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.

    • 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

  • 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.

  • 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

  • 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

  • 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.