Optimizing Transition from Pediatric to Adult Care
- Earn up to 32.00 CME credits | ABIM | ABP
Media Formats Choose Video Option:Online – $995Online + USB – $1,145Online + USB + Printed Syllabus – $1,370
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Quick Facts
a CMEinfo video production
Accredited by:Harvard Medical School
Offered by:Brigham and Women’s Hospital
Course Directors:
Niraj Sharma, MD, MPH
Harvard Medical School
Brigham and Women’s Hospital
Colleen A. Monaghan, MD
Harvard Medical School
Brigham and Women’s Hospital
Boston Children’s Hospital
Susan Shanske, LICSW
Boston Children’s Hospital
Ahmet Uluer, DO, MPH
Harvard Medical School
Brigham and Women’s Hospital
Boston Children’s Hospital
Credits: Earn a maximum of 32.00 AMA PRA Category 1 Credits™ and 32 ABIM MOC points
Overview
Practical, Results-Focused CME
Throughout the online video CME program Optimizing Transition from Pediatric to Adult Care, recognized experts share strategies and best practices that can be readily implemented by pediatric, family medicine, internal medicine, or subspecialty providers as they tailor patient transfer plans based on age, disease type, and physical/intellectual capabilities.
This in-depth continuing medical education course includes case-based lectures on chronic conditions like diabetes, cystic fibrosis, congenital heart disease, epilepsy, cancer survivorship, organ transplantation, substance use disorder, etc. Along with assessing patient readiness and timing transitions for the best outcome, you’ll learn to optimize how you:
- Ensure adherence, teach self-care, and help patients maximize independence
- Promote medical and educational self-advocacy
- Address sexual health and fertility with young adults
- Strengthen family engagement
- Provide care for college students
- Screen for high-risk behaviors
Topics / Speakers
Defining Successful Transition of Young Adults in 2024 and Current Assessment from Got Transition® – Niraj Sharma, MD, MPH and Susan Shanske, LICSW
Teaching Self-Management Skills – Strategies and Best Practices Gleaned from Diabetes Care – Katharine Garvey, MD, MPH
Maximizing Independence – Valuable Lessons from Care of Patients with Epilepsy – Tracey Milligan, MD, MS, FAAN, FAES, FANA
Ensuring Adherence – Strategies and Best Practices Gleaned from Cystic Fibrosis – Gregory S. Sawicki, MD, MPH
Faculty Q&A – Drs. Garvey, Milligan, and Sawicki
The Use of Quality Improvement (QI) in Transition Care – Overview – Kitty O’Hare, MD
Workshop – Transition Care Policy Writing – Niraj Sharma, MD, MPH and Ahmet Uluer, DO, MPH
Workshop – Transition Quality Improvement (QI) – Creating a Current State Process Map – Madeline Chiujdea, BA, CPHQ, CLSSGB and Natalie Mann, BSE
Workshop – Gap Analysis – Current State vs. Ideal State – Staci R. Eisenberg, MD, Colleen A. Monaghan, MD, and Kitty O’Hare, MD
Workshop – Inpatient QI Project Cycle Development – Ahmet Uluer, DO, MPH and Susan Shanske, LICSW
Workshop – Getting Your Transition Project Started – Outpatient QI Project Cycle Development – Colleen A. Monaghan, MD and Staci R. Eisenberg, MD
Workshop – Quality Improvement for Transition – Outpatient QI Project Cycle Development (Advanced) – Kitty O’Hare, MD
Preparing Women with Chronic Conditions for Pregnancy – Strategies and Best Practices Gleaned from Congenital Heart Disease Care – Anne Marie Valente, MD
Parent Guidance for Transitional Age Youth – Yoshio Kaneko, MD
Substance Use Disorder in Transition-Age Youth – Scott Hadland, MD, MPH, MS
Faculty Q&A – Drs. Hadland, Kaneko, and Valente
Systems-Based Approach to Preparing Youth for Transition – A Care Management Model – Katherine H. Schiavoni, MD, MPP
Embedding Health Equity into Transition of Care – Alexy D. Arauz Boudreau, MD, MPH
Lessons of Twenty Years on Your Own Feet – Transitional Care in the Netherlands – Jane N.T. Sattoe, PhD
Faculty Q&A – Drs. Boudreau, Schiavoni, and Sattoe
Building a Road Map for Change – Improving Transitions to Adulthood – Elaine M. Gabovitch, MPA
Inpatient Consult Service Models – Real World Lessons- Ahmet Uluer, DO, MPH
Preparation Basics – How to Create a Medical Summary – Emergency Plan – Kristina Taylor, BS, BSN, RN
Faculty Q&A – Ms. Gabovitch, Dr. Uluer and Ms. Taylor
Establishing and Maintaining a Comprehensive Transition Program – Ahmet Uluer, DO, MPH
Roundtable – Connecting Patients Using Social Media and Technology – Jonathan S. Hausmann, MD
Roundtable – Finding Adult Providers – Creating the Warm Handoff into the Soft Landing – Margaret E. Threadgill, MD, MBA
Roundtable – Approach to Transition Care in a Community Health Center – Meaghan Hamilton, PNP, C. Alexis Hopkins, NP and Caitlin M. Erwin, BSN, RN
Navigating College with Chronic Conditions – Patient and Provider Perspective – Janis H. Arnold, MSW, LICSW and Sneha Dave
Perspectives – Patients, Parents, and Providers – Navigating the Complexities of Communication – Laurie N. Fishman, MD
Health Care for Individuals with Down Syndrome – Diagnosis to Adulthood – Stephanie L. Santoro, MD
Faculty Q&A – Drs. Fishman and Santoro
Autism in Transition – Sarah J. Spence, MD, PhD
The KIND Clinic – Gynecologic Care for Women with Intellectual Disabilities – Kathleen Nolan, NP
Faculty Q&A – Dr. Spence and Ms. Nolan
Educational Advocacy for Youth with Intellectual-Developmental Disability – Alison D. Schonwald, MD
Assessing for Independence and Support Needs – Jennifer Turek Queally, PhD
Faculty Q&A – Drs. Queally and Schonwald
Breakouts – Outpatient Billing for Transition Care – Colleen A. Monaghan, MD
Breakouts – Comorbid Mental Health Conditions – Lessons from Transplant – Kristine McKenna, PhD
Breakouts – Developing an Outpatient Transition Clinic for Patients with Medical Complexity – Kristin M. Farias, MD
Transition Medicine and National Health Policy – Niraj Sharma, MD, MPH
Promoting Self-Management and Self-Advocacy – Sneha Dave and Colleen Huysman, MSW, LICSW
Inflammatory Bowel Disease and Coping with a Chronic Condition – Sarah N. Flier, MD
Lessons from Care of Patients with Sickle Cell Disease – Maureen Okam Achebe, MD, MPH
Creating a Transition Program for Solid Organ Transplant – Dawn Freiberger, RN, MSN, CCTC, Lynne Helfand, MSW, LICSW, MPH, and Brendan Kimball, MBA
Solid Organ Transplant and Navigating Chronic Care Transitions – Scott A. Elisofon, MD
Cancer Survivorship and Adult Screening Guidelines – Ann H. Partridge, MD, MPH
Measuring Care Coordination and Care Integration – Richard C. Antonelli, MD, MS
Building Your Team – Lessons from Care of Patients with Spina Bifida – Erin McNamara, MD, MPH and Arda Hotz, MD, MPH
Pregnancy and Women with Mobility Disabilities – Lisa I. Iezzoni, MD, MSc
Young Adults with Chronic Pain – Rachael B. Coakley, PhD
Palliative Care – Approaching Conversations in Youth with Life-Limiting Conditions – Elisabeth Dellon, MD, MPH and Ashley Allen, MD, MSPH
Obesity in Adolescents and Young Adults with Shared Patient Perspectives – Fatima Cody Stanford, MD, MPH, MPA, MBA, FAAP, FACP, FAHA, FAMWA, FTOS, DABOM
HIV in Teens – Anne M. Neilan, MD, MPH
Sexual Health in Chronic Illness – Including Fertility – Julia C. Roboff, MSN, FNP-BC
Faculty
Course Directors
Niraj Sharma, MD, MPH
Assistant Professor of Medicine and Pediatrics
Harvard Medical School
Director, Internal Medicine-Pediatrics Unit
Division of General Medicine
Department of Internal Medicine
Brigham and Women’s Hospital
Colleen A. Monaghan, MD
Assistant Professor of Medicine and Pediatrics
Harvard Medical School
Associate Medical Director
Brigham Health Primary Care
Associate Program Director
Harvard Medicine-Pediatrics Residency
Brigham and Women’s and Boston Children’s Hospitals
Susan Shanske, LICSW
Director of Transitional Care Support
BRIDGES Adult Transition Program
Department of Medicine
Boston Children’s Hospital
Ahmet Uluer, DO, MPH
Assistant Professor of Pediatrics
Harvard Medical School
Director, BRIDGES
Adult Transition Program
Department of Medicine
Boston Children’s Hospital
Director, Adult Cystic Fibrosis Program
Cystic Fibrosis Center
Brigham and Women’s and Boston Children’s Hospitals
Harvard Medical School Faculty
Maureen Okam Achebe, MD, MPH
Associate Professor of Medicine
Harvard Medical School
Associate Physician
Division of Hematology
Department of Medicine
Brigham and Women’s Hospital
Richard C. Antonelli, MD, MS
Assistant Professor of Pediatrics
Harvard Medical School
Medical Director, Integrated Care
Department of Accountable Care and Clinical Integration
Medical Director
National Center for Care Coordination Technical Assistance
Medical Director
National Care Coordination Academy
Department of Pediatrics
Boston Children’s Hospital
Alexy D. Arauz Boudreau, MD, MPH
Assistant Professor of Pediatrics
Harvard Medical School
Associate Chief of Pediatrics for Primary Care
MGHfC Medical Director for Population Health Management
Department of Pediatrics & Pediatric Surgery
Massachusetts General Hospital
Rachael B. Coakley, PhD
Associate Professor of Psychology in the Department of Psychiatry
Harvard Medical School
Director, Clinical Innovation and Outreach in Pain Medicine
Department of Anesthesiology
Critical Care and Pain Medicine
Boston Children’s Hospital
Staci R. Eisenberg, MD
Instructor in Medicine, Part-time
Harvard Medical School
Assistant Program Director
Harvard Medicine-Pediatric Residency Program
Department of Medicine
Brigham and Women’s Hospital
Boston Children’s Hospital
Scott A. Elisofon, MD
Assistant Professor of Pediatrics
Harvard Medical School
Division of Gastroenterology, Hepatology and Nutrition Center for Childhood Liver Disease
Associate Director, Center for Childhood Liver Disease
Medical Director, Liver Transplant Program
Department of Pediatrics
Boston Children’s Hospital
Laurie N. Fishman, MD
Associate Professor of Pediatrics
Harvard Medical School
Attending Physician
Division of Gastroenterology, Hepatology and Nutrition
Department of Pediatrics
Boston Children’s Hospital
Sarah N. Flier, MD
Assistant Professor of Medicine
Harvard Medical School
Fellowship Program Director
Center for Inflammatory Bowel Disease
Associate Director
Gastroenterology Fellowship Training Program
Director, Quality Assurance
Division of Gastroenterology
Department of Medicine
Beth Israel Deaconess Medical Center
Katharine Garvey, MD, MPH
Assistant Professor of Pediatrics
Harvard Medical School
Clinical Chief, Diabetes
Director, Diabetes Program
Attending Physician, Division of Endocrinology
Department of Pediatrics
Boston Children’s Hospital
Scott E. Hadland, MD, MPH, MS
Associate Professor of Pediatrics
Harvard Medical School
Associate Professor of Pediatrics
Boston University School of Medicine
Chief of Adolescent and Young Adult Medicine
Mass General for Children and Harvard Medical School
Jonathan S. Hausmann, MD
Assistant Professor of Medicine
Harvard Medical School
Pediatric Rheumatology
Boston Children’s Hospital and Massachusetts General Hospital
Rheumatology, Beth Israel Deaconess Medical Center
Arda Hotz, MD, MPH
Instructor in Pediatrics
Harvard Medical School
Complex Care Service
Division of General Pediatrics
Boston Children’s Hospital
Lisa I. Iezzoni, MD, MSc
Professor of Medicine
Harvard Medical School
Health Policy Research Center
Mongan Institute
Massachusetts General Hospital
Yoshio Kaneko, MD
Instructor in Psychiatry, Part-time
Harvard Medical School
Director, Transitional Age Youth Clinic
Department of Psychiatry
Massachusetts General Hospital
Erin McNamara, MD, MPH
Instructor in Surgery
Harvard Medical School
Director, Spina Bifida and Spinal Cord Conditions Center
Fellowship Program Director
Associate Director
Colorectal and Pelvic Malformation Center
Department of Urology
Boston Children’s Hospital
Tracey Milligan, MD, MS, FAAN, FAES, FANA
Visiting Professor of Neurology
Harvard Medical School
Professor and Chair
Department of Neurology
New York Medical College
Director of Neurology
Westchester Medical Center
Anne M. Neilan, MD, MPH
Assistant Professor of Pediatrics
Harvard Medical School
Assistant in Medicine and Pediatrics
Division of Infectious Diseases
Department of Medicine and Department of Pediatrics
Massachusetts General Hospital
Ann H. Partridge, MD, MPH
Professor of Medicine
Harvard Medical School
Vice Chair of Medical Oncology
Founder and Director
Program for Young Women with Breast Cancer
Director, Adult Survivorship Program
Dana-Farber Cancer Institute
Jennifer Turek Queally, PhD
Assistant Professor of Psychology in the Department of Psychiatry
Harvard Medical School
Attending Neuropsychologist
Department of Psychiatry
Boston Children’s Hospital
Stephanie L. Santoro, MD
Assistant Professor of Pediatrics
Harvard Medical School
Clinical Geneticist
Massachusetts General Hospital for Children
Director, Quality Improvement Research
MGH Down Syndrome Program
Division of Genetics and Metabolism
Department of Pediatrics
Massachusetts General Hospital
Gregory S. Sawicki, MD, MPH
Associate Professor of Pediatrics
Harvard Medical School
Director, Cystic Fibrosis Center
Division of Respiratory Diseases
Department of Pediatrics
Boston Children’s Hospital
Katherine H. Schiavoni, MD, MPP
Instructor in Pediatrics
Clinical Fellow in Pediatrics (EXT)
Harvard Medical School
Population Health Fellow
Mass General Brigham
Assistant Physician in Internal Medicine and Pediatrics
Massachusetts General Hospital
Alison D. Schonwald, MD
Associate Professor of Pediatrics
Harvard Medical School
Developmental Behavioral Pediatrician
Co-Founder, Touchstone Neurodevelopmental Center
Department of Pediatrics
Woburn, MA
Sarah J. Spence, MD, PhD
Co-Director Autism Spectrum Disorder
Department of Neurology
Boston Children’s Hospital
Fatima Cody Stanford, MD, MPH, MPA, MBA, FAAP, FACP, FAHA, FAMWA, FTOS, DABOM
Associate Professor of Medicine and Pediatrics
Harvard Medical School
Obesity Medicine Physician Scientist
Endocrine Division
Massachusetts General Hospital
Margaret E. Threadgill, MD, MBA
Instructor in Medicine
Harvard Medical School
Co-Founder, BWH Transition Care Team
Medical Director for Pediatrics
BWH Primary Care
Clinician Innovator Fellow and Staff Physician
Department of Medicine
Brigham and Women’s Hospital and Hospital Medicine Unit
Massachusetts General Hospital
Anne Marie Valente, MD
Associate Professor of Medicine and Professor of Pediatrics
Harvard Medical School
Section Chief
Boston Adult Congenital Heart (BACH) and Pulmonary Hypertension Program
Fellowship Director
Adult Congenital Heart Disease Senior Fellowship
Department of Cardiology
Boston Children’s Hospital
Department of Medicine
Brigham and Women’s Hospital
Harvard-Affiliated Faculty
Janis H. Arnold, MSW, LICSW
Clinical Social Worker
Center for Inflammatory Bowel Disease
Director, GI Social Work Service
Division of Gastroenterology, Hepatology and Nutrition
Co-Director, MSW Social Work Training Program
Boston Children’s Hospital
Madeline Chiujdea, BA, CPHQ, CLSSGB
Senior Quality Improvement Consultant
Neuroscience Quality Improvement Program
Department of Neurology
Boston Children’s Hospital
Dawn Freiberger, RN, MSN, CCTC
Transplant Coordinator
Lung Transplant Program
Boston Children’s Hospital
Lynne Helfand, MSW, LICSW, MPH
Social Worker
Lung Transplant Program
Boston Children’s Hospital
Colleen Huysman, MSW, LICSW
Clinical Social Worker
BRIDGES Adult Transition Program and AWAKE Program
Emergency Department
Boston Children’s Hospital
Brendan Kimball, MBA
Administrative Director
Pediatric Transplant Center
Boston Children’s Hospital
Natalie Mann, BSE
Quality Improvement Data Analyst
Neuroscience Quality Improvement Program
Neuroscience Center
Boston Children’s Hospital
Kathleen Nolan, NP
Nurse Practitioner
KIND Clinic Team
Department of Obstetrics and Gynecology
Beth Israel Deaconess Lahey Health
Julia C. Roboff, MSN, FNP-BC
Nurse Practitioner
Weitzman BRIDGES Adult Transition Program
Department of Medicine
Medical Patient Services
Boston Children’s Hospital
Kristina Taylor, BS, BSN, RN
Nurse Transition Coordinator
BRIDGES Adult Transition Program
Boston Children’s Hospital
Guest Faculty
Ashley Allen, MD, MSPH
Advanced Clinical Fellow in Palliative Care
UNC School of Medicine
Sneha Dave
Executive Director
Generation Patient
Generationpatient.org
Elisabeth Dellon, MD, MPH
Professor of Pediatrics
UNC School of Medicine
Caitlin M. Erwin, BSN, RN
Administrative Director
Complex Care Manager
East Boston Neighborhood Health Center
Elaine M. Gabovitch, MPA
Instructor, University of Massachusetts Medical School
Director, Division for Children & Youth with Special Health Needs
Massachusetts Department of Public Health
Meaghan Hamilton, PNP
CATCH Program
East Boston Neighborhood Health Center
C. Alexis Hopkins, NP
Family Nurse Practitioner/Epic Builder
East Boston Neighborhood Health Center
Kristine McKenna, PhD
Associate Professor
Department of Psychiatry and Behavioral Sciences
University of Washington School of Medicine
Attending Psychologist
Heart Failure and Heart Transplant Services
Seattle Children’s Hospital
Kristin M. Farias, MD
Orlando Health, FL
Kitty O’Hare, MD
Senior Medical Director
Duke University Health System
Jane N.T. Sattoe, PhD
Senior Researcher Transitions in Care
Research Centre Innovations in Care
Rotterdam University of Applied Sciences
Netherlands
Accreditation
Accreditation
In support of improving patient care, Harvard Medical School is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
AMA Credit Designation Statement
The Harvard Medical School designates this enduring material for a maximum of 32.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release: October 15, 2024
Termination Date: October 14, 2027 (Please note that AMA PRA Category 1 Credits™ will no longer be issued for the activity after this date)
Estimated Time to Complete the Activity: 32 hours
CME credit is awarded upon successful completion of a course evaluation and post-test.
Social Workers
As a Jointly Accredited Organization, Harvard Medical School is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 32.00 general continuing education credits.
ABIM Medical Knowledge MOC Points
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC points.
ABPeds Medical Knowledge MOC Points
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn 32.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
On the course evaluation page please indicate “Yes” when asked if you would like to receive ABIM/BPeds MOC points for your participation in this enduring activity. You will then be required to provide your ABIM/ABPed ID # and your Date of Birth. Points earned will equal the amount of AMA PRA Category 1 Credits™ claimed.
HMS will upload the participant data, including the points earned, directly to the ABIM/ABP so that it will appear on the ABIM/ABPeds diplomates transcript. These points will not appear on your certificate provided at the end of this enduring activity.
Risk Management Credit
This activity meets the criteria of the Massachusetts Board of Registration in Medicine for 4.25 credits of Risk Management Study. This includes:
2.00 credits of Opioid Education and Pain Management Training
0.75 credit of End-of-Life Care Education
Please check your individual state licensing board requirements before claiming these credits.
Disclosure Policy
Harvard Medical School (HMS) adheres to all ACCME Accreditation Criteria and Policies. It is HMS’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.
Disclosure information for all individuals in control of the content of the activity is located on the disclosure statement in the PDF and printed syllabus.
Learning Objectives
Upon completion of this activity, participants will be able to apply the following:
- Practice state-of-the-art care of chronic childhood conditions in adolescent and adult patients, including single system diseases, multisystem diseases, and intellectual/developmental disabilities
- Develop and implement practical strategies to successfully transfer and accept patients with chronic childhood conditions. Including care coordination and integration, supported decision making, practice redesign and team-based care, and adolescent health and wellness
- Assess healthcare systems and their impact on transition to adult care, including quality improvement, reimbursement strategies, national health policy, and population health
- Design your approach to patient and family engagement in chronic condition management and help them to achieve health equity through communication, assessing self-management skills and readiness to transition to adult healthcare settings, coping with chronic illness, supports for community living
ACGME Competencies
This course is designed to meet one or more of the following Accreditation Council for Graduate Medical Education Competencies:
- Patient Care and Procedural Skills
- Medical Knowledge
- Practice-Based Learning and Improvement
Target Audience
This activity was designed for physicians, NPs, and PAs in: pediatrics, internal medicine, family medicine, medicine-pediatrics, pediatric subspecialties, medical specialties and subspecialties; and psychologists, social workers, and counselors who support young adults and their families.
SKU: PEV547E0
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