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VOLUME 51 | NUMBER 1.2 | FEBRUARY 2016


Studying Nursing Home Innovation: The Green House Model of Nursing Home Care

Keywords: Culture change; person-centered care; nursing homes; innovation.

In 1997, the Pioneer Network began efforts to transform nursing homes (NHs) to settings where residents can thrive and care is resident directed (Pioneer Network 2015). Envisioned were noninstitutional, homelike settings where residents’ preferences drove care and where empowered direct care staff offered care that was compatible with residents’ preferences (Koren 2010). This transformation, commonly called “nursing home culture change,” gained recognition and momentum in response to support and advocacy from key stakeholders, including the Centers for Medicare and Medicaid Services, NH trade organizations, and state culture change coalitions (Miller et al. 2014). Early on, these and other key stakeholders reached consensus on practices integral to actualizing key components of NH culture change, including resident direction, homelike atmosphere, close relationships, staff empowerment, collaborative decision making, and implementation of quality improvement processes (Koren 2010).

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