Heat exchange in the house happens through floor heating. So during a hit summer, the reverse capability just pumps the cold water through our floors (controlled for the dew point) and the warm floor water into the ground. That, combined with controlled ventilation over a physical heat exchanger, keeps the warmth out. Or, during cool seasons, the warmth in.
Our heat pump uses about 1 Kwh electricity (from ecological resources like water or wind only) to generatev3 to 4 Kwh of heating. Without producing carbon dioxide. Airflow based heat pumps are less efficient, and more noisy outside, of course.