|Health Factors:||Quality of Care|
|Decision Makers:||Healthcare Professionals & Advocates|
|Population Reach:||1-9% of WI's population|
|Impact on Disparities:|
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Green House homes (GH homes) are self-contained, homelike dwellings for 10-12 elderly adults who require nursing home care. Oriented around a central living area, GH homes include private bedrooms and bathrooms, a residential-style kitchen, a communal dining area, and accessible outdoor space. GH homes provide various types of care such as skilled nursing, memory care, and short-term rehabilitation. Certified nursing assistants (CNAs), known as Shahbazim, serve as universal caregivers, conducting clinical, personal, and home care tasks such as preparing food, cleaning, and scheduling. Visiting clinical teams including nurses, doctors, nurse practitioners, physical therapists, and social workers also provide services to residents. GH homes can be part of large, traditional nursing home campuses or standalone facilities incorporated into the broader community (GH Project).
There is some evidence that Green House homes (GH homes) improve residents’ quality of life (Afendulis 2016, Kane 2007) and increase the amount of direct care time caregivers spend with residents (Brown 2016, Sharkey 2011) compared to traditional nursing homes. Additional evidence is needed to confirm effects.
GH homes may decrease rates of hospital readmission (Bowers 2016, Afendulis 2016) and preventable hospitalization (Bowers 2016), perhaps due to the amount of time Shahbazim spend with residents and early identification of potential health concerns (Brown 2016, Sharkey 2011). GH homes appear to provide quality of care equal to and, in some cases better than, traditional nursing homes (Afendulis 2016, Kane 2007). GH homes also appear to have greater staff retention than traditional nursing homes (Brown 2016).
The cost to operate GH homes appears to be comparable to traditional nursing homes and may be less in some circumstances (Jenkens 2011). Some practices core to Green House homes, such as universal caregiving staff and self-managed work teams, can be implemented in traditional nursing homes with little capital investment (Elliot 2014).
As of Summer 2016, there are 205 Green House homes across 33 states (GH Project).
As of Summer 2016, there are three Green House homes in Wisconsin: Eden Meadows Rehabilitation Suites & Green House Homes in Oshkosh, Tomah VA Medical Center, and Clement J. Zablocki VA Medical Center in Milwaukee (GH Project).
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