Interventions to Reduce Acute Care Transfers (INTERACT) Tools


Interventions to Reduce Acute Care Transfers (INTERACT) Tools


INTERACT is a quality improvement program 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 is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital.

The specific tools are designed for use by selected members of the care team. Some of the tools included are:

  • Communication tools
    • Change in condition file cards
    • Early warning tool (available in English, Spanish, and Creole)
    • Nursing facility capabilities list
    • Resident transfer form
  • Care paths
    • Dehydration
    • Fever
    • Mental status change
  • Advance care planning tools
    • Communication guide
    • Residents at high risk of entering actively dying process
    • Examples of comfort care interventions
  • Quality improvement tools
    • Acute care transfer log
    • Quality improvement tool for review of acute care transfers



Florida Atlantic University

Funding Sources:

Centers for Medicare and Medicaid Services; Commonwealth Fund


Release Date: 2009
Original Summary: August 2011
Last Updated: 02/13/13

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