Leading Malnutrition Quality Improvement for Better Hospital & Patient Outcomes

Program Date: March 2017
Continuing Education Units: 1.5 Nurse Contact Hours, 1.5 Dietitian CPEU

Course Objectives:

  • Discuss how addressing malnutrition impacts older adult patient outcomes and healthcare costs and aligns with Centers for Medicare & Medicaid Services (CMS) and healthcare institution quality priorities
  • Describe how to access and use new electronic Clinical Quality Measures (eCQMs) for malnutrition developed by the Academy and a new evidence-based Malnutrition Quality Improvement Initiative (MQii) Toolkit to implement malnutrition care quality improvement in your own hospital
  • Identify best practices for leading malnutrition quality improvement and navigating healthcare institutional challenges and barriers
Originally Presented at the Academy of Medical-Surgical Nurses (AMSN) Annual Convention, September 30, 2016, Washington, D.C.
  • CDR Level: 2
  • Suggested Learning Codes: 3010, 5285, 7160
  • Performance Indicators: 5.2.5, 6.2.5
  • Media Format(s): Audio (English)
  • Run Time: 80 Minutes

Course Instructor Bio(s)

Alana Cline, PhD, RDN


Alana Cline is the Chair of the Academy of Nutrition and Dietetics Quality Management Committee for 2016-17; she has been a member of the committee for four years. Her involvement with the Academy’s Quality Management Program has included contributions toward Standards of Practice and Standards of Professional Performance for the profession, essential practice competencies, standards of excellence, and education modules for performance measurement. She has also been involved with work towards the Malnutrition Quality Improvement Initiative and the IMPACT Act. Alana is an Associate Professor Emeritus at the University of Northern Colorado, where she spent 16 years on faculty in the Nutrition and Dietetics Program. Prior to embarking in academia as a second career in 1997, Alana completed a 25-year career as a dietitian in the US Army. She had work opportunities in clinical, foodservice, community, education, and research positions in various military posts throughout the US, providing her with a variety of experiences to draw upon when teaching students and interns. Alana values her involvement with the Academy and has held positions at the local, state, and national level. She has just completed positions on the board of the Northern Colorado Dietetic Association as Education/Career Chair, and the Colorado Academy of Nutrition and Dietetics as the Public Policy Coordinator. She has also had responsibility as Chair, Academy Positions Committee and affiliate Delegate for Colorado to the House of Delegates. Additional past responsibilities have included Secretary and Chair, Research DPG; member of the CDR Exam Panel; member of the Evidence Based Practice Committee; and member of the CDR Appeals Panel.

Kelsey Jones, MPA


Kelsey Jones, MPA is a Director for Avalere Health, where she advises clients on evidence generation and translation to support clinical practice. She has a particular focus on real world evidence generation, quality improvement research and implementation, and quality measure use. Kelsey also has special expertise in translating evidence into quality and value messages and integrating the patient voice into product development and outcomes research. Kelsey has spent the last few years supporting malnutrition quality improvement efforts focused on the hospitalized older adult patient, including the conceptualization and launch of the Malnutrition Quality Improvement Initiative. She presented on the impetus for this initiative and the vision for the role of the RDN and NDTR in supporting hospital-based malnutrition at the 2015 Food and Nutrition Conference and Expo. Prior to joining Avalere, Kelsey interned at the Greater New York Hospital Association and served as a Roosevelt Scholars Teaching Assistant at the Roosevelt Institute.

Heidi Silver, PhD, RDN, CNSD


Dr. Heidi J. Silver, PhD, RDN is an Associate Professor in the Division of Gastroenterology, Hepatology and Nutrition at Vanderbilt University Medical Center in Nashville, TN. She earned her B.S. in Speech and Hearing Science at the University of Massachusetts–Amherst and her M.S. and Ph.D. degrees in Nutrition at Florida International University. Dr. Silver has been a Registered Dietitian and member of the Academy of Nutrition and Dietetics for over 25 years. Early in her career she specialized in providing nutrition support in acute care, home health and long term care settings. Currently, Dr. Silver is an independent investigator whose research is an integral component of a dynamic translational science program in obesity, the metabolic syndrome and type 2 diabetes, wherein she investigates effects of dietary macronutrients on inflammation and insulin resistance. Dr. Silver is also the founder and director of the Vanderbilt Diet, Body Composition, and Human Metabolism Core Lab which has a team of dietitians, exercise physiologists, nurses and research assistants providing services to other study investigators.

Kenneth Nepple, MD, FACS


Ken Nepple MD FACS is a Clinical Associate Professor in the Department of Urology at the University of Iowa Hospitals and Clinics, where he also serves in a supported role as Assistant Chief Medical Information Officer and Physician Value Officer.


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