1. INTERACT in VA Community Living Centers (CLCs): Training and Implementation Strategies
- Author
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Amy L Mochel, Joseph G. Ouslander, Ciaran S. Phibbs, Vincent Mor, Debra Saliba, and Nancy D. Henry
- Subjects
Patient Transfer ,medicine.medical_specialty ,Quality management ,Psychological intervention ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,Nursing ,Community living ,Acute care ,Intervention (counseling) ,medicine ,Homes for the Aged ,Humans ,030212 general & internal medicine ,Adaptation (computer science) ,Aged ,business.industry ,030503 health policy & services ,Community Health Centers ,Quality Improvement ,Organizational Innovation ,United States ,Nursing Homes ,Hospitalization ,Leadership ,United States Department of Veterans Affairs ,Long-term care ,Quality of Life ,0305 other medical science ,business ,Gerontology - Abstract
Studies have shown that hospitalizations of nursing home (NH) residents lead to complications and poorer quality of life. The Interventions to Reduce Acute Care Transfers (INTERACT) Quality Improvement (QI) Program assists licensed NH staff in avoiding such hospitalizations. INTERACT aims to improve the management of acute changes in residents' conditions by providing tools to help staff recognize subtle changes in condition, improve communication, and implement QI strategies. INTERACT has been vetted by national clinical leaders and experts in long term care (LTC). Multiple NHs have implemented INTERACT and it has been adopted in Canada, the United Kingdom, and Singapore. QI initiatives involve adaptation to the organizational context in which it is being implemented. We report adaptation of the INTERACT QI program and implementation training into Veteran Affairs (VA) Community Living Centers (CLCs) (VA equivalent NH) and summarize the efforts to introduce and train nursing leadership to integrate the intervention into selected CLCs.
- Published
- 2018
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