On-Time Avoidable Transfers
Project Highlights
- Work to Date
- Collaborative Workgroup
Resources
- On-Time Tool Description
- HIT Vendors with Modules
- HIT Specifications
(available Q3 2012) - Publications
- INTERACTII
Literature reports as many as 40-67% of hospital transfers from nursing homes are “inappropriate” or potentially avoidable because the residents could have been cared for at lower levels of care. In addition, it is recognized that contextual factors like access to diagnostic tests, family insistence, and physician practice patterns contribute to decisions to transfer a resident. Nonetheless, opportunities exist to improve nursing home processes to prevent avoidable transfers: closer resident monitoring, systematic prevention programs, and improved communication with entire clinical team.
On-Time Avoidable Transfers involves a collaborative with nursing home clinical staff to design HIT enabled clinical decision support tools and associated implementation strategies to improve earlier identification of residents at high risk and support proactive interventions and monitoring to prevent avoidable transfers from nursing home to hospital or ED.
Learn more about our services: On-Time QI
