Promoting an Alternative to Traditional Nursing Home Care: Evaluating the Green House Small Home Model. An Introduction from the Funders and the Green House Project

Fishman, Nancy W.; Lowe, Jane Isaacs; Ryan, Susan

doi:10.1111/1475-6773.12429

Cited by 8 publications

(9 citation statements)

References 15 publications

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“…Green House NHs were established in 2003 and have been replicated across the country and widely researched (compared with other small NHs), largely with funding from The Robert Wood Johnson Foundation. 22 AARP recently highlighted this model as an option to transform long-term care, while noting that its adoption has been limited, in part due to financing, regulatory, and workforce challenges. 17 Hope may be on the horizon, however, given universal recognition that beyond the pandemic, we must transform how our nation provides and finances long-term care.…”

Section: Discussionmentioning

confidence: 99%

Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths

Zimmerman

Dumond-Stryker

Tandan

et al. 2021

Journal of the American Medical Directors Association

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Section: Discussionmentioning

confidence: 99%

Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths

Zimmerman

Dumond-Stryker

Tandan

et al. 2021

Journal of the American Medical Directors Association

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“…Between 2011 and 2014, the Robert Wood Johnson Foundation funded an independent evaluation of GH nursing homes by four project teams; their collaborative interrelated research projects examined GH care processes and outcomes. Termed the THRIVE Research Collaborative (THRIVE: The Research Initiative Valuing Eldercare; Fishman, Lowe, and Frazier ), these projects collectively constitute the largest and most coordinated evaluation of the GH model to date, and they are described in this special issue of Health Services Research . This paper provides a brief background of previous peer‐reviewed research related to GH nursing homes, synthesizes results from the THRIVE evaluation, and suggests policy, practice, and research recommendations related to the GH model of nursing home care.…”

mentioning

confidence: 99%

New Evidence on the Green House Model of Nursing Home Care: Synthesis of Findings and Implications for Policy, Practice, and Research

Zimmerman

Bowers

Cohen

et al. 2015

Health Services Research

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As of May 2015, 174 GH homes were in operation, 80 percent of which provided long-term nursing care. These homes have elicited great interest among policy, provider, and research stakeholders, in large part because they offer a true alternative to traditional models of nursing home care and are consistent with the "culture change" movement by focusing on person-centered care and deinstitutionalizing the nursing home (Koren 2010;Zimmerman, Shier, and Saliba 2014). At the same time, the cost of new construction for GH homes has become a point of concern ( Jenkens et al. 2011) as have questions about whether outcomes are at least comparable to traditional nursing homes in which nurses and allied health staff are more readily available (i.e., in the GH model, the clinical care staff is available but not based in the GH home itself; Zimmerman and Cohen 2010).Between 2011 and 2014, the Robert Wood Johnson Foundation funded an independent evaluation of GH nursing homes by four project teams; their collaborative interrelated research projects examined GH care processes and outcomes. Termed the THRIVE Research Collaborative (THRIVE: The Research Initiative Valuing Eldercare; Fishman, Lowe, and Frazier 2016), these projects collectively constitute the largest and most coordinated evaluation of the GH model to date, and they are described in this special issue of

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“…The net result is typically a decrease in mortality rate A standard GH has its own entrance and contains 6 to 12 residents per house with consistent assignment of the same staff for the resident each week. Each resident has his/her own bedroom and bathroom [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…In traditional nursing homes, residents often share a bedroom and bathroom with at least one other resident [14]. The layout of the green houses mimic that of a traditional home which includes a communal living room, large dining room and an open kitchen [10][11][12][13][14]. The traditional nursing home components, such as a nurse station, long, multiple corridors, medication carts, and a paging system, are avoided in GH homes [11].…”

Section: Introductionmentioning

confidence: 99%

Green Houses and Nursing Homes: Changes in Resident Function Over the Course of 1 Year - A Pilot Study

Costa

Moore

Stanzel

et al. 2018

GGS

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Background and purpose: Seniors face difficult decisions if their physical and mental functioning begins to decline. Seniors may require assistance as they become elderly, but they never want to burden family members with that responsibility. Some choose to move to traditional nursing homes (NH), and another option that is growing in demand is green houses (GH).Whether the elderly can safely maintain their movement ability over time in green houses has not been studied. The purpose of this study is to examine the changes in impairments and activity limitations in residents of green houses and nursing homes over the course of one year.Participants: Of the 23 volunteer participants in this study over the age of 65, 17 were residents of area nursing homes and 6 were residents of area green houses. Methods: Participants completed a series of outcome measures including the Mini-Mental State Examination (MMSE), Manual Muscle Testing (MMT), Active Ankle Range of Motion (AROM), Handgrip Strength, Five Time Sit to Stand (5xSTS), Timed Up and Go (TUG), Gait Speed (GS) and Functional Independence Measure (FIM) scores.Result: 15 completed the final data collection (GH=2, NH=13). Before the final data collection, 4 participants from both the NH and the GH passed away equaling 8 total expired. Regarding impairments, the overall lower extremity strength of all surviving participants decreased from initial to final testing, with left knee extension strength and bilateral dorsiflexion strength being the two most distinct declines. Ankle range of motion (ROM) decreased for 14 out 15 surviving participants, with the exception of the D2 GH resident increasing right DF ROM by 1.5 degrees. The activity limitation changes included all participants of both groups performing slower on the TUG from initial to final testing with the 2 GH residents performing 2-10 times slower than the average NH resident. Discussion and conclusion:This study demonstrates that there are impairments and activity limitation measurements that can be used to assess change in function over the course of one year in green house (GH) residents compared to traditional nursing home (NH) residents. Interventions provided by physical therapists for elderly residents at a green house or traditional nursing home facility can potentially slow the development of such impairments and activity limitations that may compromise longevity, independence and quality of life.

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Promoting an Alternative to Traditional Nursing Home Care: Evaluating the Green House Small Home Model. An Introduction from the Funders and the Green House Project

Cited by 8 publications

References 15 publications

Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths

Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths

New Evidence on the Green House Model of Nursing Home Care: Synthesis of Findings and Implications for Policy, Practice, and Research

Green Houses and Nursing Homes: Changes in Resident Function Over the Course of 1 Year - A Pilot Study

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