

In this deep dive discussion, hosts Ben Sawyer, Lisa Counsell and Duffie Dixon once again interview David Gifford, MD, MPH, the Senior Vice President of Quality and Regulatory Affairs at the American Health Care Association, the largest association in the country representing long term and post-acute care facilities.
David Gifford/American Health Care Association (AHCA)
David Gifford, MD, MPH, is the Senior Vice President of Quality and Regulatory Affairs at the American Health Care Association, the largest association in the country representing long term and post-acute care facilities. He helped create the department which assists providers in their quality improvement efforts and works with Administration officials on regulations and policies impacting the profession. Dr. Gifford also serves on the Board of the Advancing Excellence in America’s Nursing Homes campaign and the Baldrige Foundation Board.
He is a former Director of the Rhode Island State Department of Health, where he received the National Governor’s award for Distinguished Service Award for State Officials and was a semi-finalist for the Harvard Kennedy School of Government Innovations in Government award for work on the nursing home survey process.
Prior to that, he served as Chief Medical Officer for Quality Partners of Rhode Island where he directed CMS’ national nursing home-based quality improvement effort. He received his medical degree from Case Western Reserve University and conducted his geriatric fellowship at UCLA where he also earned his Master’s in Public Health in Epidemiology.
About SOAR Vision Group
The SOAR Vision Group mission is to: Align People with Purpose to Achieve Exceptional Results. SOAR provides best practice strategy execution, business process optimization services, and a structured organizational development approach for organizations to effectively implement the Baldrige Performance Excellence framework. For more information, contact SOAR Vision Group at (888) 294-3303 or visit soarvisiongroup.com.
About the Baldrige Foundation
The mission of the Baldrige Foundation is to ensure the long-term financial growth and viability of the Baldrige Performance Excellence Program, and to support organizational performance excellence in the United States and throughout the world. The Malcolm Baldrige National Quality Award is presented annually by the United States President to organizations that demonstrate quality and performance excellence. For more information, contact the Baldrige Foundation at (202) 559-9195 or visit baldrigefoundation.org.

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Lowell C. Kruse is the former CEO of Heartland Health in St. Joseph, Missouri. He retired in July 2009 after serving Heartland for 25 years as their CEO. Kruse came to St. Joseph in 1984 when the two existing community hospital boards had decided to come together and form Heartland Health to better serve the needs of the community and the broader region surrounding St. Joseph. He describes the vision of the organization as, “Heartland Health and its service area will be the best and safest place in America to receive healthcare and live a healthy and productive life.” As evidence of the organization’s progress toward that vision, they were the 2009 recipient of both the Malcolm Baldrige National Quality Award and the Foster G. McGaw Prize for Excellence in Community Service. During his 45 year career, Lowell served on numerous boards, committees, commissions and in leadership capacities in professional and civic organizations including State and National Jaycee Organizations, state hospital associations, American Hospital Association, Chamber of Commerce, United Way, State Commissions, health planning agencies, and similar organizations. He has been the recipient of a variety of personal and professional awards and recognitions during his career. Lowell currently serves as Co-Founder and Chair of Communities of Excellence 2026, the Board of Directors for the Baldrige Foundation and the Missouri Family and Community Trust.















