Malnutrition Quality Improvement Initiative Supplement to JAND

The Academy of Nutrition and Dietetics released a special Malnutrition Quality Improvement Initiative (MQii) supplement to the September Journal of the Academy of Nutrition and Dietetics (JAND). The supplement features articles and abstracts highlighting the impact of malnutrition quality improvement on interdisciplinary patient care and clinical nutrition practice.

ARTICLES

Hospital Nutrition Care Betters Patient Clinical Outcomes and Reduces Costs: The Malnutrition Quality Improvement Initiative Story

The consequences of malnutrition in hospitalized patients are serious and older adults are particularly vulnerable. This narrative introduces the special supplement issue of the Journal of the Academy of Nutrition and Dietetics and its focus on the Malnutrition Quality Improvement Initiative (MQii). The MQii provides an opportunity to improve overall quality of patient care, enhance clinical outcomes, and reduce costs.

Quality Improvement as the Foundation for Health Care Advancement

Quality improvement is integral to today’s healthcare model, and registered dietitian nutritionists (RDNs) play an important role to lead malnutrition quality improvement. This article discusses the opportunity RDNs have to achieve meaningful change in malnutrition care and ensure the health and vitality of current and future generations in America.

The Malnutrition Quality Improvement Initiative: A Multiyear Partnership Transforms Care

The MQii is a national nutrition-focused quality improvement initiative. This narrative outlines the initiative’s collaborative journey from 2013-2019 to improve care and outcomes for hospitalized adults age 65 and older, with a series of nutrition-focused quality improvement (QI) innovations. The vision and future directions of the MQii and its applications in 2020 and beyond are also described, including improving patient care and outcomes in other populations and across other care settings.

Improving Malnutrition in Hospitalized Older Adults: The Development, Optimization, and Use of a Supportive Toolkit

The MQii toolkit was designed to support hospitals seeking to implement malnutrition quality improvement. This article introduces the MQii toolkit, describes the process by which it was designed and improved, and orients clinical care teams to its use.

Enhancing Identification and Management of Hospitalized Patients Who Are Malnourished: A Pilot Evaluation of Electronic Quality Improvement Measures

The MQii is based on a dual-pronged approach consisting of a quality improvement toolkit and malnutrition electronic continuous quality improvement measures (eCQMs) that support delivery of high-quality malnutrition care by providers. This article describes the processes of a large pilot hospital to validate the four malnutrition eCQMs.

Identifying and Managing Malnourished Hospitalized Patients Utilizing the Malnutrition Quality Improvement Initiative: The UPMC Experience

The University of Pittsburgh Medical Center (UPMC) piloted the MQii at two institutions within their healthcare system after recognizing a need to improve identification and management of malnourished adult patients. This article discusses the UPMC experience implementing the MQii and associated improvements.

Extending the Reach of Hospital-Based Nutrition: A Dietitian’s Perspective on the Malnutrition Quality Improvement Initiative and Improving Patient Recovery

The RDNs at Legacy Salmon Creek Medical Center developed a program for post-discharge nutrition care with a goal of decreasing 30-day hospital readmission rates. This article discusses the implementation and results of this pilot program, including results that indicated a high level of patient satisfaction and a decrease in the rate of readmissions.

Clinical Leadership and Innovation Help Achieve Malnutrition Quality Improvement Initiative Success

Frameworks like the MQii need clinical leadership to achieve success. This article highlights the success of four clinical nutrition leaders, and it describes how these leaders demonstrated and supported leadership opportunities for clinical nutrition staff through implementation of the MQii.

Achievements in Improving Documentation to Depict a More Accurate Clinical Representation of Patients with Malnutrition while Increasing Visibility of the RDN

RDN Audits to Determine the Prevalence of Hospital Malnutrition Reveal a Need to Shift the Focus of Quality Improvement Efforts

Improving Adult Malnutrition Coding, Documentation and Reimbursement: A Multicenter Approach

NurISH Team: A Nutrition-Centric Inpatient Rehabilitation Rounding Structure

Bridging the Gap from Hospital to Home: Implementation of a Malnutrition Transitions of Care Program

Scoring Using the Malnutrition Screening Tool: Dietetic Intern and Registered Nurse

Analysis of Adult Inpatient Malnutrition at the University of Virginia Health System

Evaluating Efficacy of a Recently Implemented Malnutrition Screening Tool

Prioritizing Malnutrition Care Through Discrete eCQM Data Tracking in the Electronic Health Record for an Academic Medical Center

Improving Integration of Malnutrition Care in Care Transitions

Increasing Malnutrition Identification and Coding Through Process Improvement

Malnutrition Quality Improvement Initiative Supports Delivery of Evidence-Based Care and Drives Improved Outcomes

A Competitive Edge in Raising Awareness of Malnutrition; One Organizations success in Malnutrition Awareness Week Efforts

Engagement of the Academy’s Dietetic Practice Groups with MQii

The Importance of Nutrition Post-Discharge Interventions

Physician Champions: Key to Malnutrition Diagnosis Identification and Documentation

Malnutrition Across the Care Continuum in the Aging and Disabled Populations

Nutrition Focused Physical Exam Improves Accuracy of Malnutrition Diagnosis

Impact of Accurate Malnutrition Coding on Case Mix Index

Demographics of Malnourished Patients

Evaluation of a Nutrition Screening Tool to Identify Patients at Risk for Malnutrition

RDN Assessment within Twenty-Four Hours of Nutrition Screening Referral is Feasible

Improving Patient Outcomes & Decreasing Hospital Costs Through Nutrition

Malnutrition Across the Continuum of Care

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