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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  • “Healthia is the first care home in Australia to implement the U.S.-founded Green House Project model of care, which is informed by person-directed care principles and supports residents to have increased input into their everyday living.”

  • Facilities could improve their ventilation systems. They could abandon “semiprivate” rooms for private ones. Dividing buildings into smaller units with consistently assigned staff — an approach pioneered by the Green House Project — would both bolster relationships and reduce residents’ exposure to infection from workers coming and going.

  • The Green House concept just makes perfect sense for elder care, McAlilly said. “It’s built around the concept of home,” he said. “It’s their home, and we just happen to work there.”

  • AARP Iowa state director Brad Anderson: “Another approach would be investing in Green House homes, which are small skilled nursing homes and assisted living facilities with private rooms, kitchens, and living rooms that look and feel like a home. These homes provide better care with lower staff turnover and are popping up in states across the country. Let’s start trying this model in Iowa.”