley WC, Sagerman PJ. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics. 2011;128(1):182–200.CrossRefGoogle Scholar
  5. 5.
    American Academy of Pediatrics, American Academy of Family Physicians, American College of Physicians-American Society of Internal Medicine. A consensus statement on health care transitions for young adults with special health care needs. Pediatrics. 2002;110(6 Pt 2):1304–6.Google Scholar
  6. 6.
    Bensen R, Steidtmann D, Vaks Y. A triple aim approach to transition from pediatric to adult health care for youth with special health care needs. Palo Alto, CA: Lucile Packard Foundation for Children's Health; 2014.Google Scholar
  7. 7.
    McPheeters M, Davis AM, Taylor JL, Brown RF, Potter SA, Epstein RA. Transition care for children with special health needs. Technical Brief No. 15. Rockville, MD: Agency for Healthcare Research and Quality; 2014.Google Scholar
  8. 8.
    Betz CL, Ferris ME, Woodward JF, Okumura MJ, Jan S, Wood DL. The health care transition research consortium health care transition model: a framework for research and practice. J Pediatr Rehabil Med. 2014;7(1):3–15.PubMedGoogle Scholar
  9. 9.
    Edwards JD, Houtrow AJ, Vasilevskis EE, Dudley RA, Okumura MJ. Multi-institutional profile of adults admitted to pediatric intensive care units. JAMA Pediatr. 2013;167(5):436–43.CrossRefGoogle Scholar
  10. 10.
    Okumura MJ, Campbell AD, Nasr SZ, Davis MM. Inpatient health care use among adult survivors of chronic childhood illnesses in the United States. Arch Pediatr Adolesc Med. 2006;160(10):1054–60.CrossRefGoogle Scholar
  11. 11.
    Kinnear B, O'Toole JK. Care of adults in children’s hospitals: acknowledging the aging elephant in the room. JAMA Pediatr. 2015;169(12):1081–2.CrossRefGoogle Scholar
  12. 12.
    Schor EL. Transition: changing old habits. Pediatrics. 2015;135(6):958–60.CrossRefGoogle Scholar
  13. 13.
    Coller RJ, Ahrens S, Ehlenbach ML, Shadman KA, Chung PJ, Lotstein D, LaRocque A, Sheehy A. Transitioning from General Pediatric to Adult-Oriented Inpatient Care: National Survey of US Children’s Hospitals. J Hosp Med. 2018;13(1):13–20.  https://doi.org/10.12788/jhm.2923.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ryan J. Coller
    • 1
    • 2
  • Sarah Ahrens
    • 3
  • Debra Lotstein
    • 4
    • 5
  1. 1.Department of PediatricsUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  2. 2.Division of Hospital MedicinePediatric Complex Care ProgramMadisonUSA
  3. 3.Department of MedicineUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  4. 4.Departments of Anesthesia and PediatricsKeck School of Medicine, University of Southern CaliforniaLos AngelesUSA
  5. 5.Comfort and Palliative Care DivisionLos AngelesUSA

Personalised recommendations