Deanna Gray-Miceli, PhD, GNP-BC, FGSA, FNAP, FAANP, FAAN

Professor
Director, Implementation Science for Falls Prevention
Deputy Director, Jefferson Center for Injury Research & Prevention

Deanna Gray-Miceli, PhD, GNP-BC, FGSA, FNAP, FAANP, FAAN

Contact

130 South Ninth Street
Edison Building, Suite 864
Philadelphia, PA 19107

Email Deanna Gray-Miceli

215-503-6057
215-955-5674 fax

Deanna Gray-Miceli, PhD, GNP-BC, FGSA, FNAP, FAANP, FAAN

Professor
Director, Implementation Science for Falls Prevention
Deputy Director, Jefferson Center for Injury Research & Prevention

Research & Clinical Interests

Falls and injury prevention using technological innovations
Management of symptomatic falls through sensing technology
Quality of care for frail elders
Translational, Health Services and Implementation Science Research

Education

Legacy Post-Doctoral Fellow, The National Hartford Center for Gerontological Nursing Excellence (2004)
PhD, Widener University (2001)
MSN, University of Pennsylvania (1983)
BSN, Fairleigh Dickinson University (1982)

Publications

Gray-Miceli, D., de Cordova, P., Rogowksi, J., Grealish, L.  Leading improvements in the delivery of nursing care for older adults with frailty in long-term care using Mitchell’s Quality Health Outcome model and health outcome data. Accepted for publication, Special Series, Nursing Clinics of North America, September, 2021 publication.  

Gray-Miceli, D. Use of Watson’s Theory on Human Caring to Open the Door to Improve Residents Well-Being. Geriatric Nursing, May-Jun 2021;42(3):782-783. doi: 10.1016/j.gerinurse

 

Bakerjian, D., Boltz, M., Bowers, B., Gray-Miceli, D., Harrington, C., Kolanowski, A., & Mueller, C. A. (2021). Expert Nurse Response To Workforce Recommendations Made By The Coronavirus Commission For Safety And Quality In Nursing Homes. Nursing Outlook, Advance online publication, April 5, 2021. https://doi.org/10.1016/j.outlook.2021.03.017 doi: 10.1016/j.outlook.2021.03.017 [Epub ahead of print]. PMCID: PMC8020094

Kris, A. & Gray-Miceli, D. (2021). Gerontological Nurse Certification Review, Third Edition. New York: Springer Publishing Company.  9780826181633.  Available on the Internet at: https://www.springerpub.com/gerontological-nurse-certification-review-9780826181633.html

Gray-Miceli D, Rogowski J, de Cordova PB, Boltz M. A framework for delivering nursing care to older adults with COVID-19 in nursing homes. Public Health Nurs. 2021;00:1– 17. https://doi.org/10.1111/phn.12885

Gray-Miceli D, Bouchaud M., Mitchell AB., DiDonato S., Siegal J. Caught off guard by covid-19: Now what? Geriatr Nurs. 2020 Nov-Dec;41(6):1020-1024. doi: 10.1016/j.gerinurse.2020.10.009. Epub 2020 Oct 21. PMID: 33158627; PMCID: PMC7577673.

Gray-Miceli D, Patel N, Sekar S, & Smith ML (October, 2019). Using mobile technology to assess balance during a sit-to-stand maneuver among older adults with fall risk: A pilot study. Journal of Gerontological Nursing 45:10, 18-23.

Spurlock W, Rose K, Veenema TG, Sinha SK, Gray-Miceli D, Hitchman S, Foster N, Slepski-Nash L, Miller ET. American Academy of Nursing on Policy Position Statement: Disaster preparedness for older adults. Nursing Outlook Jan/Feb Issue 2019: 67: 1, 118-121.

Gray-Miceli, D. & Quigley P. (May, 2019). Assessing, managing and preventing falls in acute care. In Evidence-Based Geriatric Nursing Protocols for Best Practice, 6th edition (Eds.). Boltz, M., Capezuti, E., Fulmer, T. & Zwicker, D. (Chapter 23, 72 pages). Springer Publishing Co.

Gray-Miceli D. Assessing Symptomatic Falls: Use of Mobile Technology to Advance Science and Care of Older Adults: Research Highlights Box in Touhy T, Chapter 19 Falls and Fall Risk Reduction. In Toughy T & Jett K (eds.): Toward Healthy Aging, 10th ed, publication date March 2019, St. Louis, Elsevier

Ouslander JG, Engstrom G, Reyes B, Tappen R, Rojido C. & Gray-Miceli D. Management of acute changes in condition in skilled nursing facilities. Journal of the American Geriatrics Society 66:12 Dec 2018, 2259-2266. DOI: 10.1111/jgs.15632

Gray-Miceli D. Reducing falls in assisted living using a comprehensive stepwise approach and clinical model for assessment of older residents who fall. Geriatric Nursing 39 (2018) 610-611.

Gray-Miceli, D., Morse, C. Curricular innovations for teaching undergraduate nursing students care of older adults. Nurse Educ. 2018. DOI: 10.1097/NNE.0000000000000583 [Epub ahead of print]. July 2018 Vol 44, Issue 3

Gray-Miceli, D. Impaired Mobility and Functional Decline in Older Adults: Evidence to Facilitate a Practice Change. Nursing Clinics of North America 2017 52: (3) 469-487. http://dx.doi.org/10.1016/j.cnur.2017.05.002. Final version published online 03-Augu-2017. PMID 28779827

Gray-Miceli, D., Mazzia, L.M. & Crane, G. Advanced practice nurse-led statewide collaborative to reduce falls in hospitals. Journal of Nursing Care Quality 2017 32:2: 120-125. Published ahead of print, July 28, 2016. DOI:10.1097/NCQ.0000000000000213. PMID: 27479516

Gray-Miceli, D., Ratcliffe, S.J., Thomasson,A., Quigley, P.Q., Li, K. & Craelius, W. Clinical risk factors for orthostatic hypotension: Results among elderly fallers in long-term care. Journal of Patient Safety, October 20, 2016. Published ahead of print. DOI: 10.1097/PTS.0000000000000274. Available on the Internet at: www.ncbi.nlm.nih.gov/pubmed/27768653. PMID: 27768653.

Gray-Miceli, D. & Quigley, P. (2016). Preventing Falls in Acute Care. In Evidence-Based Geriatric Nursing Protocols for Best Practice, 5th edition (Eds.). Boltz, M., Capezuti, E., Fulmer, T. & Zwicker, D. (Chapter 19, pp 283-309). Springer Publishing Co.

Gray-Miceli, D. 5 Easy Steps to Prevent Falls: The Comprehensive Guide for Nurses to Keeping Patients of All Ages Safe. (2014). American Nurses Association: Silver Spring, MD. Available on the Internet at: http://www.nursesbooks.org/Homepage/Hot-off-the-Press/5-Easy-Steps-To-Prevent-Falls.aspx.

Gray-Miceli, D., Ratcliffe, SJ., Liu, S., Watland, D., & Johnson J.C. Orthostatic hypotension in elderly nursing home residents who fall: are they dizzy? 2012. Clinical Nursing Research 21 (1), 64-78 URL: http://dx.doi.org/doi:10.7282/T3959KFW. PMID: 22373730

Gray-Miceli, D., de Cordova, P.B., Quigley, P., Crane, G. & Ratcliffe S.J. Nursing Home Registered Nurses’ and Licensed Practical Nurses’ Knowledge of Causes of Falls. Journal of Nursing Care Quality, Apr-June; 31 (2): 153-60. Published ahead of print, DOI: 10.1097/NCQ00000000000000157. pp.1-8. Access: http://journals.lww.com/jncqjournal/toc/publishahead. PMID: 26421775.

Manchester, J.A., Gray-Miceli, D., Metcalf, J., Paolini, C., Coogle C.L.& Owens, M.G. Facilitating Lewin’s Change Model with Collaborative Evaluation in Promoting Evidence Based Practices of Health Professionals. Journal of Professional Education 47 (2014), 82-90, (published ahead of print, 3 September 2014. Available at: http://dx.doi.org/10.1016/j.evalprogplan.2014.08.007. PMID:25192609.

Gray-Miceli, D., Wilson, L.D., Stanley, J., Watman, R., Shire, A., Soafer, S. & Mezey M. Improving the Quality of Geriatric Nursing Care: Enduring Outcomes from the Geriatric Nursing Education Consortium. Journal of Professional Nursing 30: 6 (November/December), 447-455. (published ahead of print, 12 May 2014). Doi:10.1016/j.profnurs.2014.05.001. URL: http://dx.doi.org/doi:10.7282/T3348N9B. PMID: 25455325.

Gray-Miceli, D., Ratcliffe, S.J. & Thomasson, A. 2013. Ambulatory assisted living elderly fallers at greatest risk for head injury. Journal of the American Geriatrics Society 61 :10, 1817-1819. doi : 10.1111/jgs.12467 URL: http://dx.doi.org/doi:10.7282/T3ZC84SK. PMID : 24117296

Gray-Miceli, D. & Quigley, P. (2012). Fall prevention: assessment, diagnoses and intervention strategies. In Evidence-Based Geriatric Nursing Protocols for Best Practice, 4th edition (Chapter 15, pp 268-297). Springer Publishing Co. (see also: http://www.guideline.gov/content.aspx?id=43933&search=falls+prevention and http://consultgerirn.org/topics/falls/want_to_know_more). Available on the Internet at: https://www.guideline.gov/summaries/summary/43933. Accessed February 16, 2017.

Gray-Miceli, D., Aselage, M. & Mezey, M. Teaching strategies for atypical presentation of illness in older adults. 2010. Journal of Gerontological Nursing 36:7, 38-43, URL: http://dx.doi.org/doi:10.7282/T3DZ0B69. Epub 2010 Jul 8. PMID: 20608591

Gray-Miceli, D., Ratcliffe, S.J. & Johnson, J. 2010. Use of a postfall tool to prevent falls. Western Journal of Nursing Research 32(7): 932-48, 2010. Doi: 10.1177/0193945910370697. PMID: 20705774

Gray-Miceli, D. Part I: Falls in the environment: Faulty footwear or footing?: Interdisciplinary case-based perspectives. Annals of Long-Term Care: Clinical Care and Aging, A Clinical Journal of the American Geriatrics Society18(4), 32-36, 2010. ISSN:1524-7929 CINAHL AN: 2010641480.

Leadership and Management Skills for Long Term Care. Ed(s) Sullivan-Marx, E., Gray-Miceli, D. (2008). Springer: New York. Available on the Internet at www.springerpub.com/prod.aspx?prod_id=59931.

Gray-Miceli, D., Capezuti, E, and Lawson, W, Iver, P. (2007). Falls Handbook: From Public Places to Patient Settings: Clinical and Medical-legal Perspectives Across the Lifespan. Medical Legal Publishers, 128 pages (32,660 words), 10 Tables, 5 figures, 280 references. Available on the Internet at www.medleague.com

Gray-Miceli, D., Strumpf, NE., Johnson, J.C., Dragascu, M. & Ratcliffe, S. 2006. Psychometric properties of the Post-Fall Index. Clinical Nursing Research 15:3, 157-176, 2006. PMID: 16801357.

Gray-Miceli, D., Johnson, JC. & Strumpf, N.E. A stepwise approach to comprehensive post-fall assessment. Annals of Long-Term Care: Clinical Care and Aging 13(12), 16-24. 2005. Available on the Internet at: www.annalsoflongtermcare.com/artcile/5083 or http://dx.doi.org/doi:10.7282/T3PG1TNZ.

Gray-Miceli, D. Falls associated with dementia: how can you tell? Geriatric Nursing 26:2, March/April issue, 106-111, 2005.

Gray-Miceli, D., Strumpf, N.E., Reinhard, S.C., Zanna, M.T. & Fritz E. 2004. Current approaches to post-fall assessment in nursing homes. Journal of the American Medical Directors Association, Nov-Dec, 5 (6): 387-394. DOI: http://dx.doi.org/10.1016/S1525-8610(04)70007-9. PMID: 15530177

Cole, JM, Gray-Miceli, D. The necessary elements of a dermatological history and physical evaluation. Dermatology Nursing 14:6, 1-7, 2002.

Gray-Miceli, D. Changed life: A phenomenological study of the meaning of serious falls to older adults (UMI Microform No. 3005877). Doctoral Dissertation Research. Widener University, Chester, PA. 2001.

Professional Organizations

American Academy of Nursing
American Academy of Nurse Practitioners
American Geriatrics Society
American Public Health Association
Academy Health
American Nurses Association-New Jersey State Nurses Association
Eastern Nursing Research Society
Gerontological Society of America
National Academies of Practice
The National Hartford Center for Gerontological Nursing Excellence, Vice Chair, Membership Committee
Sigma Theta Tau- Epsilon Rho, Xi and Gamma Nu chapters
Senior Advisory Committee Member, Falls Expert Panel , National Veteran’s Administration, National Center Falls Prevention Task Force (2016-present)
State Coalitions on Falls Prevention Workgroup: National Fall Prevention Resource Center NJ State Co-Representative (2013-2019)

Awards & Honors

2019, Distinguished Educator in Gerontological Nursing, National Hartford Center of Gerontological Nursing Excellence, ceremony November 13, 2019.
2019, Nominee, “Promoting Environment for Excellence in Nursing Practice Award”, South Region, Florida Nurses Association 9th Annual Symposium & Awards Ceremony, ceremony April 13, 2019.
2019, Honoree Induction, PINNACLE Society Award, Distinguished Alumni Award, Fairleigh Dickinson University, Metropolitan Campus, June 7, 2019.
2018, Nominee, Nicholas Andrew Cummings Award for Interprofessional Education & Collaboration, National Academies of Practice.
2017, Excellence Award for Research and Evidence-Based Practice. Presented by the Director and Faculty of the Henry Becton School of Nursing and Allied Health at the 65th Gala Celebration of Fairleigh Dickinson University, School of Nursing and Allied Health, December 1, 2017, Montvale, NJ.
2016, Distinguished Fellowship, National Academies of Practice and Distinguished Scholar and Fellow, Nursing Academy, April 9, 2016. Baltimore, MD
2014, Associate, Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ
2013, Distinguished Alumni Award, Fairleigh Dickinson University, Henry P. Becton School of Nursing and Allied Health, Metropolitan Campus, Teaneck, NJ
2012, Fellow, American Academy of Nursing
2011, Nominee, PINNACLE Distinguished Alumni Award, Fairleigh Dickinson University, Metropolitan Campus, June 2012
2007, Scholar, National Institute of Aging, Summer Research Institute
2005, Visiting Professor, Fairfield University (spring semester)
2005, Fellow, Gerontological Society of America, Washington, DC
2004, 2nd place prize, 12th Annual Research Papers Presentation Night, Delaware Valley Geriatrics Society
2003, Associate Fellow, Institute on Aging, University of Pennsylvania
2003, Fellow, American Academy of Nurse Practitioners
1998, Nancy Tatem Award for Gerontologic Nursing Leadership, Delaware Valley Geriatrics Society
1992, Nominee, American Academy of Nurse Practitioner’s “NP of the Year”
1982, Clinical Nurse Specialist Scholarship, VA Hospital, Philadelphia, PA
1982, Member, Sigma Theta Tau, the National Honor Society of Nursing

Funded Grants

Holly, C. (PI), Gray-Miceli, D. & Kelly, S (co-I). 2015. Robert Wood Johnson Foundation. Population Health grant entitled “Redesigning Nursing Education to Address the Challenges and Opportunities of Elder Population Health”. Awarded $50,000.00.

Gray-Miceli, D. (PI), Willard, S, Cadmus, E, Pearson, G, & Strayer, R (co-I’s). 2012. Human Resources and Services Administration (HRSA): Comprehensive Geriatric Education Program grant entitled “Leaders Impacting the Healthcare of Frail Elders (LIHFE)”. Grant approved for $804,465.00 in funding.

Gray-Miceli, D. (PI), Crane, G. & Ratcliffe, S (co-I’s). 2010-2011. Frances E. Parker Memorial Home Foundation, Inc. New Brunswick, NJ grant for research entitled “Staff Nurses Determination of Assessment, Intervention, Enablers and Barriers for the Prevention of Recurrent Falls in Older Adults”. Awarded $25,000.00.

Gray-Miceli, D. (PI), Johnson, J. & Ratcliffe, S (co-I’s). 2006-2009. Academic Long-Term Care Network Grant Program for research entitled “Feasibility of using the Post Fall Index with older Nursing Home Residents”. University of Pennsylvania, Division of Geriatric Medicine Philadelphia, PA. Awarded $20,000.00.

Gray-Miceli, D. (PI). 2003-2004. Sigma Theta Tau, Xi Chapter Research Award, University of Pennsylvania, School of Nursing, Philadelphia for research entitled “Post-Fall assessment: development and validation of a tool for use with older nursing home Residents”. Awarded $1,000.00.

Gray-Miceli, D. (PI). 2003. Frank Morgan Jones Fund grant for research entitled “Post- fall assessment: development and validation of a tool for use with older nursing home residents who fall”. University of Pennsylvania School of Nursing, Philadelphia, PA. Awarded $2,414.00.

Gray-Miceli, D. (PI), Strumpf, N (co-I). 2002-2005 with 6 month no cost extension. American Academy of Nursing: Building Academic Capacity for Geriatric Nursing Excellence (Claire M Fagin Post Doctoral) Fellowship research grant entitled “Development of a model to predict older adult’s engagement in an intervention to reduce future falls”. Awarded $100,000.

Presentations

Gray-Miceli, D., Craelius, W., Patel, N., Galvin, J. Use of Mobile technology to assess balance in older adults with and without symptoms during a sit to stand maneuver. 70th Annual Meeting of the Gerontological Society of America, Boston, MA. Poster presentation, November 17, 2018. Published: Innovations in Aging, Volume 2, Issue suppl_1, November 2018, p. 732. Available on the Internet at: https://doi.org/10.1093/geroni/igy023.2702.

Gray-Miceli, D. Lived experience of a serious fall by older adults: Translating meaning to teach students and advance the science of caring. 70th Annual Meeting of the Gerontological Society of America, Boston, MA. Paper presentation as part of a Symposium “ Engaging Older People’s Views With Students Who Are Researchers in Training”, November 15, 2018. Innovation in Aging, Volume 2, Issue suppl_1, 1 November 2018, Pages 232–233, https://doi.org/10.1093/geroni/igy023.864

Gray-Miceli, D.,Rogoswki, J., Ratcliffe, S.J. Effect of the Post Fall Index on Device and Equipment Costs for Falls Prevention.70th Annual Meeting of the Gerontological Society of America, Boston, MA. Paper presentation November 15, 2018. Published: Innovations in Aging, Volume 2, Issue suppl_1, November 2018, p. 361-362. Available on the Internet at: https://doi.org/10.1093/geroni/igy023.1337.

Gray-Miceli D., Craelius W, Li K. Mobile technology to assess balance during sit to stand maneuver among older adults at risk for falling. Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care. Volume 7, Issue 1, page 248. Published on line June 29. 2018. Research article: https://doi.org/10.1177/2327857918071057.

Gray-Miceli, D. (2015). Curricular innovations for teaching undergraduate nursing
student clinical care of older adults. [peer-reviewed poster presentation]. 68th Annual Scientific Meeting of the Gerontological Society of America, Orlando, FL, November 21, 2015. The Gerontologist 55 (Suppl 2): 715. Resulted in accepted manuscript for publication with revision.

Gray-Miceli, D. & Ratcliffe S.J. (2015). Symptomology of Falls by Older Adults in a Continuing Care Retirement Community. [peer-reviewed poster presentation]. 68th Annual Scientific Meeting of the Gerontological Society of America, Orlando, FL, November 21, 2015. Resulted in submitted manuscript for publication.

Gray-Miceli, D. & Ratcliffe S.J. (2015). Post-fall emotional responses, functional limitations and action plans to manage falls among independent residing older adults with recurrent falls [peer-reviewed poster presentation]. 68th Annual Scientific Meeting of the Gerontological Society of America, Orlando, FL, November 21, 2015. The Gerontologist 55 (Suppl 2): The Gerontologist 55 (Suppl 2): 644 doi:10.1093/geront/gnv341.14. Resulted in manuscript under review for publication.

Gray-Miceli, D. & Ratcliffe S.J. (2015). Symptomology of Falls by Older Adults in a Continuing Care Retirement Community. [peer-reviewed poster presentation]. 2015 Annual Scientific Meeting of the American Geriatrics Society, National Harbor, Maryland, Saturday May 16, 2015. Resulted in submitted manuscript for publication.

Gray-Miceli, D. & Ratcliffe S.J. (2015). Post-fall emotional responses, functional limitations and action plans to manage falls among independent residing older adults with recurrent falls [peer-reviewed poster presentation]. 2015 Annual Scientific Meeting of the American Geriatrics Society, National Harbor, Maryland, Saturday May 16, 2015.

Gray-Miceli, D. (2015). Structure and Process of Care Barriers in Falls and Injury Prevention in LTC: Exemplars from Individual-level Research. [peer-reviewed poster presentation accepted; presentation withdrawn]. HFES 2015 International Symposium on Human Factors and Ergonomics in Health Care: Improving the Outcomes, Baltimore, MD, April 27-28, 2015.

Gray-Miceli, D. (2015). Five Easy Steps to Reduce Falls and Protect Patients. [peer-reviewed paper presentation accepted; presentation withdrawn]. HFES 2015 International Symposium on Human Factors and Ergonomics in Health Care: Improving the Outcomes, Baltimore MD, April 27-28, 2015.

Gray-Miceli, D., Ratcliffe, S.J & Thomasson, A. (2014). Patient level risk factors for Orthostatic Hypotension. [peer-reviewed poster presentation]. American Geriatrics Society, Orlando, Florida, May 16, 2014. Referenced in the Scientific Conference Proceedings, pg.S213.

Li K, Gray-Miceli, D., Or, C., Li, Z., Yiran, C. & Zhang, S. (2014). Human Air Bags for Falls and Injury Prevention. [peer-reviewed paper presentation]. International Symposium on Human Factors and Ergonomics in Health Care: Leading the Way, Chicago, Il., March 18, 2014. Referenced in the Scientific Conference Proceedings, CC56, Proactive Prevention.

Gray-Miceli, D., Ratcliffe S.J.& Thomasson.A. (2014). Patient level clinical risk factors for orthostatic hypotension in elderly fallers. [peer reviewed poster presentation] International Symposium on Human Factors and Ergonomics in Health Care: Leading the Way, Chicago, Il., March 18, 2014. Referenced in the Scientific Conference Proceedings, pg.Hpp59, pg. 22, Patient Safety.

Gray-Miceli, D., Ratcliffe, S.J. & Thomasson, A. (2013). Elderly fallers at greatest risk for head injury. The Gerontologist 53 (S1), 489: NP. doi: 10.1093/geront/gnt151. Available at: http://gerontologist.oxfordjournals.org.proxy.libraries.rutgers.edu/content/53/S1/NP.1.full.pdf+html.

Gray-Miceli, D., Crane, G. & Ratcliffe, S.J. (2013). Nurses knowledge of fall causes and their prevention: A randomized block design study in three nursing homes. The Gerontologist 53 (S1), 179: NP. doi: 10.1093/geront/gnt151. Available at: http://gerontologist.oxfordjournals.org.proxy.libraries.rutgers.edu/content/53/S1/NP.1.full.pdf+html.