MPH, 1981, University of Rochester

PhD, 1979, Anthropology, University of Massachusetts at Amherst

BA, 1974, Anthropology, Smith College

Helena Temkin-Greener, PhD, MPH

Associate Professor,
Division of Health Services Research,
Community & Preventive Medicine

Contact Information:

University of Rochester
Community & Preventive Medicine
601 Elmwood Avenue, Box 644
Rochester, NY 14642

Office: 4-W320
Phone: (585) 275-8713

Email: Helena_Temkin-Greener@urmc.rochester.edu

Research:

Health care financing and delivery of care for the elderly focusing on: organizational processes and quality, risk-adjustment, and end-of-life.

Curriculum Vitae

Dr. Temkin-Greener's expertise is in the development of innovative financing and delivery models for the elderly, with a particular focus on the frail and the disabled. She has been involved in the development, implementation, and evaluation of state and national demonstrations programs and has conducted research in the following areas: risk-adjustment in Medicare/Medicaid; end-of-life service use, cost, and practice patterns; dynamics of Medicaid spend-down; transitions from the community to long-term care; and underwriting practices in long term care insurance. Dr. Temkin-Greener’s current research is focused in four areas: 1) Studies of quality of care and risk-adjusted outcomes in the PACE program. 2) Development of measures of clinical team performance in long-term care and its relationship to patient outcomes. 3) End-of-life care quality and practice patterns. 4) The impact of Medicare risk-adjusted payment model (HCC) on the PACE program.

• Temkin-Greener, H., Cai, S., Zhao, H. Katz, P., Mukamel, DB. Daily Practice Teams in Nursing Homes: Evidence from New York State. In press, The Gerontologist.
• Temkin-Greener, H., Bajorska, A., Mukamel, DB. Variations in Service Use in the Program of All-Inclusive Care for the Elderly (PACE): Is More Better? Journals of Gerontology: Medical Sciences, 63A:731-738, 2008.
• Temkin-Greener, H., Zheng, N., Zhao, H. Katz, P., Mukamel, DB. Measuring Work Environment and Performance in Nursing Homes. In press, Medical Care.
• Temkin-Greener H., Bajorska A., and Mukamel, D.B. "Disenrollment From an Acute/Long-Term Managed Care Program (PACE)." Medical Care, vol. 44(1):31-38, January 2006. (Click for pdf file.)
• Temkin-Greener H., Gross D.L., and Mukamel, D.B. "Advance Care Planning in a Frail Older Population: Patient Versus Program Influences." Research on Aging, vol. 27(6): 659-691, November 2005. (Click for pdf file.)
• Temkin-Greener H. et al. “Social Support and Risk-Adjusted Mortality in a Frail, Older Population.” Medical Care,vol.42(8), August, 2004. (Click for pdf file.)
• Temkin-Greener H., Mukamel D.B., Gross D., Kunitz S.J. “Measuring Interdisciplinary Team Performance in a Long-Term Care Setting.” Medical Care, vol. 42(5): 472-481, May 2004 (Click for pdf file.)
• Mukamel D.B., Bajorska A., Temkin-Greener H. “Health Care Services at the End-of-Life in PACE – A Managed Care Program Integrating Acute and Long-Term Care. Medical Care, vol. 40(12):1136-1248, December 2002. (Click for pdf file.)
• Temkin-Greener H. and Mukamel D.B. “Predicting Place of Death: Program of All-Inclusive Care for the Elderly (PACE)”. Journal of the American Geriatrics Society, vol.50(1): 125-135, January 2002. (Click for pdf file.)
• Temkin-Greener H., Meiners M.R., L. Gruenberg. “Medicare+Choice Risk Adjusted Payment Model and the PACE Program” Inquiry, 38(1):60-72, Spring 2001. (Click here for pdf file.)
• Temkin-Greener H., Mukamel D.B., Meiners M.R. “Long Term Care Insurance Underwriting: Understanding Eventual Claims Experience”. Inquiry, 37(4):348-358, Winter 2000/01. (Click for pdf file.)