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The Malnutrition Quality Improvement Initiative: A Multiyear Partnership Transforms Care
The Academy of Nutrition and Dietetics, representing credentialed nutrition and dietetics practitioners—registered dietitian nutritionists (RDNs) and nutrition and dietetics technicians, registered, and students and interns and professionals holding nutrition and dietetics undergraduate and advanced degrees—and Avalere Health, a Washington, DC–based strategic advisory services firm, have led the charge in closing malnutrition gaps with the Malnutrition Quality Improvement Initiative (MQii), a national nutrition-focused quality improvement initiative.Hospital Nutrition Care Betters Patient Clinical Outcomes and Reduces Costs: The Malnutrition Quality Improvement Initiative Story
Disease-associated malnutrition and malnutrition-associated diseases and conditions are common among hospitalized patients, yet all too often such malnutrition goes unrecognized and untreated. As a result, patient quality outcomes worsen, excess costs of care are incurred, and patients and their families are disappointed and alarmed by slow, stalled, or no recovery from illness or injury. Now more than ever is the time for key health care stakeholders—from providers to patients—to recognize and harness the potential of nutritional care to help prevent and treat malnutrition and to advance value-based medicine in the current health care reimbursement environment.Improving Malnutrition in Hospitalized Older Adults: The Development, Optimization, and Use of a Supportive Toolkit
Malnutrition is a leading cause of morbidity and mortality, especially among older adults. However, diagnosis and treatment of malnutrition in the hospital setting are often overlooked. In recent years, quality improvement (QI) initiatives to increase the assessment and treatment of malnutrition in hospital settings have been implemented and shown to improve both patient health and economic outcomes. The Malnutrition Quality Improvement Initiative (MQii) Toolkit was designed in an effort to support hospitals seeking to implement malnutrition QI initiatives.Academy of Nutrition and Dietetics: Quality Measures for Malnutrition
Malnutrition has long been an underdiagnosed and undertreated condition among older adults. The Academy of Nutrition and Dietetics (Academy) as measure steward worked with Avalere Health to develop four electronic clinical quality measures (eCQMs) for malnutrition. In a collaborative partnership with other stakeholders who provided guidance and expertise, measures concepts were established. The measures discussion allowed for greater understanding of how nutrition care processes and executed plans currently occur.What Is a Registered Dietitian Nutritionist’s Role in Addressing Malnutrition?
Registered dietitian nutritionists (RDNs) have always identified malnutrition as an important condition to evaluate in practice. In the last few years, major initiatives have catapulted its identification, diagnosis, and treatment to the forefront among all clinicians. One initiative, the Malnutrition Quality Improvement Initiative (MQii), has been most impactful. This initiative is a community of hospitals that have dedicated leadership resources, accelerated dissemination of optimal malnutrition care practices and improved standardization procedures for hospitalized older adults who are malnourished or at-risk for malnutrition.Elevating Malnutrition Care Coordination for Successful Patient Transitions
In 2013, the Academy of Nutrition and Dietetics entered into a joint project with Avalere Health to improve quality of care in the United States health care systems by recognizing the unaddressed areas of malnutrition. Avalere Health, an Inovalon Company, is a strategic advisory company whose core purpose is to create innovative solutions to complex health care problems. Together the Academy and Avalere Health embarked on a collaborative journey to advance high-quality, patient-centered care for those malnourished or at risk for malnutrition.Effectiveness of the Malnutrition Quality Improvement Initiative on Practitioner Malnutrition Knowledge and Screening, Diagnosis, and Timeliness of Malnutrition-Related Care Provided to Older Adults Admitted to a Tertiary Care Facility: A Pilot Study
Malnutrition is present in 30% to 50% of hospitalized patients aged 60 years or older. As few as 3.2% of patients identified as high risk have a malnutrition diagnosis documented by medical providers. The Malnutrition Quality Improvement Initiative (MQii) aims to reduce the burden of hospital malnutrition by improving the process and delivery of care.Malnutrition Care: Preparing for the Next Level of Quality
In 2013, the Academy of Nutrition and Dietetics (Academy) entered into a joint project with Avalere Health to improve quality of care in the US health system by recognizing the unaddressed area of malnutrition. Together the Academy and Avalere Health have embarked on a collaborative journey to advance high-quality, patient-driven care for hospitalized adults aged 65 years and older who are malnourished or at risk for malnutrition. Avalere Health is a research and advisory services firm that supports stakeholders in improving care delivery through better data, insights and strategies.
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