Community Partnerships: Ethical and Communication Issues for LTC Facility/ Hospital Transitions and Effective Care Coordination

Live webinar held March 27, 2012


  • Staff from many levels, disciplines and settings (both acute care and long term care).
  • Behavioral health staff, nurse practitioners, nurses, CNAs, Nursing Home Administrators, Social Workers and Case Manages from both Acute and Long term care.


At the end of this presentation participants wil have increased understanding related to:

  • What pertinent information is required in the referral process
  • Increased awareness of the definitions of dementia and associated problem behaviors
  • Understanding of the problem solving process known as the 4-D approach
  • Understand the need to utilize this comprehensive approach across the multi-disciplinary team.
  • Understand the necessity of team-based approaches to safe transitions from one level of care to another.
  • Understand the regulatory challenges facing LTC/SNF providers in care of residents with “behaviors.”


Staff participating in this webinar (or reviewing the recording) will have increased awareness of the need for more comprehensive communication related to the referral/transition process from Acute to Long Term Care. They will also begin to gain skills for problem solving and strategizing utilizing a multi-disciplinary team approach to better understand and manage problem behaviors in residents of long term care facilities.


Lora Epperly, RN, MSN

Lora Epperly, RN, MSN


Lora Epperly, RN, MSN,is the Chief Quality and Cultural Excellence Officer for Commonwealth Care of Roanoke, Inc. (CCR). Ms. Epperly has significant experience in the long term care, acute care and home care settings, corporate health and benefits arena, as a staff nurse, nurse manager, senior management team member and consultant. She holds a diploma in nursing from Community Hospital of Roanoke Valley School of Professional Nursing and both a BSN and MSN from Radford University.

Currently, Lora is responsible for clinical services for 11 long term care facilities in Virginia with the Director of Clinical and Resident Services reporting to her. Ms. Epperly’s clinical experience has included critical care and emergency nursing, holding certifications in both areas, as well as director of surgical services. She has held positions as clinical supervisor, unit manager and department director.

Ms. Epperly is a member of the Virginia Health Care Association and serves on the Regulatory Committee, the Quality of Care Committee and the Geriatric Mental Health Task Force working with Dept. of Mental Health in appropriate care and placement for geriatric psychiatric residents. She has done multiple presentations on topics related to health care reimbursement and long term care issues.

Beth B. Ulrich ACSW, LCSW

Beth B. Ulrich ACSW, LCSW


Beth B. Ulrich ACSW, LCSW has recently joined the Senior Psychiatric Program at Centra/ Virginia Baptist Hospital as Community Liaison to Long Term Care. This role involves assisting patients, families and staff in the transition process from acute to long term care in addition to providing evaluations and interventions to long term care residents experiencing various mental health problems.

Ms. Ulrich received her Bachelors Degree and Masters Degree in Social Work from Florida State University and is a Licensed Clinical Social Worker in the state of Virginia. She was the Director of Social Work for Centra for over 20 years before becoming the Program Manager for the county satellite out-pt. clinics at the Central Virginia Community Services Board.

Her experience has a combined focus in Social Work Discharge Planning and Case Management as well as Clinical Social Work for Seriously Mentally Ill adults.

E. Ayn Welleford, PhD

E. Ayn Welleford, PhD


E. Ayn Welleford, PhD,received her BA in Management/Psychology from Averett College, MS in Gerontology and PhD in Developmental Psychology from Virginia Commonwealth University. She has taught extensively in the areas of Lifespan Development, and Adult Development and Aging, Geropsychology, and Aging & Human Values.

As an educator, researcher, and previously as a practitioner she has worked with a broad spectrum of individuals across the caregiving and long term care continuum. As Associate Professor and Chair of VCU’s Department of Gerontology, she currently works to “Improve Elder Care through Education” through her Teaching, Scholarship, and Community Engagement.

Outside of the classroom, Dr. Welleford provides community education and serves on several boards and committees. She is the Immediate Past Chair of the Governor’s Commonwealth of Virginia Alzheimer’s and Related Disorders Commission. Dr. Welleford is the proud recipient of the 2008 AGHE Distinguished Teacher Award.

Event Recording and Slides