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INTERACT at VMRC

INTERACT at VMRC. Susan J. Ayscue R.N. Director of Nursing Complete Living Care and Transitional Care - VMRC. www.vmrc.org. About VMRC. Founded in 1954 750 residents 400 employees Cottages, apartments, assisted living, nursing care Transitional Care Complete Living Care Memory Care

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INTERACT at VMRC

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  1. INTERACT at VMRC Susan J. Ayscue R.N. Director of Nursing Complete Living Care and Transitional Care - VMRC

  2. www.vmrc.org

  3. About VMRC • Founded in 1954 • 750 residents • 400 employees • Cottages, apartments, assisted living, nursing care • Transitional Care • Complete Living Care • Memory Care • Home Health Services • Wellness Center & Rehab Services • Community Health Center

  4. Our Introduction to theINTERACT Program • Prep for Health Care Reform • Implemented the acute care transfer log in 2011 • Implemented the Quality Improvement tool in 2011 • Participation in Harrisonburg Nursing Facilities Readmissions Work Group • SNFs encouraged to use INTERACT tools • VHQC offered education, implementation assistance -

  5. IMPLEMENTATION • Introduction of INTERACT Program to key stakeholders • Piloted INTERACT on our Transitional Care Neighborhood • Pilot focused on specific tools

  6. Neighborhood Focus • Education sessions were held to review the INTERACT tools • Stop and Watch • Change in Condition Cards • Care Pathways • SBAR • Transfer form • Transfer checklist/envelope

  7. Preparation • Meetings were held with neighborhood team to develop processes • Invited Carla Thomas, VHQC, to our facility to discuss implementation • Education sessions were held with all team members to review the roll out of the Pilot Program • Pilot Program began August 2012

  8. Our Challenges • Integrating the tools into our every day use. Some of the nurses felt that the SBAR wasn’t needed. (“I already do that.”) • Our electronic record-avoiding redundancy in documentation • Data collection- what to track? How to track? • Orienting float staff and new team members to program.

  9. Our Successes • Physicians are champions of the SBAR tool • Increased utilization of SBAR tool • Medical Director is involved in routine review of all Quality Improvement Tools. Reviews have helped us identify trends and needs. • Reduction in ER transfers, readmissions to hospital from our Transitional Care Neighborhood

  10. Next Steps • Review INTERACT 3.0 tools • Expand program and implement throughout facility • Evaluate program for Woodland Park

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