eINTERACT Workflow Quick Reference Guide

This quick reference guide describes the eINTERACT workflow.

INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program focusing 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.

eINTERACT goals include preventing unnecessary hospitalization of residents by promoting early identification and assessment of changes in resident condition and managing changes when feasible and safe for the resident.

Step	Action
1.	eINTERACT Stop and Watch and Change in Condition Alerts Early identification of resident changes are communicated through eINTERACT alerts, which are generated through POC, the Clinical and Resident Dashboards, and the resident's Care Plan. These alerts are visible on the POC Shift Dashboard, and the Clinical and Resident Dashboards in the eINTERACT Stop & Watch and Change In Condition Alerts pane.
2.	eINTERACT Change In Condition Evaluation The eINTERACT Change in Condition Evaluation, which includes the SBAR and eINTERACT Reference Guides, helps you in analyzing eINTERACT alerts to support a quick and appropriate response to a possible change in condition of the resident. SBAR - The SBAR (Situation, Background, Assessment, Recommendation) Communication Form summarizes pertinent information needed to provide to the physician regarding the resident's change in status. The SBAR Form is populated with the summary of the change in condition and outcomes as the eINTERACT Change in Condition Evaluation is completed, and is available from the Assmnts tab through the eINTERACT Change in Condition Evaluation print link. You can also print the short version of the SBAR Form that excludes questions that are not answered in the Change in Condition Evaluation. The Change in Condition Evaluation must be completed to print the short version. eINTERACT Reference Guides - The eINTERACT Care Paths and Change in Condition File Cards are available in each section of the eINTERACT Change In Condition Evaluation to ensure best practice. Note The appropriate course of action is determined through Change in Condition Evaluation findings and consultation with the medical professional. Transfer not indicated - if the resident can be managed feasibly and safely in the facility, STOP here. Revert back to Step 1 for early identification of changes in resident condition. Transfer necessary - if hospital transfer is indicated, proceed to Step 3.
3.	eINTERACT Transfer Form The eINTERACT Transfer Form is a best practice tool which assists you in the transfer of the resident's healthcare information across facilities. This assessment helps to clearly communicate the information that is critical for the emergency room and other hospital staff to care for the resident. You can also print an Acute Care Document Checklist which can be sent with the resident indicating all documentation accompanying the resident to the hospital. eINTERACT Transfer Forms are based on transfers or discharge to an acute care hospital, and are completed at census or QADT entry, or scheduled to be completed later. In the event of an emergency transfer, the CCD can also be printed and sent with the resident to the hospital.
4.	eINTERACT QI Tools The eINTERACT Quality Improvement Tools available in the Hospital Tracking Portal help you analyze hospital transfers and identify opportunities to reduce transfers in the future. The QI Tools include the eINTERACT Quality Improvement Worksheet for Review of Acute Care Transfers (QI Review), and QI Analysis with trending graphs. The eINTERACT Quality Improvement Worksheet for Review of Acute Care Transfers (QI Review) is a tool for gathering hospital transfer or discharge data and is completed for each resident, or a representative sample of hospital transfers, to conduct root cause analysis and identify common reasons for transfers. Examining trends in this data can help you focus on educational and care process improvement activities. The QI Analysis provides a graphical analysis to help identify common reasons for hospital transfers. These graphs allow you to analyze data gathered within the QI Review to assist you with root cause analysis for hospital transfers and identify common reasons for transfers. Only completed QI Reviews for residents are included within the metrics.

Skilled Nursing Facilities

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eINTERACT Workflow Quick Reference Guide

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