As part of the C to C initiative, the Quality Topic of the Month is Part II focusing on Reducing Re-hospitalizations by using the INTERACT Quality Improvement Tools. 


This February, THCA is highlighting the INTERACT Quality Improvement Tools designed to help nursing facility teams analyze their hospital transfers and identify opportunities to reduce transfers that might be preventable.

Please visit the only licensed website to download INTERACT content at

INTERACT Implementation Guide

This guide includes evidence-based and expert-recommended tools, strategies to implement them, and related educational resources.  The INTERACT tools are meant to be integrated into every day care and be incorporated into your facility’s quality improvement program and processes.

Quality Improvement Tools

The Quality Improvement Tools are fundamental to the INTERACT program. The Hospitalization Rate Tracking Tools and the Quality Improvement Tool s are designed to assist in two of the basic components of a quality improvement program: 1. Tracking, trending, and benchmarking clear and consistently defined measures; and 2. Conducting root cause analyses that identify areas for improvement. Summarizing the findings from Quality Improvement Tools over time should help focus educational and care improvement activities.

Tracking Hospitalization Rates:

The following tools are designed to assist nursing facilities to efficiently track and trend their hospitalizations.

Acute Care Transfer Log

Calculating Hospitalization Rates

Hospitalization Rate Tracking Tool 2016 – Excel Template

Detailed Tracking Tool Instructions and Trouble Shooting Guide

Quality Improvement Reviews – Root Cause Analyses:

The INTERACT Quality Improvement Tool is designed to help your team analyze hospital transfers (including ER visits, observation stay and admissions) and identify opportunities to reduce transfers that might be preventable. Complete this tool for each or a representative sample of hospital transfers in order to conduct a root cause analysis and identify common reasons for transfers. Examining trends in these data with the INTERACT Quality Improvement Summary Tool can help you focus educational and care process improvement activities.

Quality Improvement Tool for Review of Acute Care Transfers

Quality Improvement Summary – Worksheet