Partnerships for Successful Transition: The Philadelphia Department of Public Health Experience

1. Partnerships for Successful Transition: The Philadelphia Department of Public Health Experience Transition to Adult Health Care Work Group

2. Presenters Nick Claxton, CQSW Children with Special Health Care Needs Maternal, Child & Family Health Philadelphia Department of Public Health nick.claxton@phila.gov 215-685-5232 Molly Gatto, MHA Program Director, EPIC IC Medical Home Program PA Chapter AAP mgatto@paaap.org Symme W. Trachtenberg, MSW, LSW Director, Community Education: The Children�s Hospital of Philadelphia Clinical Associate in Pediatrics, University of PA School of Medicine Part-time Lecturer, University of PA School of Social Policy and Practice trachtenberg@email.chop.edu 215-590-7444 Renee Turchi, MD, MPH Medical Director, EPIC IC Medical Home Program PA Chapter AAP Medical Director Center for Children with Special Needs St. Christopher�s Hospital for Children Renee.Turchi@drexelmed.edu

3. History of the Transition to Adult Health Care Work Group A �subcommittee� of the Philadelphia Special Needs Work Group (SNWG) Formed in early 2008 to address problems encountered by youth transitioning to the adult health care system Decision to choose a limited number of achievable goals

4. History of the Transition to Adult Health Care Work Group Families often feel constrained that they can see a pediatrician OR an adult provider, with no overlap to make an informed decision Difficult for parents to find adult oriented physicians they felt comfortable with Not enough adult physicians Relatively few Family Practice or Internal Medicine practitioners working with patients with childhood-onset special needs.

5. History of the Transition to Adult Health Care Work Group Composition of the Work Group Cross-system collaboration Interested professionals and parents from various fields: pediatrics, social work, insurance, parents and other advocates, child welfare, AAP

6. History of the Transition to Adult Health Care Work Group First success � DPW Operations Memorandum Allows a period of transition whereby families can look for physician in adult health care, but still use their pediatrician until a successful transition to a new physician is made

7. History of the Transition to Adult Health Care Work Group Second major issue addressed by the Transition Group: Young people with disabilities and their families have often reported difficulty in finding a suitable adult practitioner What will it take to increase this pool of practitioners? Survey of adult-oriented physicians � Family Practitioners, Internists

8. History of the Transition to Adult Health Care Work Group Process used to develop the survey Meetings, many phone calls and e-mails Eventual meeting of the minds Support of the PA Academy of Family Physicians, PA Chapter of the American College of Physicians and the PA Chapter of the American Academy of Pediatrics

9. Transition Story: www.chop.edu/ar