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2016 Care Transitions Conference

Quick Links: Keynote Speakers | Conference Sessions | Poster Session | Registration | Sponsors | Directions | Listserv | Past Conferences | Frequently Asked Questions | Contact


Charting a Course to Health 2016 Care Transitions Conference [logo]

Registration for the 2016 Care Transitions Conference—Charting a Course to Health—on Tuesday, May 17, at IAM751 (9125 15th Place South, in south Seattle) is now CLOSED. To receive information about our 2017 conference, please join the SKCcaretransitions listserv.

The conference continues a community conversation that began in 2012 when health care and human services professionals and others in south King County met to discuss new ways to work together to decrease avoidable hospital admissions. Hospitalizations contribute significantly to the cost of health care—costs borne by insurance companies, taxpayers (Medicaid and Medicare), patients, and families.

conference smartphone app [graphic] Who should attend?

This year's conference will draw 250 participants from more than 75 organizations. Although registration is now closed, it was open to anyone engaged in improving health care quality and transitions of care. Hospital and home health care administrators, discharge planners, nurses, physicians, pharmacists, policymakers, social service providers, consumers, community leaders, and anyone whose role involves empowering patients and families to manage their health care were strongly encouraged to attend.

Conference Agenda

The 2016 conference agenda, session descriptions, and speaker bios are available on our customer conference app. Click on the graphic above to access public information. Additional features are available for registered participants who receive a log-in code.

Keynote Speakers

We are honored to welcome two keynote speakers to the 2016 conference.

Jane Brock MD MSPH [photo]Charting a Course to Health

Jane Brock, MD, MSPH

Dr. Jane Brock is a medical director at Telligen, the Medicare Quality Improvement Organization (QIO) for Colorado. She is currently the medical director of the CMS QIO 10th Statement of Work Integrating Care for Populations and Communities National Coordinating Center, which provides leadership and support to 41 QIOs as they recruit communities of providers and Medicare beneficiaries to work together to reduce unwanted hospital readmissions. Dr. Brock also serves as an expert faculty member for CMS’s Community-Based Care Transitions Program technical assistance contractor. Dr. Brock's session is described here.

Paul Ciechanowski MD MPH [photo]The Promise of Collaborative Care for Addressing the CMS Triple Aim in Community Settings

Paul Ciechanowski, MD, MPH

“Dr. Paul” is chief medical officer and founder of Samepage Health, a Seattle-based healthcare technology and services company. He has dedicated his career to improving healthcare communication based on his blended background as a family doctor, diabetes management specialist, and psychiatrist. He has conducted national research and published extensively in top medical journals including JAMA, New England Journal of Medicine, and others. He is an international authority on case management programs, behavior change, treatment adherence, and patient-provider communication. Dr. Paul's session is described here.

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Conference Sessions

In addition to the two keynote sessions listed above, the following presentations will be offered at the conference (click on titles to read descriptions and access speaker bios):

Where Have We Been and Where Are We Going?

Keynote I: Charting a Course to Health

  • Jane Brock, MD, MSPH

Keynote II: The Promise of Collaborative Care for Addressing the CMS Triple Aim in Community Settings

  • Paul Ciechanowski, MD, MPH

Tools for the Journey (Concurrent Sessions):

Health Literacy: The Link between Better Communication and Better Health Outcomes

  • Elissa Director, MA, Alki Analytics, LLC

Balancing Cost and Quality of Care in the Least Restrictive Environment

  • Rhonda Steele, CarePatrol & The Community Integration Model

Improving Healthcare for People with Disabilities

  • Michael Richardson, MPA, Northwest ADA Center

Luncheon presentation:

Chronic Disease Management with Telehealth

  • Tom Edmondson, MD, CMD, AGSF, FACP, Philips Enterprise Telehealth

On the Course — Promising Practices and Partnerships:

Innovative Transportation Strategies for Follow-Up Appointments

  • Amy Conrick, National Center for Mobility Management
  • Francois Larrivee, Hopelink
  • Tod Morris, Valley Regional Transit, Boise

Community Partnerships Improve Medication Use and Overall Care Across the Continuum

  • Josh Akers, PharmD, BCACP, Kelley-Ross Pharmacy Group
  • Jennifer L. Bacci, PharmD, MPH, BCACP, University of Washington & Kelley-Ross Pharmacy Group
  • Anne Casey, MS, FAACVPR, Heart Institute at Virginia Mason Medical Center
  • Geoffrey Meer, PharmD, Kelley-Ross Pharmacy Group

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Poster Session

We welcome the following poster presentations at this year's conference:

Caring for Dying Patients in Skilled Nursing Facilities: A Hospice Train-the-Trainer Project

  • Latisha Newkirk, Clinical Division Manager, King County Facilities, CHI Franciscan Hospice and Palliative Care

Improving the Care of Older Adults: Northwest Geriatrics Workforce Enhancement Center

  • Aimee Verrall, Program Manager, Northwest Geriatrics Workforce Enhancement Center

Innovative Partnerships for Senior Health Promotion: Community-clinical Linkages between EnhanceFitness and Physical Therapy Practices

  • Marlana Kohn, UW Health Promotion Research Center

A Peer-engagement Intervention to Connect the Older Veterans Community to an Evidence-based Depression Care Management Program

  • Lesley Steinman, UW Health Promotion Research Center

Self-Management Plans for Common Chronic Conditions

  • Mary Pat O'Leary, RN, BSN, Aging and Disability Services

Translating Research into Practice: Lessons Learned from Providing Technical Assistance for PEARLS

  • Lesley Steinman, UW Health Promotion Research Center

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Registration for the May 17, 2016 conference is now CLOSED. (Note: Sponsorship payments can still be made on Brown Paper Tickets.)

To receive information about our 2017 conference, please join the SKCcaretransitions listserv.

Note: No refunds will be approved after May 10, 2016.

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Conference Sponsors & Exhibitors

We rely on sponsorships to keep this conference affordable to health and human services professionals at all levels. The deadline for sponsor and exhibitor opportunities was March 31. For more information, contact conference coordinator Irene Stewart (irene.stewart@seattle.gov).

Thank you to the 2016 conference sponsors!


ResCare Home Care [logo]


Aging and Disability Services [logo]           Chinese Information and Service Center [logo]

Community Living Connections logo            Genesis Health Care [logo]

Home Care Referral Registry of Washington [logo]           Kelley-Ross Pharmacy Group [logo]

Philips Lifeline [logo]            Sound Generations formerly Senior Services [logo]

UW Medicine Valley Medical Center Clinic Network [logo]


Asian Counseling and Referral Service ACRS [logo]      Care Patrol [logo]   CHI Franciscan Health [logo]

KWA Home Care [logo]           Visiting Physicians Association [logo]


Byram Health Care [logo]   Careage Home Health [logo]   Cascade Behavioral Hospital [logo]

Developmental Disabilities Administration DSHS [logo]   Family Resource Home Care [logo]    Fedelta Home Care [logo]

Generations with Pride [logo]      King County [logo]

Navos Mental Health Solutions [logo]    Northwest ADA Center [logo]   Qualis Health [logo]

Visiting Angels of Renton and Seattle [logo]    Washington Dental Service Foundation [logo]    Washington Relay [logo]

Wesley Homes [logo]


CHI Franciscan Health [logo]

Alphabetical listing (includes exhibitors):

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Planning Team & Contact Information

Special thanks to 2016 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 Irene Stewart (irene.stewart@seattle.gov).

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

Event Photos

Photos from the 2015 conference are available on Facebook. Click here to view. Note: Photos should be accessible whether or not you have a Facebook account.

Past conferences

For information about previous conferences, click here.


The 2016 conference will be held at IAM 751, 9125 15th Place South, Seattle (map it), at the south end of the south building. Parking is ample and free.

For transit connections, visit Metro Trip Planner.

From downtown Seattle, via I-5:

From Tacoma, via I-5:

Frequently Asked Questions

If I register and cannot attend, can I get a refund?

Yes, but only until May 10, 2016 (one week in advance) as financial commitments (e.g., food) have to be finalized at that time.

Will gluten-free food be available?

Yes, both breakfast and lunch buffets will have gluten-free, meat, vegetarian, and vegan options.

Is accessible parking available?

There are accessible parking spots as well as an Access bus pickup zone right next to the entrance to the building. Be sure you go to the south end of the south building. Follow the signs.

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