INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. It includes clinical and educational tools and strategies for use in every day practice in long-term care facilities.
What is the purpose of INTERACT?  
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. Such transfers can result in numerous complications of hospitalization, and billions of dollars in unnecessary health care expenditures.
Did you know...
One in 5 Medicare patients admitted to skilled nursing facilities from hospitals is readmitted to the hospital within 30 days?
Up to 2/3 of hospital transfers are rated as potentially avoidable by expert long-term care health professionals?
Medicare is planning financial incentives to reduce potentially avoidable hospital transfers through pay-for-performance, bundled payments, and other strategies?
INTERACT can help you improve care and prepare for these changes in Medicare reimbursement?
Hospitalization Rate Tracking Tool has been updated as of March 6, 2017 – please use the version dated March 6 2017 – thanks to users for detecting error messages which have been corrected
2017 INTERACT Hospitalization Tracking Tool and Bridging Instructions now available. 
NEW FAU signs an agreement with Pathway Health for INTERACT Training and Licensing
NEW Decision Guide Available: Go To The Hospital or Stay Here?
NEW STOP and Watch Tools now available in Creole
 Publications Related to INTERACT
NEW INTERACT Compatible Clinician Order Sets
NEW Potentially Avoidable ED Visits
NEW Root Cause Analyses of SNF to Hospital Transfers
NEW Preventable vs. Not Preventable SNF Transfers
NEW Short-Stay Hospital Readmissions from SNFs
Overview of INTERACT JAMDA 2014
Measurement of Potentially Preventable Hospitalizations, Long Term Quality Alliance, 2012
Reducing Unnecessary Hospitalizations - N Engl J Med 2011
INTERACT Evaluation - J Amer Geriatr Soc 2011
INTERACT and the EMR Ann LTC 2011
Avoidable Hospitalizations - J Amer Geriatr Soc 2010
Avoidable Hospitalizations Editorial - J Amer Geriatr Soc 2010
INTERACT Pilot Study - J Amer Med Dir Assn 2009
INTERACT Editorial - J Amer Med Dir Assn 2009
The INTERACT Program and Tools were initially developed by Joseph G. Ouslander, MD and Mary Perloe, MS, GNP at the Georgia Medical Care Foundation with the support of a contract from the Centers for Medicare & Medicaid Services (CMS).

The current versions of the INTERACT Program were developed by an interdisciplinary team under the leadership of Dr. Joseph G. Ouslander, M.D. with input from many direct care providers and national experts in projects based at Florida Atlantic University (FAU).

Support for the further development, refinement, evaluation, and dissemination of the INTERACT Program for nursing homes has been provided by The Commonwealth Fund, the National Institutes of Health's National Institute for Nursing Research, CMS, the Retirement Research Foundation, PointClickCare (Westcom), and Medline Industries. Support for the development and testing of the INTERACT Program for assisted living and home health has been provided by a CMS Innovation Award.
The INTERACT™ trademark is registered with the US Patent and Trademark Office by FAU and the INTERACT Program materials are copyrighted by FAU. These materials are provided for free and we welcome their use in clinical care.

There is growing interest in INTERACT materials within academic, clinical, and commercial organizations which we welcome. However, we want to ensure that these materials are utilized consistently and in an optimal fashion. As a result there is now a "Click through" agreement on the INTERACT Tool pages. We do not want inhibit use, but we request that INTERACT materials not be incorporated in software or electronic health records or in other forms of health information technology, without specific permission from FAU. We also request that you not use these materials and/or the trademark INTERACT® trademark in any form in products for sale, without specific permission from FAU.

If you have any questions about the use of the INTERACT Program and Tools, please send them to us through the "Contact Us" section of this website. Thank you.  
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Last updated 02/07/2011