Evidence map›Paper›PMID 26708381›Full record

ArticleHealth services research2016

New Evidence on the Green House Model of Nursing Home Care: Synthesis of Findings and Implications for Policy, Practice, and Research.

Sheryl Zimmerman, Barbara J Bowers, Lauren W Cohen, David C Grabowski, Susan D Horn, Peter Kemper, THRIVE Research Collaborative

Abstract read
In one paragraph

Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Organizational Context and Quality Indicators in Nursing Homes: A Microsystem Look.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
  5. Article
  6. Article
  7. The Imperative to Reimagine Assisted Living.Journal of the American Medical Directors Association · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths.Journal of the American Medical Directors Association · 2021
    Article
  14. Article
  15. Review
  16. The Post-Acute and Long-Term Care Crisis in the Aftermath of COVID-19: A Dutch Perspective.Journal of the American Medical Directors Association · 2020
    Article
  17. Article
  18. Clustered domestic model of residential care is associated with better consumer rated quality of care.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2019
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sheryl ZimmermanCecil G. Sheps Center for Health Services Research and School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Barbara J BowersSchool of Nursing, University of Wisconsin-Madison, Madison, WI.
Lauren W CohenCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC.
David C GrabowskiDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
Susan D HornHealth System Innovation and Research Program, University of Utah School of Medicine, Salt Lake City, UT.
Peter KemperDepartment of Health Policy and Administration, The Pennsylvania State University, University Park, PA.
THRIVE Research Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo synthesize new findings from the THRIVE Research Collaborative (The Research Initiative Valuing Eldercare) related to the Green House (GH) model of nursing home care and broadly consider their implications. DATA SOURCES: Interviews and observations conducted in GH and comparison homes, Minimum Data Set (MDS) assessments, Medicare data, and Online Survey, Certification and Reporting data. STUDY

designCritical integration and interpretation of findings based on primary data collected 2011-2014 in 28 GH homes (from 16 organizations), and 15 comparison nursing home units (from 8 organizations); and secondary data derived from 2005 to 2010 for 72 GH homes (from 15 organizations) and 223 comparison homes. PRINCIPAL

findingsImplementation of the GH model is inconsistent, sometimes differing from design. Among residents of GH homes, adoption lowers hospital readmissions, three MDS measures of poor quality, and Part A/hospice Medicare expenditures. Some evidence suggests the model is associated with lower direct care staff turnover.

conclusionsRecommendations relate to assessing fidelity, monitoring quality, capitalizing opportunities to improve care, incorporating evidence-based practices, including primary care providers, supporting high-performance workforce practices, aligning Medicare financial incentives, promoting equity, informing broad culture change, and conducting future research.

Indexed as

Biomedical ResearchHealth PolicyHumansMedicareNursing HomesOrganizational InnovationPatient-Centered CareQuality of Health CareUnited Statesculture changeevidenceGreen Housenursing homeoutcomes

Identifiers

PMID26708381
PMCPMC5338207

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.