Helping leaders, providers, payors, regulators and policy makers make Long Term Care more successful
David Gifford, MD, MPH, is a geriatrician who after working in various positions at the American Health Care Association (AHCA) for the past 15 years, set up his own consulting company, LTC-Success. He is co-author of LTC Success: How Senior care Communities Thrive Clinically and Financially. While at the AHCA he serves as the first Chief Medical Officer, created the Quality Department and established the Center for Health Policy and Evaluation in LTC as well as the EMR Data Cooperative. He also served as the Medical Director to over 10 Clinical Integrated Provider Networks and led the faculty for AHCA’s Leadership Academy. He received the McKnight’s Pinnacle Awards ‘Industry Ally’ award in 2025 for assisting LTC providers navigate the COVID-19 pandemic.
David Gifford, MD, MPH
What We Do
We help long-term care providers become more successful by strengthening the systems that drive quality, compliance, and performance. Our services combine education, hands-on consulting, and leadership coaching across the areas that matter most.
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Reduce hospitalizations
Improve infection control and clinical risk management
Strengthen physician, nurse practitioner, and nursing collaboration
Facilitate care transitions
Align clinical practice with regulatory and quality benchmarks
Incorporate resident and family wishes and goals into care practices
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While the survey system is frustrating, there are ways to be successful by:
Improving systems of care, documentation, and leadership accountability
Utilizing CMS survey tools on a consistent basis to identifying compliance risk before surveyors arrive
Remaining survey ready all the time
Using facility reported incidents (FRIs) as opportunities for improvement
Strengthening QAPI process to achieve better outcomes
Improving Five Star Ratings
Aligning policies and procedures and care plans with the regulations
The goal is not just to “pass survey,” but to create operations that consistently perform well so that survey recognizes operational excellence.
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Strong outcomes require strong leaders by focusing leadership behaviors that drive results such as
Developing facility leaders and clinical managers management and leadership skills
Building cultures that support staff feel valued and heard
Reduce turnover and burnout and eliminate agency use
Individual and team coaching to become more effective leaders and improve team culture
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As managed care expands and health care costs continue to grow, providers need to change their approach and shift from a For-For-Service world to a Value Based Reimbursement world.
Designing VBR programs that incentivize better outcomes
Focusing on changes that will achieve the goals of VBR
Identifying care practices and checklists to adopt practices to succeed under VBR arrangementscription
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Available for a range of speaking engagements, presentations or workshops.
Contact Us
If your organization is ready to improve quality, reduce risk, and succeed in today’s evolving long-term care environment, LTC-Success is ready to help.