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Academy of Nutrition and Dietetics Health Informatics Infrastructure (ANDHII): A Pilot Study on the Documentation of the Nutrition Care Process and the Usability of ANDHII by Registered Dietitian Nutritionists

      Evidence-based standardized health care delivery is a long-standing goal that aims to deliver optimal interventions and improved client outcomes.
      Institute of Medicine Committee on Quality of Health Care in America
      Crossing the Quality Chasm: A New Health System for the 21st Century.
      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.
      Writing Group of the Nutrition Care Process/Standardized Language Committee
      Nutrition care process and model part I: The 2008 update.
      Writing Group of the Nutrition Care Process/Standardized Language Committee
      Nutrition Care Process Part II: Using the international dietetics and nutrition terminology to document the Nutrition Care Process.
      Academy of Nutrition and Dietetics
      Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care.

      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.

      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).
      • Murphy W.J.
      • Steiber A.L.
      A new breed of evidence and the tools to generate it: Introducing ANDHII.
      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.
      • Molinar L.S.
      • Childers A.F.
      • Hoggle L.
      • Porter H.
      • Turner P.
      Increase in use and demand for skills illustrated by responses to Nutrition Informatics Survey.
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      References

        • Institute of Medicine Committee on Quality of Health Care in America
        Crossing the Quality Chasm: A New Health System for the 21st Century.
        National Academies Press, Washington, DC2001
        • Writing Group of the Nutrition Care Process/Standardized Language Committee
        Nutrition care process and model part I: The 2008 update.
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        • Writing Group of the Nutrition Care Process/Standardized Language Committee
        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
        • Academy of Nutrition and Dietetics
        Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care.
        Academy of Nutrition and Dietetics, Chicago, IL2016
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      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.