INTERACT Version 4.0 Tools  New!
Overview of the INTERACT Quality Improvement Program

Version 4.0 Tools have been improved based on ongoing user feedback, and to facilitate incorporation into electronic health records and other forms of health information technology. Important changes include:

1. The SBAR Communication Form and Progress Note has been substantially revised to make it a more comprehensive and user-friendly nursing evaluation that helps guide and document critical thinking in an efficient way. Changes have been made to several areas of terminology in response to user concerns and suggestions.

2. The criteria for notifying the clinician have been made more consistent between the Decision Support Tools (Change in Condition File Cards and Care Paths), and these criteria are now included in the revised SBAR.

3. The Stop and Watch early warning tool has been revised to facilitate its use in routine monitoring of high risk residents by adding a checkbox for "no change".

4. The Advance Care Planning Tracking Tool has been revised to include brief documentation of discussions, which are often not clearly communicated over time or during care transitions.

5. The Quality Improvement Tool for review of acute care transfers has been updated based on review of over 5,000 Tools to be more inclusive of changes in condition that contribute to transfer, as well as those conditions that CMS considers "potentially preventable" hospitalizations.

6. The Implementation Guide has been updated to include all the changes.


  INTERACT Version 4.0 Tool Table  
  Overview of the INTERACT Program in Everyday Care 
  INTERACT Implementation Guide
  INTERACT Implementation Checklist
Quality Improvement Tools 
  Acute Care Transfer Log – Worksheet 
  Calculating Hospitalization Rates
Hospitalization Rate Tracking Tool 2017 - Excel Template
Hospitalization Rate Tracking Tool 2016 - Excel Template
  INTERACT Hospitalization Tracker - Bridging 2016 to 2017  
  Tracking Tool Instructions 
  Tracking Tool Trouble Shooting 
  Quality Improvement Tool for Review of Acute Care Transfers
  Quality Improvement Summary – Worksheet
Communication Tools 
  Stop and Watch Early Warning Tool
  Stop and Watch Early Warning Tool - Spanish 
  Stop and Watch Early Warning Tool - Creole
  SBAR Communication Form
  Medication Reconciliation Worksheet for Post-Hospital Care
  Engaging Your Hospitals - Tip Sheets
  Nursing Home Capabilities List 
  NH - Hospital Transfer Form
  NH - Hospital Data List
  Acute Care Transfer Checklist
  Hospital - Post Acute Transfer Form
  Hospital - Post Acute Data List  
Decision Support Tools: Change in Condition File Cards and Care Paths
  Acute Change in Condition File Cards
  Acute Mental Status Change
  Change in Behavior: New or Worsening Behavioral Symptoms
  GI Symptoms – nausea, vomiting, diarrhea
  Shortness of Breath
  Symptoms of CHF
  Symptoms of Lower Respiratory Illness
  Symptoms of UTI
Advance Care Planning Tools
  Advance Care Planning Tracking Tool
  Advance Care Planning Communication Guide 
  Identifying Residents Who May be Appropriate for Hospice or Palliative/Comfort Care Orders
  Comfort Care Order Set
  Deciding About Going to the Hospital
  Education on CPR
  Education on Tube Feeding