By Admin / Posted on August 28th, 2015
Last year, when Claremont, CA resident Bill Andrus began to need 24-hour care in their home, he and his wife, Georgeann, chose Mt. San Antonio Gardens’ Evergreen Villas for his new home. The Villas are trademarked GREEN HOUSE homes, which provides a real home for people needing skilled nursing care. In each of the two villas, the residents are supported by a small, self-managed team of care partners, known as shahbazim, and nurses. Mt. San Antonio Gardens pioneered what are California’s first and only small homes licensed for skilled nursing.
“We wanted Bill to live in a stimulating environment while receiving the care he needs,” says Georgeann. Acknowledging the difficulty of making that decision, the couple feels fortunate that the Villas were an option for them. Georgeann, who served on the Gardens board of directors for six years when The Green House homes were being considered, says, “We are so grateful for Bill to be part of it. It has been particularly heartwarming to see this from the initial concept and then to participate in the reality of seeing it work very well.”
While Bill was settling in, Georgeann applied to live at the Gardens as an active, healthy independent resident. She moved into an apartment on campus where she takes a quick walk to the Evergreen Villas. Living on the same campus means easy and frequent visits each day. The couple goes together to lectures and performances held at the Gardens or at the nearby Claremont Colleges. “Our neurologist had said to me, ‘Now you can just be a spouse, not the caregiver’, and he was so right!”
“Bill has become physically stronger since his move here,” marvels Georgeann. The special design of the great room has inspired Bill to use his walker, unassisted. The couple also credits the home-like atmosphere and the personalized attention of the shahbazim and nurses to his continued well-being. Because this team works so closely with such a small group of elders, the care partners get to know their personalities and individual needs and preferences intimately. While the shahbazim are also responsible for cooking and maintaining the house, their first priority, Georgeann notes, is always the care of the elders.
“The people are the best thing,” says Bill, who especially enjoys sharing common interests with Registered Nurse (RN) Michael Sansosti. Both are avid readers and love fishing.
“It’s great,” says Michael. “We trade books and when I have some extra time in my schedule, we’ll spend time talking about them.” The ability to give everyone a little extra attention is very gratifying. Michael, who previously worked in structured hospital environments, enjoys the opportunity he now has to cultivate more personal friendships with the residents he cares for. “Certain people, like Bill, do very well in this kind of setting. It is especially well suited to those who prefer to take the initiative for their daily activities” and who enjoy the interaction and activity that is such an important part of the daily experience in the Evergreen Villas, according to Michael.
Working with the caregivers is also a new experience for Michael. “We work side by side with the shahbazim. While the RNs are in charge of everything clinical, the care partners spend all of their time interacting with the residents, so they can give us feedback on their behavior and needs, enabling us to intervene early.”
“Communication is a big thing here,” acknowledges shahbaz Amanda Phos, who began her training for her role long before the Evergreen Villas opened. With just 10 elders in each of the two Evergreen Villas, the care partners get to know each person personally, from their life stories to their health needs and abilities, their food preferences, and their hobbies and interests. “If you know the elders well, taking care of them is very easy,” says Amanda. “I think that’s the beauty of this place. We base each day’s activities on what they individually want to do. And every day is different. When we all come together around the dinner table, we like to talk about the day’s activities. It feels like a family.
“It’s hard work, and it takes a team to make it work so well,” says Amanda. “We’re the heart of the home, and that makes it very gratifying to be here.”
By Mary Hopfner-Thomas / Posted on August 12th, 2015
Plans to reimburse doctors for conversations with Elders about what to do about end-of-life care has been talked about for years–and at times a very controversial topic–but it appears Medicare is ready to implement that change. Currently they are gathering public comments and if approved, would take effect in January.
It’s a proposal applauded by many because they believe people should have a greater say about how many medical options they want used to stay alive such as a ventilator or feeding tube.
It’s a topic close to the heart for Dr. Atul Gawande, author of the book, “Being Mortal: Medicine and What Matters in the End“. He challenges people to think carefully about the decisions they make for themselves and their loved ones at the end of life. In his book, he examines the loneliness, helplessness and boredom so often experienced by those living out the end of their lives in long-term care institutions and he argues that this should not be the norm in our country. He writes that Green House homes are “…designed to pursue that idea that a life worth living can be created…by focusing on food, homemaking, and befriending others.”
A final decision on the proposal is expected by early November. It would allow qualified medical professionals to be reimbursed for face-to-face meetings with patients. Read more about the plan using the following links:
New York Times Medicare Plans to Pay Doctors for counseling on End of Life
By Mary Hopfner-Thomas / Posted on August 12th, 2015
U.S. News & World Report awarded two of Buckner’s Green House homes in Longview, Texas with a four-star rating in its annual Best Nursing Homes issue. Congratulations to all! The magazine rated almost 16, 000 nursing homes across the country. The ratings are awarded by looking at the data collected in the homes.
Administrator and Guide for the Buckner homes, Wes Wells, explained that the rating was the result of a number of resident surveys. “(U.S. News & World Report) didn’t come out here and look at us,” Wells said. “They looked at our measurements based on assessments that we have to turn in.”
A special celebration occurred in late July to show the plagues to all involved and thank everyone for their contributions to the success of the homes. In fact all staff members were treated to a steak dinner in honor of this special distinction.
Click here to read the entire article from the Longview News-Journal.
Click here to see a video of the celebration from the local CBS affiliate.
By Margaret Stansbury / Posted on August 7th, 2015
Congratulations to Washington County Nursing Home! They have recently broken ground on four new Green House homes. They took a moment to celebrate with a groundbreaking ceremony at the end of July. These Green House homes will be a total replacement of the current county nursing home and provide long term care to residents in Washington County, Colorado.
Washington County celebrated this milestone with a ceremonial groundbreaking at the construction site followed by an outdoor barbecue at the current nursing home. This event brought together many of the supporters who are making these Green House homes a reality including county commissioners, board members, nursing home staff, elders and community members all celebrated together. You can read more about the festivities and the Washington County Nursing Home here.
By Rachel Scher McLean / Posted on August 6th, 2015
The Green House Project was highlighted as an innovator and thought leader during the 2015 Pioneer Network Conference. The Pioneer Network is a convener of organizations who are moving away from institutional models of long term care to more consumer-driven models that embrace flexibility, self-determination and a belief that elders are meant to thrive. During the stimulating days of educational sessions, representatives from the national Green House initiative, and Green House organizations from around the country spoke on various topics to help move the field forward.
Debbie Wiegand, Rhonda Wolpert and Rob Simonetti shared design lessons learned in their session, “Build This, Not That, Lessons Learned from a Decade of Green House Experience.” Since the first home opened in 2003, there have been variations in layout and design. Through a formal Design Survey, The Green House Project asked every Green House adopter what works and what doesn’t for building design and regulatory challenges, and what strategies worked to overcome perceived regulatory code barriers. Also, insights from newly completed THRIVE research help us understand how the design contributes to sustainability, from operating cost and quality of care perspectives. Listen to this webinar that Debbie and Rob did to help those interested in changing the paradigm of long term care, build environments that support a new way of life.
Susan Frazier, Marla DeVries and Cheryl Van Bemden took audience members “Into The Black Box of Green House homes”. Here they talked about the impact of decision making to reinforce or erode culture change. Utilizing new insights from The Research Initiative Valuing Eldercare (THRIVE), a collaborative of top researchers created to learn more about what contributes to higher quality in nursing homes, this session explored the factors impacting problem-solving in long-term care organizations that lead to reinforcement or erosion of an empowered workforce, and person-centered models. Participants explored the four factors that the research determined to most greatly impact sustainability, while discovering organizational strengths and growth opportunities to create a slip-resistant change.
Tammy Marshall, Lori Grossman and Miriam Levi shared their experience of implementing person-centered care principles across Jewish Home Lifecare, a large organization with multiple sites. Tammy Marshall facilitated a second session with Sonya Barsness. They spoke about the importance of research to support “culture change” and “person-centered care.” They shared research that is being done at Jewish Home Lifecare, and how others can access research, translate it to those who need it most, and identify opportunities for additional research.
Finally, the team from Lutheran Homes of Oshkosh shared a special session called, “Honoring the Spirit Within Through Namaste Care: An End-of-Life Program for Persons with Dementia”. Namaste Care takes its name from the Hindu word meaning “to honor the spirit within.” The program was developed for elders with advanced dementia and strives to maintain their highest quality of life. It includes simple and practical ways for care partners to create opportunities for connection, meaning, and joy.
This conference is always an energy boost, knowing that the movement to transform long term care, and what it means to age, is growing, evolving and gaining momentum. The Green House Project is honored to be a leader of culture change and will continue to pursue evidence based excellence, that is based in deep knowing relationships, meaningful life and empowerment for all.
By Rachel Klumpp / Posted on August 5th, 2015
The Green House model was originally designed as a long term care solution where elders could live for the remainder of their lives. Leonard Florence Center for Living (LFCL) has expanded their Green House homes to include three short term rehab homes within their ten home building in Chelsea, MA. In the webinar, Short Term Rehab in the Green House Model – A Case Study, Ina Hoffman, Director of Admissions, and Jill Tura, Director of Rehabilitation, describe how short term rehab can be delivered in a real home environment, and highlight their positive clinical and financial outcomes. Their decision to incorporate short term rehab into their Green House homes outlines how providing this service has made them a preferred provider in the community and creates a highly attractive environment that increases consumer demand.
In order to provide high quality care to elders and those who living with diseases such as Multiple Sclerosis or Amyotrophic Lateral Sclerosis, LFCL needed to create a financial situation that would enable them to serve Medicaid recipients, while managing organizational needs. Incorporating short term rehab into their Green House homes provides financial balance to their building and allows individuals to receive short term orthopedic, cardiopulmonary, neurological, or medical rehabilitation in a real home environment. Currently, LFCL has up to 30 individuals receiving short term rehab at any given time, averaging 45 admissions per month. Through strategic marketing, seeking connections with Boston area hospitals and Accountable Care Organizations, and referrals from elders and their families, they became a choice provider of short term rehab in their community – and a reputation that proves it.
“There are not many places that can do what we do.” Ina says when describing short term rehab in a Green House home as an “Occupational Therapist’s dream.” Rather than stimulating home-like environments, functional, practical therapy is provided seven days a week in a real home to ensure maximum safety and success upon discharge. Those who come to LFCL for rehab practice activities of daily living with their core rehabilitation team in the common areas of the home, while more personal tasks such as bathing, dressing, and toileting can be done in the privacy of their own bedroom and bathroom. The Green House environment fosters a sense of community and family within the home. The members of the house encourage each other during therapy sessions, discuss therapy goals and frustrations over meals, and exchange telephone numbers when they return to the community to keep in touch beyond their stay. Because LFCL is within the larger Chelsea Jewish Foundation, when a person is ready to transition to in-home care, they can continue to receive therapy from the same core team, allowing for a continuous, efficient transition of care.
By incorporating short-term rehab into their Green House homes, LFCL created a financial strategy that “keeps the building going.” Short-term rehab created an opportunity to stay true to their mission while providing high-quality, integrated care with positive outcomes, including decreased length of stay, higher overall satisfaction, and decreased rehospitalizations.
By Mary Hopfner-Thomas / Posted on July 29th, 2015
The once a decade White House Conference on Aging, held on July 13th, was truly a “virtual” event! All of the presentations and panels were live streamed—with over 700 “Watch Parties” taking place across the country. Perhaps YOU participated in one. 10,000 Twitter users contributed to the dialogue that day letting the world know their thoughts and reactions to the speakers by using the hashtag #WHCOA.
President Obama spoke during the event noting that one of the best measures of a country is how it treats its older citizens and noted that our country’s greatest triumphs are the Medicare, Medicaid and Social Security programs.
LeadingAge was just one organization which hosted a watch party. They compiled their top 10 highlights from the event:
- A Call for Caregiver Support Systems
- CMS Proposed Rule: Reform of Requirements for Long-Term Care Facilities
- HHS Secretary Announces Funding for Workforce
Click here to read their entire list of highlights and details about each one!
By Admin / Posted on July 28th, 2015
Chelsea Jewish Foundation is an innovative organization that has infused meaningful life across all of their communities. In addition to Chelsea Jewish Nursing Home, they also operate the groundbreaking Leonard Florence Center for Living that includes 10 Green House homes in a high rise structure, serving elders, short term rehabilitation and those living with MS and ALS.
The Chelsea Jewish Nursing Home’s first wedding in its 96 year history took place on Friday, July 10, 2015. Rose Stetson, a 91 year old resident, truly wanted to see her son Kevin get married and her son couldn’t imagine his mom not being present. What better place for a wedding than Rose’s home at Chelsea Jewish Nursing Home? Kevin and Sharon were married by Sharon’s father, who became a Life Minister and officiated the ceremony. The bride’s daughter, Lexie, was the maid of honor and Rose’s grandson, Tim, was the best man. All in all, it was a wonderful family affair on a beautiful July day.
By Admin / Posted on July 16th, 2015
Ceder Sinai Park (CSP) is happy to announce it will be breaking ground on a $33 million construction project focused on renovation of the Robison Jewish Health Center and its transformation into a 44-bed post-acute rehabilitation center. The project will also include the construction of two additional buildings with four homes in THE GREEN HOUSE® model – providing 12 beds each (48 total) for an improved model of long-term care.
“We commend Cedar Sinai Park for their vision to further their mission by implementing The Green House model, and their commitment to transform long term care in Oregon” said Susan Frazier, Senior Director, The Green House Project.
CSP is committed to helping people stay at home as long as possible or maintain lower levels of care and is moving forward with this project in response to community needs for post-hospital sub-acute care rehabilitation services to facilitate returning home after a medical event such as a hip replacement or surgery.
Four new homes will be part of the Harold Schnitzer Health & Rehabilitation Care Center, focused on providing state-of-the-art long-term care in the model of Green House homes across the country. These homes will emphasize quality-of-life; person-directed care which results in improved healthcare outcomes for residents who can no longer remain at home due to conditions such as Parkinson’s, Alzheimer’s and Multiple Sclerosis.
On Wednesday, July 15th, we will officially break ground on the new center. The groundbreaking will take place at 4:00 p.m. on the corner of SW 62nd Avenue and Boundary Street, and will include remarks from CSP and community leaders.
“We are pleased to see this dynamic construction project begin. It is important to Cedar Sinai Park and the entire community that we develop a 21st century service capacity that is both beautiful and able to meet changing healthcare demands,” said Jim Winkler, Capital Campaign Chair.
“Cedar Sinai Park is proud to be working with LRS Architects and R&H Construction on this project” according to David Fuks, CSP Chief Executive Officer. “These two firms represent the highest quality teams and we are glad to be teaming with them on this very important work.”
The Green House Project is a radically new, national model for skilled-nursing care that returns control, dignity and a sense of well-being to elders, their families and direct care staff. In the Green House model, residents receive care in small, self-contained homes organized to deliver individualized care, meaningful relationships and better direct care jobs through a self-managed team of direct care staff working in cross-trained roles. Green House homes meet all state and federal regulatory and reimbursement criteria for skilled-nursing facilities.
About Cedar Sinai Park: Cedar Sinai Park provides residential and community-based care to elders and adults with special needs, allowing them to live with comfort, independence, and dignity in a manner and in an environment based on Jewish values. A nonprofit organization, we are committed to delivering a broad-based continuum of care that can be tailored to individuals’ unique needs. Our services include independent and assisted living (Rose Schnitzer Manor), nursing home care (Robison Jewish Health Center), daily respite care (Adult Day Services), affordable housing for seniors and people with disabilities (Rose Schnitzer Tower, Lexington Apartments, Park Tower Apartments, The 1200 Building), in-home care (Sinai In-Home Care), a collaboration with Jewish Family & Child Service), and affordable housing for developmentally disabled adults (Kehillah).
By Rachel Klumpp / Posted on July 15th, 2015
Rebecca Priest, Chief Operating Officer, and Jim Clark, Chief Financial Officer, of St. John’s homes in Rochester, NY share their Green House journey through the lens of delivering financial success to their organization and value to their customer. In the webinar St. John’s Journey: Providing the Best Quality of Care at the Lowest Operating Cost, Rebecca and Jim encourage listeners to “rethink all that you think you know” in order to provide the most incredible, elder engaged service at the best value in Green House homes.
Jim Clark, VP and CFO identifies that financial stability “is the side effect of doing things right.” Specifically, elder growth and well-being through positive clinical outcomes in addition to successful employees through retention and labor costs results in financial stability in two forms; revenue and predictability.
Listen to the webinar here: http://impact.adobeconnect.
Christian Care Communities Opens Doors to The Homeplace at Midway – Kentucky’s First Green House® Senior Living Residence
By Admin / Posted on July 14th, 2015
Contact: Mary Lynn Spalding
Vice President and Chief Operating Officer
Christian Care Communities
(502) 254-4242 or cell (502) 609-4690
FOR IMMEDIATE RELEASE
Christian Care Communities Opens Doors to The Homeplace at Midway – Kentucky’s First Green House® Senior Living Residence
New $13.5 Million Green House® Community Creates Small Cottages of Care Revolutionizes Assisted Living, Memory Care and Skilled Nursing for Older Adults
(MIDWAY, KENTUCKY (JUNE 25, 2015) – Christian Care Communities today opened the doors to Kentucky’s first Green House® Residence – The Homeplace at Midway – that revolutionizes assisted living, memory care and skilled nursing care for older adults. Public officials, community and business leaders joined with Christian Care for the ribbon cutting celebration, signaling the opening of the new $13.5 million Green House® community at 101 Sexton Way, across from Midway College.
“The Homeplace at Midway represents a new beginning for older adults in Kentucky and for communities across the Commonwealth to embrace them as living treasures, not a burden or a challenge,” said Dr. Keith Knapp, president and chief executive officer of Christian Care Communities. “We are extremely grateful to the City of Midway, Midway Nursing Home Task Force, Midway College, state and local government agencies, our capital campaign’s Leadership Council and all our friends and supporters who championed this new direction and envisioned with us a new day when older adults would receive the highest quality care and support, without feeling their lives are being disrupted or overtaken. We trust that it will inspire other senior living providers to move in a similar direction.”
“States, families and communities are being challenged to find better ways of providing for the needs of elders, and The Homeplace, with its emphasis on home, shows how care can be made more loving, community centered and effective,” said William Thomas, M.D., founder of The Green House® model, who was among the many special guests participating in the ribbon cutting celebration.
Person-Centered Cottages of Care
The new 31-acre Christian Care Green House® community offers a comprehensive continuum of care with a 12-person assisted living cottage for those who need periodic assistance with daily living activities; a 12-person memory care/personal care cottage for individuals with Alzheimer’s, dementia and other cognitive impairments; and two skilled nursing cottages for 23 individuals with short-term rehabilitation or long-term care needs. In addition, The Homeplace at Midway includes an administrative cottage and the Lucy Simms Lloyd Gathering House for special gatherings, worship services and activities.
“In our Green House® cottages, each resident will have a private bedroom and bath and share, just as people do in any home, the kitchen, living room, den and porch areas,” said Dr. Knapp. “It’s all designed to give residents the freedom to set their own daily routines and to live life to its fullest, while receiving the individual care they need – within each cottage.”
As the community grows, Christian Care Communities plans to add independent living garden homes and an Adult Day Center program to complement the resident cottages.
The Green House® Difference
“The Green House® approach strengthens our ability to honor older adults by creatively fostering their inclusion – their meaningful participation – in the very communities they helped shape,” said Dr. Knapp, who noted that empirical evidence is mounting to support the effectiveness of the Green House® model on several fronts. “Clinical outcomes improve dramatically, resident and family satisfaction rise exponentially and staff turnover drops by leaps and bounds.”
About Christian Care Communities
Headquartered in Louisville, Christian Care Communities is Kentucky’s largest faith-inspired, non-profit provider of senior living communities and long-term care for older adults. In addition to Midway, its communities, services and programs for older adults are located in Bowling Green, Corbin, Grayson, Hartford, Hopkinsville, Lexington, Louisville, Nicholasville, Owensboro and Taylorsville.
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By Rachel Scher McLean / Posted on July 13th, 2015
For Immediate Release: Friday, July 10, 2015
Contact: Rachel McLean, firstname.lastname@example.org, 703-850-1897
Kavan Peterson, email@example.com, 206-305-2798
THE GREEN HOUSE PROJECT REPRESENTED AT THE WHITE HOUSE CONFERENCE ON AGING
Innovative Model for Elder Care Receives Attention from National Leadership
Arlington, VA: The Green House Project’s landmark approach to skilled nursing care will be highlighted at the White House Conference on Aging. The objective of the conference, which happens only once every 10 years, is to identify and advance actions to improve the quality of life of older Americans, and to look ahead to the issues that will help shape the landscape for older Americans for the next decade.
Since 2003, Green House homes have gone beyond simply providing quality medical care to elders: they’ve offered an environment and support system that enables each person to retain their individuality, and to live in a real home.
Nora Super, executive director at the White House Conference on Aging, recently visited the Leonard Florence Center for Living in Massachusetts and video footage from this visit will be shown during the event. This conference will draw greater attention to the model that is changing the face of elder care throughout the country.
“We live in an exciting era of growth and change in which outdated models of long term care are, at long last, being disrupted and replaced,” said Bill Thomas, geriatrician and founder of The Green House Project, who will attend the conference. “I am delighted that the White House Conference on Aging will be bringing well deserved attention to how we’re helping America reimagine care and caregiving in the 21st Century.”
Green House homes, which serve only 10-12 elders at a time, have private rooms and baths and a common, open kitchen. Supportive and versatile caregivers deliver outstanding care and engage in deep knowing relationships with elders. By comprehensively transforming the architecture, organizational design and philosophy of care, the model provides elders with high quality health care and a high quality of life that far exceeds the experience in traditional nursing homes.
In 2003, the Robert Wood Johnson Foundation helped pioneer the first Green House home in Tupelo, Mississippi. Today, more than 180 Green House homes are in existence in 28 states across the country, and more than 150 are in development.
Not only are Green House homes rising in popularity, they have been shown to reduce costs of care and treatment and offer a solution to delivering higher quality care at a competitive cost in the U.S.
“The Green House model is based in the belief that all people deserve to live their whole life to its fullest,” said Susan Frazier, senior director of The Green House Project. “With a decade of proven success, we are at a tipping point for the growth of this model and see the power that real home has on the health and wellbeing of elders and those who love them.”
The Green House Project
A partnership between the Robert Wood Johnson Foundation, Capital Impact Partners and the Center for Growing and Becoming, The Green House Project provides consulting, organizational development services, and ongoing support to providers and local organizations to support the development and operation of Green House homes across the country. To date, more than 180 Green Home homes are in operation.