David Gifford

About

David Gifford, MD, MPH, is a Clinical Associate Professor of Health Services, Policy and Practice, and Medicine at Brown University. He is a geriatrician and currently serves as the Chief Medical Officer at the American Health Care Association (AHCA). In this role, he helped create the AHCA Quality Department, which supports providers in quality improvement efforts and collaborates with administrators on regulations and policies affecting the profession. He also established the Center for Health Policy and Evaluation in Long-Term Care at AHCA and oversees the Long Term Care Data Cooperative, a National Institute of Aging funded initiative linking electronic medical record data from nursing homes to improve care. Dr. Gifford has served on the Board of the Baldrige Foundation and chairs the U.S. Department of Veteran’s Affairs Geriatric and Gerontology Advisory Committee, a congressional chartered body advising the U.S. Secretary of Veteran’s Affairs on geriatric services for veterans. His previous roles include Director of the Rhode Island State Department of Health, where he managed the H1N1 influenza outbreak and received the National Governor’s Distinguished Service Award, and Chief Medical Officer for Quality Partners of Rhode Island, where he directed a national CMS nursing home quality improvement effort. He holds a medical degree from Case Western Reserve University, completed his geriatric fellowship at UCLA, and earned a Master’s in Public Health as a Robert Wood…

Research topics

• Virology
• Nursing
• Medicine
• Internal medicine
• Family medicine
• Medical emergency

Selected publications

• Early COVID-19 First-Dose Vaccination Coverage Among Residents and Staff Members of Skilled Nursing Facilities Participating in the Pharmacy Partnership for Long-Term Care Program — United States, December 2020–January 2021

  MMWR Morbidity and Mortality Weekly Report · 2021 · 128 citations

  Among 11,460 SNFs with at least one vaccination clinic during the first month of the program (December 18, 2020-January 17, 2021), an estimated median of 77.8% of residents (interquartile range [IQR] = 61.3%- 93.1%) and a median of 37.5% (IQR = 23.2%- 56.8%) of staff members per facility received ≥1 dose of COVID-19 vaccine through the Pharmacy Partnership for Long-Term Care Program. The program achieved moderately high coverage among residents; however, continued development and implementation…

  PublisherOA PDFDOI

• Lessons learned from frontline skilled nursing facility staff regarding <scp>COVID</scp> ‐19 vaccine hesitancy

  Journal of the American Geriatrics Society · 2021 · 107 citations

  Senior authorCorresponding

  Abstract Background Presently a median of 37.5% of the U.S. skilled nursing facility (SNF) workforce has been vaccinated for COVID‐19. It is essential to understand vaccine hesitancy among SNF workers to inform vaccine campaigns going forward. Objective To describe the concerns raised among healthcare workers and staff from SNFs during town hall meetings. Design Sixty‐three SNFs from four corporations were invited to send Opinion Leaders, outspoken staff from nursing, nurse aid, dietary, houseke…

  PublisherOA PDFDOI

• Strategies associated with <scp>COVID</scp> ‐19 vaccine coverage among nursing home staff

  Journal of the American Geriatrics Society · 2021-11-06 · 28 citations

  articleOpen accessSenior author

  BACKGROUND: After the first of three COVID-19 vaccination clinics in U.S. nursing homes (NHs), the median vaccination coverage of staff was 37.5%, indicating the need to identify strategies to increase staff coverage. We aimed at comparing the facility-level activities, policies, incentives, and communication methods associated with higher staff COVID-19 vaccination coverage. METHODS: Design. Case-control analysis. SETTING: Nationally stratified random sample of 1338 U.S. NHs participating in th…

  PublisherOA PDFDOI

• Facility characteristics and costs associated with meeting proposed minimum staffing levels in skilled nursing facilities

  Journal of the American Geriatrics Society · 2022-02-03 · 25 citations

  articleSenior author

  BACKGROUND: Federal minimum nurse staffing levels for skilled nursing facilities (SNFs) were proposed in 2019 U.S. Congressional bills. We estimated costs and personnel needed to meet the proposed staffing levels, and examined characteristics of SNFs not meeting these thresholds. METHODS: This was a cross-sectional analysis of 2019Q4 payroll data, the Hospital Wage Index, and other administrative data for 14,964 Medicare and Medicaid-certified SNFs. We examined characteristics of SNFs not meetin…

  PublisherDOI

• Pragmatic Trials in Long-Term Care: Implementation and Dissemination Challenges and Opportunities

  Journal of the American Medical Directors Association · 2021-12-14 · 21 citations

  articleOpen access
  PublisherOA PDFDOI

Frequent coauthors

• Vincent Mor

  Providence College

  58 shared

• Barbara G. Vickrey

  Icahn School of Medicine at Mount Sinai

  43 shared

• Rosa Baier

  Providence College

  38 shared

• Martin R. Frankel

  27 shared

• Robert G. Holloway

  University of Rochester

  26 shared

• Rebecca Meyerson

  Brown University

  25 shared

• Carol L. Albright

  Providence College

  25 shared

• Stephen J. Huot

  25 shared

Education

• M.D.

  Case Western Reserve University

• Other

  University of California, Los Angeles

Awards & honors

• National Governor’s Distinguished Service Award for State Of…

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