Implementation of Rheumatology Health Care Transition Processes and Adaptations to Systems Under Stress: A Mixed‐Methods Study
Authors' conclusion
We generated several considerations to guide implementation of transition processes within pediatric rheumatology from the perspectives of team leaders.
Study context
- Population
- Team leaders at pediatric rheumatology sites in the CARRA Transition Learning Collaborative implementing transition policy discussions9 sites
- Outcome
- Factors in implementing transition processes and adaptations during the pandemic
Methodological detailsinterim analysis of a pilot project, quantitative assessments of organizational readiness for change, semistructured interviews, Exploration, Preparation, Implementation, Sustainment Framework
- Interim analysis of a pilot project
- Quantitative assessments of organizational readiness for change
- Semistructured interviews
- Exploration, Preparation, Implementation, Sustainment Framework
Main finding
As reported in the abstract
- Engagement of nursing and institutional improvement efforts facilitated decisions to implement transition policies
- Workflows with educational processes by nonphysicians perceived critical for success
- When the pandemic disrupted contact with nonphysicians, capacity for automation using electronic medical record (EMR)-based tools was an important facilitator, but few sites could access these tools
- Sites without EMR-based tools did not progress despite high reported organizational readiness at clinic level
- Educational processes often superseded by acute issues; youth with greater medical/psychosocial complexity may not receive the intervention
- Interim analysis
Original publication
Implementation of Rheumatology Health Care Transition Processes and Adaptations to Systems Under Stress: A Mixed‐Methods Study. Arthritis Care Res (Hoboken). Published 11 November 2022. doi:10.
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