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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

Links to the Tool:
This tool is available at:


Florida Atlantic University

Funding Sources

Centers for Medicare and Medicaid Services; Commonwealth Fund

QualityTool Topic



  • Release Date: 08/2009
  • Original Summary: 08/2011
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.
QualityTool Classification
Stage of Care:
Quality Improvement Goals and Mechanisms:

Last updated: February 13, 2013.