NTOCC WebinarDemonstration of NTOCC's Transitions of Care Evaluation Software

originally presented on
Friday, April 13, 2012 (3:00 PM - 4:00 PM EDT)

Watch the recent demonstration of the new web-based Transitions of Care Evaluation Software. Ed Davidson, PharmD, MPH, creator of the program and long standing NTOCC Advisors Council member, walks through the program, provides tips for individuals and organizations, and answers attendee questions regarding this tool.

Watch the Recorded Webinar


Sponsorships & Exhibits

For more information on sponsoring and outreach opportunities associated with Regional Summits, please contact:

Cheri Lattimer
Phone: (501) 240-4677
Email: cheri.lattimer@gmail.com

NTOCC LUNCH & LEARN WEBINAR SERIES - Tuesday, August 1, 2017

NTOCC offers informative webinars covering transitions of care issues, brought to you our Board of Directors and Partners Council. Please bookmark this page and check back frequently for upcoming events!

Essential Interventions to Improve Care Transitions in Heart Failure

Tuesday, December 5,2017

 1:00pm Eastern/10:00 AM Pacific

Register for the webinar here:


With unprecedented advances in heart failure (HF) treatment and recently updated ACC/AHA/HFSA guidelines, remarkable potential exists to improve HF patient outcomes through effective interventions at critical transition points. Join key experts for an interactive webinar as they highlight core concepts and practical strategies from the Heart Failure Transitions of Care (TOC) Pathway that was recently developed in partnership with the National Transitions of Care Coalition (NTOCC) to arm system leaders and the HF care team with essential interventions and tools to ensure safe and effective transitions of care for patients with HF across care settings.
Jose Alejandro, PhD, RN-BC, MBA, FACHE, FAAN


Jose Alejandro, PhD, RN-BC, MBA, FACHE, FAAN

Case Management Society of America (CMSA)
Director, Case Management
Tampa General Hospital
Tampa, FL
Akshay S Desai, MD, MPH


Akshay S Desai, MD, MPH

Assistant Professor of Medicine
Harvard Medical School
Director, Heart Failure Disease Management Program
Brigham and Women's Hospital
Boston, MA



Check back for 2018 Webinar Dates coming soon.........




Listen to the webinar recording here:


YouTube Video Abdominal Assessment Link that is referred to during presentation:

(Start video at 2:05 & you may have to copy and paste the link into your web browser.)


PowerPoint Presentation can be downloaded by clicking 


August 16, 2017

12pm-1:00pm CST/1pm-2pm EST

"Identifying and Managing Acute Changes of Condition to Reduce Avoidable Transitions"

Presented by Jacqueline Vance, RNC, BSN, IP-BC, ASCOM, CDP, CDONA, FACDONA, LBBP, DPN

Webinar Meeting Link: https://www.freeconferencecall.com

Dial-in Number*: (515) 739-1513

Access Code: 986228

Online Meeting ID: ntocc


Inappropriate care transitions lead to poor outcomes. However we can improve care and reduce unnecessary complications, expenditures and penalties due to preventable hospitalizations of nursing home residents by early identification and management of changes of condition (COC).  This program will discuss effective methods of recognizing, assessing/evaluating and reporting COCs and review user friendly tools available to assist in this process.


Jacqueline is President of Vance LTC Consulting in Ellicott City, Maryland.

Ms. Vance previously was the director of clinical education at Sava Senior Care in Atlanta, Georgia. She has served as a director of development and director of clinical affairs and industry relations for AMDA − The Society for Post-Acute and Long-Term Care Medicine (AMDA).

She is a certified director of nursing in long-term care, and she is board certified in gerontological nursing and infection prevention (IP-BC). She is a certified Master in Antibiotic Stewardship (ASCOM), a Certified Dementia Practitioner (CDP), and is a Lean Six Sigma Black Belt Professional LBBP). In addition, she has a technical diploma in Personal Nutrition (DPN). Ms. Vance is affiliated with AMDA, the American Association of Directors of Nursing Services (AADNS), National Association of Directors of Nursing Administration in Long-Term Care (NADONA/LTC), and is on the board of the National Transitions of Care Coalition and the American Society of Consultant Pharmacists Foundation.

She has been an author of more than 50 articles relating to long-term care residents and facilities published in Caring for the Ages magazine, peer-reviewed journals, and other publications, and she has been a frequent presenter at national conferences. She is the author of the award winning blog “The Real Nurse Jackie” hosted by McKnights long term Care.

Ms Vance is also a current member of the NTOCC board of directors.



Please join us for the second webinar in the NTOCC Lunch & Learn series.  

You can listen to the webinar here :  

Powerpoint Presetation can be downloaded by clicking here

September 20, 2017

12pm-1:00pm CST/1pm-2pm EST

"Care Transitions in Patients with Dementia From The SNF Prospective”

 (this should apply to general dementia patients)

Presented by James E. Lett II, M.D., C.M.D.

Webinar Meeting Link: https://www.freeconferencecall.com

Dial-in Number*: (515) 739-1513

Access Code: 986228

Online Meeting ID: ntocc


“Cognitive impairment and dementia exist in significant numbers in nursing homes in the United States. Individuals with this disease are at high risk to have multiple comorbid diseases, more likely to be transferred to the hospital and readmitted afterwards, and have higher rates of hospital complications and death. Despite these known risks for suffering and costs, cognitive issues often remain unrecognized. When diagnosed, their presence may not be transmitted to the next site of care, delaying recognition and those interventions appropriate to their needs.

This presentation will address the prevalence of dementia in the nursing home, discuss the implications of caring for the population afflicted with this often “silent” disease and some consensus approaches to improving for their care.”


James E. Lett II, M.D., C.M.D.

Dr. Lett is certified by the American Board of Family Practice with a Certificate in Added Qualifications in Geriatrics and is a Certified Medical Director (CMD).

He is a past president in 2003-2004 of the American Medical Directors Association (AMDA), a 5,000-member national long-term care physician group. He served as a member of the CMS workgroup to revise F-Tag 329: Unnecessary Drugs, chaired a joint national effort that created a long-term care medication toolkit for patient safety, chaired a national workgroup to create a Clinical Practice Guideline for Care Transitions in the Long-Term Care Continuum, serves on the National Quality Forum Workgroup on Post-Acute Care and as a member of the workgroup consulting with the Office of the Inspector General (OIG) on patient harm in the long-term care continuum (SNF, IRF & LTACH).

A passionate interest is Care Transitions. He serves as Chair, Board of Directors for the National Transitions of Care Coalition (NTOCC), has spoken nationally on this subject, and been a part of Care Transitions efforts for the American Medical Association, the Society for Hospital Medicine and the Center for Medicare and Medicaid Services among other entities. Dr. Lett was lead author of the white paper “Dementia in Care Transitions” and co-author for “Safer Transitions, Fewer Re-Hospitalizations with PAH: An Interdisciplinary Guide” and “Better Transitions of Care to Bridge Gaps, Reduce Hospitalizations and Readmissions in Idiopathic Pulmonary Fibrosis.”

He was Senior Medical Director for Quality for Lumetra, the Quality Improvement Organization for California until assuming the role of Chief Medical Officer of Long-Term Care for the California Prison Health Care Services in October 2008. From June 2011 until June 2013 he was Medical Director/Vice President of Medical Services at the Hebrew Home of Greater Washington. HHGW is a multi-level service provider for more than 1,000 elders located in Rockville, MD.

Dr. Lett is currently Medical/Clinical Director of Avar Consulting, Inc, in Rockville, MD working on a contract with CMS.

Please join us for the Next webinar in the NTOCC Lunch & Learn series on November 30, 2017.