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Learning
Collaborative
October 31, 2018
The
Dish
The
Dish provides a monthly update to
participating sites enrolling in the MQii Learning
Collaborative.
Spotlight:
The Spectrum Special Issue on
Malnutrition
A special issue capturing
first-hand and/or evidence-based advice on
addressing malnutrition in older adults
In October 2018, the
Academy of Nutrition and Dietetics’ Healthy Aging
Dietetic Practice Group released a special issue of
The Spectrum, its peer-reviewed
publication, on malnutrition and older adults. The
edition’s articles provide first-hand experiences
and evidence-based guidance on addressing
malnutrition in older adults across the care
continuum. The content shared in the special edition
is based on the 2017 resource, the
National
Blueprint: Achieving Quality Malnutrition
Care for Older Adults,
published by the Defeat Malnutrition Today coalition
in partnership with Avalere Health. The Blueprint
aimed to highlight the increasingly alarming crisis
of older adult malnutrition in the United States,
sharing pertinent background statistics and offering
best practices to be adopted in various acute-,
post-acute, and community care settings.
Using the Blueprint as
the standard for optimal malnutrition care in older
adults, the special edition includes
information about meal delivery
programs, contributing factors to older adult
malnutrition (including transitions of care across
environments), ways to reduce barriers to
appropriate care, malnutrition training information,
malnutrition screening tools, and successful
partnerships. Contributing authors are experts in
the fields of nutrition, physical therapy, nursing,
community health, and more.
Be sure to check out
the Maryland Malnutrition Model article on page 42,
where the authors use MQii as a reference in their
own state-wide care planning post-discharge project
that includes an evidence-based pathway, clear
outcome metrics, and billing processes to allow for
sustainable community-based care for malnourished
individuals. Many participants are working with the
MQii Team to establish programs focused on
malnutrition care beyond the hospital. Please let
your MQii Point of Contact know if you are similarly
engaged in post-discharge care planning activities;
we would love to learn more about your
efforts!
If you are interested
in obtaining a copy of the special edition for
purchase, please visit the Healthy Aging website.
The Academy of
Nutrition and Dietetics’ hosted its annual
Food and Nutrition Conference and
Expo (FNCE) in
Washington, D.C. from October 20-23, and
prominently featured MQii (as well as other key
malnutrition topics) throughout the event. MQii
Learning Collaborative members participated in
various sessions and had the opportunity to
network with various industry leaders, including
registered dietitian nutritionists (RDNs),
nutrition science researchers, policy makers,
and healthcare providers. Below are some of the
MQii highlights from the event:
-
MQii Video at
FNCE: During the Opening
Session, the Academy featured a video
highlighting the MQii and the benefits
of malnutrition
quality improvement. Two Learning
Collaborative participating sites, the
University of North Carolina Medical
Center and Intermountain, were featured in
the video, sharing their experiences with
the initiative. If you did not have a chance
to attend the opening session, check out
the video to
hear key insights and takeaways from these
two sites.
-
MQii Symposium:
“Dietitians Leading Innovation: Using Data
for Quality Improvement and Patient-Focused
Transitions of Care”: On Monday, October
22nd,three MQii Learning
Collaborative leaders – Kelly Danis, RD,
LDN, FAND at the University of Pittsburgh
Medical Center, Sadeq Quraishi, MD, MHA,
MMSc at Massachusetts General Hospital, and
Wendy Phillips, MS, RD, CNSC, CLE, FAND at
Morrison – participated in a session to share how
RDNs are using data to show the value of
nutrition care and highlight actionable
steps to partner with information technology
colleagues to collect malnutrition quality
improvement data. The session also
provided examples of opportunities to better
address patients’ nutrition needs throughout
transitions of care.
-
Learning Collaborative “Gab, Grub,
and Graffiti” Reception:
On Sunday, October
21st, MQii Learning Collaborative
participants gathered to celebrate MQii
accomplishments, recognize
Learning Collaborative hospital
achievements, and network with one another
as well as MQii Leaders. Participants were
posed four specific questions about MQii,
with responses captured by an artist
contracted to provide “graphic facilitation”
at the event.
- “The Future of
Pediatric Malnutrition: Establishing
Prevalence, Ensuring
Prevention”: On
Sunday, October 21st, attendees had
the opportunity to hear Patricia Becker,
Pediatric Nutrition Specialist at Dayton
Children’s Hospital and Molly Vega, MS, RDN, LD,
Pediatric Clinical Dietitian at Texas Children’s
Hospital discuss the application of MQii
principles to pediatric populations. The session highlighted
ways that MQii best practice recommendations and
tools can be adopted among pediatric
dietitians.
-
Poster Session
Highlight: On Sunday, October
21st, Amanda Goldman from
Catholic Health Initiatives shared
a poster on
“The Impact of Nutrition-Focused Quality
Improvement Interventions on Length of Stay and
Readmission Rates among Hospitalized
Malnourished Patients.” Attendees had the
opportunity to ask questions regarding best
practices to improve patient outcomes through
better nutrition care based on the findings from
the poster.
-
“Strategies to Improve Care Transition to
Reduce Malnutrition”: On
Tuesday, October 23rd, participants heard from
experts in the field on successful approaches
and innovative ideas for RDNs to “stop the gap”
in patient care continuity between acute and
post-acute care settings. Kris Mogensen, MS,
RD-AP, LDN, CNSC, from the Brigham and Women’s
Hospital and Julie Grim, MPH, RD, LD, from the
University of Rhode Island, were the key
speakers of the session.
Throughout the session, the speakers highlighted
various resources, including the Dialogue
Proceedings report prepared
by Avalere Health, the Academy, and Defeat
Malnutrition Today in July 2018, as a tool for
interested stakeholders to use in advancing
patient-centered malnutrition care transitions.
Do you have a great
story to tell about your organization’s malnutrition
quality improvement efforts to date? For
example:
- Did you overcome significant hurdles to pull
together an interdisciplinary team?
- Do you have an interesting story regarding how
you engaged with your IT department to collect
and review your performance data?
- Do you have results to share regarding how the
quality of your care changed following your
pilot project, or its effect on patient
outcomes?
- Have you made strides in considering ways to
support malnourished patients as they transition
across care settings (e.g., pre-admission or
post-discharge programs)?
- Have you found interesting or meaningful ways
to better engage patients in their malnutrition
care?
- Even if you are just getting started, do you
have insights on what
tools/resources/information were most useful to
initiate your quality improvement project?
If so, we want to help you
share your experience! We are exploring opportunities to
highlight and disseminate MQii Learning Collaborative
members’ efforts to date. If you are interested in
participating in this effort, please consider developing
a brief abstract to reflect your story and key insights
or findings from your efforts. Please send
it to your MQii Point of Contact by December 21, 2018.
We will then work with you to determine how best to
disseminate your work.
What's
Around the Corner?
Upcoming Learning
Collaborative Webinars
Expert
Webinar: Opportunities to Advance for Care
Transitions and Coordination for
Malnourished Hospitalized
Adults
Join us on Tuesday,
November 13th at 3:00 PM ET for the MQii
Expert Webinar, “Opportunities
to Advance Care Transitions and Coordination for
Malnourished Hospitalized
Adults.” Participants will
have the opportunity to hear from experts in the
field regarding opportunities to better support
patients in continuing their nutrition care and
meeting their nutrition needs as they leave the
hospital setting. The session will:
- Highlight best practices, tips, and insights
for communication and handoffs from
the hospital to the next-in-line provider (e.g.,
rehabilitation facility, long-term care
facility, skilled nursing facility, community
care provider);
- Review opportunities for patient engagement
and counseling regarding nutrition during care
transitions; and
- Identify opportunities to connect patients to
services or benefits that could support their
nutrition needs post-hospitalization.
The webinar will
feature Rya Clark, RD, LD, CNSC, Clinical Nutrition
Manager at TIRR Memorial Hermann and Josefina
Carbonell, Senior Vice President for Long-Term Care
& Nutrition at Independent Living Systems,
LLC.
Please
register for the webinar in
advance here. We
encourage you to send
any questions you have for the speakers in advance
of the webinar. We hope you can join us!
Expert
Webinar: Engaging the Patient in Nutrition Care
Planning in the Hospital and
Beyond
Join us on Friday,
November 30th at 12:00 PM ET for the MQii
Expert Webinar, “Engaging the
Patient in Nutrition Care Planning in the
Hospital and Beyond.”
Participants will have the opportunity to hear from
experts in the field implementing patient-centered
care practices in malnutrition.
Attendees will also have the opportunity to
ask questions and troubleshoot any challenges
regarding best practices for malnutrition-focused
patient engagement and shared decision making.
Following the session, attendees will:
- Understand the role of patients and caregivers
in contributing to nutrition care
decisions;
- Have greater knowledge of ways to engage the
patient and caregiver in care planning and
shared decision making; and
- Be familiar with tools and
resources to support improved patient and
caregiver engagement while in the hospital and
during discharge.
The webinar will
feature Karim Godamunne, MD, Chief Medical Officer
of the North Fulton Hospital in Atlanta and Grace
Whiting, JD, President and Chief Executive Officer
at the National Alliance for Caregiving.
Please
register for the webinar in
advance here. We
encourage you to send
any questions you have for the speakers in advance
of the webinar. We hope you can join us!
November
EHR-Specific Coffee Breaks
In the month of
November, we will be offering two Coffee Breaks
geared toward specific EHR systems. The two most
commonly implemented EHR platforms in the Learning
Collaborative are EPIC and
Cerner systems. We will be sharing
insights and recommendations for implementing
components and capturing data across the
malnutrition care workflow from screening to
discharge within specific EHR platforms.
If you are interested
in attending one of these sessions, please indicate
your availability by clicking on the Doodle Poll
below by Friday, November 2:
Please note, if you are not
an EPIC or Cerner site but would like to hold a
group discussion around your EHR
platform, please email
the MQii Team and describe what EHR system
you employ and any current or projected challenges
surrounding said implementation. We will gather
those responses to form smaller subgroups for any of
the other platforms where interest is
identified.
Special
Webinar: Addressing
Malnutrition within the Veterans Administration
(VA) Hospitals and Beyond: Lessons and
Opportunities for non-VA
Organizations
Join us on Thursday,
December 6th at 1:00PM ET for a special
VA-focused webinar. The VA has long been focused on
ensuring it meets the nutrition needs of its
population and has undertaken significant efforts in
recent years to support better malnutrition care,
both within and beyond the hospital.
Attendees will have the chance to learn
from the VA’s experience and pose questions
regarding how to apply these activities to non-VA
hospitals. The session will:
- Share best practices from the VA’s efforts to
improve the quality of nutrition care for
veterans;
- Highlight the ways in which the VA is
supporting veterans’ nutrition needs throughout
the healthcare continuum; and
- Outline lessons learned and tips for non-VA
hospitals seeking to implement similar quality
improvement activities.
The webinar will
feature experts Kristy Becker MS, RDN, LD, FAND;
Kelli Horton, MPH, DCN; Sherri Lewis, MS, RDN, LD/N;
and Gail Schechter, MBA, RD from the
VA.
Please
register for the webinar in
advance here. We
encourage you to send
any questions you have for the speakers in advance
of the webinar. We hope you can join us!
Upcoming
Conferences and Events
The Gerontological Society
of America (GSA) will host its Annual
Scientific Meeting from November 14-18, 2018
in Boston, Massachusetts. GSA is the oldest and
largest interdisciplinary organization devoted to
research, education, and practice in the field of
aging. Join Mujahed Khan, Senior Manager, Quality
Improvement at the Academy of Nutrition and
Dietetics and Meredith Ponder, Policy Director for
Defeat Malnutrition Today, as they share a poster on
“Advancing Patient-Centered Malnutrition Care
Transitions” on Thursday, November 15, from 1:00 –
3:00 PM to highlight multi-stakeholder insights and
recommendations for improving transitions for
malnourished patients across acute, post-acute, and
community settings. If you will be presenting at the
GSA Annual Scientific Meeting, please let us know so
we can share your presentation information with
other Learning Collaborative members!
The Institute for
Healthcare Improvement (IHI) will host its
30th
National Forum from December 9-12, 2018
in Orlando, Florida. IHI is a leading innovator,
partner, and driver of results in health and
healthcare improvement worldwide. The National Forum
aims to convene various stakeholders to explore how
improvement science methodologies can be used to
effect real change in patient safety and care. On
Tuesday, December 11 from 4:40 – 6:30 PM, join
Kelsey Jones, Senior Director at Avalere Health, as
she presents a poster on behalf of MQii on
opportunities to scale existing models being
implemented in the U.S. to better address poor
nutrition as a social determinant of health across
different care settings. Please reach out to us if
you will similarly be presenting at the IHI National
Forum so we can share information about your
presentation with MQii Learning Collaborative
participants!
Do you know others
interested in supporting malnutrition quality
improvement?
If you have colleagues
at other hospitals that are interested in learning
more about how to support high quality malnutrition
care and collaborating with hospitals throughout the
United States to do so, encourage them to join the
MQii Learning Collaborative. Enrollment is still
ongoing. Individuals can complete
an interest
form to let us
know that they wish to learn more. They are also
welcome to attend an upcoming October Introductory
Webinar. Feel free to share the list of Introductory
Webinar dates and times below and encourage them to
register by clicking on the relevant link.
Use the links below to
register for an Introductory Webinar date and time:
Next
Steps
- Attend the upcoming
Welcome Webinar (if you have not attended one
already), expert webinars, and relevant EHR-specific
Coffee Break if you are collecting nutrition data
(reply to the Doodle poll using the links above;
November dates will be shared via email next week)
- Share your progress
with your MQii
Point of Contact –
we want to hear about any developments you’ve
experienced, as well as any challenges you might
be encountering!
- Begin to fill out your
Project
Charter
as you start to identify plans for your
malnutrition quality improvement
project(s)
- Watch the
educational
videos and expert webinar recordings available
on the MQii
Member
Portal
(log in information— Username:
MQii Password:
MQiiLC2018!) and
explore the resources in the MQii
Toolkit
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