Action plan for the transition from pediatric to adult care

Typical age	Typical age-appropriate actions
12 to 14 years	Discuss transition policy and provide information
14 to 18 years	Initiate transition plan that includes assessment of patient readiness Reassess skills and track progress Review and update transition plan and prepare for adult care
18 years or older	Transfer and integrate into adult care model; transfer medical records and provide direct communication about special medical care needs Confirm transfer completion Obtain feedback from AYA/family about transition experience

Readiness of the patient must be assessed, and stages of the transition should be based on readiness, not a prespecified age. Actions are typically done sequentially (ie, ensure that the previous action is complete before proceeding to the next action). Special health care needs are incorporated at all stages of management. Refer to UpToDate for additional details.

AYA: young adult.

Adapted from:

Cooley WC, Sagerman PJ, American Academy of Pediatrics, et al. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics 2011; 128:182.
White PH, Cooley WC, Transitions Clinical Report Authoring Group, et al. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics 2018; 142:e20182587.

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Action plan for the transition from pediatric to adult care