Influencing Factors Associated with Implementation of INTERACT (Interventions to Reduce Acute Care Transfers) in VA Community Living Centers (CLCs) Using the Consolidated Framework. Issue 5 (3rd September 2022)

• Record Type: Journal Article
• Authors: Mochel, Amy L.; Holle, Cynthia L.; Rudolph, James L.; Ouslander, Joseph G.; Saliba, Debra; Mor, Vincent; Mittman, Brian S.
• Is Part Of: Journal of aging & social policy. Volume 34:Issue 5(2022)
• Page Start: 673
• Page End: 689
• Publication Date: 2022-09-03
• Subjects: Quality improvement -- implementation -- preventable hospitalizations -- intervention -- education; Older people -- United States -- Periodicals; Older people -- Government policy -- United States -- Periodicals; Older people -- Periodicals; Older people -- Medical care -- United States -- Periodicals; 362.605
• DOI: 10.1080/08959420.2021.1926862
• Languages: English
• ISSNs: 0895-9420

Abstract

ABSTRACT: Our objective was to identify the influencing factors associated with the implementation of the INTERACT (Interventions to Reduce Acute Care Transfers) Quality Improvement program within a national healthcare system. INTERACT focuses on early identification and management of changes in residents' condition leading to a reduction in potentially preventable hospital transfers. The Consolidated Framework was used to evaluate implementation data from eight VA Community Living Centers. Qualitative implementation data suggest two influencing Consolidated Framework domains had a strong influence: 1) key attributes of the intervention (e.g., adaptability or complexity) and 2) internal organizational factors (e.g., culture or compatibility). Using the Consolidated Framework can assist future adaptations to this and other complex quality improvement initiatives.