INTERACT
Background
Why INTERACT?

INTERACT
Communication Tools
INTERACT
Decision Support Tools
INTERACT
Quality/Process Improvement
100
Quality Improvement tool to determine root cause of a resident transfer
What is "Quality Improvement Tool for Review of Acute Care Transfer"?
100
INTERACT improves the care and safety of residents residing in nursing homes
What is "whyINTERACT is used"?
100
A group of communication tools used in a nursing home that include "Stop and Watch", SBAR, and medication reconiliation.
What are INTERACT Communication Tools?
100
An easily accessible location for nurses to locate the "Change in Condition" file cards
What is on the Medication Cart or Nursing Station?
100
A Quality Improvement Method to identify common reasons for hospital transfers
What is Root Cause Analysis?
200
A quality improvement method to identify common reasons for acute care transfer
What is a "Root Cause Analysis"?
200
Examples of orders that may be appropriate for residents on palliative or comfort care plans who decline hospice
What are "Comfort Order Sets"?
200
A communication tool used by CNAs and other staff that is given to the nurse when changes in a resident is identified while providing care for that resident
What is "STOP and Watch" tool?
200
Decision support tool to provide guidance on the recognition, evaluation and management of 9 conditions that commonly cause hospital transfers
What are "Care Paths"?
200
When a change is tested on one unit prior to widespread implementation for identification and addressing problems.
What is a "Trial"?
300
A Quality Improvement tool that summarizes common findings and trends identified by group of root cause analysis of acute care transfers
What is the "QI Summary Worksheet"?
300
Tool designed to help nurses, primary care providers and pharmacists develop accurate and safe medication orders on admission
What is "Medication Reconciliation Worksheet"?
300
A communication step used to enhance the participation of staff and others in the "Stop and Watch" process that is performed by the nurse after completing the resident assessement and treatment
What is "Closing the Loop" or feedback?
300
Decision Tool that provides guidance to nursing staff on whether to report specific signs and symptoms and laboratory testing as immediate or non-immediate
What is "Changes in Condition" file cards?
300
DOUBLE JEOPARDY CMS has identified three goals as part of the National Quality Strategy- Better Health for the Population, Better Care for Individuals and Lower Cost Through Improvement.
What is "Three-Part AIM"?
400
A trial change is implemented on one unit or area to identify and address issues created during the change. This step is part of
What is one step of Steps of Process Improvement?
400
Advance Care Planning is performed at admission and should be regularly updated, when
What is changes in the resident's condition?
400
Communication tool completed by nurse prior to contacting MD/NP/PA when resident changes are identified
What is SBAR?
400
A "Care Path" to be used when a resident has a new compliant of labored breathing after walking from his room to the nearby activities room.
What is the "Shortness of Breath" Care Path?
400
The percentage nursing homes are to reduce avoidable hosptial admissions based on the National Priority
What is 15%?
500
An essential component of successful implementation of any process improvement to change behavior and improve outcomes
What is Education?
500
An Advance Care Planning tool used by social workers, nurses and primary care providers to document advance care planning discussions
What is "Advance Care Planning" Tracking Tool?
500
Communication tool- standardized, pre-populated checklist to be used by ED staff, hospital discharge planners and physicians to understand a nursing homes ability to provide certain medical services (i.e. IV antibiotics)
What is "Capabilities List"?
500
Patient has worsening cough and increased chest pain with breathing. The patient has a fever of 100.8 F and the O2 saturation is 85%. The nurse would complete SBAR and do the following?
What is contact MD/PA/NP?
500
Early identification of resident changes, early assessment of the changes, and improved documentation and communication of these changes by nurisng home staff
What are the benefits of the INTERACT program?
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