Build This, Not That: Lessons Learned From a Decade of Green House Home Experience

By / Posted on September 17th, 2015

Rob and Debbie speaking on this topic at The Pioneer Network Conference

Rob and Debbie speaking on this topic at The Pioneer Network Conference

Green House Project Guide Debbie Wiegand, LNHA and Rob Simonetti, Senior Associate with SWBR Architects highlight key Green House design lessons learned from over a decade of experience in the webinar “Build This, Not That: Lessons Learned From a Decade of Green House Home Experience.”  These lessons are supported by research, and have helped Green House adopters to partner with regulators to build residential homes that meet the highest level of skilled nursing licensing standards.

The core values of Real Home, Meaningful Life, and Empowered Staff represent the physical, philosophical, and organizational transformation that allows those working, living, and visiting Green House homes to “feel the difference” when they enter the front door. Design topics are addressed as they relate to The Green House experience, focusing on insight and value of design concepts that foster how the core values are lived and integrated in Green House Homes. Real home design elements are crucial in supporting elders and empowering staff to create a meaningful life within The Green House home. A strong evidence base of research around the core values provides insight into what makes the model unique and sustainable, and provides an opportunity for positive outcomes. These data driven practices are crucial solutions to share with providers, policy makers, and consumers when beginning the design process and overcoming regulatory hurdles.

“It’s all about relationships” when introducing this new, different model of care. In order to achieve this radical

St. John's Penfield Green House homes in Rochester, NY.  SWBR designed these homes in collaboration with the team from St. John's and The Green House Project

St. John’s Penfield Green House homes in Rochester, NY. SWBR designed these homes in collaboration with the team from St. John’s and The Green House Project

change in care, collaborating with state regulatory agencies is critical to develop strategies that create win-win outcomes for providers and regulators. Common goals are established through a formal meeting with the state regulatory agency to observe opportunities for insight on important topics and discuss strategies that honor the agency’s values while exceeding regulatory compliance through evidence based solutions. Green House has partnered with over 30 state agencies by creating opportunities to establish common ground and execute mutually shared goals through innovative strategies and model education. In the webinar, Debbie provides suggestions for adopters related to the top five regulatory hurdles that she has experienced; fireplaces, medication storage, elimination of the nurse’s station, open kitchens, and corridors. Green House adopters are encouraged to dialogue with regulators about ways to minimize potential harm while using evidence to support the impact the feature will have towards building quality of life.

When designing Green House homes, Rob encourages listeners to “think beyond the front door”, emphasizing that the experience of getting to the home should be integrated within the neighborhood and connect individuals back to their experiences and culture of that community through the location, regional architecture, and shared amenities of the home. Rob identifies lessons learned in various aspects of the home as the model has evolved over the past decade including home design, size, room layout, lighting, appliances, and furniture, highlighting responses of what works and what doesn’t from a recent survey of Green House adopter’s design experience.

Interested in learning more about Green House design? Listen to the webinar and learn more about the design process>>