BACKGROUND: @entity1 transition readiness self-assessment tools and investigation into @entity1 and parent perceptions of the transition process from pediatric to adult care models have informed recognition of gaps in care, particularly for those with @entity102 . Implementation of a longitudinal transition process with @entity1 tracking provides the opportunity for individualized education and skill building and fosters a @entity1 -centered model. PROCEDURE: Quality improvement intervention was used to assess and improve our transition process at @entity922 for @entity1 with @entity3459 at our tertiary care pediatric center. RESULTS: Thirty-one @entity1 with rare @entity3459 received an introduction to the transition process using the HEMO-milestones tool in our @entity447 comprehensive clinic from September to December 2014. The percentage of @entity1 with documented, age-specific @entity447 knowledge/skill assessment increased from 21% to 97%. The percentage of @entity1 with documented skill building or adult care transfer plan increased from 55% to 93%. Designated postclinic team debriefings facilitated the creation of collaborative documentation summarizing each @entity1 's transition readiness and plan for continued skill building. CONCLUSIONS: The HEMO-milestones tool promotes a standardized approach to evaluation of self-management competency. When combined with a collaborative multidisciplinary effort, it increases plans for skill building in @entity1 with @entity447 . This tool is easily modifiable for alternate subspecialty use and does not require extensive training for implementation.

Center-Based Quality Initiative Targets Youth Preparedness for Medical Independence: HEMO-Milestones Tool in a Comprehensive XXXX Clinic Setting.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity447 :: ('MESH:D006467', 'Disease') :: ['hemophilia'] @entity102 :: ('MESH:D002908', 'Disease') :: ['chronic disease'] @entity3459 :: ('MESH:D025861', 'Disease') :: ['bleeding disorders'] @entity922 :: ('MESH:D013568', 'Disease') :: ['annual comprehensive clinic visits']
@entity447 :: (MESH:D006467,Disease) :: ['Hemophilia']
