Green House Blog

GREEN HOUSE® PROJECT CONTINUES TO LEAD LONG-TERM CARE TRANSFORMATION WITH NEW $650,000 ROBERT WOOD JOHNSON FOUNDATION GRANT

 

 

For more information, contact:  Susan Ryan
sryan@thegreenhouseproject.org or 703.615.2359

 

 

GREEN HOUSE® PROJECT CONTINUES TO LEAD LONG-TERM CARE TRANSFORMATION WITH NEW $650,000 ROBERT WOOD JOHNSON FOUNDATION GRANT

BALTIMORE, MDThe Green House® Project has received a two-year, $650,000 grant from the Robert Wood Johnson Foundation (RWJF) to fulfill its mission of redefining—and humanizing—long-term care in the United States.

The Green House Project aims to end the institutionalization of older adults in America. Under this vision, all elders will have the opportunity to live in small, welcoming homes with dignity, autonomy, choice, and the best quality of life possible, while receiving the care they need.

The new RWJF grant will enable Green House Project leaders at the nonprofit Center for Innovation, which recently acquired the Green House trademark and intellectual property, to continue spearheading this movement. They will work with the leading Green House adopters to further refine the model while spreading it across the country.

Additionally, the national initiative plans to expand the impact of the Green House model through a specialized focus on people living with dementia, people in need of short-term rehabilitation services, and other areas of innovation. The Green House Project, the pioneer of the small house model, offers proven clinical and financial outcomes through a comprehensive cultural transformation across the entire organizational system.

“The Green House Project is a dynamic model that continues to evolve as an agile leader in the field,” said Scott Townsley, president of the Center for Innovation. “The success of the Green House Project has catalyzed a community of thought leaders who are discovering new ways to improve the lives of elders. We’re excited to work in partnership with them to change the way people age.”

The Center for Innovation, where the Green House Project is based, was founded by three members of the faculty at The Erickson School, University of Maryland Baltimore County. The Erickson School is the only program in the country offering both undergraduate and graduate degrees in the management of aging services.

The Green House Project launched more than a dozen years ago with the shared vision of its founder, William Thomas, M.D., and RWJF, for transforming long-term care. Today, 231 Green House homes are open and operating, serving elders in 32 states across the country, and another 150 are in the works.

“We owe a debt of gratitude to Dr. Thomas for his role in helping to get the Green House Project to where it is today,” said Susan Ryan, senior director of The Green House Project.  “We wish him well in his future endeavors to move the field forward.”

The Green House Project has a solid evidence base. Supported by RWJF, the THRIVE Research Collaborative conducted a comprehensive and rigorous evaluation of the Green House model.  A team of leading health care and long-term researchers conducted a half-dozen studies that addressed workforce issues, quality of care, cost savings, and culture change.  These studies, all published in the journal Health Services Research, found that:

  • Elders in Green House homes were less likely to be readmitted to the hospital, to be bedridden, to need catheters, or to have pressure sores than those in non-Green House homes.
  • Annual inpatient and skilled nursing facility Medicare costs were significantly lower for elders in Green House homes.
  • Caregiving staff in Green House homes spent more time per day with elders than caregiving staff in non-Green House homes.

“The Green House Project is what people want—for themselves and for their loved ones,” said Nancy Barrand, senior adviser for program development at RWJF.  “We want to ensure that every community has a Green House home and that the Green House Project becomes the standard of quality for all nursing care.”

 To learn more about The Green House Project, visit:  thegreenhouseproject.org

 

 

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Ave Maria Home Receives Grant to Build Safe Havens for Victims of Abuse

Acting on a strong mission to serve elders in need, Ave Maria home, in Bartlett, TN is embarking on Phase II of their Green House journey.  They are currently building five 12-bed Green House homes that will join four Green Houses built six years ago.  The new homes have a special purpose, to serve as a safe haven for elders who have experienced abuse.

To support this worthy endeavor, The Harry and Jeanette Weinberg Foundation, Inc. has awarded them a grant of $500,000.  Ave Maria CEO, Frank Gattuso, states “It’s exciting to have a national foundation’s involvement in recognizing the importance of care for our elders.  The Weinberg Foundation is committed to assisting elders through post-acute care and culture change in our community with these Green House homes.”

Maureen Conley, family member of one of the Ave Maria residents.

The Green House model has within it, the power to impact those who live and work there.  The comprehensive transformation of environment, philosophy, and organizational redesign creates an interelated web that supports people to flourish.  Ave Maria home is a leader in Tennessee elder care, and we are so proud to be a part of their innovative and compassionate work.

The Harry and Jeanette Weinberg Foundation, Inc. are integral partners.  Susan Ryan, Senior Director of The Green House Project shares, “Since 2013, the reach of The Green House Project has been expanded through the generous support of The Harry and Jeanette Weinberg Foundation. Their involvement enables the Green House® Project to make an even greater impact, bringing a highly and more personalized standard of care to elders in every community.   These funds have furthered innovation in the field and are vital to extend truly excellent, affordable long term care to all people regardless of acuity level or ability to pay.”

Congratulations to Ave Maria Home, on this truly important work, and the national recognition and support

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The Robert Wood Johnson Foundation Awards Third Major Grant to THE GREEN HOUSE® Project

On November 1, 2013, the Robert Wood Johnson Foundation announced a third, three-year grant to NCB Capital Impact to fund The Green House Project.  This $2.75 million grant is designed to build on the successes of the first and second grants’ activities and those of our pioneering provider partners. Thirty-five organizations have already adopted the evidence-based Green House model and built 153 homes across the country.  The new grant will aim to significantly expand those adoption numbers, with the goal of making Green House homes an affordable long-term care option in every community.

In a recently published collection of testimonials about The Green House Project for our 10th anniversary, Risa Lavizzo-Mourey, president and CEO of the Robert Wood Johnson Foundation, said, “Ten years ago, the idea that we could redesign nursing homes to create the experience of living in a real home was radical.  Today, The Green House model is the benchmark of quality and patient satisfaction for affordable, community-based skilled care nationwide.  As a catalyst for change in long-term care, The Green House Project inspires us to support a culture of health and well-being for older adults across the nation.”

The previous two grants from the Robert Wood Johnson Foundation have resulted in huge strides forward in replicating The Green House model.  The second grant catalyzed the spread of the model across the United States fueled by the excellent regulatory, clinical and quality of life outcomes achieved by the early adopters. Terry Simonette, president and CEO of NCB Capital Impact, which serves as the national replication and technical assistance center for the initiative said, “[The Green House Project] demonstrates that it is possible to provide the best care to the people who need it most, at the same cost as a traditional nursing home.”

This new grant will enable NCB Capital Impact and the Green House team to spread the model nationwide, expand financing opportunities for new projects, spread policy gains across states, pilot the model with new populations, and continue to strengthen the Green House brand nationally.  “The signal achievement of the Green House is it shows the world that the institutional model of care is obsolete,” said Green House Founder Dr. Bill Thomas.

Please contact The Green House Project with any questions at 703-647-2311 or info@thegreenhouseproject.org.

 

AARP Foundation and Weinberg Foundation Invest to Extend Green House Model to Low-Income Seniors

New collaborations build on the Robert Wood Johnson Foundation’s $10 million
program-related investment in THE GREEN HOUSE® Project

FOR IMMEDIATE RELEASE
July 11, 2013

CONTACT:
Leslie Lipsick, 415-901-0111, llipsick@fenton.com
Christine Clayton, 609-627-5937, media@rwjf.org

Princeton, NJ — The Robert Wood Johnson Foundation’s (RWJF) efforts to bring high-quality skilled nursing care to low-income seniors got a boost recently as both AARP Foundation and The Harry and Jeanette Weinberg Foundation announced new investments in The Green House Project. The new commitments bolster the national loan fund for Green House homes that RWJF helped to establish in 2011 with a 10-year, $10 million low-interest credit facility.

AARP Foundation unveiled a new $2.5 million program-related investment (PRI) in innovative housing options for the vulnerable, 50+ population, including The Green House Project. The Weinberg Foundation simultaneously agreed to formalize and grow its existing grant program for skilled nursing facilities that both adopt The Green House model and serve low-income populations. The Weinberg Foundation has committed to a minimum of $8 million in capital grants for Green House residences this fiscal year alone.

Though the three foundations’ investments differ in their details, they share the common goal of bringing a higher and more personalized standard of care to aging Americans in every community. The three also share a joint belief that innovative financing is a vital tool for giving lower-income communities the capital required to develop truly excellent, affordable long-term care options.

Unlike traditional nursing homes that have a more institutional feel, Green House homes are designed from the ground up to look and feel like a real home. In an effort to provide more personalized and dignified care, only six to 12 elders live in each home, and every resident has the comfort of a private room and bathroom, along with the freedom to set his or her own daily routine. Even the care in a Green House home is different, with a small team of trained universal caregivers meeting the majority of needs of the residents. Research shows that a Green House home’s intimate layout, combined with its innovative staffing model, provides residents with four times more personal and social contact than typical nursing homes.

“The Green House Project delivers on a bold vision of better, more dignified care for elders that is spreading widely in communities across the country,” said Risa Lavizzo-Mourey, MD, president and CEO of the Robert Wood Johnson Foundation. “We are thrilled to have the AARP and Weinberg Foundations join us in investing to spread the impact of this powerful model to all seniors, regardless of income.”

AARP Foundation: Leveraging Investment Instruments to Drive 50+ Housing Innovation

With the use of program-related investments, AARP Foundation aims to create new models of housing that are scalable and replicable, and to increase the sheer number of affordable and adequate housing units available for low-income Americans over 50. With at least 13 million Americans in low-income, 50+ households struggling to find affordable and/or adequate housing, AARP Foundation identified housing as an area ripe for impact investing.

In addition to funding the replication of The Green House model, led by NCB Capital Impact, the $2.5 million investment will also support Enterprise Community Loan Fund, Inc. and ROC USA. The former will use the investment to help finance the creation of affordable rental and rural housing for low-income seniors. The latter will use it to empower owners of mobile homes, a vulnerable and aging group, to cooperatively purchase the land on which their homes are located.

“All of these projects aim to build, retrofit, or purchase safe and affordable housing that not only helps older residents avoid high housing cost burdens, but also addresses their need for community—either by helping them age in place or create a new community based on a non-institutional model,” said AARP Foundation President Jo Ann Jenkins.

Weinberg Foundation: Expanding on an Early Investment in Culture Change

During the last five years, the Weinberg Foundation has made six capital grants for Green House homes, totaling just over $5.5 million, including some of the most innovative adoptions of the model. During that time, the Weinberg Foundation has seen demand for small home nursing models like Green House soar. At the same time, millions of vulnerable older adults have been unable to access the quality, skilled care they need—whether due to limited incomes, high costs of care, or isolation.

To fulfill its vision that every older adult has the opportunity to lead a life of dignity and independence, no matter their ability or income, the Weinberg Foundation has agreed to formalize and expand its Green House development grants program, committing to a minimum of $8 million in capital grants for these residences in the 2014 fiscal year. Among other requirements, applying providers must serve at least 60 percent Medicaid-eligible individuals, with 70 percent preferred, and be open to people of all beliefs.

“All older adults deserve the chance to lead meaningful, engaged lives and to maintain their independence for as long as possible,” said Donn Weinberg, Weinberg Foundation trustee and executive vice president. “Through the combined total of more than $13 million in capital grants already made or planned, the Weinberg Foundation hopes to extend the Green House and other culture-change models to more of our most vulnerable older adults so that they can continue to live robust, healthy lives.”

Robert Wood Johnson Foundation: Increasing the Impact of a Long-Time Investment

Since 2002, the Robert Wood Johnson Foundation has awarded $20 million, primarily to NCB Capital Impact, to develop, test, and evaluate The Green House model. In 2011, the Foundation made a new $10 million program investment to build on its existing support of Green House, with the goal of helping the model achieve greater reach and impact than its current presence (146 homes across 24 states).

Specifically, the PRI lowers the cost of financing Green House projects that serve low-income individuals and low-income areas. NCB Capital Impact serves as administrator for the loan fund and seeks investors to leverage RWJF funding in any one project by a ratio of 4-to-1. The investment was part of RWJF’s larger $100 million “impact capital” commitment designed to help the Foundation and its grantees leverage funding from multiple sources and spread innovative solutions that improve health and health care for all Americans.

About the Robert Wood Johnson Foundation
The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to health and health care, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, measurable, and timely change. For 40 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. When it comes to helping Americans lead healthier lives and get the care they need, the Foundation expects to make a difference in your lifetime. For more information, visit www.rwjf.org. Follow the Foundation on Twitter www.rwjf.org/twitter or Facebook www.rwjf.org/facebook.

About The Harry and Jeanette Weinberg Foundation
The Harry and Jeanette Weinberg Foundation, one of the largest private charitable foundations in the United States, provides approximately $100 million in annual grants to nonprofits that provide direct services to low-income and vulnerable individuals and families, primarily in the U.S. and Israel. Grants are focused on meeting basic needs and enhancing an individual’s ability to meet those needs, with emphasis on older adults, the Jewish community, and our hometown communities including Maryland, northeastern Pennsylvania, Hawaii, Israel, and the Former Soviet Union. For more information, please go to www.hjweinbergfoundation.org.

About AARP Foundation
AARP Foundation is working to win back opportunity for struggling Americans 50+ by being a force for change on the most serious issues they face today: housing, hunger, income and isolation. By coordinating responses to these issues on all four fronts at once, and supporting them with vigorous legal advocacy, the Foundation serves the unique needs of those 50+ while working with local organizations nationwide to reach more people, strengthen communities, work more efficiently and make resources go further. AARP Foundation is AARP’s affiliated charity. Learn more at www.aarpfoundation.org.

About NCB Capital Impact
NCB Capital Impact helps people and communities reach their highest potential at every stage of life. As a Congressionally chartered, District of Columbia, non-profit community development finance institution, Capital Impact provides financial services and technical assistance nationwide to help make high-quality health care, healthy foods, housing, and education more accessible and attainable, and eldercare more dignified and respectful. Capital Impact has used its depth of experience, cooperative approach, and diverse network of alliances to generate over $1.825 billion in critical investments that create a high quality of life for low income people and communities. www.ncbcapitalimpact.org

About The Green House Project
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. http://thegreenhouseproject.org/
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Green House projects for Veteran's highlighted in GrantWatch Blog


In honor of Veteran’s Day, the Health Affairs GrantWatch Blog is highlighting those foundations that have supported programs to make life better for our nation’s heros. They pay tribute to the Robert Wood Johnson Foundation Funded Green House Project’s work with The U.S. Department ofVeteran’s Affairs.

“The U.S. Department of Veterans Affairs (VA) and the U.S. Department of Defense are moving toward revolutionizing delivery of skilled-nursing care for aging veterans in three locations this autumn. How? The VA is offering vets the opportunity to live in a Green House home”

To read more about these astounding project that are creating meaningful lives for veterans, click here: http://healthaffairs.org/blog/grantwatch/