From our house to “God’s house”

Over the last decade, the medical practice of elder care has come to recognize the importance of well-designed housing as foundational to the well-being of the elderly. Leading geriatrics doctors such as Dr. Bill Thomas have founded initiatives such as the Eden Alternative and the Green House Project which recognize that “human well-being” encompasses more than what is clinically measurable. These initiatives have brought a semblance of autonomy and a sense of “home” back to these elderly facilities. The concept of de-clinicalizing end-of-life care and understanding the need for elderly residences to have a home have become a driving vision for recent work in geriatrics and hospice care.

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  • “There is always going to be a portion of people who require maybe a more intensive level of care and also always a proportion of people who would prefer to receive care in a communal setting. How are you setting yourself up to be that provider of choice in a market where maybe there’s less global demand for nursing home beds, but people want privacy, people want to really know their caregivers?”

  • “The evidence so far is that the staff is significantly more engaged with residents, avoidable hospitalizations and readmission rates are lower, and family satisfaction is higher. Perhaps most surprising to those who focus on costs, both interventions saw operating margins and market position tick up.”

  • “Most people with ALS want to stay home rather than suffer the indignity of moving to a traditional nursing home. I hope for a world in which the Leonard Florence Center for Living is the standard of care in America.”

  • “We have seen significant positive outcomes with this model of care, and I really think it is the empowered staff and the meaningful life focus that we have at the Green House home that contributes to keeping our staff, having our staff engaged, and really having them feel like they are the key in that relationship.”