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Create a Free AccountNutrition Informatics
A Call to Action for Optimizing the Electronic Health Record in the Parenteral Nutrition Workflow
Parenteral nutrition (PN) is a complex therapeutic modality provided to neonates, children, and adults for various indications. Surveys have shown that current electronic health record (EHR) systems are in need of functionality enhancement for safe and optimal delivery of PN. This is a consensus statement from the American Society for Parenteral and Enteral Nutrition, the Academy of Nutrition and Dietetics, and the American Society of Health-System Pharmacists outlining some of the key challenges to prescribing, order review/verification, compounding, and administration of PN using EHRs today and is a call to action for clinicians and vendors to optimize their EHRs regarding the PN build and workflow.Toward International Best Outcomes: The Shared Path of the Nutrition Care Process, Informatics, and Research Translation
Documentation of care is essential for professional communication and good patient management and has presented a challenge over time for most health professions. For registered dietitian nutritionists (RDNs), the use of the Nutrition Care Process (NCP) and Nutrition Care Process Terminology (NCPT)1 offers a structured approach to documentation. However, the increasing use of electronic health records (EHRs), the emphasis on evidence-based practice, funding pressures, and the expectations for efficiencies in time management has placed additional demands on the delivery of nutrition care.Increase in Use and Demand for Skills Illustrated by Responses to Nutrition Informatics Survey
In the span of a decade, most health care institutions and providers in the United States have moved from paper to electronic patient health records. In 2007, in anticipation of these changes, the Academy of Nutrition and Dietetics initiated a series of surveys to determine the extent to which Academy members were using information technology (IT) to support their work.1 The Academy conducted additional Nutrition Informatics surveys in 20112 and 2014.Remote Nutrition Counseling: Considerations in a New Channel for Client Communication
The ever-increasing advancements in technology that keep the average person more connected than ever—and feeling busier than ever1—have contributed to a shift in consumer communication preferences. More individuals today indicate a preference for cell phones and text messaging over communication via landline telephone, and, as of 2014, four in 10 US households have cell phones only, a rate that has doubled since 2009.2-4 It is no surprise, then, that developers have been busy creating mobile applications (or apps) for smartphones, tablets, and other devices to accommodate the growing consumer need for convenience in the face of busy schedules.Deriving Nutrition Information Using Mathematical Estimation: The Example of Phenylalanine in Sweets with Gelatin
Diet plays an important role in the management of diseases. A striking example is phenylketonuria (PKU), an inherited metabolic disease that leads to severe mental retardation if left untreated.1 However, a life-long low-phenylalanine diet started shortly after birth enables patients to develop normally and lead productive lives.2 A key factor in successful diet management is having readily accessible nutrition information. In that spirit, electronic versions of nutrient databases, such as the US Department of Agriculture’s National Nutrient Database for Standard Reference,3 have been made available.Video Consultations and Virtual Nutrition Care for Weight Management
The impact of technology on health care is escalating as a result of a diffusion of mobile devices and increased ubiquity of the online environment. In 2013, 74.4% American households had access to the Internet compared with 18.0% in 1997, while 63.6% had access to a handheld computer such as a smartphone.1The Automated Self-Administered 24-Hour Dietary Recall for Children, 2012 Version, for Youth Aged 9 to 11 Years: A Validation Study
Valid methods of diet assessment are important for nutrition research and practice, but can be difficult with children.A New Breed of Evidence and the Tools to Generate It: Introducing ANDHII
It has been nearly 2 decades since the Academy of Nutrition and Dietetics (then the American Dietetic Association) published Medical Nutrition Therapy Across the Continuum of Care1 under the leadership of former chief science officer Esther Myers, PhD, RD, FADA. This marked the official emergence of dietetics into the young field of evidence-based practice (EBP) in the very same year that the British Medical Journal published Sackett and colleagues’ now ubiquitous definition of the practice: “[T]he conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”2 Since that time, EBP has evolved, and the Academy has both adapted to and contributed to those changes (Figure 1).HIPAA Compliance from a Private Practice Purview
Sweeping change continues to be the norm for health care regulations. Professionals in private practice play multiple roles within their businesses as they are responsible for policy creation, implementation, and management, as well as the day-to-day responsibilities of patient care. Registered dietitian nutritionists (RDNs) have access to assistance via resources provided by the Academy of Nutrition and Dietetics (Academy), particularly in terms of compliance with legislation collectively referred to as the HIPAA Omnibus Rule, which took effect September 23, 2013.Implementation of the Nutrition Care Process and International Dietetics and Nutrition Terminology in a Single-Center Hemodialysis Unit: Comparing Paper vs Electronic Records
There is little doubt surrounding the benefits of the Nutrition Care Process and International Dietetics and Nutrition Terminology (IDNT) to dietetics practice; however, evidence to support the most efficient method of incorporating these into practice is lacking. The main objective of our study was to compare the efficiency and effectiveness of an electronic and a manual paper-based system for capturing the Nutrition Care Process and IDNT in a single in-center hemodialysis unit. A cohort of 56 adult patients receiving maintenance hemodialysis were followed for 12 months.The Impact of Social Media on Business and Ethical Practices in Dietetics
An Ethics Opinion reflects the interpretation or application of the Academy of Nutrition and Dietetics (Academy)/Commission on Dietetic Registration (CDR) Code of Ethics for the Profession of Dietetics by the Ethics Committee. This interpretation or application by the Ethics Committee is in response to a specific ethics issue facing the Registered Dietitian/Nutrition (RDN) or Dietetic Technician, Registered (DTR) in practice.An Ethics Opinion is an educational guide for practitioner conduct; it is meant to be a comprehensive review of the issue.Nutrition Informatics Competencies across All Levels of Practice: A National Delphi Study
SEVERAL REPORTS FROM THE Institute of Medicine are transforming health care as we know it today. In 1999, a landmark report entitled To Err Is Human focused on the elimination of paper-based medical records to help reduce medical errors.1 A year later, Crossing the Quality Chasm followed up with a report pointing out how innovation and information technology can improve the quality of our outdated health care system.2 To help cross that chasm, the Institute of Medicine published another report focusing on educating the next generation of health care professionals.The Health Information Technology for Economic and Clinical Health (HITECH) Act and Nutrition Inclusion in Medicare/Medicaid Electronic Health Records: Leveraging Policy to Support Nutrition Care
UNITED STATES ADOPTION and use of health information technology (HIT) is proceding at an unprecedented rate, in large part due to unsustainable health costs, lackluster health quality, and documented preventable medical errors. Perhaps the tipping point for change was the 2009 passage of the American Recovery and Reinvestment Act.1 A significant portion of the American Recovery and Reinvestment Act is known as the HITECH Act, or Health Information Technology for Economic and Clinical Health Act,2 sometimes referred to as the Medicare/Medicaid Electronic Health Record (EHR) Incentive Program.The Great Migration: Opportunities and Obstacles Await Those Advancing toward Electronic Health Record Adoption
NOT SO LONG AGO, A DIETITIAN named Pamela availed herself of LinkedIn.com , a website dedicated to business-related social networking, to inquire about the “unique challenges” encountered by colleagues who use electronic medical records (EMRs) to assist in the development of their nutritional care plans.1Practice Paper of the Academy of Nutrition and Dietetics Abstract: Nutrition Informatics
As valued members and decision makers of the health care team, registered dietitians and dietetic technicians, registered, practice in a wide variety of settings from corporate wellness to the intensive care unit. Each of these work settings has unique information needs, but all require that dietetics practitioners have immediate access to accurate information. Successful dietetics practice in today's rapidly changing environment requires skills in finding, evaluating, and sharing accurate food and nutrition information.Diet Order Entry by Registered Dietitians Results in a Reduction in Error Rates and Time Delays Compared with Other Health Professionals
In January 2009, registered dietitians (RDs) at St Michael's Hospital (Toronto, Ontario, Canada) were granted approval for nonmedication order entry of physician-approved nutrition-related orders for the patients to whom RDs provided care. The aim of this project was to document any changes in the numbers and types of diet order errors and time delays that were associated with this policy change. A retrospective chart audit was conducted to document the error rate in 672 nutrition-related orders placed before, and in 633 orders placed after, implementation of RD diet order entry on high-risk inpatient units.2011 Nutrition Informatics Member Survey
The Academy of Nutrition and Dietetics completed an online Nutrition Informatics Survey in February of 2011. This survey builds on the first Nutrition Informatics Survey completed in 2008 (1) and has enabled the Academy to begin a longitudinal analysis of member trends in the use of technology, information management, and the use of the Nutrition Care Process and the International Dietetics and Nutrition Terminology. The online survey was developed by the Academy Nutrition Informatics Committee with the support of the Health Information Management Systems Society (HIMSS).Future Changes Driving Dietetics Workforce Supply and Demand: Future Scan 2012-2022
The dietetics profession faces many workforce challenges and opportunities to ensure that registered dietitians (RDs) and dietetic technicians, registered (DTRs) are at the forefront of health and nutrition. The profession must prepare for new public priorities, changes in population, and the restructuring of how people learn and work, as well as new advances in science and technology. In September 2010, the Dietetics Workforce Demand Task Force, in consultation with a panel of thought leaders, identified 10 change drivers that affect dietetics workforce supply and demand.
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