As pediatric registered dietitian nutritionists (RDNs) make addressing malnutrition
a critical part of their nutrition care process (NCP) and integrate malnutrition quality
improvement into their health care facilities, they have looked to the Pediatric Nutrition
Practice Group (PNPG) for guidance on how to best achieve this goal in the care of
infants, children, and adolescents. The Malnutrition Quality Improvement Initiative
(MQii) was developed by the Academy of Nutrition and Dietetics (Academy), Avalere
Health, and other stakeholders to provide guidance for malnutrition quality improvement
efforts through key technical expert and advisory roles.
1
MQii is a dual-pronged approach to support quality improvement (QI) for malnutrition
care based on a set of four malnutrition-focused electronic clinical quality metrics
(eCQMs) and a malnutrition QI toolkit with resources to guide implementation of QI
activities.
1
The MQii Toolkit
2
is a well created and comprehensive framework developed for patients aged 65 years
and older. The goals of the MQii include reducing variation in clinical practice for
malnutrition care across different care providers and settings; improving clinicians’
knowledge of the importance of malnutrition and best practices for optimal malnutrition
care delivery; and exploring how optimal malnutrition care impacts cost of care proxies
such as average length of stay and 30-day all-cause readmissions for patients who
are malnourished or at risk for malnutrition.
Malnutrition Quality Improvement Initiative
2nd ed. Malnutrition Quality Improvement Initiative website. 2018.
2nd ed. Malnutrition Quality Improvement Initiative website. 2018.
http://malnutritionquality.org/static/pdf/complete-mqii-toolkit.pdf
Date accessed: May 6, 2020
1
,2
This publication provides guidance for pediatric nutrition practitioners to implement
malnutrition QI activities and evaluate the eCQMs in pediatrics, providing age-appropriate
nutrition screening, assessment, care plan, and documentation resources where needed.Malnutrition Quality Improvement Initiative
2nd ed. Malnutrition Quality Improvement Initiative website. 2018.
2nd ed. Malnutrition Quality Improvement Initiative website. 2018.
http://malnutritionquality.org/static/pdf/complete-mqii-toolkit.pdf
Date accessed: May 6, 2020
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Biography
W. Phillips, MS, RD, CD, NWCC, FAND, is a Regional Vice President, Morrison Healthcare, St. George, UT.
Biography
P. J. Becker, MS, RDN, CSP, FAND, is a pediatric/neonatal nutrition specialist—RDIII, Dayton Children’s Hospital, Dayton, OH.
Biography
M. Wong Vega, MS, RD, is a senior pediatric clinical dietitian, Texas Children's Hospital, Houston, TX.
Biography
E. Smith, MA, RD, LDN, is an inpatient clinical nutrition manager, Children’s Hospital of Philadelphia, Philadelphia, PA.
Biography
S. Konek, MA, RDN, CSP, LD, FAND, is a partner, Pediatric Nutrition Partners, LLC, Oakwood, OH.
Biography
J. Bailer RD-AP, LDN, Registered Dietitian III, Children’s Hospital of Philadelphia, Philadelphia PA.
Biography
J. Carvalho-Salemi, MPH, RDN, LD, is a senior pediatric dietitian, Nephrology ǀ Texas Children’s Hospital, Lutz, FL.
Article info
Publication history
Published online: November 10, 2020
Footnotes
W. Phillips, MS, RD, CD, CNSC, CLE, NWCC, FAND, is a Regional Vice President, Morrison Healthcare, St. George, UT. P. J. Becker, MS, RDN, CSP, FAND, is a pediatric/neonatal nutrition specialist—RDIII, Dayton Children’s Hospital, Dayton, OH. M. Wong Vega, MS, RD, is a senior pediatric clinical dietitian, Texas Children's Hospital, Houston, TX. E. Smith, MA, RD, LDN, is an inpatient clinical nutrition manager, Children’s Hospital of Philadelphia, Philadelphia, PA. S. Konek, MA, RDN, CSP, LD, FAND, is a partner, Pediatric Nutrition Partners, LLC, Oakwood, OH. J. Bailer RD-AP, LDN, Registered Dietitian III, Children’s Hospital of Philadelphia, Philadelphia PA. J. Carvalho-Salemi, MPH, RDN, LD, CNSC, is a senior dietitian, Department of Renal and Pheresis Services, Texas Children's Hospital, Houston, TX.
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT There is no funding to disclose.
AUTHOR CONTRIBUTIONS All authors developed the project, and each author wrote one or more section(s) of the article. All authors reviewed, commented on, and edited every draft of the article.
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© 2021 by the Academy of Nutrition and Dietetics.
