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Nutrition Care Process Implementation: A Change Management Perspective

      In response to the release of the first Nutrition Diagnosis publication by the American Dietetic Association (ADA) in October 2005, the Patient Food and Nutrition Services management team at The University of Michigan Hospital and Health Centers (UMHHC) began thinking about how to incorporate the Nutrition Care Process (NCP) at our facility. UMHHC has over 800 staffed beds, including 84 adult intensive care unit (ICU) beds, 40 level-three neonatal ICU beds, 31 pediatric ICU beds, and 40 maternity beds. Approximately 30 registered dietitians (RDs), full time and part time, provide nutritional care to UMHHC inpatients. These dietitians also precept 12 dietetic interns as part of a 10-month dietetic internship.
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      J. Gardner-Cardani has relocated to southern California; at the time of the study, she was education coordinator, Nutrition Services, Patient Food and Nutrition Services, University of Michigan Hospitals and Health Centers, Ann Arbor.


      D. Yonkoski is associate director, Nutrition Services, Patient Food and Nutrition Services, University of Michigan Hospitals and Health Centers, Ann Arbor


      J. Kerestes is director of Patient Food and Nutrition Services and director of Dietetic Internship, University of Michigan Hospitals and Health Centers, Ann Arbor.