MQii Tools and Resources

The following tools and resources should be leveraged in conjunction with the MQii Toolkit to support the implementation of a malnutrition quality improvement initiative. The tools and resources are organized chronologically by recommended steps in the malnutrition quality improvement process, with key information about the MQii at the beginning and quality improvement guidance at the end.

MQii BACKGROUND

MQii Guiding Principles

Presents principles, upon which the MQii was created and that guided the development of the MQii Toolkit

View

MQii Overview Presentation

Highlights the importance of addressing malnutrition in the hospital and provides the business case to implement a quality improvement project and evidence to support adoption of the MQii tools and resources

View

Download

MQii FAQs

Addresses questions to help your team plan for and implement a malnutrition quality improvement project

View

Quotes

Captures experiences of MQii Learning Collaborative participants

View

Infographic: eCQM Alignment with National Quality Goals

Outlines how the MQii electronic clinical quality measures (eCQMs) support national goals to enhance the quality and value of healthcare delivery

View

Videos: Impact of MQii

Food and Nutrition Conference & Expo videos:

  • MQii Call to Action:
    View
  • Learning Collaborative Participant Videos: University of Pittsburgh Medical Center and New Hanover Regional Medical Center:
    View

Prevalence and Burden of Malnutrition
among Hospitalized Patients

MQii Briefing: The Value of Quality Malnutrition Care

Outlines key facts and statistics about the impact and burden of malnutrition and how addressing it can improve patient outcomes and hospital performance

View

Tappenden KA, Quatrara B, Parkhurst ML, Malone AM, Fanjiang G, Ziegler TR. Critical Role of Nutrition in Improving Quality of Care: An Interdisciplinary Call to Action to Address Adult Hospital Malnutrition. J Acad Nutr Diet. 2013;113(9):1219-1237.

View

American Society for Parenteral and Enteral Nutrition (ASPEN) Practice and Research Toolkits

View

Fingar KR, Weiss AJ, Barrett ML, Elixhauser A, Steiner CA, Guenter P, Hise Brown M. All-Cause Readmissions Following Hospital Stays for Patients with Malnutrition, 2013 (AHRQ HCUP Report, published December 2016)

View

Weiss AJ, Fingar KR, Barrett ML, Elixhauser A, Steiner CA, Guenter P, Hise Brown M. Characteristics of Hospital Stays Involving Malnutrition, 2013 (AHRQ HCUP Report, published September 2016)

View

Malnutrition Fact Sheet

View

Fessler TA. Malnutrition: A Serious Concern for Hospitalized Patients. Today’s Dietitian. 2008;10(7):44.

View

Mogensen KM, DiMaria-Ghalili RA. Malnutrition Vigilance During Care Transitions. Today’s Geriatric Medicine. 2015;8(4):12.

View

Benefits of Malnutrition Quality
Improvement

Silver HJ, Pratt KJ, Bruno M, Lynch J, Mitchell K, McCauley S. 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. J Acad Nutr Diet. 2018;118(1):101-109.

View

Sriram K, Sulo S, VanDerBosch G, Partridge J, Feldstein J, Hegazi RA, Summerfelt WT. A Comprehensive Nutrition-Focused Quality Improvement Program Reduces 30-Day Readmissions and Length of Stay in Hospitalized Patients. JPEN J Parenter Enteral Nutr. 2017;41(3):384-391.

View

Sulo S, Feldstein J, Partridge J, Schwander B, Sriram K, Summerfelt WT. Budget impact of a comprehensive nutrition-focused quality improvement program for malnourished hospitalized patients. Am Health Drug Benefits. 2017;10(5):262-270.

View

How to Get Started / Understanding
the Process

MQii Readiness Questionnaire

Use to identify how prepared you, your care teams, or your organization are to implement a malnutrition quality improvement project. Based on your responses, the questionnaire will suggest where to begin and which materials in the toolkit to use

View

Getting Started Checklist

View

Download

Getting Started with Your Malnutrition Quality Improvement Project Powerpoint

View

Download

Infographic: Malnutrition Quality Improvement Journey

View

MQii FAQs

Addresses questions to help your team plan for and implement a malnutrition quality improvement project

View

Soliciting Leadership Support

MQii Briefing: The Value of Quality Malnutrition Care

Outlines key facts and statistics about the impact and burden of malnutrition, and how addressing it can improve patient outcomes and hospital performance

View

MQii Stakeholder Letters

Provide customizable stakeholder letter templates to make the case for implementing a malnutrition quality improvement project and outline the stakeholder’s role in supporting such an initiative

Hospital Executive Letter

View

Download

IT Leader/Team Letter

View

Download

Physician Letter

View

Download

Dietitian Letter

View

Download

Nurse Letter

View

Download

Patient Letter

View

Download

MQii Overview Presentation

Highlights the importance of addressing malnutrition in the hospital and provides the business case to implement a quality improvement project and evidence to support adoption of the MQii tools and resources.

View

Download

Building Your Project Team

MQii Project Teams and Workflow Mapping Presentation

Use to build your project team, map your current malnutrition practices, compare to MQii recommended workflow practices, and identify the best clinical improvement(s) to introduce to your care teams. Use in conjunction with the best practices highlighted in the Toolkit document

View

Download

MQii Sample Meeting Agenda

Provides a template for project team meeting agendas, including potential topics for discussion to advance your improvement efforts

View

Download

Understanding Your Gaps /
Identifying Your Project

Project Teams and Workflow Mapping Presentation

Use to build your project team, map your current malnutrition practices, compare to MQii recommended workflow practices, and identify the best clinical improvement(s) to introduce to your care teams. Use in conjunction with the best practices highlighted in the Toolkit document

View

Download

Recommended Malnutrition Clinical Workflow

Use this 1-pager with your project teams or post it in circulation areas to remind care team members of the key steps for optimal malnutrition care

View

Malnutrition Care Clinical Flowchart and Flowchart Template

Provides an example of best practices for malnutrition care and template to map out your team’s current practice workflow

View

Download

Care Assessment and Decision Tool

Use to assess your current practices and identify improvements on which to focus. Complete as a first step to your clinical workflow mapping process, or if you have difficulty identifying what to target

View

MQii Project Prioritization Matrix

Use this matrix after your team has completed the Clinical Workflow Map and the Care Assessment and Decision Tool to prioritize among potential quality improvement projects based on their impact and your organization’s available resources

View

Download

Root Cause Analysis Guide

Use to identify potential contributing factors to malnutrition care gaps in your organization

View

Download

MQii Project Charter

Use as an organization resource management tool (e.g. budget, timeline)

View

Download

Note: See materials in the “Collecting Your Data and Measuring Your Progress” section for a guide to use your data to identify care gaps and inform selection of a quality improvement project


Engaging Your Care Team

MQii Stakeholder Letters

Provide customizable stakeholder letter templates to make the case for implementing a malnutrition quality improvement project and outline the stakeholder’s role in supporting such an initiative

Hospital Executive Letter

View

Download

IT Leader/Team Letter

View

Download

Physician Letter

View

Download

Dietitian Letter

View

Download

Nurse Letter

View

Download

Patient Letter

View

Download

Other Resources:

The Role of the Dietitian in Nutrition Care:

View

The Role of the Physician in Nutrition Care:

View

The Role of the Nurse in Nutrition Care:

View

The Role of the Hospital Administrator in Nutrition Care:

View

Implementing Your Project

Plan Do Study Act Templates

Use to guide your quality improvement activities for each step in the malnutrition care workflow

View

Download

MQii Implementation Roadmap

Offers step-by-step instructions from pre-implementation through post-implementation

View

Download

MQii Implementation Training Presentation

Use to educate your MQii Project Team members

View

Download

Malnutrition Knowledge and Awareness Test

Use to measure your Care Team’s knowledge of the burden of malnutrition and key aspects of optimal care before and after implementation

View

Malnutrition Recognition Guide

Use to help Care Team members recognize the characteristics of malnutrition and identify patients who may be malnourished or at-risk of malnutrition

View

Lessons Learned Log

Use to document key findings as your team implements your project

View

Download

Other Resources

Alliance Nutrition Care Model and Toolkit (Nutrition Care Model, Toolkit Resources, and Nursing Educational Models Videos)

View

American Society for Parenteral and Enteral Nutrition’s (ASPEN’s) Malnutrition Solution Center (including resources for clinicians and consumers, such as Nutrition Care Pathways and a Step-by-Step Guide to Addressing Malnutrition Outcomes)

View

Malnutrition Screening Tool (Sample validated tool for malnutrition screening)

View

Subjective Global Assessment Tool (Sample tool for nutrition assessment):

View

Nutrition Care Process (NCP) Tutorial Videos (Series of videos on NCP overview, assessment, diagnosis, intervention, and monitoring & evaluation)

View

Patient Discharge Assessment (Shared discussion and decision-making tool for patient-provider discharge planning)

View

Nutrition Care Clinical
Guidance Documents

Mueller C, Compher C, Druyan ME, the A.S.P.E.N. Board of Directors. A.S.P.E.N Clinical Guidelines: Nutrition Screening, Assessment, and Intervention in Adults. JPEN J Parenter Enteral Nutr. 2011;35(1):16-24.

View

Nutrition Care Process and Model: Part I (Structure and Framework for Nutrition Professionals to Use When Delivering Nutrition Care). J Acad Nutr Diet. 2008;108(7):1113-1117.

View

Nutrition Care Process: Part II (Using the International Dietetics and Nutrition Terminology to Document the Nutrition Care Process). J Acad Nutr Diet. 2008;108(8):1287-1293.

View

Collecting Your Data and
Measuring Your Progress

eCQMs Specification Manual

View

MQii eCQM Performance Calculator

Use this tool to analyze your eCQM data on a regular basis

Download

MQii eCQM and Quality Indicators Overview Presentation

View

Download

Data Management Guide

Download

Engaging Your Patients

Health Policy Brief: Patient Engagement (Frameworks and Considerations for Patient Engagement)

View

Fostering Successful Patient and Family Engagement: Nursing’s Critical Role

View

Nutrition Take Home Information and Guide for Patients

View

Patient-Centered Care Guiding Principles

View

National Quality Partners Playbook: Shared Decision Making in Healthcare Summary

View

Malnutrition in Older Adults Video-Alliance for Aging Research

View

National Council on Aging: Nutrition tips for seniors with chronic disease

View

Sustaining Your Project Gains

Sustaining Your Project Gains

Outlines recommendations to maintain your improved practices

View

Download

Principles and Models of
Quality Improvement

Principles and Models of Quality Improvement

View

American Society for Quality (ASQ) Quality Tools A to Z

View

HRSA Quality Improvement Resources

View

Institute for Healthcare Improvement Flowchart Resources

View

Introduction to Lean and Six Sigma Approaches to Quality Improvement

View

Learning Collaborative Participant Experiences

"Participating in the MQii has given my work such greater meaning. I feel like I am doing something important, something that matters to all patients, and making a difference has been so satisfying."

Click here to view all Learning Collaborative participant quotes.