Supporting Youth to Adult Health Care Transition

Quality Improvement Grants

The Youth Health Transition Initiative (YHTI) at the University of Wisconsin-Madison Waisman Center offers support for the implementation of health care transition quality improvement (QI) processes that support youth health transition at the practice level. This opportunity is made available through a collaboration with the Wisconsin Medical Home Initiative.

Advancing Family-Centered Care Coordination for Children and Youth with Special Health Care Needs Using a Shared Plan of Care (SPoC) Quality Improvement Project 

The YHTI QI work is designed to support practices and health care systems in initiating one or more quality improvement processes that will support provider, youth and family awareness and engagement, as well as increase knowledge and skills, to support successful health care transition from pediatric to adult health care. Got Transition’s Six Core Elements will guide grantees through strategies recommended for transition.

Project teams will pilot and implement use of a shared plan of care with children with special health care needs, promote youth and family engagement in the QI activities, increase professional understanding of family-centered care coordination and promote the exchange of strategies through participation in a statewide learning community. Three of the seven grantees are focusing on patients 12-21 years old transitioning from pediatric to adult health care. 

Teams will assess their current transition status, educate and build awareness among staff using evidence-based tools and resources, implement transition quality improvement efforts, and sustain efforts after completion of the grant cycle. Teams will also share strategies and challenges with other practices implementing transition efforts within their systems.

Following is the link to the Medical Home Learning Communities page, which has a description of the project: There is also a map featuring the 2020 teams on the page:

For more information contact Colleen Lane at