Today, nearly 15 years since the first Green House homes opened, THE GREEN HOUSE® Project (GHP) has come to be recognized as the leader in creating high-quality, cost-effective, and sustainable, human-scale alternatives to the traditional nursing home. The pace of momentum continues to increase, now with the majority of states having Green House homes, and international interest. By infusing the entire organization with optimal systems and structural changes that create a unified approach to elder-directed care, GHP creates a disruptive and high impact innovation. The Green House Project means much more than simply building a small house, it is a movement that de-institutionalizes, de-stigmatizes, and humanizes care for all elders in need of long-term care.