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Helena Temkin-Greener

TitleProfessor
InstitutionSchool of Medicine and Dentistry
DepartmentPublic Health Sciences
AddressPublic Health Sciences
265 Crittenden Blvd.
Rochester NY 14642
Other Positions
TitleProfessor of Clinical Nursing
InstitutionSchool of Nursing
DepartmentNursing

 
 Awards And Honors
1974     Magna Cum Laude and High Honors  | Smith College, Northampton, MA
1974     Phi Beta Kappa  | Smith College, Norhampton, MA
2001     Outstanding Abstract  | Academy Health Annual Meeting
2003     Fellow  | The Gerontological Society of America
2009     1st Place Winner-Betty J. Cleckley Minority Issues Research Award  | American Public Health Association
2009     Outstanding Abstract  | Academy Health
2010     1st Place winner-Betty J. Cleckley Minority Issues Research Award  | American Public Health Association
2011     1st Place Winner-Excellence in Aging and Public Health Rural & Environment Research Award  | American Public Health Association
2012     Alumni Award for Excellence in Graduate Education  | University of Rochester School of Medicine and Dentistry
 
 Overview
RESEARCH INTERESTS: Outcomes research with a focus on the elderly, long-term care, and end-of-life.

RESEARCH ACTIVITIES: Dr. Temkin-Greener's current research is focused in three areas: 1) Quality of care - developing outcome measures and assessing quality of care in community-based, hospital and long-term care settings; 2) Organizational performance - developing and validating care process and team performance measures; 3) Aging and Long-term Care - assessing the impact of individual and organizational risk factors on quality of care for vulnerable elderly.

Dr. Temkin-Greener recently completed NIH-funded study to empirically test the relationship between organizational performance and quality of care in nursing homes. She is currently the PI on another NIH-funded study to develop individual and composite risk-adjusted quality measures for nursing home residents who are at the end-of-life. Under a contract from the National PACE Association, Dr. Temkin-Greener runs the PACE Data Analysis Center (PDAC), which receives data from 75 PACE organizations and analyzes the impact of Medicare risk-adjusted payment models.

 
 Selected Publications
List All   |   Timeline
  1. Xing J, Mukamel DB, Temkin-Greener H. Hospitalizations of nursing home residents in the last year of life: nursing home characteristics and variation in potentially avoidable hospitalizations. J Am Geriatr Soc. 2013 Nov; 61(11):1900-8.
    View in: PubMed
  2. Mukamel DB, Ladd H, Temkin-Greener H. Stability of Cardiopulmonary Resuscitation and Do-Not-Resuscitate Orders Among Long-term Nursing Home Residents. Med Care. 2013 Aug; 51(8):666-72.
    View in: PubMed
  3. Li Q, Zheng NT, Temkin-Greener H. Quality of End-of-Life Care of Long-Term Nursing Home Residents with and without Dementia. J Am Geriatr Soc. 2013 Jul; 61(7):1066-73.
    View in: PubMed
  4. Temkin-Greener H, Zheng NT, Xing J, Mukamel DB. Site of death among nursing home residents in the United States: changing patterns, 2003-2007. J Am Med Dir Assoc. 2013 Oct; 14(10):741-8.
    View in: PubMed
  5. Pesis-Katz I, Phelps CE, Temkin-Greener H, Spector WD, Veazie P, Mukamel DB. Making difficult decisions: the role of quality of care in choosing a nursing home. Am J Public Health. 2013 May; 103(5):e31-7.
    View in: PubMed
  6. Zhang N, Li Y, Temkin-Greener H. Prevalence of obesity in new york nursing homes: associations with facility characteristics. Gerontologist. 2013 Aug; 53(4):567-81.
    View in: PubMed
  7. Zheng NT, Mukamel DB, Caprio TV, Temkin-Greener H. Hospice Utilization in Nursing Homes: Association With Facility End-of-Life Care Practices. Gerontologist. 2013 Oct; 53(5):817-27.
    View in: PubMed
  8. Mukamel DB, Caprio T, Ahn R, Zheng NT, Norton S, Quill T, Temkin-Greener H. End-of-life quality-of-care measures for nursing homes: place of death and hospice. J Palliat Med. 2012 Apr; 15(4):438-46.
    View in: PubMed
  9. Temkin-Greener H, Zheng NT, Mukamel DB. Rural-urban differences in end-of-life nursing home care: facility and environmental factors. Gerontologist. 2012 Jun; 52(3):335-44.
    View in: PubMed
  10. Holland ML, Yoo BK, Kitzman H, Chaudron L, Szilagyi PG, Temkin-Greener H. Mother-child interactions and the associations with child healthcare utilization in low-income urban families. Matern Child Health J. 2012 Jan; 16(1):83-91.
    View in: PubMed
  11. Temkin-Greener H, Cai S, Zheng NT, Zhao H, Mukamel DB. Nursing home work environment and the risk of pressure ulcers and incontinence. Health Serv Res. 2012 Jun; 47(3 Pt 1):1179-200.
    View in: PubMed
  12. Zheng NT, Mukamel DB, Caprio T, Cai S, Temkin-Greener H. Racial disparities in in-hospital death and hospice use among nursing home residents at the end of life. Med Care. 2011 Nov; 49(11):992-8.
    View in: PubMed
  13. Holland ML, Yoo BK, Kitzman H, Chaudron L, Szilagyi PG, Temkin-Greener H. Self-efficacy as a mediator between maternal depression and child hospitalizations in low-income urban families. Matern Child Health J. 2011 Oct; 15(7):1011-9.
    View in: PubMed
  14. Hospitalizations in nursing homes: does payer source matter? Evidence from New York State. Med Care Res Rev. 2011 Oct; 68(5):559-78.
    View in: PubMed
  15. Cai S, Temkin-Greener H. Influenza vaccination and its impact on hospitalization events in nursing homes. J Am Med Dir Assoc. 2011 Sep; 12(7):493-8.
    View in: PubMed
  16. Cai S, Mukamel DB, Veazie P, Temkin-Greener H. Validation of the Minimum Data Set in identifying hospitalization events and payment source. J Am Med Dir Assoc. 2011 Jan; 12(1):38-43.
    View in: PubMed
  17. Zheng NT, Temkin-Greener H. End-of-life care in nursing homes: the importance of CNA staff communication. J Am Med Dir Assoc. 2010 Sep; 11(7):494-9.
    View in: PubMed
  18. Temkin-Greener H, Zheng NT, Cai S, Zhao H, Mukamel DB. Nursing home environment and organizational performance: association with deficiency citations. Med Care. 2010 Apr; 48(4):357-64.
    View in: PubMed
  19. Cai S, Mukamel DB, Temkin-Greener H. Pressure ulcer prevalence among black and white nursing home residents in New York state: evidence of racial disparity? Med Care. 2010 Mar; 48(3):233-9.
    View in: PubMed
  20. Temkin-Greener H, Zheng NT, Norton SA, Quill T, Ladwig S, Veazie P. Measuring end-of-life care processes in nursing homes. Gerontologist. 2009 Dec; 49(6):803-15.
    View in: PubMed
  21. Mukamel DB, Cai S, Temkin-Greener H. Cost implications of organizing nursing home workforce in teams. Health Serv Res. 2009 Aug; 44(4):1309-25.
    View in: PubMed
  22. Temkin-Greener H, Zheng N, Katz P, Zhao H, Mukamel DB. Measuring work environment and performance in nursing homes. Med Care. 2009 Apr; 47(4):482-91.
    View in: PubMed
  23. Temkin-Greener H, Cai S, Katz P, Zhao H, Mukamel DB. Daily practice teams in nursing homes: evidence from New York state. Gerontologist. 2009 Feb; 49(1):68-80.
    View in: PubMed
  24. Noyes K, Liu H, Temkin-Greener H. Medicare capitation model, functional status, and multiple comorbidities: model accuracy. Am J Manag Care. 2008 Oct; 14(10):679-90.
    View in: PubMed
  25. 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? J Gerontol A Biol Sci Med Sci. 2008 Jul; 63(7):731-8.
    View in: PubMed
  26. Mukamel DB, Peterson DR, Temkin-Greener H, Delavan R, Gross D, Kunitz SJ, Williams TF. Program characteristics and enrollees' outcomes in the Program of All-Inclusive Care for the Elderly (PACE). Milbank Q. 2007 Sep; 85(3):499-531.
    View in: PubMed
  27. Norton SA, Hogan LA, Holloway RG, Temkin-Greener H, Buckley MJ, Quill TE. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients. Crit Care Med. 2007 Jun; 35(6):1530-5.
    View in: PubMed
  28. Noyes K, Liu H, Temkin-Greener H. Cost of caring for Medicare beneficiaries with Parkinson's disease: impact of the CMS-HCC risk-adjustment model. Dis Manag. 2006 Dec; 9(6):339-48.
    View in: PubMed
  29. Friedman SM, Steinwachs DM, Temkin-Greener H, Mukamel DB. Informal caregivers and the risk of nursing home admission among individuals enrolled in the program of all-inclusive care for the elderly. Gerontologist. 2006 Aug; 46(4):456-63.
    View in: PubMed
  30. Mukamel DB, Temkin-Greener H, Delavan R, Peterson DR, Gross D, Kunitz S, Williams TF. Team performance and risk-adjusted health outcomes in the Program of All-Inclusive Care for the Elderly (PACE). Gerontologist. 2006 Apr; 46(2):227-37.
    View in: PubMed
  31. Temkin-Greener H, Bajorska A, Mukamel DB. Disenrollment from an acute/long-term managed care program (PACE). Med Care. 2006 Jan; 44(1):31-8.
    View in: PubMed
  32. Mukamel DB, Peterson DR, Bajorska A, Temkin-Greener H, Kunitz S, Gross D, Williams TF. Variations in risk-adjusted outcomes in a managed acute/long-term care program for frail elderly individuals. Int J Qual Health Care. 2004 Aug; 16(4):293-301.
    View in: PubMed
  33. Temkin-Greener H, Bajorska A, Peterson DR, Kunitz SJ, Gross D, Williams TF, Mukamel DB. Social support and risk-adjusted mortality in a frail older population. Med Care. 2004 Aug; 42(8):779-88.
    View in: PubMed
  34. Temkin-Greener H, Gross D, Kunitz SJ, Mukamel D. Measuring interdisciplinary team performance in a long-term care setting. Med Care. 2004 May; 42(5):472-81.
    View in: PubMed
  35. Gross DL, Temkin-Greener H, Kunitz S, Mukamel DB. The growing pains of integrated health care for the elderly: lessons from the expansion of PACE. Milbank Q. 2004; 82(2):257-82.
    View in: PubMed
  36. Mukamel DB, Bajorska A, Temkin-Greener H. Health care services utilization at the end of life in a managed care program integrating acute and long-term care. Med Care. 2002 Dec; 40(12):1136-48.
    View in: PubMed
  37. Temkin-Greener H, Mukamel DB. Predicting place of death in the program of all-inclusive care for the elderly (PACE): participant versus program characteristics. J Am Geriatr Soc. 2002 Jan; 50(1):125-35.
    View in: PubMed
  38. Temkin-Greener H, Meiners MR, Gruenberg L. PACE and the Medicare+Choice risk-adjusted payment model. Inquiry. 2001; 38(1):60-72.
    View in: PubMed
  39. Temkin-Greener H, Mukamel DB, Meiners MR. Long-term care insurance underwriting: understanding eventual claims experience. Inquiry. 2000-2001 Winter; 37(4):348-58.
    View in: PubMed
  40. Mukamel DB, Temkin-Greener H, Clark ML. Stability of disability among PACE enrollees: financial and programmatic implications. Health Care Financ Rev. 1998; 19(3):83-100.
    View in: PubMed
  41. Temkin-Greener H, Meiners MR. Transitions in long-term care. Gerontologist. 1995 Apr; 35(2):196-206.
    View in: PubMed
  42. Temkin-Greener H, Meiners MR, Petty E, Szydlowski J. Spending-down to Medicaid in the nursing home and in the community. A longitudinal study from Monroe County, New York. Med Care. 1993 Aug; 31(8):663-79.
    View in: PubMed
  43. Temkin-Greener H, Meiners MR, Petty EA, Szydlowski JS. The use and cost of health services prior to death: a comparison of the Medicare-only and the Medicare-Medicaid elderly populations. Milbank Q. 1992; 70(4):679-701.
    View in: PubMed
  44. Temkin-Greener H, Winchell M. Medicaid beneficiaries under managed care: provider choice and satisfaction. Health Serv Res. 1991 Oct; 26(4):509-29.
    View in: PubMed
  45. Temkin-Greener H, Clark KT. Ethnicity, gender, and utilization of mental health services in a Medicaid population. Soc Sci Med. 1988; 26(10):989-96.
    View in: PubMed
  46. Temkin-Greener H. Medicaid families under managed care. Anticipated behavior. Med Care. 1986 Aug; 24(8):721-32.
    View in: PubMed
  47. Temkin-Greener H, Swedlund AC. A test of the child replacement hypothesis: nineteenth century Massachusetts. Soc Biol. 1983; 30(2):218-27.
    View in: PubMed
  48. Temkin-Greener H. Interprofessional perspectives on teamwork in health care: a case study. Milbank Mem Fund Q Health Soc. 1983; 61(4):641-58.
    View in: PubMed
  49. Temkin-Greener H, Kunitz SJ, Broudy D, Haffner M. Surgical fertility regulation among women on the Navajo Indian reservation, 1972-1978. Am J Public Health. 1981 Apr; 71(4):403-7.
    View in: PubMed
  50. Kunitz SJ, Temkin-Greener H, Broudy D, Haffner M. Determinants of hospital utilization and surgery on the Navajo Indian reservation: 1972-1978. Soc Sci Med Med Anthropol. 1981 Jan; 15B(1):71-9.
    View in: PubMed
  51. Temkin-Greener H, Swedlund AC. Fertility transition in the Connecticut Valley: 1740-1850. Popul Stud (Camb). 1978 Mar; 32(1):27-41.
    View in: PubMed

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