Interventions To Reduce Acute Care Transfers In Nursing Case Study

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Register to read the introduction… 3). Since a high number of NHs lack the infrastructure to adequately identify and manage residents changes in conditions implementing a PPM such as INTERACT give the NHs a set of tools and strategies designed to assist nurses and supporting staff in earlyidentification of changes in condition, proper assessment skills, effective communication among healthcare professionals and appropriate documentation skills to track changes in condition and interventions (Ouslander, Lamb, et al., 2011, p. 745). According to Kripalani et al. (2014), INTERACT provides support to nurses in caring for residents diagnosed with pneumonia, MI, COPD, CHF, or total hips and knees by giving nurses strategies and interventions from the evidence that supports reduced 30-day readmissions and better outcomes for residents (p. 477).Ouslander, Lamb, et al. note to assist staff in NHs to safely manage a higheracuity of residents the implementation of INTERACT will support staff in providing safe quality care to their residents while reducing potentially avoidable hospitalizations and health care cost (p. 634). Nurses that practice in NHs can utilize EBP to keep their residents safe while providing high-quality care and reducing unnecessary health care …show more content…
The title of the study “Interventions to Reduce Hospitalizations from Nursing Homes: Evaluation of the INTERACT II Collaborative Quality Improvement Project” found in Journal Of The American Geriatrics Society and aims to support that NHs can reduce their 30 day readmission rate while utilizing the strategies and tools made available by the program to safely manage changes of condition in residents, increase positive patient outcomes and reduce health care cost (Ouslander et al., 2011). The researchers conducted the study as a quality improvement project. The sample size consisted of 30 NHs from Florida, Massachusetts, and New York. Variations in size, profit status, the number of short-stay residents, and geographic locations were picked to increase the generalizability of the project. Five NHs were dropped from the project because they did not submit the data for rehospitalizations before the start of the implementation of the INTERACT program. Out of the 25 NHs, that participated in the 6-month intervention and which hospitalizations rates were available were divided into two groups; 17 NHs were rated as moderately to highly engaged in the project and eight were rated as minimally to not engaged in the project. Eleven nursing home from New York and Massachusetts that were not involved in the project provided hospitalizations rates so a comparison could be made. Results were determined using a P = .01. Engaged NHs experienced 24% decrease in hospitalizations rates (95% confidence interval (CI) = 0.23 to -1.56; P = .01 relative to comparison NHs). NHs that were not engaged experienced a 6% decrease in hospitalizations rates. The 11 NHs used for comparison had a 3% decrease in hospitalizations rates. When the 11 participating NHs

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