About INTERACT™ 4.0

INTERACT™ 4.0 (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, strategies to implement them, and related educational resources.

  1. Preventing conditions from becoming severe enough to require hospitalization through early identification and assessment of changes in resident condition
  2. Managing some conditions in the Nursing Home without transfer when this is feasible and safe
  3. Improving advance care planning and the use of palliative care plans when appropriate as an alternative to hospitalization for some residents

What is INTERACT4.0 ?

INTERACT4.0 (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. INTERACT™ 4.0 is a quality improvement program designed to improve the early identification, assessment, documentation, and communication about changes in the status. The goal of INTERACT™ 4.0 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. INTERACT™ 4.0 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 post-acute providers across the U.S. are using INTERACT™ 4.0.

Project Team Leader: Joseph G. Ouslander, M.D. (Project Director) – Dr. Ouslander is Professor and Associate Dean for Geriatric Programs at the Charles E. Schmidt College of Medicine, and Professor at the Christine E. Lynn College of Nursing of Florida Atlantic University in Boca Raton Florida. Dr. Ouslander served as a Professor at UCLA for 15 years developing research, educational, and clinical programs. From 1996-2007 he served as the Director of Geriatric Medicine at Emory University. He is a past-President and Board Chair of the American Geriatrics Society, and serves as the Executive Editor of the society’s Journal. He is a co-author of Essentials of Clinical Geriatrics and Medical Care in the Nursing Home, and an editor of Hazzard’s Geriatric Medicine and GerontologyFurther information  about the INTERACT4.0 Quality Improvement Program (QIP) can be found at https://interact.fau.edu​.