227840 Research, Advocacy and Policy for Health Care Transition

Monday, November 8, 2010 : 1:06 PM - 1:24 PM

Janet S. Hess, MPH, CHES , College of Medicine, Department of Pediatrics, University of South Florida, Tampa, FL
David L. Wood, MD, MPH , Department of Pediatrics, University of Florida, College of Medicine-Jacksonville, Jacksonville, FL
Health care transition was defined 15 years ago as the purposeful planned movement of adolescents and young adults with chronic physical and medical conditions from child-centered to adult-oriented health care systems. Despite growing recognition that health care transition is a critical aspect of successful entry to adulthood, the data demonstrate policy and practice do not reflect our level of understanding about the importance of transition. Results from the 2005/2006 National Survey of Children with Special Health Care Needs suggest there has been little investment in service systems that meet the needs of these emerging adults: only 41% of youth with special health care needs (YSHCN) receive the services they need for transition to adult health care, work, and independence. Advocates in Florida initiated a call to action during the 2008 legislative session that resulted in a bill establishing a statewide Task Force to assess the need for health care transition services, develop strategies to ensure successful transition from pediatric to adult health care, and identify existing and potential funding sources. We present here an overview of the development process and outcomes for the Florida Strategic Plan for Health Care Transition. From virtual planning sessions that engaged a diverse group of stakeholders and subject experts to the legislative report that outlined 16 strategies to ensure successful transition from pediatric to adult health care in Florida, this initiative demonstrates the successful intersection of research, advocacy & policy, and provides a model that can be replicated in other communities and states (see www.healthcaretransition.org).

Learning Areas:
Advocacy for health and health education
Program planning
Provision of health care to the public
Public health administration or related administration
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
1. Describe why health care transition is an emerging issue of national importance. 2. Identify key agencies and partners to engage in statewide strategic planning and policy making to improve health care transition. 3. List at least one strategy to improve health care transition in each of the following areas: financing, service delivery, education and training.

Keywords: Children With Special Needs, Emerging Health Issues

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Project Director for the program being described in the presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.