Transition Health Care Plan or Checklist

It is recommended that by the time a patient is 14 years old, the youth, family, and health care team create an individualized written health care transition plan or checklist. At a minimum, this plan includes what services need to be provided, who will provide them, when they will be provided, and how they will be financed. Patients with chronic conditions need a transition plan with expanded elements related to the patient’s condition or disability. It is recommended that the plan follow the AAP transition guidelines and be reviewed and updated annually and whenever there is a transfer of care.

See A Consensus Statement on Health Care Transitions for Young Adults With Special Health Care Needs. Pediatrics. 2002:110(suppl):1304–1306 and an example transition checklist.