Helena Temkin-Greener

Summary

Affiliation: University of Rochester
Country: USA

Publications

  1. pmc Site of death among nursing home residents in the United States: changing patterns, 2003-2007
    Helena Temkin-Greener
    Department of Public Health Sciences, Center for Ethics, Humanities and Palliative Care, University of Rochester School of Medicine and Dentistry, Rochester, NY Electronic address
    J Am Med Dir Assoc 14:741-8. 2013
  2. pmc Nursing home work environment and the risk of pressure ulcers and incontinence
    Helena Temkin-Greener
    Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
    Health Serv Res 47:1179-200. 2012
  3. pmc Rural-urban differences in end-of-life nursing home care: facility and environmental factors
    Helena Temkin-Greener
    Department of Community and Preventive Medicine, School of Medicine and Dentistry University of Rochester, NY 14642, USA
    Gerontologist 52:335-44. 2012
  4. pmc Measuring work environment and performance in nursing homes
    Helena 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
  5. pmc Daily practice teams in nursing homes: evidence from New York state
    Helena Temkin-Greener
    Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
    Gerontologist 49:68-80. 2009
  6. pmc Measuring end-of-life care processes in nursing homes
    Helena 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
  7. pmc Nursing home environment and organizational performance: association with deficiency citations
    Helena 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
  8. ncbi request reprint 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
  9. doi request reprint Mother-child interactions and the associations with child healthcare utilization in low-income urban families
    Margaret 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
  10. ncbi request reprint Social support and risk-adjusted mortality in a frail older population
    Helena Temkin-Greener
    Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
    Med Care 42:779-88. 2004

Research Grants

  1. Team Performance and Quality of Care in Nursing Homes
    Helena Temkin Greener; Fiscal Year: 2007
  2. End-of-Life Quality of Care in Nursing Homes
    Helena Temkin Greener; Fiscal Year: 2010

Detail Information

Publications29

  1. pmc Site of death among nursing home residents in the United States: changing patterns, 2003-2007
    Helena Temkin-Greener
    Department of Public Health Sciences, Center for Ethics, Humanities and Palliative Care, University of Rochester School of Medicine and Dentistry, Rochester, NY Electronic address
    J Am Med Dir Assoc 14:741-8. 2013
    ..We assessed longitudinal trends and geographic variations in place of death among NH residents, and examined the association between residents' characteristics, treatment preferences, and the probability of dying in hospitals...
  2. pmc Nursing home work environment and the risk of pressure ulcers and incontinence
    Helena Temkin-Greener
    Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
    Health Serv Res 47:1179-200. 2012
    ..To examine the association between nursing home (NH) work environment attributes such as teams, consistent assignment and staff cohesion, and the risk of pressure ulcers and incontinence...
  3. pmc Rural-urban differences in end-of-life nursing home care: facility and environmental factors
    Helena Temkin-Greener
    Department of Community and Preventive Medicine, School of Medicine and Dentistry University of Rochester, NY 14642, USA
    Gerontologist 52:335-44. 2012
    ..This study examines urban-rural differences in end-of-life (EOL) quality of care provided to nursing home (NH) residents...
  4. pmc Measuring work environment and performance in nursing homes
    Helena 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...
  5. pmc Daily practice teams in nursing homes: evidence from New York state
    Helena 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...
  6. pmc Measuring end-of-life care processes in nursing homes
    Helena 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...
  7. pmc Nursing home environment and organizational performance: association with deficiency citations
    Helena 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...
  8. ncbi request reprint 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...
  9. doi request reprint Mother-child interactions and the associations with child healthcare utilization in low-income urban families
    Margaret 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...
  10. ncbi request reprint Social support and risk-adjusted mortality in a frail older population
    Helena 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...
  11. ncbi request reprint Health care services utilization at the end of life in a managed care program integrating acute and long-term care
    Dana 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...
  12. pmc Racial disparities in in-hospital death and hospice use among nursing home residents at the end of life
    Nan 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)...
  13. pmc Hospitalizations of nursing home residents in the last year of life: nursing home characteristics and variation in potentially avoidable hospitalizations
    Jingping Xing
    Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
    J Am Geriatr Soc 61:1900-8. 2013
    ....
  14. pmc Making difficult decisions: the role of quality of care in choosing a nursing home
    Irena Pesis-Katz
    School of Nursing, University of Rochester, Rochester, NY 14642, USA
    Am J Public Health 103:e31-7. 2013
    ..We investigated how quality of care affects choosing a nursing home...
  15. ncbi request reprint Cost of caring for Medicare beneficiaries with Parkinson's disease: impact of the CMS-HCC risk-adjustment model
    Katia 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...
  16. ncbi request reprint 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...
  17. ncbi request reprint Measuring interdisciplinary team performance in a long-term care setting
    Helena Temkin-Greener
    Department of Community and Preventive Medicine, University of Rochester, School of Medicine, Rochester, New York, USA
    Med Care 42:472-81. 2004
    ....
  18. pmc End-of-life care in nursing homes: the importance of CNA staff communication
    Nan 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...
  19. doi request reprint Quality of end-of-life care of long-term nursing home residents with and without dementia
    Qinghua Li
    Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester, Rochester, New York 14642, USA
    J Am Geriatr Soc 61:1066-73. 2013
    ..To describe the longitudinal patterns and the within- and between-facility differences in hospice use and in-hospital deaths between long-term nursing home (NH) residents with and without dementia...
  20. ncbi request reprint Predicting place of death in the program of all-inclusive care for the elderly (PACE): participant versus program characteristics
    Helena Temkin-Greener
    Community Coalition for Long Term Care, Inc, Rochester, New York 14604, USA
    J Am Geriatr Soc 50:125-35. 2002
    ..To assess the relationship between participant-specific and program-specific characteristics and the place of death in the Program of All-Inclusive Care for the Elderly (PACE)...
  21. ncbi request reprint Informal caregivers and the risk of nursing home admission among individuals enrolled in the program of all-inclusive care for the elderly
    Susan 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...
  22. pmc Medicare capitation model, functional status, and multiple comorbidities: model accuracy
    Katia 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...
  23. doi request reprint Self-efficacy as a mediator between maternal depression and child hospitalizations in low-income urban families
    Margaret 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...
  24. pmc Stability of cardiopulmonary resuscitation and do-not-resuscitate orders among long-term nursing home residents
    Dana B Mukamel
    Department of Medicine, Health Policy Research Institute, University of California, Irvine, CA 92697 5800, USA
    Med Care 51:666-72. 2013
    ..We examined the stability of cardiopulmonary resuscitation (CPR) and do-not-resuscitate (DNR) orders to offer guidance to policy and care practice developments...
  25. ncbi request reprint Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients
    Sally 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)...
  26. ncbi request reprint 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...
  27. ncbi request reprint Variations in risk-adjusted outcomes in a managed acute/long-term care program for frail elderly individuals
    Dana 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...
  28. pmc The growing pains of integrated health care for the elderly: lessons from the expansion of PACE
    Diane 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...
  29. pmc 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 Grants7

  1. Team Performance and Quality of Care in Nursing Homes
    Helena 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. ..
  2. End-of-Life Quality of Care in Nursing Homes
    Helena 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. ..