Evidence map›Paper›PMID 26743545›Full record

ArticleHealth services research2016

Green House Adoption and Nursing Home Quality.

Christopher C Afendulis, Daryl J Caudry, A James O'Malley, Peter Kemper, David C Grabowski, 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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
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  9. Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths.Journal of the American Medical Directors Association · 2021
    Article
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  11. 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
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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

6 authors.

Christopher C AfendulisDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
Daryl J CaudryDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
A James O'MalleyGeisel School of Medicine, The Dartmouth Institute, Dartmouth College, Lebanon, NH.
Peter KemperThe Pennsylvania State University, University Park, PA.
David C GrabowskiDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
THRIVE Research Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of the Green House (GH) model on nursing home resident-level quality of care measures. DATA SOURCES/STUDY

settingResident-level minimum data set (MDS) assessments merged with Medicare inpatient claims for the period 2005 through 2010. STUDY

designUsing a difference-in-differences framework, we compared changes in care quality and outcomes in 15 nursing homes that adopted the GH model relative to changes over the same time period in 223 matched nursing homes that had not adopted the GH model. PRINCIPAL

findingsFor individuals residing in GH homes, adoption of the model lowered readmissions and several MDS measures of poor quality, including bedfast residents, catheter use, and pressure ulcers, but these results were not present across the entire GH organization, suggesting possible offsetting effects for residents of non-GH "legacy" units within the GH organization.

conclusionsGH adoption led to improvement in rehospitalizations and certain nursing home quality measures for individuals residing in a GH home. The absence of evidence of a decline in other clinical quality measures in GH nursing homes should reassure anyone concerned that GH might have sacrificed clinical quality for improved quality of life.

Indexed as

Quality of Health CareAgedGeriatric AssessmentHospitalizationHumansInsurance Claim ReviewMedicareNursing HomesOrganizational InnovationPatient-Centered CarePatient ReadmissionUnited Statesculture changeGreen House nursing homeNursing homesquality of care

Identifiers

PMID26743545
PMCPMC5338208

What OpenQuestion holds

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Registered trials

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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.