Financial incentives, elimination of regulatory barriers may help expand availability of small-house nursing homes: report

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The authors also encouraged state policymakers to consider updating their CON laws and construction moratoria for nursing homes to allow for greater innovation in the marketplace. They also stressed the need to expedite adoption of key model features associated with quality improvement. For example, the authors noted, policymakers should promote more research and demonstration of how key features of the Green House model, including the “universal worker” staffing model and the use of private rooms, could be adopted by larger facilities.

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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.”