Adaption of an electronic medical record-based transitioning planning tool (TPT) to standardize and guide transition of pediatric patients to adult care for sickle cell disease patients age 12-21 was introduced in the hematology oncology clinic of a large academic children's hospital. Interventions to promote and increase provider engagement and utilization were implemented in three plan-do-study-act cycles. In total three of three (100%) of providers involved in the quality improvement efforts in the clinic used the transition tool during 12 patient encounters. Use was isolated to these three providers based on the narrow scope of the initial piloting project and the population size. Use of the tool was highest with greater appointment time spent on addressing transition. Provider satisfaction with the tool and self-reported transition activities showed a modest increase from pre-implementation to post-implementation.