{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:49:00Z","timestamp":1755226140885,"version":"3.43.0"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>In young adults with inflammatory bowel disease (IBD), the time following transfer to adult care is high\u2010risk for adverse outcomes. We used quality improvement (QI) methods to standardize care, decrease variation, and improve preparation of young adults during the transition\/transfer process.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We created the IBD Transition Care Index (TCI), a list of 10 variables whose completion was felt to represent a more comprehensive transition\/transfer process. Variables were organized into three domains: Disease Control\/Physical Health, Psychosocial Well\u2010being, and Transition\/Transfer Preparation. We educated patients, caregivers, and providers on the value of completing the TCI to deliver complete, multidisciplinary preparation. We recorded variable completion in a database, reviewed results regularly with providers, and compared rates of variable completion between IBD\u2010focused and general gastroenterology (GI) physicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred twenty\u2010two patients transferred to adult care during the project period (211 pre\u2010intervention and 121 post\u2010intervention). In the overall cohort, the mean percentage of TCI variables completed increased from a baseline of 62%\u201371% in the post\u2010intervention period, with a significant increase in the rate of multidisciplinary IBD annual visit (IBD AV) attendance (51% vs. 62%, <jats:italic>p<\/jats:italic>\u2009=\u20090.03). Patients cared for by general GI physicians had significantly increased rates of both overall TCI variable completion (54% vs. 72%, <jats:italic>p<\/jats:italic>\u2009=\u20090.02) and IBD AV attendance (34% vs. 57%, <jats:italic>p<\/jats:italic>\u2009=\u20090.02) in the pre\u2010 versus post\u2010intervention period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Care Indexes such as the TCI can be used to reduce variability and standardize complex clinical processes like transition\/transfer for young adults with IBD, with the goal of improving patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpr3.70045","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T09:39:07Z","timestamp":1750153147000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Transition Care Index: Standardizing comprehensive transition and transfer for young adults with inflammatory bowel disease"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1742-936X","authenticated-orcid":false,"given":"Hilary K.","family":"Michel","sequence":"first","affiliation":[{"name":"Department of Pediatrics The Ohio State University College of Medicine Columbus Ohio USA"},{"name":"Division of Gastroenterology, Hepatology, and Nutrition Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Dotson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics The Ohio State University College of Medicine Columbus Ohio USA"},{"name":"Division of Gastroenterology, Hepatology, and Nutrition Nationwide Children's Hospital Columbus Ohio USA"},{"name":"Center for Child Health Equity and Outcomes Research The Research Institute, Nationwide Children's Hospital Columbus Ohio USA"},{"name":"Pediatric Gastroenterology Arkansas Children's Hospital\/University of Arkansas for Medical Sciences Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennie G.","family":"David","sequence":"additional","affiliation":[{"name":"Department of Pediatrics The Ohio State University College of Medicine Columbus Ohio USA"},{"name":"Pediatric Psychology and Neuropsychology Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Donegan","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Kiel","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross 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