Green House Blog

Green House Model Fidelity Tool Ensures Sustainability

The Green House (GH) model is a valuable investment of time and resources, and can yield incredible results.  As the only evidence based culture change initiative, it has been proven, and together with Green House adopters around the country, there is a responsibility to protect it.   The Model Enrichment Resource & Integrity Tool (MERIT) was developed in response to insights gained through research.  It is used as a tool to assess model integrity across all Green House homes.

MERIT Assessments

The term MERIT  (Model Enrichment Resource and Integrity Tool) is used to describe the GH model integrity process. However, MERIT is an umbrella term for several GH evaluation and assessment tools.

 MERIT Staff Assessment

  • The MERIT Staff Assessment is designed to evaluate the application of the core values of Real Home, Meaningful Life, and Empowered Staff in Green House homes. The MERIT Staff Assessment launched in 2015 and has been administered to open Green House homes in 2015 and 2016. It is used to measure how model fidelity manifests in practice.

MERIT Organizational Outcomes Assessment (new for 2017)

  • This tool gathers quality outcomes from Green House organizations including key clinical and financial indicators. These clinical and financial benchmarks will provide a valuable comparison to the MERIT Staff Assessment data, and parallels an organization’s data collection through its QI and QM processes.

MERIT Staff Assessment for Legacy Homes (new for 2017)

  • This online tool assesses the application of The Green House core values in a legacy environment. Green House organizations interested in assessing the level of alignment to the core values in their legacy environment and understanding the level of cultural transformation across the organization may contract with GHP for the delivery of the assessment tool. Participation is voluntary. The administration of this assessment tool follows the same process as the GH MERIT Staff Assessment.

More Information

The Green House model is based on three fundamental core values: Meaningful Life, Empowered Staff, and Real Home.  These values play an important role in successfully implementing and sustaining the integrity of the Green House model, as evidenced by:

  • Consistent care delivery and shared goals among Green House adopters
  • The most comprehensive approach to holistic culture change grounded in elder-centered values and essential practices
  • Standards that protect the integrity of The Green House brand and investment of organizations who have committed to the model
  • On-going opportunities for Green House peer support and accountability
  • Impact on a national scale with emphasis on research and growth of the model

The design and administration of the MERIT online assessment and database management process is managed by the Center for Social Research (CSR) at Calvin College in Grand Rapids, Michigan.  CSR conducts social-scientific research on behalf of Calvin faculty and a wide array of local, national, and international organizations.  Each year, the tool evolves and is refined.

 

 

 

 

Green House Model Integrity Initiative and Questionnaire

Since the beginning of this year, the Peer Network Model Integrity Committee has worked hard to establish goals for creating a benchmarking system based on the Green House Project core values and clearly defined essential practices. These goals are:

–          To develop a credible, efficient, and effective system to monitor, assist and promote excellence among Green House Model adopters

–          To create this system using a set of Standards of Excellence that in content and application become the gold standard in benchmarking superior performance in  Long-Term Care

This initiative, led by the Peer Network Model Integrity Committee in partnership with Peer Network Project Guide Marla DeVries and consultant Sandy Ransom, will include both quantitative and qualitative elements.  According to Sandy, “We want to be able to clearly show, in quantifiable terms, the Green House difference. This will enable both adopters and the Green House Project Team to definitively show that general long-term care expectations are exceeded in Green House homes, and people experience a greater sense of home and autonomy.”

In order to establish a system that will work for all communities, we will be sending a questionnaire to each adopter organization this summer that asks for information regarding Meaningful Life, Empowered Staff and Real Home and the essential practices that comprise each value. There will also be questions regarding each adopter’s current data collection processes.

This process will allow us to successfully implement and sustain the integrity of the Green House model now and in the years to come.