Children — especially those with chronic (ongoing) or complex medical conditions — can’t see pediatric doctors once they’re adults. Our Nemours Transition of Care team can help make the switch a lot easier. We work with kids and teens to choose adult care specialists, plan for what may be different, apply for programs in their community, etc. We can also help them learn self-management skills such as setting up appointments and talking to doctors, insurance companies and other health care providers. We’ve seen, time and again, that transition can be a very important step. It can help to prevent interruptions in care as well as delays in necessary medications and tests.
Transition of Care
Helping Kids & Teens Transition to Adult Care
Conditions We Treat
We see a full spectrum of conditions — far too many to list here. The conditions we treat vary depending on the location and providers selected. Don’t see a condition listed? Call us.
Services We Offer
We start with a 90-minute consultation meeting between you, your child, our senior pediatrician (doctor for children) and program director, and our transition social work coordinator. We'll discuss your child's medical condition, needs, concerns, hopes and dreams.
We’ll then prepare a written, comprehensive plan with identifiable goals, responsibilities, action items and deadlines, including:
- a summary of your child’s medical history, medications and treatment that you can give to doctors who provide adult care
- an outline of specific goals, medical challenges, and opportunities related to your child’s education, vocation (working), residency (living arrangements), transportation and more
- recommendations for specialists and subspecialists your child may need as an adult
- information about insurance changes and how they may affect your child
- legal considerations (power of attorney, estate planning, etc.)
- community/state/federal resources and financial assistance, waiting lists and requirements
Because this plan is a living document, we’ll meet regularly as a team to work together, celebrate, reorganize and re-energize every three months, twice a year or once a year. (The timeframe will depend on your child’s age, medical condition and development.)
Our Transition of Care team is available to anyone 11 years or older receiving care from a Nemours doctor. Although children with chronic or complex medical conditions benefit most from transition services, we believe every child can gain from learning how to be self-managers of their health. There are no medical eligibility requirements and the program is usually covered by insurance. Your child’s doctor can refer you to the program, or you can call us directly to start the transition process.
Why Choose Us
Our team is experienced in all the details involved in transition of care. In fact, we were one of the first children’s hospitals in the nation to launch a comprehensive transition of care program covering chronic and complex conditions involving the full range of medical specialties. Now, other children’s hospitals around the country are learning from us and developing their own programs.