What is INTERACT?
INTERACT is an acronym for "Interventions to Reduce Acute Care Transfers". The interventions is a quality improvement program designed to improve the identification, evaluation, and communication about changes in resident status.

INTERACT was first designed in a project supported by the Centers for Medicare and Medicaid Services (CMS). The current quality improvement project is supported by a grant from the Commonwealth Fund, and will involve a total of 30 nursing homes in the states of Florida, New York and Massachusetts. Many nursing homes across the country are using INTERACT.
What is the purpose of the INTERACT quality improvement program?
The overall goal of the INTERACT program is to reduce the frequency of transfers to the acute hospital. Transfers to the hospital can be emotionally and physically difficult for residents, and result in numerous complications of hospitalization, and they are costly.

In the plans for health care reform, Medicare may financially reward facilities with lower hospitalization rates for certain conditions. By improving the identification, evaluation, and communication about changes in resident status, some, but not all acute care transfers can be avoided.
What are the INTERACT II tools and who should use them?
The INTERACT II tools are listed in the Tool Table. There are three basic types of tools: 1) Communication tools; 2) Care Paths or Clinical tools; and 3) Advance Care Planning tools.

The specific tools are designed for use by selected members of the care team. However, in order for the INTERACT II project to be successful, all members of the care team should be aware of all of the tools and their uses.
How are the INTERACT II tools used in every day work in your facility?
The INTERACT project champion will assist facility staff in using the tools on a daily basis. The tools have been designed to help staff improve care, but not increase unnecessary paperwork.

The INTERACT Overview Figure shows how the tools can be used in everyday work in caring for your residents.
Download the INTERACT documents and tools:
 
INTERACT Tool Table
INTERACT Figure
INTERACT Tools