Sep
16
8:00 AM08:00

2025 NTOCC Transitions of Care Working Summit

  • General Gordon R. Sullivan Conference and Event Center (map)
  • Google Calendar ICS

2025 NTOCC 
Transitions of Care Working Summit
Washington, DC 
September 16, 2025
 

Seamless Transitions. Improved Outcomes.
Impactful Care Coordination for the Future.

                              

Welcome to the NTOCC Working Summit!

The National Transitions of Care Coalition (NTOCC) Working Summit is not your average healthcare conference—it’s a high-impact, solutions-focused event designed to align, activate, and advance the future of transitions of care.

 A Working Summit with Purpose

As healthcare enters a new era, we’re bringing together leaders from every corner of the system—clinicians, policymakers, patient advocates, academics, and innovators—to move beyond conversation and build coordinated solutions that work.


This summit is:
🔷 Interdisciplinary
🔷 Highly Interactive
🔷 Outcome-Driven
🔷 Collaborative by Design

Through strategic roundtable discussions, live solution mapping, and hands-on working sessions, we will dismantle silos, share insights, and co-create the future of transitions of care.

🗓️ Agenda Highlights & Featured Speakers

🔹 8:00 AM — Continental Breakfast and Networking

🔹 8:50 AM — Welcome & Opening

Jackie Vance, RNC, BSN, CDONA/LTC, FACDONA, IP-BC, CDP, LBBP, DPN
President, National Transitions of Care Coalition

Kick off the summit with an energizing welcome that sets the tone for collaboration. Attendees will be oriented to the day’s goals and encouraged to actively participate as co-creators of change.

🔹 9:00 AM — Opening Keynote The Future of Transitions of Care

Shari Ling, MD, CMS Deputy Chief Medical Officer— The Centers for Medicare & Medicaid Services, Washington, DC

This action forum will frame the national landscape of care transitions, highlighting current challenges and emerging priorities. Attendees will reflect on how these insights connect to their own work and where immediate innovation is needed.

🔹 9:45 AM — Bridging Gaps Between Acute & Post-Acute Care

Christian Bergman, MD, CMDVirginia Commonwealth UniversityJackie Vance, RNC, BSN, CDONA/LTC, FACDONA, IP-BC, CDP, LBBP, DPN Mission Health Communities

Instead of simply hearing about the divide, this session will surface real-world barriers and ask participants to discuss what systems-level or workflow solutions could bridge those gaps across settings.

🔹 10:30 AM — Building Standards for Transitions of Care -

Terrence A. O'Malley, M.D., CMD - Corresponding Faculty Harvard Medical School

Explore tech-enabled care coordination with a focus on what's working --and what's not. Attendees will workshop with Dr. O'Malley discussing work yet to be done and how this fits into the digital future.

🔹 11:15 AM — WORKING LUNCH

A chance to network, but also to continue the morning’s dialogue through informal peer discussions guided by prompts placed on tables.

🔹 12:15 PM — The Future of Value-Based Care

Stephen Buslovich, MD, CMD, MS Chief Medical Officer, Senior Care

Tom HaithcoatPresident, Ceptor Consulting, LLC

Through interactive discussion, attendees will evaluate the impact of VBC models on transitions of care and propose policy or operational tweaks to improve alignment with patient-centered outcomes.

🔹 1:00 PM — Policy Updates: The Impact of Transitions of Care

Alex Bardakh, MPP, CAE — Director, Public Policy & Advocacy, AMDA – The Society for Post-Acute and Long-Term Care Medicine

This isn’t just a policy briefing. Attendees will assess recent legislative and regulatory changes, then discuss what’s missing and how policy could better support smoother transitions.

🔹 1:45 PM — Pharmacists and Their Impact on TOC

Sara Panella, PharmD, CPh, BCPS, FASHP Baptist Health South FloridaChad Worz, PharmD, BCGP — Chief Executive Officer, ASCP

Panelists will present scalable models, then attendees will examine how pharmacy-based interventions could be adapted or replicated across systems.

🔹 2:30 PM — Break

🔹 2:45 PM — Case Study Presentations: Innovative TOC Models

Norris Turner, PharmD, PhDTurner Healthcare Quality Consulting, LLC

Cheri Lattimer, RN, BSN — Executive Director, NTOCC

Trisha Cash, PharmD, BCGP, CDCES Fredrick Integrated Health Networks

Diane Kittle, MSN, RN, CCM Complex Care Transitions, Mayo Clinic -Arizona

Saswat Kabisatpathy, PharmD — Chief Strategic Officer, Avant Pharmacy & Wellness Center

Each case will be a launchpad for live problem-solving — attendees will be encouraged to ask hard questions, identify success drivers, and brainstorm how to tailor the approach to their own settings.

🔹 3:45 PM — Roadmap to Closing the Gaps

Moderator: Norris Turner, PharmD, PhDTurner Healthcare Quality Consulting

A facilitated, all-hands dialogue to synthesize insights from the day. Together, participants will help co-author a shared roadmap to address systemic issues and outline next steps for collective action.

🔹 4:30 PM — Closing Remarks

Jackie Vance, RNC, BSN, CDONA/LTC, FACDONA, IP-BC, CDP, LBBP, DPN

Summit leaders will recap the day’s breakthroughs and thank attendees for showing up not just to listen — but to lead.



 Why Attend?

Because talking about problems isn't enough. It's time to solve them.

At this summit, you will:
✅ Collaborate with national experts and frontline leaders
✅ Engage in dynamic, roundtable-style conversations
✅ Co-create real, actionable solutions
✅ Shape policy and practice for lasting impact
✅ Walk away with shared priorities and tangible next steps

Who Should Attend?

This summit is for changemakers ready to roll up their sleeves:

🔷Physicians, Pharmacist & APN's
🔷Nurses, Social Workers & Care Managers
🔷Community Health Workers & Patient Navigators
🔷Patient & Family Advocates
🔷Health System Executives
🔷Policymakers & Payers
🔷Health Educators & Researchers
🔷Innovators in Health Tech & Value-Based Care

If you are involved in or want to see improved care coordination, safer transitions, and measurable outcomes—this summit is your seat at the table.

What You’ll Gain

📌 Expanded network of cross-sector leaders
📌 Fresh perspective on care transition
📌 Have your voice heard on NTOCC's New Podcast Program
📌 Practical tools and insights
📌 Shared goals for collaborative action
📌 A renewed outlook and clear path forward

 Join the Movement

NTOCC Working Summit: Where Solutions Begin

If you're ready to be part of the collaborative change—
this is your summit.

Register Now
Learn More

REGISTER NOW

Mark your calendar for:

September 16, 2025
8:00AM-4:30PM

 

Where:
Washington, DC

General Gordon R. Sullivan Conference and Event Center hosted by

 
THE ASSOCIATION OF THE UNITED STATES ARMY

2425 Wilson Blvd.
Arlington, VA 22201


HOTEL INFO
The AUSA Conference & Event Center Partner Hotel is attached to the Event Center. Hyatt Place Arlington Courthouse Hotel
Located at 2401 Wilson Blvd., Arlington, VA 22201

REGISTER NOW


SUMMIT REGISTRATION
Early Bird Registration: $125.00
(MAY 15- AUGUST 31)

Regular Registration: $150.00
(SEPTEMBER 1-SEPTEMBER 16)

________________________________________________________________

For Exhibitor and Sponsorship Opportunities contact Val Emmons at valemmons@gmail.com 

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Jul
24
12:00 PM12:00

Lunch N’ Learn webinar

  • National Transitions of Care Coalition (map)
  • Google Calendar ICS

Join NTOCC for the next Lunch N’ Learn webinar on July 24, 2025

@ 12 PM CDT/1PM EDT

Register: : https://register.gotowebinar.com/register/7782487785999328600

https://lnkd.in/gg7XK8tf

“Mind the Discharge Summary –How to Improve Discharges to SNF”

Presented by Carl J. “Christian” Bergman, MD, CMD, FACP, AGSF

Associate Professor, Division of Geriatric Medicine,

Department of Internal Medicine, Virginia Commonwealth

University School of Medicine, Richmond, VA

SUMMARY:

In this presentation, Dr. Bergman will review essential components of the discharge summary focusing on med errors, goals of care discussion omissions, diet miscommunication, as well as other opportunities for documentation improvement around high risk hospital discharges. The main target audience will be clinicians practicing in acute care or post-acute and long-term care medicine but the topic is also relevant for administrative leaders looking for improvement opportunities in care processes as well as KPI’s for acute care discharge processes.

Learning Objectives

1) To better appreciate the essential medical information a hospital discharge summary to a SNF care setting entails and how to best communicate such information.

2) To critically appraise a complex clinical process and define Key Performance Indicators (KPIs) around a system process that needs improvement.

3) To gain insight into the complex data information exchange needed for the successful execution of a high risk process, such as acute care discharge to a SNF.

SPEAKER BIO

Carl J. “Christian” Bergman, MD, CMD, FACP, AGSF is board-certified in Internal Medicine and Geriatric Medicine. He attended medical school at the University of Virginia in Charlottesville, VA and completed his internal medicine residency and geriatric medicine fellowship at Eastern Virginia Medical School in Norfolk, VA where he specialized in post-acute and long-term care medicine. His clinical practice focuses on post-acute and long-term care medicine with an active and engaged medical directorship model. He is associate professor in the Division of Geriatric Medicine at Virginia Commonwealth University in Richmond, VA where he is focusing on improving transitions of care throughout the unique, integrated VCU Health System along the entire senior care continuum. He is actively involved in teaching medical students, residents, and geriatric fellows. At AGS, he is past chair of the Residents Section, past chair of the Fellows In-Training Section, an active member of the Health Systems Innovations & Technology Committee, an external guideline reviewer for AGS, and a past contributor to HealthinAging.org. At PALTmed, he serves on the Board of Director as Chair of the House of Delegates. He is past chair of the State Based Policy and Advocacy Subcommittee and past chair of the Transitions of Care subcommittee. He resides in Richmond, VA with his wife and 2 kids.

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