Table 1.

Clinic reported strengths, weakness and obstacles. Responses from 26 clinics

Clinic-reported strengths	Clinic-reported weaknesses	Clinic-reported obstacles to success
Initiating transition discussion	Patient satisfaction with process	Lack of adult providers
Fostering self-management skills	Communication between adult and pediatric providers	Time to dedicate to transition discussion
Involvement of families and patients in transition	Follow-up on successful transition completion Assisting with insurance coverage changes Ability to provide independence, education and vocation support