Green House Blog

The Green House Business Case, Improving Lives and Bottom Lines 9/14 @ 3:00p

Join us this Friday, September 14th at 3:00PM EST, to learn how The Green House Model improves lives and bottom lines! CLICK HERE to sign up for the free webinar!

Since the first Green House homes opened in 2003, THE GREEN HOUSE® PROJECT has worked on the leading edge of deep culture change to evolve and gain momentum throughout the country. We are pleased that there are Green House homes in many states. To see a complete list of Green House homes, by state, click here. The Green House model is a values and evidence based model, which creates flexibility to amplify each organization’s unique mission, while achieving positive outcomes.

The Green House model creates a real home, as a family member noted, “It looks like you’re walking into a living room. There is always someone cooking and it smells good. It’s a homey, warm setting. If I’m not there, the next best thing is on the other side of the door. They are there for her as quick as I am.” The stories and the research show that this model creates a high quality of care and a quality of life for those who are living and working in The Green House homes. The question has still remained, however, that if it is that much better, doesn’t it have to cost more?

The Green House Business Case was created to answer this question. This piece consists of a high level brochure that gives talking points to the champion of the model, the full report of The Business Case, which is created to speak directly to the CFO of the organization, and the video, which highlights our adopters and their experience of The Green House Project as a wise business investment. The Green House model makes sense not only from a quality of life perspective, but also from a business perspective. Operating a Green House home can increase occupancy and revenue while keeping costs the same, compared to a traditional nursing home.

Key Findings:

Increased occupancy rates. Compared to traditional nursing homes, Green House homes have higher occupancy rates–across private pay residents, Medicare residents and overall. “People will travel from near and far to come here,” says Betsy Mullen, executive director of the Leonard Florence Center for Living in Boston. For organizations that have implemented The Green House model, nursing home occupancy rates have increased an average of 6.5 percent overall while private pay days increased 24 percent.

Increased revenues. Research shows that 61 percent of caregivers would pay more to have their family members live in a Green House home, with two-thirds of those caregivers willing to pay 10 percent to 25 percent more. When family members see a Green House home, that is where they want their loved ones to live.

Operating costs at or below average level. Operating costs are more or less the same in a Green House home as they are in a traditional nursing home. Although staffing costs are higher for direct care in a Green House home, these increases are offset by cost reductions in supervisory and administrative staffing.

CLICK HERE to watch The Green House Business Case video and sign up for our FREE webinar

Business Case – Partnering with the Green House Project from The Green House Project on Vimeo.


The Green House Project contributes to life safety regulatory improvements

Recently, CMS announced important life safety regulatory changes that will support the creation of home in long-term care settings. All of these changes have been approved by the National Fire Protection Association (NFPA) and are effective immediately. It is important to note that elder/resident safety and quality of life were held as top priorities throughout the process of revising the regulations. Among the changes are:
• Allowing open kitchens
• Allowing permanent seating groupings in corridors
• Allowing gas fireplaces in common areas
• Increasing the amount of wall space that may be covered by decorations
Positive collaboration
These changes are the result of three years of collaborative work by a taskforce known as the National Long-Term Care Life Safety Taskforce organized by The Pioneer Network. The taskforce consisted of individuals representing CMS, state survey agencies, provider associations, architects, researchers, culture change and life safety code experts.
The Green House Project was represented on the Taskforce by Robert Jenkens, Director. The stated goal of the group was to remove “unintended barriers to quality of life” found in the NFPA 101 Life Safety Code which is the standard used by CMS to regulate long-term care settings. These barriers came in the form of regulations that prevent the design of homes for elders/residents in certain ways that honor human needs, culture and preferences. Designing homes for the people who will live in them is a philosophy that is fundamental to The Green House model’s foundational principle of “creating home”.
What is “creating home”?

Creating home is a key culture change principle which holds as a top priority that long-term care environments must be viewed first as homes for the people who live in them. This contrasts the traditional medical model philosophy which held that long-term care settings were to be designed for the efficient delivery of care with little regard for the humanity and individuality of those who live and work there.

Better for everyone

These recent improvements to life safety code will better equip long-term care providers to successfully create home for the elders/residents they care for. While the new regulations are less prescriptive and more flexible, they do not compromise safety. Having increased flexibility to create homes that honor individuality, culture and meaningful engagement equips providers with the ability to accomplish more for the hard work they do and improve the quality of live for elders/residents in the process.