Steward no longer seeking to maintain endorsement
The Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care measures the quality of preparation for transition from pediatric-focused to adult-focused health care as reported in a survey completed by youth ages 16-17 years old with a chronic health condition. The ADAPT survey generates measures for each of the 3 domains: 1) Counseling on Transition Self-Management, 2) Counseling on Prescription Medication, and 3) Transfer Planning.
Measure Specs
General Information
Numerator
The ADAPT survey consists of 26 questions assessing the quality of health care transition preparation for youth with chronic health conditions, based on youth report of whether specific recommended processes of care were received. The ADAPT survey generates measures for each of 3 domains: 1) Counseling on Transition Self-Management, 2) Counseling on Prescription Medication, and 3) Transfer Planning. ADAPT measure scores are calculated using the sum of the proportions of positive responses to between 3 and 5 individual items. Complete instructions for measure score calculations are provided in the Detailed Measure Specifications (Appendix A).
1) Counseling on Transition Self-Management:
The numerator is the sum of the proportions of positive responses to the five questions about counseling on transition self-management, among respondents with valid responses to all questions.
2) Counseling on prescription medication:
The numerator is the sum of the proportions of positive responses to the three questions about counseling on prescription medication, among respondents who indicate that they take prescription medication every day and with valid responses to all questions.
3) Transfer planning:
The numerator is the sum of the proportions of positive responses to the four questions about transfer planning, among respondents who report being treated by a pediatric provider and with valid responses to all questions.
Denominator
The target population of the survey is 16- or 17-year-old adolescents with a chronic health condition who are either (a) receiving health care services in a clinical program or (b) enrolled in a health plan or similar defined population.
The denominator for each measure is the number of respondents with valid responses for all of the questions in the measure.
Exclusions
SURVEY SAMPLE
Exclude patients in the following categories from the ADAPT survey sample frame:
1. “No-publicity” patients (i.e., those who requested that they not be contacted)
2. Court/law enforcement patients
3. Patients with a foreign home address
4. Patients who cannot be surveyed because of local, state, or federal regulations
SURVEY RESPONSE
Exclude survey respondents based on the following clinical and non-clinical criteria:
1. Undeliverable survey, i.e., the survey is returned by US Mail as undeliverable. “Undeliverable” should not be assumed merely because of non-response.
2. The survey is returned with clear indication that the patient does not meet eligibility criteria (e.g., ineligible age or lack of a chronic health condition).
3. Patient unable to complete survey independently: This must be indicated by the appropriate checkbox in the cover letter or equivalent clear indication by the parent/guardian that the patient is unable to complete the survey independently (e.g., due to cognitive limitation).
4. Exclude all respondents who answered “None” to ADAPT question 3 (“In the last 12 months, how many times did you visit this provider?”).
Public Comments