Supporting Youth to Adult Health Care Transition

Quality Improvement Grants

Read the article from the QI grantee Children’s Hospital’s News Hub about a youth’s successful transition to adult health care.Claire’s story illustrates the successful outcome of the grantee team’s work.

The Youth Health Transition Initiative (YHTI) at the University of Wisconsin-Madison Waisman Center continues to work with 2 complex care clinics that planned for and implemented health care transition quality improvement (QI) processes that support youth health transition at the practice level. This work was done in 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  piloted and implemented use of a shared plan of care with children with special health care needs, promoted youth and family engagement in the QI activities, increased professional understanding of family-centered care coordination and promoted the exchange of strategies through participation in a statewide learning community. They both focused on patients 12-21 years old transitioning from pediatric to adult health care. 

Teams assessed their current transition status, and they continue to educate and build awareness among staff using evidence-based tools and resources, implement transition quality improvement efforts, and  sustain efforts following the grant cycle. Teams continue to  share strategies and challenges with other practices implementing transition efforts within their systems. Practitioners from both teams also continue to share their work through YHTI sponsored activities, such as the quarterly learning community.

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