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Ellin F. Gafford, MD Curriculum Vitae


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1581 Dodd Drive
5th Floor, McCampbell Hall
Columbus, OH 43210

Phone: (614) 293-2957

Email: gafford.8@osu.edu

 

Current OSU Appointments

Associate Professor-Clinical, Palliative Medicine

Physician, FGP-Palliative Medicine

 

Clinical Interest

Cardiovascular Disease;Critical Care Medicine;Internal Medicine;Pain Medicine;Palliative Medicine; Hospice Medicine

Biographical

Assistant Professor Clinical, Department of Internal Medicine, Division of Palliative Medicine April 2009 to present.
Director Palliative Medicine, Ross Heart Hospital, July 2012 to present.
Interim Division Director, Division of Palliative Medicine, December 2012 to Present.

Faculty track has been Clinical Excellence.

All of my professional activity has been devoted to improving the quality and availability of Palliative Care at The Ohio State University Wexner Medical Center (OSUWMC); with intensive focus on the Cardiac patient population who have been severely underserved by Palliative Care. My clinical service at OSUWMC has been as an Inpatient Palliative Medicine Consultant; and since July 2012 my clinical service has been at the Ross Heart Hospital as Director of Palliative Medicine for the heart hospital. As a Ross Palliative Care Outpatient program is under development I have seen outpatients in the Ross ACC on a case by case basis on request form cardiologists and cardiothoracic surgeons. My work in the Ross has essentially transformed the way Cardiology patients receive care at the Ross. All of the faculty and staff of the Ross have developed basic Palliative skills in communication and symptom assessment, especially recognizing the indicators for unmet Palliative needs in patients who will benefit from a Palliative Care Consult. The interdisciplinary team communication skills have improved not only patient care at the Ross but also communication between Ross care team members, which has translated to an improved work environment and work experience for team members at the Ross. The development and introduction of the novel procedure of Preparedness Planning has provided protected patient autonomy, mitigated family/surrogate distress, and facilitates shared decision making for medical teams along the lifespan of MCS patients. This transformed practice at the Ross has drawn interest and attention from distant locations. I have been invited to speak on my work and Preparedness Planning at AAHPM, ACC Ohio, Regional Conferences, HFSA, and MD Anderson. The success of these opportunities has translated to many requests to visit the Ross Palliative Program and observe our Preparedness Planning process. The ongoing collaboration between Palliative Medicine and the cardiac subspecialties in the Ross has provided unique opportunities for research and other academic contributions. I have developed the unique concept of Subspecialty Cardiac Palliative Care. The Palliative Fellowship Director and I are in discussion about offering an additional year of Cardiac Palliative Sub Specialty Fellowship. When I came to OSUWMC five years ago, the Ross Palliative Care program simply did not exist here, or anywhere else. Its inception, development, and continued success have been a direct result of my concerted, intentional and focused efforts to create and grow this program. The Ross Palliative Care program, incorporating the concept of Subspecialty Cardiac Palliative Care, serves as a model for other Palliativists interested in developing and improving Palliative Care for cardiac patients in their centers.

In additional to my focused attention in the Ross Heart Hospital, I have served the Division of Palliative Medicine, Department of Internal Medicine as Interim Director since December 2012. During the past two years I have developed and provided instrumental structure and process for the organization and function of the Program. In December of 2012 there was a substantial manpower deficit as only four of seven faculty remained as a result of sudden attrition of three faculty and concurrent census growth in great measure due to the Ross Program. During the first several months as Interim I developed an evidence based staffing model upon which to base recruitment appropriate for our census and projected areas of growth. I formally requested permission to form a Division of Palliative Medicine from the College of Medicine. I developed criteria for standards for Credentialing in the specialty of Palliative Medicine, as none have previously been developed specific to the specialty of Palliative Medicine. I stewarded both the request for Division and the Credentialing Criteria through the appropriate channels to accomplish approval and adoption. Recruitment efforts were challenging given the high standard of quality for our program, and the 10-20,000 physician manpower shortage in our field. Despite this, I grew our faculty from four to eight physicians, our nurse practitioners from four to eight, and completed the interdisciplinary teams in the UH and Ross with two Palliative Care social workers. In addition to being a program quality standard, a complete interdisciplinary team is an ACGME requirement for our Palliative Care Fellowship for four fellows. I have extended the availability of Palliative care consultation service to an inpatient presence seven days a week, and have done needs assessments to guide successful program growth in the future. I have developed Inpatient Consultation Service guidelines, on call guidelines, and guidelines for the Inpatient interdisciplinary team meetings; to standardize the practice of Palliative care across our three hospitals. This standardization benefits our patients and our trainees, as well as those services who request consultation. This standardization resulted in an increase of Palliative Consult requests in all three of our hospitals. Finally, I oversee the Ross-Zusman Hospice Pilot Project which has made hospice care available to OSUWMC inpatients for the first time in twenty years.

Future challenges will be meeting recruitment needs for the growth and expansion of the program to other sites and patient populations with in OSUWMC. While my clinical and research interest remain with the cardiac patient, the development of a nationally recognized Palliative Care Program will allow me to guide other faculty to success. My strategic plan for the Division of Palliative Medicine incorporates my innovation of subspecialty Palliative Care such as I have created for the Ross Heart Hospital. The care patients expect from a tertiary referral research and academic medical center such as OSUWMC is specialized care that incorporates the most cutting edge therapy tailored in a way unique to the patient and their disease. To meet this expectation, and provide the highest caliber of Palliative Care, we must also be sub-specialized in our approach to patients and their diseases. Under my leadership The Division of Palliative Medicine has not only survived, but I have transformed it into a program with a strong strategic plan offering both excellence in clinical care, as well as never before opportunities for the professional development of its members. I look forward to leading both the Division and its mentoring its members toward continued growth in excellence and recognition.

Noteworthy Graduate Narrative

Jeanette Abell, MD is currently the Medical Director of Palliative Care at the University of Maryland Medical Center.

Jennifer Hirsh, MD is currently the Medical Director of Zusman Community Hospice.

Academic Advising

2013 - present Jeanette Abell,, Ohio State University College of Medicine. Graduated 2013.
2013 - present Kelly Wu,, Ohio State University College of Medicine.
2007 - 2008 Jennifer Hirsh,, The Ohio State University. Graduated 2011.
2010 - 2011 Jasmin Jensen, The Ohio State University. Graduated 2011.
2011 - 2012 Sheryl Kurze, Ohio State University College of Medicine.
2012 - 2013 Candyce Greene, Ohio State University College of Medicine.
 

Licenses

1996 - present License: State Medical Board of Ohio
1996 - present Recertification: American Board of Internal Medicine
2006 - present Certified: American Board of Hospice and Palliative Medicine
2008 - present Certified: American Academy of Hospice and Palliative Medicine
2015 - present Fellow of American Academy of Hospice & Palliative Medicine: American Academy of Hospice and Palliative Medicine
2016 - present Fellow in the American College of Physicians: American College of Physicians
 

Chapters in Books

CM Hritz, TA Barrett, EF Gafford. "Palliative Care in Heart Failure." In Color Atlas on Heart Failure. Edited by William T. Abraham, MD. -. January 0.

CM Hritz, TA Barrett, EF Gafford. "Early Involvement of Palliatve Care in Advanced Heart Failure Management: Is it Ever Too Soon?." In Nonpharmacologic Therapy: Surgery, Ventricular Assist Devices, Biventricular Pacing, and Exercise section of Volume 12 (2015) of Current Heart Failure Reports. Edited by Wilson Colucci, MD, Ayesha K. Hasan, MD. -. January 0.

 

Clinical Services

07/01/2012 Ross ACC Outpatient Clinic Consultant (Ross ACC)
07/01/2012 Palliative Medicine Consult Service (Ross Heart Hospital, OSUWMC)
11/01/2004 - 03/01/2007 Assistant Medical Director (HomeReach Hospice)
04/01/2007 - 11/01/2008 Regional Medical Director (VistaCare Hospice)
04/01/2009 - 06/01/2012 Palliative Medicine Inpatient Consult Service (OSU James Cancer Center, University Hospital, and Ross Heart Hospital)

Degrees

1988 None Indicated, Emory University School of Medicine

1992 M.D., Emory University

 

Journal Articles

Gottleib, M.L.; Garber, E.D.; Cusack, E.M. "Genetics of Ustilago Violacea. XX. Meiotic diploidization and mitotic segregation induced by thiobendazole." Botanical Gazette. Vol. 148, (June 1986.): 116-119.

Keith M. Swetz,1 John M. Stulak,2 Shannon M. Dunlay,3 and Ellin F. Gafford,4. "Management of Advanced Heart Failure in the Elderly: Ethics, Economics, and Resource Allocation in the Technological Era." Cardiology Research and Practice. Vol. 2012, (December 2012.): 524961-.

Swetz,Keith,M; Stulak,John,M; Dunlay,Shannon,M; Gafford,Ellin,F. "Management of advanced heart failure in the elderly: ethics, economics, and resource allocation in the technological era.." Cardiology research and practice. Vol. 2012, (January 2012.): 524961-?.

von Gunten CF, Gafford E. "Treatment of non-pain-related symptoms." The Cancer Journal. Vol. 19, no. 5. (September 2013.): 397-404.

Ellin F. Gafford, Angela J. Luckhardt, and Keith M. Swetz. "Fast Facts and Concepts: Withdrawal of Left Ventricular Device." Journal of Palliative Medicine. Vol. 16, no. 8. (August 2013.): 980-982.

Gafford,Ellin; Vachon-Kraut,Robin; Light-McGroary,Kelly,Ann; Disch,Maghee. "Is Palliative Care Part of the Solution for 30-Day Heart Failure Hospital Readmission?." JOURNAL OF PAIN AND SYMPTOM MANAGEMENT. Vol. 45, no. 2. (February 2013.): 377-377.

Gafford,Ellin,F; Luckhardt,Angela,J; Swetz,Keith,M. "Deactivation of a Left Ventricular Assist Device at the End of Life #269." JOURNAL OF PALLIATIVE MEDICINE. Vol. 16, no. 8. (August 2013.): 980-982.

von Gunten,Charles,F; Gafford,Ellin. "Treatment of Non-Pain-Related Symptoms." CANCER JOURNAL. Vol. 19, no. 5. (September 2013.): 397-404.

Gafford,Ellin; Vachon-Kraut,Robin; Light-McGroary,Kelly,Ann; Disch,Maghee. "Is Palliative Care Part of the Solution for 30-Day Heart Failure Hospital Readmission?." JOURNAL OF PAIN AND SYMPTOM MANAGEMENT. Vol. 45, no. 2. (February 2013.): 377-377.

Light-McGroary,Kelly,Ann; Goodlin,Sarah; Gafford,Ellin; Barrett,Pam. "Heart Failure Boot Camp: Developing a Better Understanding of the Disease and Creating Effective Palliative Strategies for Management." JOURNAL OF PAIN AND SYMPTOM MANAGEMENT. Vol. 47, no. 2. (February 2014.): 373-374.

Thomas Papadimos, Ellin Gafford, Stanislaw Stawicki, MJ Murray. "Diagnosing Dying." Anesthesia & Analgesia. Vol. Epub ahead of print, (January 2014.): PubMed PMID: 24413552-.

Papadimos,Thomas,J; Gafford,Ellin,F; Stawicki,Stanislaw,PA; Murray,Michael,J. "Diagnosing dying.." Anesthesia and analgesia. Vol. 118, no. 4. (April 2014.): 879-882.

Light-McGroary,Kelly,Ann; Goodlin,Sarah; Gafford,Ellin; Barrett,Pam. "Heart Failure Boot Camp: Developing a Better Understanding of the Disease and Creating Effective Palliative Strategies for Management." JOURNAL OF PAIN AND SYMPTOM MANAGEMENT. Vol. 47, no. 2. (February 2014.): 373-374.

Gafford,Ellin,Frair; Schaefer,Kristen; O'Donnell,Arden; Cooper,Stephanie; Wissman,Sherri. "The LVADs Are Coming, the LVADs Are Coming! The Anticipated Growth of LVAD Use and the Role of the Hospice and Palliative Medicine Specialist in LVAD Patient Care." JOURNAL OF PAIN AND SYMPTOM MANAGEMENT. Vol. 49, no. 2. (February 2015.): 378-378.

 

Reference Works

February 2012 Ellin Gafford, Keith Swetz."Extraordinary Devices, Exquisite Care: Palliative Care Assessment and Management of Patients With Ventricular Assist Devices" Waltham. : 333
February 2013 Ellin Gafford, MD; Robin Vachon-Kraut, CNP; Maghee Disch, CNL; Kelly-Ann Light-McGroary, MD."Is Palliative Care Part of the Solution to 30 Day Readmissions" Waltham. : 377
February 2014 Light-McGroary,Kelly,Ann; Goodlin,Sarah; Gafford,Ellin."Heart Failure Boot Camp: Developing a Better Understanding of the Disease and Creating Effective Palliative Strategies for Management" New York. : 373

Presentations

"Women’s Health at Midlife." . (January 1999)

"Integrating Palliative Care in the Management of Patients Considered for Mechanical Circulatory Support." Presented at International Society for Heart & Lung Transplantation, Prague, CZ|CZE. (April 2012)

"Extraordinary Devices, Exquisite Care: Palliative Care Assessment and Management for patients with Ventricular Assist Devices." Presented at AAHPM Annual Assembly, Denver, CO, US|USA. (March 2012)

""Is Palliative Care Part of the Solution for 30-Day Readmissions for Heart Failure?"." Presented at AAHPM Annual Assembly 2013, New Orleans, LA, US|USA. (March 2013)

"An Exploration into the Symptom Burden of Heart Failure Throughout the Continuum of Care: How Can Palliative Care Providers Change the Face of Advanced Heart Failure?." Presented at 17 Annual Interdisciplinary Conference on Supportive Care, Hospice and Palliative Medicine, Houston. (October 2013)

"Managing real World Expectation for the Patient and Professional." Presented at Transplantation in 2013: Review of Best Practices, Columbus, OH, US|USA. (October 2013)

"The Art of Endof Life Communication with Cardiac Patients." Presented at FIFTH ANNUAL STEMI UPDATE: FACING THE TOUGH QUESTIONS, Columbus, OH, US|USA. (September 2013)

"Heart Failure Bootcamp: Developing A Better Understanding of the Disease and Creating Effective Palliative Strategies for Management." Presented at 2014 AAHPM & HPNA Annual Assembly, San Diego. (March 2014)

"Palliative/Hospice Care in Advanced/End-stage Cardiac Disease." Presented at 7th Annual Ohio-ACC Spring Summit, Cleveland. (April 2014)

"How to 6: How to Approach Difficult Conversations with Heart Failure Patients: Hoping for the Best, Planning for the Worst." Presented at 18th Annual Scientific Meeting of the Heart Failure Society of America, Las Vegas. (September 2014)

"Heart Failure Palliative Care: Critical Issues." Presented at 18th Annual Scientific Meeting of the Heart Failure Society of America, Las Vegas. (September 2014)

"We Can do TAVR but Should We?." Presented at The Ohio State University's Second Annual Valve and Structural Heart Disease Conference: Transcatherter Managment of Aortic Valve Disease, Columbus. (May 2014)

"Evolving Role of Palliative Care and Hospice for Patients with Advanced Cardiac Disease." Presented at American Academy of Hospice and Palliative Medicine, Philadelphia. (February 2015)

""The LVADs Are Coming, the LVADs Are Coming! The." Presented at American Academy of Hospice and Palliative Medicine, Philadelphia. (February 2015)

 

Professional Activities

2007 - 2008 Community Hospice Advisory Board. Columbus Community Hospice Advisory Board. Columbus, OH.
 

Technical Reports

Lauren Goodman, Jillian Gustin, Ellin Gafford, Amy Pope-Harmon, "Palliative Ventilator Withdrawal Guideline". Columbus: The Ohio State University Wexner Medical Center. (2012)(Published)

Daniel Eiferman, MD; Claire Murphy, PharmD, BCPS; Sarah Adriance, PharmD; Bruce Doepker, PharmD BCPS; Jennifer MacDermott, CNS; Ellin Gafford, MD, "Evidence Based Guideline: Management of Delirium in the ICU". (2013)(Published)

G. Li; EF Gafford, D. Eiferman, D. Kasick; J. Browning; A. Chesser; B. Doepker, "Inpatient Management of Delirium: Non-ICU". (2014)(Published)

 

Unpublished Works

Yazhini Ravi, Sitaramesh Emani, Sherri Wismann, Ayesha K Hasan, Ellin Frair Gafford and Chittoor B Sai-Sudhakar. Integrating Palliative Care in the Management of Patients Considered for Mechanical Circulatory Support. January 0.

Ravi S. Tripathi, Ellin F. Gafford, Erik E. Abel, Ahmet Kilic, Michael S. Firstenberg, Thomas J. Papadimos. Palliative Use of Nitroglycerin in Patients with Cardiogenic Shock to Improve Microvascular Circulation and Alleviate Family Distress. January 0.