Are Your Patients Receiving Optimal Nutrition Care?

The Malnutrition Quality Improvement Initiative (MQii) is designed to help your organization improve malnutrition care and subsequently achieve better outcomes. The primary goal is to advance evidence-based, high-quality, patient-driven care for hospitalized older adults who are malnourished or at-risk for malnutrition.

What is My Role?

Physician

As the professional responsible for diagnosing and overseeing the patient’s full course of care in the hospital, you are critical to ensuring that malnutrition is recognized, treated, and communicated to next-in-line providers for patients who are malnourished and at-risk of malnutrition. By doing so, you can give patients the best chance at a rapid recovery – since malnutrition can contribute to infections, falls, pressure ulcers, and longer lengths of stay.

What Can I Do About It?

As the physician you are vital to create momentum for quality improvement among care providers and hospital leadership. Become a malnutrition champion today to help other clinicians understand the impact of malnutrition on the hospitalized patient and support implementation of best practices for patient care.

Dietitian

As the professional who is the expert about patient malnutrition, you are a vital resource on the impact of malnutrition on patient outcomes – as well as a leader to implement quality malnutrition care and coordination among all hospital clinicians. You are critical to providing timely and effective assessment, recognition, and treatment of malnutrition for malnourished or at-risk patients.

What Can I Do About It?

Being a leader and advocating for timely and effective malnutrition care can help keep hospitalized patients safer and healthier, while enhancing the role of the dietitian in the hospital care team. Partner with other clinicians in your hospital to raise awareness about malnutrition and generate support for a project to advance the quality of malnutrition care provided in your institution.

Nurse

As the first provider to see a patient in the hospital, you are the “first line of defense” in recognizing patients who are malnourished or at-risk of malnutrition. You are also critical in ensuring that patients subsequently get the care they need, including effective malnutrition support, and play a vital role in communicating malnutrition care needs to next-in-line providers, whether in the hospital or during the patient’s discharge. Early recognition and malnutrition care for patients can reduce the likelihood of pressure ulcers, falls, and infections – thereby keeping your patients safer and healthier.

What Can I Do About It?

Nurses have long been the cornerstone of hospital-based quality improvement efforts. Help your hospital and other providers within your institution recognize the importance of malnutrition care and encourage them to pursue a malnutrition quality improvement project to enhance the culture of patient safety, reduce patient lengths of stay, and lower readmission rates.

Quality Leader

As the “owner” of quality and safety in your hospital, you provide important leadership for clinicians and executives in your hospital to understand barriers to optimal patient care. By recognizing the adverse impact malnutrition has on hospitalized patients – including higher rates of healthcare-associated infections, pressure ulcers, falls, and poor wound healing – you can help facilitate quality improvement efforts around malnutrition and show your facility’s support for addressing this care gap.

What Can I Do About It?

As a quality leader, you can embrace malnutrition as an area of focus for your hospital. Help generate hospital executives’ support, educate staff around the impact and importance of appropriate malnutrition care, and demonstrate your institution’s leadership in this space. You can also help providers and other hospital staff interested in malnutrition quality improvement (QI) build a project team and identify the resources necessary to support a malnutrition QI project.

Hospital Executive

As a hospital leader, you set the direction for the hospital to ensure it provides best-in-class care. You play a critical role in overseeing the organization’s delivery of high quality, effective, and safe care. Such care should include recognition and support for patients who are malnourished or at-risk of malnutrition – as these patients are much more likely to be readmitted, have longer lengths of stay, and are at higher risk for hospital-acquired infections resulting in increased costs of care.

What Can I Do About It?

You can champion the importance of optimal malnutrition care in your hospital, both raising awareness among your staff around the impact of this condition and encouraging a project to support malnutrition quality improvement. By elevating appropriate, patient-centered malnutrition care, you can enhance the quality and safety of care patients receive in your facility, reduce costs associated with complications, length of stay, and readmissions, and further differentiate your organization from other hospitals.

Pharmacist & Care Team

Many healthcare professionals play a critical role in delivering quality malnutrition care including pharmacists, physician assistants, social workers, case managers, discharge planners, speech pathologists, wound care providers, and physical therapists. For example, pharmacists are vital to providing parenteral nutrition and preventing drug-food interactions by thoroughly screening the patients' medication profile to ensure delivery of safe and effective nutrition care to patients. Similarly, discharge planners must ensure that malnutrition-related components (e.g., malnutrition status, diagnosis, patient education on importance of malnutrition in overall recovery) are included in the discharge plan to effectively coordinate transitions of care.

What Can I Do About It?

You can champion the importance of team-based, timely, and coordinated malnutrition care in your hospital by raising awareness among your staff and colleagues around the impact of this condition and supporting a malnutrition quality improvement project. By elevating appropriate, patient-centered malnutrition care, you can enhance the quality and safety of care patients receive in your facility and as they transfer to alternate sites of care, differentiating your organization from other hospitals.

Patient Advocate

As the “voice” of the patient, you are important to help ensure that the care that patients receive is safe, effective, and of the highest quality. Given that many patients admitted to the hospital are malnourished or at-risk of malnutrition upon arrival, and that many others experience nutritional decline during their stay, you can be a strong advocate for appropriate, patient-centered malnutrition support for hospitalized patients. This, in turn, can help keep patients healthier, reduce their length of stay, lower their chance of readmission, and help prevent infections and other hospital-acquired conditions.

What Can I Do About It?

Engage with hospital leaders, quality improvement staff, or patient and family advisory councils to encourage attention to and support for optimal, patient-centered malnutrition care throughout a patient’s stay. Help facility leadership and staff understand the importance of malnutrition care for good patient outcomes and, in turn, overall hospital quality. Encourage the creation of a patient-centered malnutrition quality improvement project to address current gaps in the hospital’s malnutrition care.

Malnutrition Facts

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