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Few providers used the American College of Rheumatology transition tools (31%) or have a dedicated transition clinic (23%). Only 17% had a transition policy in place, and 63% did not consistently address healthcare transition with patients. When compared to the 2010 survey, improvement was noted in 3 of 12 transition barriers availability of adult primary care providers, availability of adult rheumatologists, and pediatric staff transition knowledge and skills ( 0.001 for each). Nevertheless, the mean current assessment score was 2 for each measur