COVID-19 Crisis Advances Efforts to Reimagine Nursing Homes

We need small. Green House is a model that is very exciting. They have small locations of care. Maybe 12 individuals live in a setting. It’s personalized. It would look more like your living room than an institution. They have universal care workers who not only help you with your activities of daily living, but maybe help you make sure that you call your daughter that day. Or help you with your laundry or with your breakfast. I think Green House has a lot of merit. It’s the deinstitutionalization and personalization of care. It’s a very powerful model and I think it will really spread in scale after COVID.”

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  • There’s already a waiting list for Navigator Homes, which will be the Island’s first care facility to follow the Green House Model of Nursing Home Care. At Navigator Homes in Edgartown, the five buildings surround a central green space, where landscaping plans include walking paths connecting the residences. The U.S. Department of Agriculture is financing the buildings’ construction. 

  • Evidence-based culture change partners provide professionals with supportive, interdisciplinary training.  “We need as many Green Houses as possible and households or buildings to be built with wise investment of public and private dollars,” Anne Montgomery said. “The EINSTEIN Option calls for this to happen and lays out a blueprint for it.”

  • “If we’re going to elevate the resident’s voice, we’ve got to include residents,” said Laci Cornelison, interim director of the Center on Aging at Kansas State University and coalition member, during her session at Pioneer Network and The Green House Project’s 2024 Conference on Wednesday. “We really wanted to take an approach where we’re looking at things through the lens of culture change and person-centered care. We focus mostly on quality of life rather than clinical needs.”

  • “At a time when hospitals continued to push more post-surgical patients straight to home care, Londonderry Village in Palmyra, PA, decided to invest in six Green House homes with 10 beds each. ‘We believed in that culture and that quality of care,’ said President and CEO Jeff Shireman. ‘People have great experiences in that environment.'”