As the push for new LTC options in Canada continues, join
@DrSamirSinha
and
@DavidCGrabowski
for a free virtual conversation on how to implement small homes, home- and community-based services, and other proven alternatives to traditional institutions
BREAKING: A group of U.S. Senators has proposed the creation of a $1.3B demonstration program designed to incentivize the creation of more small-home nursing home campuses.
A thread on why the Green House Project wholeheartedly supports this provision:
Dignified, person-directed care for elders and operational success aren't mutually exclusive.
@DrSamirSinha
of
@SinaiHealth
and
@UofT_dlsph
, along our
@pennylmcook
, dive into why and how in this week's episode of "Elevate Eldercare"
Thank you,
@GovKathyHochul
, for committing to Green House nursing home conversions in New York during today's State of the State address! We stand ready to assist officials and providers in truly transforming long-term care in the Empire State!
Today we’re announcing a formal alliance with
@PioneerNet
to create a single address for long-term care providers looking to spark physical and cultural transformation. Read the full press release below, and let’s get to work together!
A must-read story that illustrates exactly the kind of people who provide frontline care in nursing homes — and a powerful example of why we must increase their pay and benefits while also giving them a permanent seat at the decision-making table in long-term care
New from
@Altarum
: Culture change in nursing homes not only survived but thrived during the pandemic, a new study has found, adding to the growing evidence that long-term care reform must be based on elder-directed principles
Our Susan Ryan is on a tour of British Columbia, spreading the word about Green House homes as Canada looks to build capacity to ease serious LTC backlogs. We can't go back to a broken model in Canada, the U.S., or anywhere else!
@CanAgeSeniors
@BCCareProviders
On the heels of
@theNASEM
's dire report on the state of nursing home care and this morning's exhaustive CMS ownership data release,
@DavidCGrabowski
returns to "Elevate Eldercare" to unpack his prescription for reforms.
A new study out today expands on a trend seen early in the pandemic: The risk of COVID-19 outbreaks in nursing homes rises substantially along with the number of workers entering and exiting the facility. The conclusion? Consistent staffing matters.
We're grateful that private rooms and other important nursing home reform issues will take the national stage at tomorrow's
#SOTU
. We stand ready to assist
@CMSGov
and
@HHSGov
in achieving the long-overdue goal of building a better long-term care system
Today from
@NextAvenue
: a succinct and compelling case for transformative change in long-term care, including wider expansion of Green House homes, plus a great summary of the small policy tweaks that can make it a reality.
We are very proud to announce the official launch of Best Life Impact in partnership with
@ProjectECHO
and
@EmbodiedLabs
. We are ready to disrupt dementia & demonopolize knowledge in new and innovative ways. Press release here:
@alpower12
@mkjsdad
In today’s Elevate Eldercare episode, GHP’ Susan Ryan talks with
@DianeEMeier
of the
@CAPCpalliative
.
Find out what Dr. Meier describes is a “hyper-fragmented sub-specialization system” that often loses sight of the person in treatment.
Listen here:
Returning the favor after hosting Green House earlier this year, leaders from Australian provider
@HammondCare
visited
@StJohnsLiving
in Rochester, N.Y. today to learn about Green House homes — including a look at shahbaz Barack Teklemariam grilling up some lunch!
What we need to make that happen:
1. Capital grants/Medicaid rate increases for Green House development
2. Private bedrooms and bathrooms as a requirement for participation in Medicare/Medicaid
3. Accountability and transparency for all funding increases
It's possible!
I find hope knowing that after this beautiful video was made 15+ yrs ago, a small & determined group
@GreenHouse_Proj
(inspired by
@SteveMcAlilly
& team working alongside
@PioneerNet
& many others) spread word to create 400 more.
Now for 4,000?
40,000?? (1/3rd SNF capacity)
Friday bonus episode! Tune in to hear
@ltamblynwatts
describe her mantra for building bridges among eldercare reformers at
@CanAgeSeniors
: Be kind and be useful, because no matter your reason for wanting change, we're all working toward the same goal
We believe that ageism is largely responsible for the fact that nursing homes are rooted in archaic models that foster the “otherization” of older adults. Green House homes are the antidote to this model.
#disruptageism
“During the pandemic, Green House residents were recently found to be one-fifth as likely to get COVID-19 compared to those who live in typical nursing homes, and one-twentieth as likely to die from COVID-19 (ref. 12).”
Nursing homes don't have to be COVID death traps. For
@Health_Affairs
, I took deep dive into Green House model (
@GreenHouse_Proj
)—where 10-12 residents live in own rooms in family-like cottage. Clearly more humane; turns out they also keep elders alive.
Attending
@linkedsenior
's ActivitiesStrong virtual summit today? Don't miss this all-star panel on cultural transformation in long-term care with our new partners at
@PioneerNet
and our longtime friends at
@edenalt
!
Between our alliance with
@PioneerNet
and increasing momentum for change in long-term care, 2022 will go down as a landmark year for the Green House movement and eldercare reform at large. Join us for a look back — and a glimpse ahead to 2023
Thanks to
@nytopinion
for highlighting the Green House model as a blueprint for lasting change in LTC — and for acknowledging that while we'll always need communal settings for some elders, they can't look anything like the model that failed during COVID
“The number of Green House facilities is small...but we have enough information about their operations and costs to know that they can provide more effective, human-scale environments .... than the traditional large nursing home model.”
A3. Not only does the physical environment change drastically, but the philosophical culture and organizational structure are transformed in order to create an optimal environment for elders and staff to live, grow and thrive.
#ElderCareChat
Our latest podcast episode w
@DavidCGrabowski
examines the pandemic's impact on elders, adverse effects of social isolation & why staff have the most dangerous jobs in America.
LISTEN HERE:
>>Apple Podcast:
Also on
@Spotify
&
@Stitcher
#eldercare
#Covid
Required viewing for anyone with influence in long-term care reform. We won't create a strong, empowered caregiving workforce for current and future generations of elders unless we listen to CNAs' stories and meet their needs — so that they can continue to meet elders' needs
Please watch and share this short film about the experiences of CNAs as they battled COVID-19 and cared for their residents and patients. I hope it offers a glimpse into the how and why of the current long-term care workforce crisis.
"By coming together, we can create a consolidated source of knowledge and best practices based on experience gained through both organizations’ years of work on the ground."
@PioneerNet
Behavioral and psychological symptoms of dementia (BPSD): this paradigm serves to pathologize normal expressions, among many other things.
@alpower12
offers a different view and and urges us to better recognize better how to address unmet needs.
#memorycare
#disruptdementia
Please join us on June 10 for a new workshop focused on Canadian 🇨🇦 application of the Green House model. This event will examine Green House homes 🏡 w aging services thought leaders
@alpower12
&
@EmiKiyota
& more!
@RyersonNIA
More info HERE:
The Green House Project turns 20 in 2023, and we're celebrating by looking back at 20 moments from the first two decades of Green House living! First up: Go back in time to move-in day at Traceway in Tupelo, Miss. and hear
@drbillthomas
lay out his vision
One week until
@alpower12
and Jennifer Carson break down the ways elders, families, and caregivers can balance pandemic safety with the very real need for social connections as we head into the second holiday season under COVID. Join us!
Opening Green House homes isn't a one-time event — it's a daily commitment to going far beyond the status quo and creating real homes where elders are at the center of every decision. Bravo to St. John's for 10 years of leadership and stewardship!
St. John's is celebrating 10 years of residents living at our Green House Homes in Penfield in 2022. But it was 11 years ago this month when we cut the red ribbon and invited friends and stakeholders in for a first look.
#ThrowbackThursday
10 years video:
If you're a policymaker or provider concerned by the recent
@OIGatHHS
report on the system failure in nursing homes, we have a whole host of solutions that could be implemented today. The time for reports and retrospectives is over. Let's take action
Hogewey, a groundbreaking dementia village in the Netherlands, receives perennial attention in the U.S. as an alternative to institutional memory care. Meet the leader at
@UMCommunities
who's trying to duplicate the Dutch model in Jersey
Thank you
@paula_span
and
@NYtimes
! “Compared to traditional nursing homes, no doubt about it,” said Dr. Sheryl Zimmerman, of The University of North Carolina at Chapel Hill. “[The Green House model is] a preferable model of care.”
The good news is that there are proven alternatives to traditional nursing homes, including our model and a wide range of other solutions, that the federal government and states can support with the right policies. Grateful to have this topic on the national stage tonight!
#SOTU
Thank you
@LeadingAge
magazine for this terrific story about our Best Life Impact initiative, which partners with
@embodiedLabs
and
@ProjectECHO
to demonopolize knowledge and improve care for people living with dementia.
@alpower12
Big news this morning! We're expanding into Australia with our partners at the ACH Group — marking the first time an organization outside of the U.S. has fully adopted the Green House model!
We hand the mic over to two care partners — Lauren Flores of Mt. San Antonio Gardens and Jonas Weitzman, better known as
@BigWrinkles
— on today's episode of "Elevate Eldercare." You can't afford to miss what they have to say
This week on "Elevate Eldercare," join Harvard's
@DavidCGrabowski
for a discussion of the ways
@HUDgov
and other housing agencies can supercharge the development of new, empowering eldercare models:
“We have seen significant positive outcomes with this model of care, and I really think it is the empowered staff and the meaningful life focus that we have at the Green House home that contributes to keeping our staff, having our staff engaged."
“One promising alternative that is drawing international attention is The Green House Project in the U.S. This small nursing home model is demonstrating remarkable success in not only limiting infections and deaths from COVID-19...”
It's not an exaggeration or oversimplification:
@HUDgov
could change the nursing home landscape overnight with a few key policy changes. Thanks to
@daughterhood
,
@DavidCGrabowski
,
@bobgkramer
, and Connor Esworthy for spreading the word!
Great conversations happening in our mobile podcast studio at
@PioneerNet
's conference! If you're in Denver, stop by to share your thoughts on the future of eldercare in America and around the world!
This week on "Elevate Eldercare," join Shawn Bloom of
@TweetNPA
to learn more about the power of PACE programs to transform eldercare — and how they can work with nursing homes to create a truly comprehensive continuum of care.
Today in
@Health_Affairs
, an excellent summary of why Green House homes are superior, along with an array of solutions for making small homes the new standard of care: "The number of ways forward are abundant. Only the vision and will have been lacking."
As we kick off the first-ever joint conference between The Green House Project and
@PioneerNet
, we're honoring a giant in the field of culture change with the 2023 Trailblazer Award: Barry Barkan of
@LiveOakProject1
.
@pennylmcook
accepted the award on Barry's behalf.
The work of
@lauraposkin
and
@AgeFriendlyPGH
centers the idea that what's good for elders is good for all — and that when communities don't incorporate elder voices into their big-picture plans, they deprive everyone of vital social opportunities
Tune in:
Why aren't there more Green House homes? Three Green House leaders, including board member and former U.S. Surgeon General Dr. Joycelyn Elders, answer that question in a new op-ed that lays out an actionable, practical blueprint for change
This week from
@AARP
: steps that states, the federal government, and other agencies can take today to both encourage and mandate the development of private rooms in nursing homes — plus reasons why culture means just as much as design for wellbeing
"What if your parent’s nursing home didn’t look like a nursing home at all? What if it looked like a nicely furnished residential home with an open floor plan...
Thanks again to
@BCCareProviders
for giving Susan Ryan a platform to discuss the potential for Green House living in Canada! The future of LTC is small, elder-directed, and integrated into the wider community.
Come join us!
We welcome
@DavidCGrabowski
back on the show to talk through recent state and federal attempts to link nursing home funding with quality — proposals that break through the false binary of using either funds OR fines to create real change for elders
Thanks to
@GlobeOpinion
for highlighting the need to reduce room crowding in nursing homes, but we must go further and embrace single rooms — along with elder-directed, empowering, and accountable care — as the standard in Massachusetts and nationwide
Take a moment to watch this film by It's Never 2 Late about how connecting young people with elders in meaningful ways can have profound effects on everyone involved. Guaranteed goosebumps!
Read Terry Fulmer of
@johnahartford
on the need for small nursing home alternatives in
@JAMANetwork
: "It’s the deinstitutionalization and personalization of care. It’s a very powerful model and I think it will really spread in scale after COVID."
Nontraditional nursing homes have almost no
#coronavirus
cases & elders who get sick are 1/20 as likely to die. Also life there is better for both residents (more normal) & staff (decent pay.) Why aren’t they more widespread?
Joe Carella's work with the Scandinavian Living Center represents some of the most innovative ideas in eldercare today.
Tune in to hear Joe's vision for a world where people actively choose nursing homes to access thriving, intergenerational communities.
DON'T MISS our annual 8 over 80 gala on 3/12, honoring 8 remarkable lives, including Elizabeth McCormack, described as “the very soul of philanthropy", philanthropic advisor to the Rockefeller family and founder of Partnership for
#Palliative
Care.
We're deeply grateful that the
@ABAesq
passed a resolution urging Congress to explore making small-home design a national requirement for nursing homes. We must seize this moment for real reform, and we welcome the ABA's vocal support for change!
This week on "Elevate Eldercare," hear LTC workforce experts Jasmine Travers of
@NYUNursing
and
@keziascales
of
@PHInational
break down their goals for improving the care force through their work at the Moving Forward Coalition!
“There is a huge difference between “curing and caring”... and even though we don’t currently have that magic cure, there are many ways we can lift that family up with community support...” -Dr Mary Guerriero Austria,
@IndianaUniv
@alzassociation
#dementiarec
Today, we announce our support for the Biden administration's nursing home reform push. We call on the sector to engage with the plan in good faith. Change is difficult and we won't agree on every point, but historic tragedy requires a historic response
“All CNAs in our Green House Cottages learn CPR, first aid, culinary skills, safe food handling, household operations and more, so they can function as a true household.”
@mcknightsltcn
@johnknoxvillage
#realhome
Thankful and honored to have
@CBCTheNational
and
@davidcommon
showcase an
@Otterbein1912
Green House community to viewers across Canada. We stand ready to work with leaders in Canada and the U.S. to replace the institutional nursing home once and for all.
This is such an important point: While the power of private rooms and small scale is undeniable, you can't just build a small home, run it identically to a traditional nursing home, and expect the same outcomes. Workforce empowerment is crucial to building great environments
"The physical structure is the least important thing. It's about creating a space that is small and accessible and being honest about what it takes to staff them with CNAs that are trained and can feel proud." -
@rkpriest
,
@GreenHouse_Proj
coach.
“The grant opportunities will enable the organization to expand its work, transform a health care system that is under-resourced and bring the project closer to the goal of reaching 1 billion lives around the world.”
@ProjectECHO
Thank you to The Journal of the American Institute of Architects for highlighting The Green House Project at Saint Elizabeth Home in Rhode Island! The article...
Today from
@KimMarselas
in
@mcknightsltcn
: Green House living works, and with the Biden admin looking for ways to encourage more private rooms in nursing homes, a few small policy changes would make the model grow exponentially across the country
Kicking off the first full day of the conference with a powerful talk by
@StephenTrzeciak
, who challenges us to lead with compassion in eldercare.
Let's build a world where compassionate care is the norm, not the exception.
#ReadytoImpact2023
#GreenHousePioneer2023
We are very excited to have
@LoriPorterNAHCA
, cofounder & CEO of
@NAHCA
as our podcast guest this week. Learn about her incredible journey to becoming a CNA, an administrator, and cofounder of NAHCA and much more here:
As we continue to celebrate 20 years of Green House homes, we highlight our dedicated partners at Londonderry Village in Palymra, Pa., who opened some of the first GH homes back in 2007 — then dedicated homes 299 and 300 in 2020.
Thanks to
@TuThanhHa
for highlighting our influence on small-home models in Canada — and
@DrSamirSinha
for emphasizing the vital role that staffing plays in turning an institutional model into real home. It's not just about small scale. It's about people!
We are currently embarking on a journey with the state of
#Wyoming
Life Resource Center, expanding to serve those living with Intellectual Disabilities
#eldercarechat