My Cart (0)

Welcome! Log In or Register        How to best view this site

MED-PASS:  Designing Solutions for Senior Care

Quality Improvement Summary Worksheet - 50/pad


Availability: In stock

Price: $5.90
  • Buy 5 or more for $5.45 each and save 8%

See the entire line of INTERACT Tools for Skilled Nursing

Request a free sample. Click here.


INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. The INTERACT program includes clinical and educational tools and strategies for use in every day practice in long-term care facilities. The goal is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital. Click Here for more information.


MED-PASS is a licensed provider of the INTERACT tools.


© 2011 Florida Atlantic University, all rights reserved. This document is available for clinical use, but may not be resold or incorporated in software without permission of Florida Atlantic University.


This worksheet provides a QI tool for identifying root causes and common factors of hospital transfers that can help improve care and reduce potentially preventable hospital transfers. Individual QI reviews can be used to summarize findings and trends that should guide educational and care improvement efforts.


The three-step process on this form identifies common factors across the QIs including:

  • Resident characteristics
  • Changes in condition that lead to transfer
  • Actions taken prior to the transfers
  • Summarization of the common factors
  • Utilizes a three-step process
  • Number and timeframe of QIs included in the summary
Size 8-1/2 x 11
Unit Pad of 50
Hole Punch 3 holes left