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Learning
Collaborative
November 30, 2018
The
Dish
The
Dish provides a monthly update to
participating sites enrolling in the MQii Learning
Collaborative.
Updated MQii
Toolkit Now Available
In November, the
Second Edition of the MQii Toolkit (“the Toolkit”),
became available on the MQii
website. The Toolkit
provides a collection of evidence-based
malnutrition care best practices and resources and
is intended for use by all members of the care team
(e.g., nurses, dietitians, physicians,
patients and caregivers) who engage in care for
patients who are malnourished or at risk of
malnutrition. It is designed to improve
knowledge of malnutrition prevalence among
interdisciplinary care team members and guide and
inform the adoption of best practices for optimal
nutrition care.
The MQii Toolkit,
Second Edition features an updated,
full-length version as well as an abbreviated
version. The full-length version contains more
details and embedded resources and is intended for
use by those who wish to print and reference a copy
of the Toolkit. The abbreviated version is somewhat
briefer, with links to helpful resources and more
detailed information. This version may be more
useful for individuals who plan to use it in an
electronic format. Both versions contain new
information and modifications to enhance clarity and
navigability, based on feedback received by Learning
Collaborative members.
To complement the
Toolkit, you can access supplemental Tools
and Resources to help you
solicit leadership buy-in, engage other clinical
team members, identify opportunities for
malnutrition quality improvement in your facility,
introduce malnutrition care best practices, and
collect and evaluate your data.
We encourage you to
use this enhanced Toolkit as you work to improve
malnutrition care in your facility!
Download the complete MQii Toolkit
here
or access the abbreviated MQii Toolkit
here.
Please reach out to your MQii Point of Contact if
you have any questions about accessing and using the
Toolkit, or if you have recommendations for future
revisions or materials to include.
Nine U.S. Hospitals
Recognized for eCQM Evolution in New Proven
Practices Collection
A new publication, “The Pioneers in
Quality™: Proven Practices Collection: Recognizing
Success 2017-2018” was released by The Joint
Commission in early November that recognized nine
hospital and healthcare systems successful in
leveraging electronic clinical quality measures
(eCQMs) and health information technology (IT) to
drive quality improvement. Among them was Virginia
Commonwealth University (VCU) Health, who partnered
with their IT Department to introduce malnutrition
eCQMs and others for higher quality care
delivery.
The Joint Commission
identified several themes that contributed to
organizational success with eCQMs, including ensuring
data quality and accuracy, establishing an
interdisciplinary care team and clear governance
structure, and optimizing clinical workflow and
education. Many of these themes were dependent on each
other to be effective. These themes closely mirror the
MQii recommended activities to support malnutrition
quality improvement efforts; Learning Collaborative
sites who are collecting data using the malnutrition
eCQMs may wish to review this publication for helpful
tips and guidance.
Clinical Care for
Diet-Related Diseases Article Highlights
Advocate Health Care Malnutrition
Work
NEJM Catalyst featured
an
article earlier this
month emphasizing that clinical care for obesity and
diet-related diseases must have a stronger focus on
social determinants of health. The article
highlighted Advocate Health Care, an
accountable care organization (ACO) in Chicago, that
started a malnutrition program to involve patient
screening and the implementation of an
enhanced nutrition care program offering nutrition
education, post-discharge instructions, follow-up
calls, and coupons for retail oral nutritional
supplements for high-risk patients. The impact of
these measures resulted in $4.8 million in total
savings over six months, according to the
organization. The article argues that unmet
health-related social and economic needs increase
individuals’ risks of developing diet-related
diseases, reduce their ability to manage these
conditions, increase health care costs, and lead to
avoidable utilization of health care
resources.
Dietitians Now
Included in MIPS
Earlier this month,
CMS released the Calendar Year (CY) 2019 Medicare
Physician Fee Schedule (MPFS) final rule, which
included proposed changes to the Quality Payment
Program (QPP). Of note, CMS modified its proposal to
expand the definition of Merit-based Incentive
Payment System (MIPS) eligible clinicians to include
registered dietitians or nutrition professionals.
Accordingly, certain dietitians will be eligible to
participate in MIPS beginning in 2019 to demonstrate
achievement of high value care related to quality,
interoperability, performance improvement, and cost.
Secretary Azar's
Comments on Malnutrition
On November 14,
Secretary of Health and Human Services Alex Azar
spoke in Washington, D.C. about the role of social
determinants of health in the United States’
healthcare system. During his remarks,
he emphasized the need for accountable care
organizations (ACOs) to engage on addressing social
determinants of health if they are not doing so
already. In particular, Secretary Azar highlighted
nutrition as a critical area on which ACOs should
focus, noting the efforts of groups such as
Intermountain Healthcare, an MQii Learning
Collaborative member. He further shared information
about the prevalence of malnutrition and its impact
on healthcare spending, reiterating the potential
for cost savings through the provision of
high-quality malnutrition care.
Secretary Azar’s
remarks on malnutrition further demonstrate the
increasing focus on the importance of addressing
malnutrition and further raise the visibility of
this topic. If you would like to learn more, please
email [email protected].
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.
Learning
Collaborative News
As many of you know,
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
nutrition topics) throughout the event. During the
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. The
reception featured a PowerPoint
Presentation that highlighted
quotes from MQii Learning Collaborative participants
and the evolution of the MQii Learning Collaborative
over the years in the Dish this month. Thank you
again to those of you who were able to participate
and join us at FNCE!
What's
Around the Corner?
Upcoming
Learning Collaborative Webinars
Special Webinar:
Addressing Malnutrition within the Veterans
Administration (VA) Hospitals and Beyond:
Lessons and Opportunities for non-VA
Organizations
Join the Academy of
Nutrition and Dietetics, Avalere Health, and Defeat
Malnutrition Today 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 to [email protected].
We hope you can join us!
Expert Webinar:
Snapshots from Three Current Learning
Collaborative Members
Join us on Friday,
December 14th at 12:00PM ET for MQii
Expert Webinar, “Snapshots from
Three Current Learning Collaborative
Members.” Participants
will have the opportunity to hear from three current
Learning Collaborative members regarding insights,
key learnings, and recommendations and tricks for
“what works” from three hospitals’
malnutrition-focused quality improvement efforts.
Topics will focus on:
- Strategies for data collection and analysis
across a large health system for malnutrition
quality improvement;
- Experiences with early identification,
documentation, care planning and coding of
malnutrition; and
- Malnutrition-focused screening innovations and
readmission reduction efforts.
The webinar will feature
Learning Collaborative Members Barbara Sherwood, MS,
RDN, CD, Clinical Nutrition Manager at Intermountain
Healthcare; Lori Hartz, MS, RDN, CD, Manager of
Nutrition and Diabetes, Wound/IV at ThedaCare; and
Louise Merriman, MS, RD, CDN, Director of Clinical
Nutrition at NewYork-Presbyterian Hospital.
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 to [email protected].
We hope you can join
us!
Upcoming
Conferences and
Events
Institute for Healthcare
Improvement Forum
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 Coffee Break if you have questions
regarding your malnutrition quality improvement
efforts
- Coffee Breaks in the month of December
will primarily focus on addressing questions
related to discharge planning and
transitions of care. Coffee Breaks will
occur on the following dates and times, and
registration will be shared via email next
week:
- Tuesday, December 11 at 3:00PM
ET
- Monday, December 17 at 12:00PM
ET
- Thursday, December 20 at 10:00AM
ET
- 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!
- Fill out your
Project
Charter once you 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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