Interventions to Reduce Acute Care Transfers

INTERACT II (Interventions to Reduce Acute Care Transfers) is designed to improve the early identification, assessment, documentation, and communication about changes in the status of residents in skilled nursing facilities. The goal of INTERACT II is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital.

The INTERACT II Tools, educational materials, and implementation strategies were developed by Drs. Joseph Ouslander, Gerri Lamb, Alice Bonner, and Ruth Tappen, and Laurie Herndon with input from a variety of direct care providers and national experts in a project supported by the Commonwealth Fund based at Florida Atlantic University.

The INTERACT II tools provided are: 1) Communication tools; 2) Care Paths or Clinical tools; and 3) Advance Care Planning tools.

Communication Tools:
· Acute Care Transfer Envelope and Checklist
· Change in Condition File Cards
· Early Warning Tool
· Nursing Facilities Capabilities List
· Resident Transfer Form
· SBAR Communication Tool and Progress Note

Care Path Tools:
· Dehydration
· Fever
· Mental Status Change
· Symptoms of CHF
· Symptoms of Lower Respiratory Infection
· Symptoms of UTI

Advance Care Planning Tools:
· Tips for Starting the Conversation
· Part 2: Communication Tips
· Helpful Language for Discussing End of Life Care
· Residents at High Risk of Entering Actively Dying Process

Quality Improvement Tools
· Acute Care Transfer Log
· Quality Improvement Tool for Review of Transfers

 http://interact2.net