Research Topics
| Helena Temkin-GreenerSummaryAffiliation: University of Rochester Country: USA Publications
Research Grants
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Detail Information
Publications
Rural-Urban Differences in End-of-Life Nursing Home Care: Facility and Environmental FactorsHelena Temkin-Greener
Department of Community and Preventive Medicine, School of Medicine and Dentistry University of Rochester, 265 Crittenden Boulevard, CU 420644, Rochester, NY 14642
Gerontologist 52:335-44. 2012..Identifying differences is a necessary first step toward improving care for dying NH residents and for bridging the urban-rural gap...- Measuring work environment and performance in nursing homesHelena Temkin-Greener
Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York 14642, USA
Med Care 47:482-91. 2009..However, empirical studies examining these relationships have been scant... - Variations in service use in the Program of All-Inclusive Care for the Elderly (PACE): is more better?Helena Temkin-Greener
Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
J Gerontol A Biol Sci Med Sci 63:731-8. 2008..We examine variation in the risk-adjusted utilization of acute, rehabilitative, and supportive services in PACE, and assess whether use of these services is associated with risk-adjusted functional outcomes... - Measuring end-of-life care processes in nursing homesHelena Temkin-Greener
Department of Community and Preventive Medicine, Center for Ethics, Humanities and Palliative Care, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
Gerontologist 49:803-15. 2009..The objectives of this study were to develop measures of end-of-life (EOL) care processes in nursing homes and to validate the instrument for measuring them... - Nursing home environment and organizational performance: association with deficiency citationsHelena Temkin-Greener
Department of Community and Preventive Medicine, Center for Ethics, Humanities and Palliative Care, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Rochester, NY 14642, USA
Med Care 48:357-64. 2010..Work environment attributes--job design, teamwork, and work effectiveness--are thought to influence nursing home (NH) quality of care. However, few studies tested these relationships empirically... - Daily practice teams in nursing homes: evidence from New York stateHelena Temkin-Greener
Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
Gerontologist 49:68-80. 2009..We assess the prevalence of such teams in nursing homes as reported by direct care staff and administrators, and examine characteristics of facilities that foster these teams... - Social support and risk-adjusted mortality in a frail older populationHelena Temkin-Greener
Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
Med Care 42:779-88. 2004..The objective of this study was to test the hypothesis that social support is an important predictor of mortality in a frail older population receiving formal long-term care services... - Health care services utilization at the end of life in a managed care program integrating acute and long-term careDana B Mukamel
Department of Community and Preventive Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA
Med Care 40:1136-48. 2002..The period preceding death is often characterized by increased utilization of medical resources. There is an ongoing debate on the reasons for and the appropriateness of increased utilization at the end of life... - Disenrollment from an acute/long-term managed care program (PACE)Helena Temkin-Greener
Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York 14642, USA
Med Care 44:31-8. 2006..To our knowledge, this is a first study to examine patterns and predictors of disenrollment from PACE... - Measuring interdisciplinary team performance in a long-term care settingHelena Temkin-Greener
Department of Community and Preventive Medicine, University of Rochester, School of Medicine, Rochester, New York, USA
Med Care 42:472-81. 2004.... - Racial disparities in in-hospital death and hospice use among nursing home residents at the end of lifeNan Tracy Zheng
Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
Med Care 49:992-8. 2011..Significant racial disparities have been reported regarding nursing home residents' use of hospital and hospice care at the end of life (EOL)... - End-of-life care in nursing homes: the importance of CNA staff communicationNan Tracy Zheng
Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
J Am Med Dir Assoc 11:494-9. 2010..This study examines the relationship between CNA communication and nursing home performance in EOL care processes... - Mother-child interactions and the associations with child healthcare utilization in low-income urban familiesMargaret L Holland
Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
Matern Child Health J 16:83-91. 2012..Recognition of these interactions may also improve the care clinicians provide for families... - Cost of caring for Medicare beneficiaries with Parkinson's disease: impact of the CMS-HCC risk-adjustment modelKatia Noyes
Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York 14620, USA
Dis Manag 9:339-48. 2006..If the CMS-HCC payment model were to apply to programs that draw a significant percentage of their participants from the Parkinson's disease community, these programs likely would be compensated fairly... - Medicare capitation model, functional status, and multiple comorbidities: model accuracyKatia Noyes
Department of Community and Preventive Medicine, University of Rochester, Rochester, NY 14620, USA
Am J Manag Care 14:679-90. 2008..To examine financial implications of the Centers for Medicare & Medicaid Services Hierarchical Condition Categories (CMS-HCC) risk-adjustment model on Medicare payments for individuals with comorbid chronic conditions... - Informal caregivers and the risk of nursing home admission among individuals enrolled in the program of all-inclusive care for the elderlySusan M Friedman
Department of Medicine, University of Rochester, Highland Hospital, Box 58, 1000 South Avenue, Rochester, NY 14620, USA
Gerontologist 46:456-63. 2006..We sought to determine whether participants in the Program of All-Inclusive Care for the Elderly (PACE) with an informal caregiver have a higher or lower risk of nursing home admission than those without caregivers... - Predicting place of death in the program of all-inclusive care for the elderly (PACE): participant versus program characteristicsHelena Temkin-Greener
Community Coalition for Long Term Care, Inc, Rochester, New York 14604, USA
J Am Geriatr Soc 50:125-35. 2002..The PACE end-of-life practice style could potentially be applied to other populations and may have important public policy implications... - Self-efficacy as a mediator between maternal depression and child hospitalizations in low-income urban familiesMargaret L Holland
Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
Matern Child Health J 15:1011-9. 2011..Further research is needed to determine if interventions specifically targeting self-efficacy in depressed mothers might decrease child hospitalizations... - Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patientsSally A Norton
School of Nursing, University of Rochester Medical Center, Rochester, NY, USA
Crit Care Med 35:1530-5. 2007..The purpose of this study was to examine the effect of proactive palliative care consultation on length of stay for high-risk patients in the medical intensive care unit (MICU)... - Team performance and risk-adjusted health outcomes in the Program of All-Inclusive Care for the Elderly (PACE)Dana B Mukamel
University of California, Irvine, 111 Academy Way, Suite 220, Irvine, CA 92697, USA
Gerontologist 46:227-37. 2006..The purpose of this study was to examine the association between the team's overall performance and the risk-adjusted health outcomes of program enrollees... - Variations in risk-adjusted outcomes in a managed acute/long-term care program for frail elderly individualsDana B Mukamel
University of California, Department of Medicine, Irvine, USA
Int J Qual Health Care 16:293-301. 2004..To develop and investigate the properties of three performance measures based on risk-adjusted health outcomes for a frail, elderly, community-dwelling population enrolled in a managed, acute, and long-term care program... - The growing pains of integrated health care for the elderly: lessons from the expansion of PACEDiane L Gross
University of Rochester, USA
Milbank Q 82:257-82. 2004..This experience offers important lessons for providing integrated health care to the frail elderly... - Program characteristics and enrollees' outcomes in the Program of All-Inclusive Care for the Elderly (PACE)Dana B Mukamel
University of California at Irvine, Center for Health Policy Research, Irvine, CA 92697, USA
Milbank Q 85:499-531. 2007..Several program characteristics were associated with better functional outcomes. Fewer were associated with long-term self-assessed health, and only one with mortality. These findings offer strategies that may lead to better care...
Research Grants
- Team Performance and Quality of Care in Nursing HomesHelena Temkin Greener; Fiscal Year: 2007..Empirical insights gained from this study may be used to test and evaluate workplace innovations and public policy interventions aimed at improving workforce retention and quality, thus improving the quality of patient care. ..
- End-of-Life Quality of Care in Nursing HomesHelena Temkin Greener; Fiscal Year: 2010..Lessons learned from this project may be used to implement and test strategies for improving the quality of end-of-life care in nursing homes. ..