Evidence-based standardized health care delivery is a long-standing goal that aims
to deliver optimal interventions and improved client outcomes.
1
Measurement of outcomes in nutrition and dietetics practice has historically been
both difficult and infrequent. For nutrition outcomes measurement to be consistent
and outcomes data to be comparable, a systematic Nutrition Care Process (NCP), coupled
with a comprehensive standardized language (Nutrition Care Process Terminology [NCPT]),
has been established.
2
,
3
,
4
,
5
To facilitate documentation of the NCP/NCPT and related outcomes research, the Academy
of Nutrition and Dietetics (Academy) developed a web-based platform called the Academy
of Nutrition and Dietetics Healthcare Informatics Infrastructure (ANDHII).
6
In ANDHII, the user can search and apply the complete NCPT (which exceeds 1,700 terms
at the time of this writing). The need for an NCP/NCPT-focused tool like ANDHII continues
to exist, as only about one-fourth of respondents in a recent survey stated using
structured data screens in electronic health records that include the NCP and NCPT.
7
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the Academy of Nutrition and DieteticsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Crossing the Quality Chasm: A New Health System for the 21st Century.National Academies Press, Washington, DC2001
- Nutrition care process and model part I: The 2008 update.J Am Diet Assoc. 2008; 108: 1113-1117
- Nutrition Care Process Part II: Using the international dietetics and nutrition terminology to document the Nutrition Care Process.J Am Diet Assoc. 2008; 108: 1287-1293
- Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care.Academy of Nutrition and Dietetics, Chicago, IL2016
Swan WI, Vivanti A, Hakel-Smith NA, et al. Nutrition Care Process and Model update: Toward realizing people-centered care and outcomes management. J Acad Nutr Diet.117(12):2003-2014.
- A new breed of evidence and the tools to generate it: Introducing ANDHII.J Acad Nutr Diet. 2015; 115: 19-22
- Increase in use and demand for skills illustrated by responses to Nutrition Informatics Survey.J Acad Nutr Diet. 2016; 116: 1836-1842
- Nutrition clinic: An integral component of an undergraduate curriculum.J Am Diet Assoc. 1985; 85: 594-596
- Translating nutritional assessment findings into diagnostic systems.CRN Q. 1986; : 14-15
- A problem-based nutrition care model that is diagnostic driven and allows for monitoring and managing outcomes.J Am Diet Assoc. 2002; 102: 578-589
- Nutrition Care Process and Model: ADA adopts road map to quality care and outcomes management.J Am Diet Assoc. 2003; 103: 1061-1072
- Is nutritional diagnosing a critical step in the nutrition care process?.J Am Diet Assoc. 2002; 102: 427-431
- Orientation to nutrition care process standards improves nutrition care documentation by nutrition practitioners.J Am Diet Assoc. 2005; 105: 1582-1589
- Nutrition care process chains: The “missing link” between research and evidence-based practice.J Acad Nutr Diet. 2015; 115: 1491-1498
Microsoft Structured Query Language Server Management Studio [computer program]. Version 10.50.1617.0. Redmond, WA: Microsoft; 2008.
- R.([computer program]. Version 3.4.0) R Foundation for Statistical Computing, 2017
- RStudio.([computer program]. Version 1.0.143) RStudio Inc, Boston, MA2017
R Foundation for Statistical Computing. R: A Language and Environment for Statistical Computing. https://www.r-project.org/. Accessed April 23, 2018.
- Modern Applied Statistics with S.4th ed. Springer, New York, NY2002
- ggplot2: Elegant Graphics for Data Analysis.Springer, New York, NY2009
- dplyr: A grammar of data manipulation: R package.([computer program]. Version 0.4 3) R Foundation for Statistical Computing, 2015
- propagate: Propagation of Uncertainty. R package.([computer program]. Version 1.0-4) R Foundation for Statistical Computing, 2014
Dragulescu AA. xlsx: Read, write, format Excel 2007 and Excel 97/2000/XP/2003 files. version 0.5.7. https://cran.r-project.org/web/packages/xlsx/index.html. Accessed April 23, 2018.
- Practicalities of using the nutrition care process in research.J Ren Nutr. 2015; 25: 393-394
Biography
W. J. Murphy is data scientist, Academy of Nutrition and Dietetics, Chicago, IL.
Biography
A. L. Steiber is chief science officer, Academy of Nutrition and Dietetics, Chicago, IL.
Biography
C. Papoutsakis is senior director of the Nutrition and Dietetics Data Science Center, Academy of Nutrition and Dietetics, Chicago, IL.
Biography
M. M. Yadrick is director of Nutrition Informatics, Computrition, Inc, West Hills, CA.
Biography
V. Mohan is program director of the Clinical Informatics subspecialty fellowship, Oregon Health & Science University School of Medicine, Portland.
Article info
Publication history
Published online: May 24, 2018
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST W. J. Murphy, C. Papoutsakis, and A. L. Steiber are employees of the Academy of Nutrition and Dietetics, which has a financial interest in the ANDHII platform and the NCPT described here. No potential conflict of interest was reported by the other authors.
FUNDING/SUPPORT Financial and material support for the development of ANDHII has been provided by the Academy of Nutrition and Dietetics and the Commission on Dietetic Registration.
Identification
Copyright
© 2018 by the Academy of Nutrition and Dietetics.
