Learning Collaborative

February 28, 2019

The Dish

The Dish provides a monthly update to participating sites enrolled in the MQii Learning Collaborative.

Spotlight: Special MQii JAND Supplement

Feature Your Project in the MQii-Focused Journal of the Academy of Nutrition and Dietetics (JAND) Supplement

Do you have a great story to tell about your organization’s malnutrition quality improvement efforts to date? Do you have multidisciplinary team key learnings, process improvement results, or research outcomes to share? Did you overcome challenges to engage your leadership or facilitate effective nutrition data collection and analysis? If so, we want to help you share your experience! 

We are excited to announce an upcoming call for abstracts for an MQii-focused Supplement of the Journal of the Academy of Nutrition and Dietetics, with the Supplement to be released in September 2019. The Supplement intends to highlight MQii stories and Learning Collaborative member findings. The Supplement will be peer-reviewed and is being led by the Academy and Avalere, with support provided by Abbott. All submissions will be due in April, though we would like to work with interested sites now to begin crafting their abstracts as soon as possible.

Abstracts should be based on experiences with and/or use of the malnutrition electronic clinical quality measures (eCQMs) and/or the MQii Toolkit or other quality improvement frameworks, and be relevant to malnutrition in the adult acute care population. Abstracts should align with and be submitted for one of the following three categories of malnutrition focus areas:

  1. Multidisciplinary team engagement and key learnings from implementing a clinical malnutrition-related quality improvement process or program.
  2. Data integration and process outcome results from implementing a clinical malnutrition-related quality improvement process or program.
  3. Research outcome results from implementing a clinical malnutrition-related quality improvement process or program. 

We will have an upcoming webinar on Friday, March 1 at 2:00PM ET to share additional details on this opportunity, and hope you’ll join us! To learn more about best practices for developing an abstract and suggestions for MQii stories you may wish to tell, feel free to review the recording and slides from the first dissemination webinar, which took place on Wednesday, February 13.

We urge all Learning Collaborative hospitals to consider submitting an abstract. Even if you are just starting your journey, you can share your early learning experiences and your work to build a multidisciplinary team. As you start to outline your abstract, please reach out to your MQii Point of Contact as soon as possible. All abstracts will be submitted electronically via an MQii JAND Supplement submission website; additional details regarding the submission portal, abstract templates, and associated deadlines will be shared shortly. For questions or further information, contact [email protected].

MQii Survey

Brief Survey to Understand How We Can Best Support You!

In case you missed it, we would like to better understand what types of assistance our team can provide in 2019 to help you achieve your malnutrition quality improvement goals. As such, we have created a survey with a few simple questions to seek your feedback. All input is welcome. We would appreciate if you would take 2-3 minutes and fill out the survey now.

Malnutrition Opportunities and Updates

Patterns in Adult Malnutrition Assessment and Diagnosis by Registered Dietitian Nutritionists (RDNs): 2014-2017

Beth Mordarski, RDN, LDN, Nutrition Focused Physical Exam (NFPE) Program Manager at the Academy of Nutrition and Dietetics (Academy) and Rosa Hand, PhD, RDN, LD, FAND, Assistant Professor in the Department of Nutrition at the Case Western Reserve University School of Medicine, published an article in the February edition of JAND focused on best practices in diagnosing malnutrition in hospitalized patients. Recognizing malnutrition identification and documentation as critical steps in developing a nutrition care plan, the authors conducted a survey-based study with two goals: to describe how the habits of and barriers facing RDNs related to documentation of malnutrition and use of NFPE changed as publicity and awareness of the Academy/American Society of Parenteral and Enteral Nutrition (ASPEN) adult malnutrition clinical characteristics increased between 2014 to 2017 and to identify characteristics of RDNs who were not using the characteristics and/or NFPE in 2017, to target them for future education opportunities. The authors concluded that adequate training and education for use of the Academy/ASPEN characteristics and NFPE is essential to eliminating or further decreasing barriers to malnutrition diagnosis. Additional time and staffing may also be required to fully implement complete malnutrition care.

Prevalence of Malnutrition Risk and the Impact of Nutrition Risk on Hospital Outcomes: Results from NutritionDay in the US

Abby Sauer, MPH, RD, and co-authors Scott Goates, PhD; Ainsley Malone, MS, RD; Kris M. Mogensen, MS, RD‐AP; Gail Gewirtz, MS, RD; Isabella Sulz, Sigrid Moick, MA; Alessandro Laviano, MD; and Michael Hiesmayr, MD, MSc, published an article in January in the Journal for Parenteral and Enteral Nutrition focused on malnutrition risk and the poor availability of robust data on the association between food intake and outcomes for hospitals in the United States (US). The study aimed to determine the prevalence of malnutrition risk and to evaluate the impact of food intake on mortality using the nutritionDay in the US dataset. The study found that approximately 1 in 3 US hospitalized patients are at risk of malnutrition. Furthermore, patients who have diminished meal intake experience increased mortality risk.

 What's Around the Corner?

Upcoming Learning Collaborative Webinars

MQii Learning Collaborative Participant Dissemination Workshop

Join us for the second event of a two-part MQii Learning Collaborative Participant Dissemination Workshop webinar series on Friday, March 1st at 2:00PM ET. Participants will hear more details about the special MQii-focused JAND Supplement, with specific information on the process, abstract templates, and guidelines for submission. Two expert speakers will share examples and insights on submitting successful abstracts to The Academy of Nutrition and Dietetics. Finally, the webinar will also offer a chance for participants to ask The Academy of Nutrition and Dietetics any questions regarding this opportunity.

The webinar will feature Amanda Goldman, MS, RD, LD, FAND, Quality & Wellness Director for Catholic Health Initiatives Food & Nutrition Services; Sharon Siegel, RD, LD, System Clinical Nutrition Manager for KentuckyOne Health; Catherine D’Andrea, RD, LD, Manager, Quality Initiatives at the Academy of Nutrition and Dietetics; and Mujahed Khan, Senior Manager, Quality Improvement at the Academy of Nutrition and Dietetics.

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

American Society for Parenteral and Enteral Nutrition (ASPEN) 2019 Nutrition Science & Practice Conference

The ASPEN 2019 Nutrition Science & Practice Conference will take place in Phoenix, AZ on March 23-26. This event, which engages more than 2,000 participants annually, provides nutrition support professionals with current and cutting-edge information in the fields of nutrition support, clinical nutrition, and metabolism. This year, Jennifer Wills from University of North Carolina and Angela Lago from New Hanover Regional Medical Center will present their experiences and results from their MQii projects. During their roundtable presentation, Angela and Jennifer will describe their processes for designing two unique but similar approaches for implementing malnutrition transitions of care pilots to better manage the nutrition needs of patients who are identified as malnourished while in inpatient care, through the discharge process and following discharge.

National Nutrition Month ®

National Nutrition Month® is an annual nutrition education and information campaign created by The Academy of Nutrition and Dietetics. The campaign, celebrated each year during the month of March, focuses on the importance of making informed food choices and developing sound eating and physical activity habits. Be sure to check out the National Nutrition Month® Celebration Toolkit to explore tools and resources and build partnerships during the month-long celebration. This information may be useful to share with multidisciplinary teams to encourage a broader institutional focus on nutrition.

Registered Dietitian Nutritionist (RDN) Day is also celebrated during National Nutrition Month®, on the second Wednesday in March. This occasion increases awareness of registered dietitian nutritionists as the indispensable providers of food and nutrition services, while recognizing both RDNs and nutrition and dietetic technicians, registered for their commitment to helping people enjoy healthy lives. We would like to take a moment and recognize all the amazing RDNs in the MQii Learning Collaborative. Thank you for all that you do every day to improve the lives of those impacted by malnutrition!

AcademyHealth Accepting Late-Breaking Submissions

Consider submitting an abstract for a poster on your malnutrition quality improvement project to the AcademyHealth Annual Research Meeting (ARM)! ARM is the largest meeting of health services researchers and policy analysts every year. ARM offers a late-breaking submission deadline for presentations that highlight significant and timely findings in areas of Health Services Research. Late breaking submissions must follow the same submission guidelines as regular submissions, and only those that are deemed to be high priority will be accepted. The late breaking submission deadline is March 26, 2019 at 5:00PM ET. For more information, visit the Frequently Asked Questions (FAQ) page.

Next Steps 

  • Reach out to your MQii Point of Contact if you are interested in developing an abstract for the special JAND Supplement!
  • Attend upcoming expert webinars and Coffee Breaks if you have questions regarding your malnutrition quality improvement efforts
    • Coffee Breaks are open-format, interactive sessions that allow participants to discuss particularly challenging questions around engaging their IT teams and preparing for eCQM and outcomes data extraction in addition to QI project support. Participants are encouraged to attend and bring their questions, suggest ideas to other participants who are encountering obstacles, or just listen in and be inspired by the discussion. Use the link below to register for the next Coffee Break:
  • 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