2017 AHC/NCAL Annual Convention & Expo

Return to the Community: Transitions Beyond Discharge

Monday, October 16
8:00 AM - 9:00 AM
Location: Lagoon A&B
CE: Nurses: 1.0 | NAB: 1.0

Discharge planning and post-discharge follow up has never been more important in post-acute care. The new quality measure for successful discharge to the community and an increased focus on improvement in function are creating new challenges that require providers to track and analyze rehabilitation progress much more carefully. Person-centered care planning ensures that the right services are provided both in the SNF and in the community. The old barriers to health information exchange can no longer exist in today’s post-acute care world. This presentation will discuss the new quality measures related to care transitions, and how information exchange between SNFs and home health enables care coordination and successful transfers to the community.

Learning Objectives:

Steven Littlehale

Executive Vice President and Chief Clinical Officer

Steven Littlehale, MS, GCNS-BC is PointRight’s Executive Vice President and Chief Clinical Officer. He has more than 25 years' experience as a long-term care professional beginning as a nurse assistant and leading to his work as an advance practice nurse, educator, researcher and consultant. He is a board certified specialist in gerontology and a nationally-known lecturer and consultant with numerous publications. Steven holds a Bachelor of Science from the University of Vermont and a Master of Science from Georgetown University.


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Kimberly D. Green

Chief Operating Officer
Diakonos Group, LLC

Kimberly D. Green, M.Ed. CCC-SLP, is the Chief Operating Officer for Diakonos Group, LLC. Diakonos Group, LLC operates and manages skilled nursing and rehabilitation facilities, independent and assisted living facilities, group homes for individuals with intellectual disabilities (IID) and operates the consulting division Senior Health Strategies. Kimberly has an extensive background in the industry with 31 years of varied experience. Kimberly is a medical speech language pathologist by background and has a Bachelor's of Science and a Master's of Education in medical speech language pathology both from Northeastern State University in Oklahoma. She has traveled the country and worked for some of the nation's oldest and largest companies. She has also owned and operated her own consulting company that allowed her to vist and assess hundreds of facilities and operations in the industry throughout the country. She has diverse experience from almost every aspect of the industry from provider to contractor and nurse assistant to COO. She was able to participate in the pilot project for PPS and grew that knowledge over the years to become a recognized Medicare and reimbursement specialist that has provided consulting coast to coast. She is also a nationally recognized speaker on various topics such as Medicare, Rehabilitation, restorative nursing, and dementia management. She has written a restorative training program and manual currently implemented by three different state associations. She traveled to Haiti on medical missions after the earthquake, and trained physicians, nurses and other health care workers on restorative nursing care for the elderly in their country. Kimberly was a member of the Clinical Quality Committee with the American Healthcare Association (AHCA) in 2014-2015 and graduated from the Future Leaders class 2014-2015 with the American Healthcare Association. She is currently on the Quality Improvement Committee with AHCA. She was also the recipient of the Women of Distinction award for Tulsa in 2016. She currently serves on the Board for the Oklahoma Association of Healthcare Providers. She sits on the Housing Committee for the Mental Health Association of Oklahoma and she is also on the Aging With Serious Mental Illness Task Force. She lives in Jenks, Oklahoma with her husband, Michael Yates, her four daughters, Lily, Isabella, Emma and Sofia and her two boxers, Gunner and Molly.


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Return to the Community: Transitions Beyond Discharge


MP3 Audio

Presentation Slides



Handout 1 Handout 2 Handout 3



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