Background: Young adults with special health-care needs is a growing population due to medical advances and improved patient outcomes. [1] Unfortunately, the transition into adult medical care for these young adults is often met with declining health and increasing acute care utilization. [2-5] To redesign care for this growing population, we started the Med-Peds service [...]

Background: Increasing numbers of young adults are hospitalized in nonpsychiatric facilities for acute mental health crisis, such as suicide ideation (SI) or attempt (SA). We sought to evaluate differences in care quality and outcomes when these patients are admitted to the medical units of adult versus pediatric hospitals. Methods: We retrospectively collected demographic and clinical [...]

Background: The three most common childhood-onset chronic conditions for which adolescents and young adults (YA) use pediatric hospitals are congenital heart disease (CHD), cystic fibrosis (CF), and sickle cell disease (SCD). Existing studies do not establish clear clinical benefits to continued pediatric hospitalization over hospitalization at adult hospitals. We aimed to determine if if continued [...]

Background: The transitioning from pediatric to adult care has been correlated with worsened outcomes including increased mortality [1]. Improving patient experience (PEX) has been correlated to improved adherence and lower inpatient mortality rates [2] as well as lower 30-day readmission rates for patients with heart failure, acute MI and pneumonia [3]. Young adults transiting from [...]