2017 Care Transitions Conference

Background | Program & Presenters | Registration | Conference App | Sponsors & Advertising | Planning Team & Contact Info | Directions | Listserv | Past Conferences

The care transitions logo features health care and home images that resemble international symbols, including hospital, emergency, health care provider, medications, disability, bed, and more.

Conference registration is at full capacity and is now closed.

Health and human services providers from throughout the Puget Sound region will discuss patient- and family-centered transitions of care across the continuum at “Care Transitions: We’re All In It Together.” Conference registration hit full capacity on April 19, 2017.

Registrants will receive conference day information, including log-on information for the conference app, via e-mail.

Date:     Wednesday, May 10, 2017

Time:   8 a.m.–4 p.m. (start time may change—please check back)

Place:   Four Points by Sheraton Seattle Airport South (see Directions, below)

Click on the headings below for more information.


Hospitalizations contribute significantly to the cost of health care—costs borne by insurance companies, taxpayers (Medicaid and Medicare), patients, and families—and take an emotional toll on patients and their families.

2017 marks the sixth year that hospital and home health care administrators, discharge planners, nurses, physicians, pharmacists, policymakers, social service providers, community leaders, and consumers will gather to discuss new ways to work together to decrease avoidable hospital admissions and health care utilization.

The focus of this year’s conference will be on developing a shared vision for patient- and family-centered transitions of care across the continuum. We encourage participation from stakeholders throughout King, Snohomish, Pierce, and Kitsap counties, while welcoming anyone engaged in improving health care quality and transitions of care.

Brown Paper Tickets logo - click here to go to online registration site.

Conference registration is now closed. No refunds granted after April 24, 2017.

Registration for “Care Transitions: We’re All In It Together” is now closed.

Conference registration fees include breakfast and lunch buffets that will include options for individuals who require vegetarian and/or gluten-free meals. Thanks to generous sponsor support, employees of nonprofit organizations and unpaid caregivers paid a reduced price.

Please note: No Purchase Orders. No refunds granted after April 24, 2017.

Sponsor/exhibitor note: If your organization is a sponsor or exhibitor, do not register online. Instead, complete a Commitment Form (see Sponsor information, below) and e-mail name, job title, and e-mail address for each representative.

Conference App

2017 Care Transitions Conference smart phone app graphicRegistered participants will receive a URL for our conference phone app—with access to session descriptions, speakers bios, sponsors, exhibitors, and contact information to other registered participants.

We will also produce a full-color conference program.

Stay tuned!

Program & Presenters

Welcome: Ingrid McDonald, MPP

Ingrid McDonald, Regional Health Administrator for Public Health—Seattle & King County, directs health policy. She is a passionate advocate for health care access, healthy aging, and global health. Prior to joining Public Health, she was a program adviser for PATH—based in Yangon, Myanmar—where her key areas of responsibility included communications and business development. She also served as Advocacy Director for the Washington State office of AARP for nearly seven years.

Keynote Speaker: Tim McNeill, RN, MPH

The conference keynote speaker will be Tim McNeill, RN, MPH, whom many know from his TIM TALKS Business Acumen monthly webinar series. Mr. McNeill specializes in health program development and sustainability. His clients have included the U.S. Department of Health and Human Services (HHS), U.S. Administration on Aging, and the Administration for Community Living (ACL). Under a HHS/ACL contract, Mr. McNeill has been the lead technical assistance provider to establish integrated networks of long-term services and supports providers (LTSS) in 26 states. A Registered Nurse, Mr. McNeill is a veteran of the U.S. Navy Nurse Corps. During his career, he has started or expanded multiple sustainable health programs including community-based free clinics, Federally Qualified Health Centers, two Accountable Care Organization (ACO) Medicare Shared Savings Programs, and LTSS networks. His expertise includes program evaluation, design, and management; quality assurance, contract negotiations, health disparities, payer model design, grantwriting, ACOs and other types of integrated care systems, bundled payments, and program sustainability.

Conference Program

Following are additional highlights of the conference program:

A Day in the Life of a Primary Care Team

Co-presenters: Dr. Kimberly Herner, Director of Quality, UW/Valley Medical Center; Jeri Craine, MN, BSN, RN, Manager of Population Health and Clinical Support Services, UW/Valley Medical Center; Jackie Shreve-Swaner, RN, Care Manager, UW/Valley Medical Center; Rhea Smith, Pharm D, Clinical Pharmacist, UW/Valley Medical Center; Nannette Guild, SW, UW/Valley Medical Center; and Tami Davis-Ward, Health Facilitator, UW/Valley Medical Center.

Solving Big Problems with Distributed Teams

Co-presenters: Arun Kumar, Founder and CEO of Kerika; and Joy Paulus, Senior Policy and Program Manager, Washington State Office of the Chief Information Officer

The Power of Purposeful Engagement of Home Care Partners

Co-presenters: Susan “Sam” Miller, RN, MN, CEO CareForce Home Care and Home Health; Carolyn Bonner RN, BSN, Director Home Health, Health Connections, Cancer & Sleep Centers, CHI Franciscan Highline; Rob Krause, VP for Business Development, Kindred Home Health; and Gretchen Anderson, MSPT, Administrator for Sunshine Home Health Care

The Medicaid Health Home Program

Co-presenters: Karen Fitzharris, Health Homes Project Director, DSHS; Sarah Addison, Behavioral Health Program Manager, Sea Mar Community Health Centers; and Cindy Spain, VP of Health Services, United Health Care

Age-Related Hearing Loss : Innovated Changes in Practice and Policy

Co-presenters: Margaret I. Wallhagen, PhD, GNP-BC, AGSF, FGSA, FAAN, Professor of Physiological Nursing, Director, UCSF John A. Hartford Center of Gerontological Nursing Excellence, Nurse Senior Scholar, San Francisco VA Quality Scholars Fellowship Program, University of California; and Kelly L. Tremblay, PhD CCC-A, FAAA, Professor of Speech and Hearing Sciences, University of Washington

Health Care & Housing: Partners in Healthy Aging 

Co-presenters: Anita Souza, PhD, University of Washington School of Nursing; Ruben Rivera-Jackman, MNPL, SHAG; and Robert Bowery, Director of Clinical Services, Compass Housing Alliance

Transitions of Care in Patients with Kidney Disease: Can We Do Better? 

Presenter: Leanna Tyshler, MD, Quality Initiatives Medical Advisor, Northwest Kidney Centers

Recognizing and Responding to Moral Distress

Presenter: Elizabeth Vig, MD, MPH, Associate Professor and Chair, Ethics Consultation Service, VA Puget Sound Health Care System

An Intimate Look at Aging: A 69-year-old Geriatric Mental Health Specialist Talks About his Journey in Aging

Presenter:  Ken Ryan, MA in Counseling, Navos

Tools for Practice Transformation to 2021 and Beyond

Co-presenters: Maria Klemesrud, M.Ed, LMHC, Practice Coach-Connector, Practice Transformation Support Hub Services, Qualis Health; and Wei-Lin Huang, MSW, LICSW , Practice Coach-Connector, Practice Transformation Support Hub Services, Qualis Health

Teaching Effectively: Considerations When Teaching Older Adults

Presenter: Bonnie Ronan, MN, RNC-NIC Patient Family Education Coordinator

View Through a Two-Way Mirror: Recognizing the Person in the Provider in Person-Centered Team-Based Care

Presenter: Paul Ciechanowski, MD, MPH, Clinical Associate Professor, Department of Psychiatry, University of Washington; Chief Medical Officer, Samepage Health.

It Takes a Village: Improving Care Transitions for Patients with Dementia

Presenter: Jullie Gray, MSW, LICSW, CMC, Principal, Fellow Certified Care Manager, Aging Wisdom

Making Medical Recommendations for the Best Care Possible: Why Hospice and Palliative Care Advocacy is Everyone’s Job

Co-presenters: Bethany Kapp, MD, MPH, Physician, CHI Franciscan Hospice and Palliative Care; and Tanya Engstrom, LICSW, MSW, Social Work Supervisor, CHI Franciscan Hospice and Palliative Care

Some of the highlighted presentations above are offered simultaneously. For information about the conference agenda, contact conference co-coordinator Allison Boll (allison.boll@seattle.gov).

Sponsors & Advertising
click here to open the 2017 sponsor, exhibitor & advertising opportunities PDF

Click on the image above to open Sponsor & Advertising Opportunities.

Updated 4/10/2017.

We rely on sponsorships to keep this conference affordable to health and human services professionals at all levels. The deadline for 2017 sponsor commitments was March 31, 2017. Note: All sponsor categories are now closed; however, full-color program advertising is still available.

Thank you to our 2017 conference sponsors for their generous support! This list is updated periodically.






 Alphabetical listing of 2017 sponsors:

Planning Team & Contact Information

Special thanks to 2017 Care Transitions Conference Planning Team, many of whom have worked on the conference for several years. If you have questions, please e-mail Aging and Disability Services planner Allison Boll (allison.boll@seattle.gov) and/or Irene Stewart (irene.stewart@seattle.gov).

  • Alan Abe, King County EMS
  • Allison Boll, Aging and Disability Services (co-coordinator)
  • Susan Christ, UW Medicine/Valley Medical Center
  • Diane Cimino-Kelly, MultiCare/Auburn Medical Center
  • Jeri Craine, UW Medicine/Valley Medical Center
  • Jay Crosby, Professional Registry of Nursing, Inc.
  • Evelyn Dreyer, DSHS/Developmental Disabilities Administration
  • John Ficker, Adult Family Home Council
  • Aime Fink, Snohomish County Area Agency on Aging
  • Steve Garrett, Care Patrol
  • Carol Higgins, Qualis Health
  • Ryan Hosken, Washington State Hospital Association
  • Francois Larrivee, Hopelink
  • Diane Lepsig, Care Patrol
  • LeighBeth Merrick, LeadingAge Washington
  • Stacy Mesaros, Judson Park
  • Karen Nodolf, UW Medicine/Valley Medical Center
  • Mary Pat O’Leary, Aging and Disability Services
  • Deborah Parks, Sound Mental Health
  • Dillon Pyle, Wesley Homes
  • Kathryn Ramos, Group Health
  • Bob Riler, Pierce County Community Connections
  • Robin Schwartz, Center For Healthy Living
  • Irene Stewart, Aging and Disability Services (co-coordinator)
  • Bonni Stratton, CHI Franciscan Hospice & Palliative Care
  • Jon Morrison Winters, Aging and Disability Services
  • Winnie Wong, SEIU 775

Venue: Four Points by Sheraton Seattle Airport South (website)

Address: 22406 Pacific Highway South, Des Moines, WA ( approximately three miles south of SeaTac International Airport)

Hotel reservations: Call 866-716-8133 for room reservations.

Airport shuttle: The hotel offers a free 24-hour airport shuttle (call 253-642-0100 for shuttle reservations).

Driving directions: Google Maps

Parking: Conference parking is available on ground level (off Pacific Hwy S) and an upper level (off S 224th St).

Accessibility: Four Points by Sheraton facilities are ADA accessible. Accessible parking is available on both levels. If you require an accommodation in order to participate, e-mail conference co-coordinator Irene Stewart (irene.stewart@seattle.gov) at your earliest opportunity.


To subscribe to the Seattle-King County Care Transitions Listserv, click here.

Past Conferences

Aging and Disability Services has coordinated annual conferences related to health care quality since 2011. Summary information is available below.

2016 Care Transitions: Charting a Course to Health

The 2016 Care Transitions Conference—Charting a Course to Health—took place on Tuesday, May 17, at IAM751 (9125 15th Place South, in south Seattle). The conference drew nearly 250 participants from more than 75 organizations. Registration was open to anyone engaged in improving health care quality and transitions of care, including hospital and home health care administrators, discharge planners, nurses, physicians, pharmacists, policymakers, social service providers, consumers, community leaders, and others whose role involves empowering patients and families to manage their health care. Program 2016 Participating Organizations

Our keynote speakers were:

  • Jane Brock, MD, MSPH, medical director at Telligen, the Medicare Quality Improvement Organization (QIO) for Colorado (“Charting a Course to Health“)
  • Paul Ciechanowski, MD, MPH, chief medical officer and founder of Samepage Health, a Seattle-based healthcare technology and services company (“The Promise of Collaborative Care for Addressing the CMS Triple Aim in Community Settings”)

Other presenters were:

We also welcomed the following poster presentations at this year’s conference:

  • Latisha Newkirk, Clinical Division Manager, King County Facilities, CHI Franciscan Hospice and Palliative Care (“Caring for Dying Patients in Skilled Nursing Facilities: A Hospice Train-the-Trainer Project”)
  • Aimee Verrall, Program Manager, Northwest Geriatrics Workforce Enhancement Center (“Improving the Care of Older Adults: Northwest Geriatrics Workforce Enhancement Center”)
  • Marlana Kohn, UW Health Promotion Research Center (“Innovative Partnerships for Senior Health Promotion: Community-clinical Linkages between EnhanceFitness and Physical Therapy Practices”)
  • Lesley Steinman, UW Health Promotion Research Center (“A Peer-engagement Intervention to Connect the Older Veterans Community to an Evidence-based Depression Care Management Program” and “Translating Research into Practice: Lessons Learned from Providing Technical Assistance for PEARLS”)
  • Mary Pat O’Leary, RN, BSN, Aging and Disability Services (“Self-Management Plans for Common Chronic Conditions”)

Conference photos are available online (click here).

2015 Care Transitions: The Waves of Change in Health Care

  • Report: The Waves of Change in Health Care conference took place on June 4, 2015 at Renton Community Center. Click on the image at right for the conference summary, which includes links to presentations, videos, and reading materials.

2014 Care Transitions: What Does It Really Look Like?

  • Report: Care Transitions: What Does It Really Look Like? (6/5/14 conference summary, includes links to presentations, workshop summaries, and participant feedback). Special thanks to Wesley Homes for hosting the 2014 conference at The Terrace.

2013 Care Transitions: Whose Job Is It Anyway?

  • Report: Care Transitions: Whose Job Is It Anyway? (5/30/13 conference summary, includes links to presentations, discussion group summaries, and participant feedback). Special thanks to UW Medicine/Valley Medical Center for hosting the 2013 conference in their Medical Arts Center auditorium and meeting rooms.

2012 Care Transitions Community Meeting

2011 Focus on the Future Forum

Click on the headings above for more information. For free, confidential access to aging network services in Seattle-King County, contact Community Living Connections.