Dr. Aval-Na’Ree Green is a Principal Investigator of the Microtransitions in Care Lab. She completed her undergraduate and medical education at Texas A&M University in 1996 and 2003, followed by residency and fellowship training in internal and geriatric medicine at the University of Virginia. She later earned a master’s degree in health administration from the Texas A&M School of Public Health. Dr. Green is a Certified Medical Director (CMD) and is currently the Regional Medical Director of Vesper Medical Care. Prior to joining Vesper, she served as Clinical Associate Professor of Medicine at Baylor College of Medicine and Division Director of Geriatrics at Baylor Scott & White Health.

Her career as a geriatrician providing clinical care across hospitals, skilled nursing facilities, home-based care, and hospice gave her a close-up view of the daily realities faced by older adults and the providers who care for them. As a 2016 recipient of the Practice Change Leaders Grant, Dr. Green led a cross-continuum initiative to reduce avoidable readmissions from skilled nursing facilities, which deepened her commitment to improving transitions in care at the systems-level. Over time, she noticed that some of the most consequential moments for patients weren’t the major transitions that often get studied (e.g. hospitalizations, discharges, etc.)—but the smaller, everyday movements between rooms and clinics that are often overlooked. Those observations became the foundation for the concept she would later coin as “microtransitions.”

Selected Publications:

• Green, A., Palat, S., Longobardi, I., Fields, B., Gillespie, S., Kaba, D., Villegas, A., Galik, E., Levy, C., Bergman, C., Resnick, B., Steinberg, K., Eber, L., Falvey, J., Pagali, S., Kalender-Rich, J., Parulekar, M., Cai, C., Walker, J., Hector, P., Bomberger, C., Davidson, H.E., Canter, B. (2025). Barriers and facilitators to best practices in microtransitions in care: A qualitative study. JAMDA. https://doi.org/10.1016/j.jamda.2025.105897

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• Canter, B., Palat, S., Boockvar, K., Resnick, B., Falvey, J., Fields, B., Levy, C., Steinberg, K., Pagali, S., Longobardi, I., Gillespie, S., Bergman, C., Kaba, D., Villegas, A., Eber, L., Kalender-Rich, J., Davidson, H.E., Cai, C., Walker, J., Parulekar, M., Hector, P., Bomberger, C., Green, A. (2025). Best practices for microtransitions in care—An emerging classification of care transitions: A consensus statement. JAMDA. https://doi.org/10.1016/j.jamda.2025.105898

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• Reuben, D. B., Gill, T. M., Stevens, A., Williamson, J., Volpi, E., Lichtenstein, M., Jennings, L.M., Galloway, R., Summapund, J., Araujo, K., Bass, D., Weitzman, L. Tan, Z.S., Evertson, L., Yang, M., Currie, K., Green, A., ... & Ruder, T. (2025). Health system, community-based, or usual dementia care for persons with dementia and caregivers: the D-CARE randomized clinical trial. JAMA, 333(11), 950-961. https://doi.org/10.1001/jama.2024.25056

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• Green, A., & Canter, B. (2025). A mother’s goodbye: Barriers to microtransitions in care. JAMA Internal Medicine, 185(5), 491–492. https://doi.org/10.1001/jamainternmed.2024.8132

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• Yang, M., Samper‐Ternent, R., Volpi, E., Green, A. N. R., Lichtenstein, M., Araujo, K., ... & Stevens, A. B. (2024). The dementia care study (D‐CARE): Recruitment strategies and demographic characteristics of participants in a pragmatic randomized trial of dementia care. Alzheimer's & Dementia, 20(4), 2575-2588. https://doi.org/10.1002/alz.13698​​

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• Aval-Na’Ree, S. G., Pagali, S. R., & Palat, S. T. (2023). The macro impact of microtransitions in post-acute and long-term care. JAMDA, 24(9), 1322-1326. https://doi.org/10.1016/j.jamda.2023.06.032

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