Green House Blog

The Green House Project Highlighted in Forbes Magazine

Risa Lavizzo-Mourey was interviewed about Robert Wood Johnson Foundation’s recent $100M “impact capital” commitment, in the most recent edition of Forbes Magazine. This commitment is meant to signal to the market that health is the next frontier of impact investing.

In this interview, Dr. Lavizzo-Mourey highlighted The Green House Project as, “a powerful example of the kind of disruptive innovation we are interested in promoting through our impact capital commitment. Green House has the potential to transform the field of skilled-nursing care.”

The Green House Project, in partnership with NCB Capital Impact, have been awarded $10M through this “impact capital” program:

Our goal is to triple the number of Green House homes nationwide in the next three years. In order to meet that goal, the financing has to be there. That is why the first investment from our impact capital commitment is a $10 million low-interest credit facility to help finance new Green House projects specifically aimed at low-income seniors. Our partner, NCB Capital Impact, a national, non-profit community development finance institution, will leverage funding from other sources. Some experts anticipate our NCB funding to attract as much as five times more in additional investor funds for Green House homes.

Together with valuable partners like The Robert Wood Johnson Foundation and NCB Capital Impact, The Green House Project is in the business of social change. As Risa Lavizzo-Mourey puts it, “We wake up every day asking ourselves what we can do to make that change better, faster and to scale. This is our bottom line: The ways we give should and will evolve to enable us to achieve greater impact to improve the health and health care of all Americans.”

Click Here to read the full article in Forbes Magazine

Green House Webinars for AHCA: Financial Implications, Overview of The Model

Recently, Robert Jenkens and John Ponthie (Member, Summit Health) had the opportunity to present a series of webinars for members of the American Health Care Association (AHCA).  Below are links to view these webinars, archived on the AHCA website.  There is no cost, simply follow the instructions to register, and you will receive log in information!

AHCA/NCAL Green House® Webinar 1
Long waiting lists, high occupancy, and a 24 percent increase in private pay days indicate that consumers are voting for
GREEN HOUSE ® homes with their feet – in both the long-term and short stay markets – rewarding providers who have adopted this model of skilled nursing care.

New research to be published in NIC’s Senior Housing and Care Journal this September documents sustained improvements in resident satisfaction and clinical outcomes together with financial performance. This session will present newly available data on the financial and operational feasibility of the Green House program. Come and learn about:

a. Financial viability of Green House projects, including operating results, the business case, and adopters’ experiences in both the for-profit and not-for-profit sectors

b. The workflow of direct-care, clinical, and leadership staff and its impact on outcomes, operational efficiency, optimal resource allocations, and worker satisfaction.

c. Discuss regulatory and policy support for The Green House transformation.

AHCA/NCAL Green House® Webinar 2

Recorded on October 20, 2011 (90 minutes)
The Green House model is a de-institutionalized approach to long-term care, with significant philosophical, environmental, and organizational redesign. This session will discuss the model in detail, experience of adopters, research findings and financial outcomes of operating Green House homes. Come and learn about
a. Review the core principles of The Green House model and the workforce framework as a deep transformative model of work and care.

b. Share and discuss results from research and financial studies on the impact of the model on work flow and Nurse/Shahbaz clinical communication

c. Discuss the daily experience of Elders, Shahbazim, Nurses, Guides working within

Robert Wood Johnson Foundation Visits The Village of Redford

10/26/11 Detroit, MI

The Robert Wood Johnson Foundation’s (RWJF) board visited their grantee’s in Detroit this week. An important stop for them was The Village of Redford, a Presbyterian Villages of Michigan (PVM) campus where two Green House homes are located.

The RWJF board and staff were excited with what they saw in the homes and all the successes they heard from PVM staff and elders. For many board members and staff, this was their first time to visit an operating Green House home – although they said they have all seen the video and cried. Roger Myers, Melinda Callahan, Karl Schillinger, Angie Evans, Emma Williams, and a lovely elder named Kay,  led the PVM delegation on site and at dinner. PVM, as always, was a gracious and generous host. Their homes, now 4 years old (PVM opened the first Green House homes in Michigan and the third site in the country), have become even warmer and richer with the passage of time.

To return PVM’s favor, RWJF invited a big contingent of PVM folks to their board dinner. All had the opportunity meet RWJF’s board chair Governor Keane and Risa Lavizzo-Mourey, RWJF’s CEO and President.

As Angie and Emma were getting ready to leave, they corralled Robert for a photo. As the three were trying to figure out how get everyone into one photo, Risa walked by and offered to help out. After an excellent photo by Risa, the threesome corralled Risa (and Karl for good measure) !!STAY TUNED FOR THE PHOTO!!.

The Green House Project would like to thank Risa, RWJF, Angie, Emma, and PVM for their mission to serve those most in need as well as their unflagging support and friendship.

PHI Blog: Green House Model Is Comparable in Costs to Traditional Nursing Homes, Studies

Posted 10/27/2011 PHI Blog
Just as the Green House Project® announced the completion of the nation’s 100th Green House home in September, Seniors Home & Care Journal published an article concluding that the Green House model’s operations are “comparable in cost to traditional nursing homes as well as nursing homes that are implementing other culture change practices.”

The article, “Financial Implications of The Green House Model,” explains that several published studies have already shown that the Green House Model of licensed nursing homes “provides significant and sustained satisfaction and clinical improvements when compared to traditional nursing homes,” but that questions remain as to the model’s initial and long-term financial viability. Continue reading “PHI Blog: Green House Model Is Comparable in Costs to Traditional Nursing Homes, Studies”

Financial Implications of The Green House Model: Full NIC Article

Financial Implications of THE GREEN HOUSE® Model Overview

Robert Jenkens, MSRED; Terri Sult, MBA; Newell Lessell, MBA;
David Hammer, MS; Anna Ortigara, RN, MS, FAAN

Existing research establishes that THE GREEN HOUSE® model of nursing home care provides significant and sustained satisfaction and clinical improvements. Because these improvements have been difficult to achieve in traditional nursing homes without significant cost increases, potential adopters, policy makers, and advocates have asked if Green House homes can deliver these results within the cost neutral financials promised by the model’s transformational redesign.

Several recent studies, each limited in scope but with mutually reinforcing findings, provide growing evidence that The Green House model’s operations are comparable in cost to traditional nursing home operations as well as nursing homes implementing other culture change practices. Capital costs for Green House homes are found to be equivalent to or less than similar culture change models. Occupancy and private pay revenues are found to increase.

Major findings include:

• Significantly more direct-care and nursing time is delivered in The Green House home
• Overall staffing needs and costs do not increase compared to traditional settings due to a shift from supervisory and department hours to direct care hours.
• The Green House model uses time more effectively, delivering significantly more direct care and nursing hours within lower total direct service hours.
• Average operating costs for Green House homes are between the 50th to 60th percentile of nursing homes nationally.
• Consistent and financially important differences were found in Green House providers’ overall occupancy (7% higher) and private-pay occupancy (a 24% increase) compared to nursing home averages.
• No hidden or unexpected costs were associated with The Green House model.
• Green House homes’ capital costs, including all private rooms and bathrooms, were found to be at the low end of culture change models.

These research results, coupled with anecdotal experience of early adopters, indicate that The Green House model and implementation process offers a strong and flexible option for organizations seeking proven innovations to address current challenges and future opportunities.

NIC GHP One Page Summary

Click the Below Link to download the full article:

Financial Implications of The Green House Model_Senior Housing &Care Journal

Copyright© 2011, National Investment Center (NIC) for the Seniors Housing & Care Industry. No part of this document may be reproduced, stored in
a retrieval system, or transmitted in any form or by any means without permission from NIC.
SENIORS

Mennonite Home Communities of Ohio Celebrate their Ground Blessing and Groundbreaking for Two Green House Homes

Mennonite Home Communities of Ohio is building the two Green House homes, which are expected to be open for moving in on Oct. 1, 2012, said Laura Voth, CEO. For this team, who has been on their culture change journey for many years, this is a beautiful statement.

In describing the essence of the model for those living in The Green House homes, Laura said, “It is all about choice,” she said. “If they say, ‘I don’t want to,’ they don’t have to. If they say, ‘I want to,’ we can make it happen.” Continue reading “Mennonite Home Communities of Ohio Celebrate their Ground Blessing and Groundbreaking for Two Green House Homes”

The Green House Workforce Model

Betsy Mullen is the Guide at Leonard Florence Center for Living

Members of the newly opened Leonard Florence Center for Living in Chelsea, Mass. — the nation’s first urban Green House Project — joined the Green House team for a panel discussion at the 2011 LeadingAge conference in Washington, D.C., Oct. 17.

The topic of the discussion was the innovative workforce model pioneered by the Green House. In Green House homes, the focus of staffing is shifted away from administrative roles towards direct care of elders. Each Green House Project has a clinical support team, which includes nurses, therapists, social services, activities, and dietary professionals, working in partnership with the Shahbazim (universal workers who replace traditional CNA’s) to develop and implement individualized care plans for the elders. Continue reading “The Green House Workforce Model”

Why People Move to Nursing Homes

Posted on October 25, 2011 by Dr. Al Power, St. John’s Living

As I travel and speak, I often find myself challenging a notion that seems deeply rooted in long-term care–an idea that, in its essence, is a barrier to deep culture change. That notion is that people move to nursing homes because of complex medical or nursing care needs.

My contention is that for nearly every person who lives in your nursing home, I can find an identical person still living at home. The reason people move to nursing homes is primarily socioeconomic, not medical. If you have the resources–family or financial–to receive care in your home or in more independent housing, you will virtually always choose that option and stay where you are.

Continue reading “Why People Move to Nursing Homes”

Reflections on the dedication of the Veteran's Administration Green House homes

103 y.o. veteran Melvin Long attends the dedication of The Green House homes

After a week of rain it was a sunny,bright day to celebrate the opening of the Green House Homes. Freedom, and Liberty House, in the VA Illiana Health Care System. Terry Simonette, Robert Jenkens, Susan Frazier, Lisa Maxwell, and Bill Keane joined the veterans and the extraordinary VA team and much of Danville for this long awaited event. Also joining to celebrate were Christa Hojlo, National Director VA Community Living Centers, Veterans Health Administration and the catalyst of Culture Change throughout the VA system and Congressman John Shimkus. After many thoughtful and moving speeches, Congressman Shimkus ended by saying he would make his remarks quickly since 103 year old Melvin Long, along with the other nine veterans that were moving in, had waited long enough. Continue reading “Reflections on the dedication of the Veteran's Administration Green House homes”

Reflections on the dedication of the Veteran’s Administration Green House homes

103 y.o. veteran Melvin Long attends the dedication of The Green House homes

After a week of rain it was a sunny,bright day to celebrate the opening of the Green House Homes. Freedom, and Liberty House, in the VA Illiana Health Care System. Terry Simonette, Robert Jenkens, Susan Frazier, Lisa Maxwell, and Bill Keane joined the veterans and the extraordinary VA team and much of Danville for this long awaited event. Also joining to celebrate were Christa Hojlo, National Director VA Community Living Centers, Veterans Health Administration and the catalyst of Culture Change throughout the VA system and Congressman John Shimkus. After many thoughtful and moving speeches, Congressman Shimkus ended by saying he would make his remarks quickly since 103 year old Melvin Long, along with the other nine veterans that were moving in, had waited long enough. Continue reading “Reflections on the dedication of the Veteran’s Administration Green House homes”

Gala to Celebrate VA Illiana Green House Homes

VA Illiana Healthcare System – Danville, IL
The Gala to celebrate the first VA Green House homes was held at 5pm on October 20th, 2011. For six years this leadership team has been dreaming about offering a better way to care for their most sacred population, the veteran elders. Finally dreams become a reality as their Green House homes are dedicated tomorrow. Continue reading “Gala to Celebrate VA Illiana Green House Homes”

Audrey Weiner, video of Inaugural Speech,LeadingAge Board Chair 2012-2013

 

Audrey Weiner, president and CEO of Jewish Home Lifecare, offers her thoughts as she is affirmed as LeadingAge’s chair for 2012-2013. Audrey has a long history of progressive thinking, including adoption of the first Green House Project in New York City! ‎

She says, ‘It’ll take our might, creativity, smarts to preserve the safety net that supports our elders.’ The Green House Project shares our congratulations with the LeadingAge community, and look forward to the innovative leadership that Audrey is certain to impart with this organization, and to the future of our field.