July: The Dish provides a monthly update to participating sites enrolling in the MQii Learning Collaborative.
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Learning Collaborative
July 30, 2019
The Dish
The Dish provides a monthly update to participating sites enrolled in the MQii Learning Collaborative.
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Spotlight: Value-Based Wound Care Encourages Nutritional Assessment to Meet National Quality Requirements
Article Highlights Use of Nutritional Assessment to Improve Wound Care and Satisfy Quality Programs
Research indicates that suboptimal nutrition care can lead to poor wound healing and in turn contribute to many chronic wounds. In July, Dr. Caroline Fife, Director of the U.S. Wound Registry (USWR), published an article in Today’s Wound Clinic highlighting the opportunity to implement nutritional assessments for patients with wounds to potentially improve quality as part of value-based payment systems.
Historically, U.S. healthcare providers have been reimbursed on a fee-for-service (FFS) basis, based on the number of services they provide or the number of procedures they order rather than the quality of patient outcomes. The last few decades have seen a movement toward a more value-based payment system that incentivizes high-quality services for the lowest cost using evidence-based care. The Centers for Medicare & Medicaid Services (CMS), the single largest payer for healthcare in the U.S., is driving much of this shift through national quality reporting and payment programs.
In the article, Dr. Fife highlights the opportunity for eligible clinicians (including physicians, and more recently, dietitians) to satisfy requirements for CMS’ Quality Payment Program (QPP) through reporting on measures in the U.S. Wound Registry, given that the registry is a CMS Qualified Clinical Data Registry. This includes a measure that encourages nutritional assessments for patients with chronic wounds. While barriers to reporting on this measure remain, a CMS-approved Practice Improvement Activity that supports increased frequency of nutritional assessments for patients with non-healing wounds can alternatively help a practice earn credit toward Merit-based Incentive Payment System (MIPS) requirements. Finally, the article includes a call-out box highlighting the MQii and opportunities for malnutrition quality improvement through use of the dual-pronged approach consisting of the MQii Toolkit and the malnutrition electronic clinical quality measures (eCQMs).
Dietitians, physicians, and other eligible providers can consider the opportunities outlined in this article and others to contribute to – and receive credit for – better care quality and patient outcomes through nutrition-focused clinical care.
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Nutrition in The News
Physicians Should Be Key Partners in Quality Nutrition Care
Neal Barnard, MD, FACC, President of the Physicians Committee for Responsible Medicine, published an opinion article in JAMA Internal Medicine in July emphasizing the importance of physician champions for optimal nutrition care. He outlines five ways that physicians can improve patient care through a greater emphasis on nutrition, including collaborating with dietitians, enhancing nutrition education for physicians, and setting a good example themselves and through their practices. This article offers another useful resource to reference as you seek to engage physicians and other clinicians in your malnutrition care activities.
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New! MQii Learning Collaborative Updates
Over the past few months, we have held several one-on-one phone calls with participants in the Learning Collaborative to get a “pulse check” on your MQii projects and better understand what types of assistance our team can provide to help you achieve your goals. We have documented what resources are useful and what tools can be improved to help better serve all of you in the Learning Collaborative. As such, we are implementing a few new updates this month and are excited to share these developments.
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Coffee Break Structure
Beginning in August, our Coffee Breaks will start focusing on specific topics that address successes and challenges of implementing malnutrition quality improvement projects. The intent is to bring a more structured conversation to these calls and to connect you with other Learning Collaborative participants who may be encountering similar challenges.
Our first themed Coffee Breaks in August will focus on best practices for gaining buy-in for implementing high quality malnutrition care, both at the administrator level and the physician level. To ensure these calls are useful and aligned with your particular needs, we will separate August’s Coffee Breaks to allow you to converse with others who need pointed advice about how to engage and obtain support from leadership. Please register using the links below:
As always, please reach out to your MQii Point of Contact with any questions you may have ahead of the Coffee Breaks. We hope you will join us!
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MQii Learning Collaborative Calendar
In an effort to better streamline information on MQii Learning Collaborative events, conferences, and publication deadlines, we will soon feature a new MQii Learning Collaborative Calendar on the MQii Learning Collaborative portal! Through this new feature, you will be able to register for upcoming events and track poster and presentation deadlines for conferences of interest. More information will be released on this new feature in the August Dish – stay tuned!
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NFPE “Tip of the Month”
Many of you have requested more information and training about Nutrition-Focused Physician Exams (NFPEs). We are delighted to share a new feature that will appear each month in the Dish, featuring an NFPE “Tip of the Month” from Beth Mordarski, RDN, LD, NFPE Program Manager at the Academy of Nutrition and Dietetics.
To help RDNs learn NFPE skills, the Academy conducts in-person, hands-on NFPE Training Workshops around the country. To learn more about NFPE and the Academy’s NFPE Hands-on Training Workshops, visit the NFPE website or email [email protected].
*Please note: MQii does not offer any NFPE in-person workshops. Please contact the Academy NFPE Team directly if you would like to host or attend an in-person training.
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Learning Collaborative Participant Resources
Supporting Transitions of Care
Many of you have requested additional information on incorporating nutrition services into discharge planning and transitions of care. Please see below for links to some helpful resources on this topic. As always, do not hesitate to reach out to your MQii Point of Contact for additional information.
- Educational Webinar: Acute Care to Next Site of Care Hand Offs: Continuation of the Nutrition Plan, Documentation, Intervention and Implementation (featuring Angela Lago, MS, RD, LDN, CNSC, Clinical Nutrition Manager at New Hanover Regional Medical Center)
- Educational Webinar: Opportunities to Advance Care Transitions and Coordination for Malnourished Hospitalized Adults (featuring Josefina Carbonell, SVP of Long Term Care & Nutrition, Independent Living Solutions and President, Florida Community Care; Dalila Suazo, RDN, LDN, CDE Sr. Director Nutrition Operations, Independent Living Systems; and Rya Clark, RD, LD, CNSC, Clinical Nutrition Manager at TIRR Memorial Hermann)
- Sections of the MQii Toolkit:
- Patient Discharge Assessment Form: Example of discharge assessment form from the Alliance to Advance Patient Nutrition
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What's Around the Corner?
Expert Webinar: Optimization of the Electronic Health Record (EHR) for Nutrition Care | Wednesday, August 7 at 3:00 PM ET
Join us on Wednesday, August 7 at 3:00 PM ET for the MQii Expert Webinar, “Optimization of the EHR for Nutrition Care.” During this live webinar, participants will learn about ways to identify opportunities and barriers to documenting nutrition care using the EHR; discuss how to capture key components of the nutrition care process in the EHR; and review ways to partner to troubleshoot nutrition data-related EHR limitations. Participants will hear insights from experts using two different EHR platforms, EPIC and Cerner, in their facilities and can ask speakers questions about how they modified their EHRs to collect nutrition-related information of interest.
Attendees will be eligible to receive one-hour CPEU credit for their participation.
The webinar will feature Cass Kight, PhD, RDN, CNSC, Clinical Nutrition Specialist at the University of Wisconsin Health System and Curt Calder, MBA, RDN, CD, Solutions Analyst in Care Transformation at Intermountain Healthcare.
Please register for the webinar in advance here.
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Expert Webinar: Extending the Reach of Hospital-Based Nutrition: Improving Patient Recovery Beyond the Acute Care Setting | Thursday, September 5 at 1:00 PM ET
Join us on Thursday, September 5 at 1:00 PM ET for the MQii Expert Webinar, “Extending the Reach of Hospital-Based Nutrition: Improving Patient Recovery Beyond the Acute Care Setting.” During this live webinar, participants will learn about the background, methodology, and summary of findings from the MQii Learning Lab, reiterating the importance of transitional discharge planning; the experience of one facility’s malnutrition quality improvement project, focused on the transition from acute care setting to the home; and best practices for planning and implementing a transitions of care program from the acute care setting.
This webinar is being hosted jointly with the Academy as part of its September Spotlight on Malnutrition and will highlight Learning Collaborative stories and insights, some of which are included in the upcoming JAND Supplement (to be released in late August). Keep an eye out for the registration link that will be available on the MQii Member Portal and sent out via email shortly. The Academy will provide attendees with receive one-hour CPEU credit for their participation, so please direct any questions regarding credit directly to the Academy.
The webinar will feature Gerry Howick, RD, Clinical Nutrition Supervisor at Legacy Health; Jessica Settles, Dietetic Intern, at the Veterans Health Administration; and Wendy Everett, ScD, Senior Advisor at Avalere Health.
For all of our expert webinars, 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!
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In case you missed it!
If you missed previous MQii Learning Collaborative expert webinars (such as our recent webinar on nutrition care in surgical protocols), you can access webinar recordings and slides on the MQii Member Portal. You will also find other member-only content, including educational webinars and archived “Dish” newsletters, on this site. As a reminder, the login information is: Username: MQii Password: MQiiLC2018!
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Consider opportunities to share your MQii project and findings!
Hearst Health Prize for Excellence in Population Health Now Accepting Submissions
The Hearst Health Prize, in partnership with the Jefferson College of Population Health (JCPH), helps identify and promote promising initiatives in the field that improve health outcomes. The goal is to discover, support, and showcase the work of an individual, group, or institution that has successfully implemented a population health program that has made a measurable difference. Finalists will be invited to present their projects during a special poster session at the Population Health Colloquium in Philadelphia, PA, from March 30 – April 1, 2020. The winner will be announced during the opening session of the Population Health Colloquium on March 31, 2020. The winner will receive a $100,000 cash prize in recognition of outstanding achievement in managing or improving population health. Up to two finalists will receive a cash award of $25,000 each. The deadline to submit an application is August 9, 2019 at 3:00 PM ET.
Institute for Healthcare Improvement Now Accepting Storyboard Proposals for National Forum
The Institute for Healthcare Improvement (IHI) hosts an annual National Forum on Quality Improvement in Health Care that brings together health care visionaries, improvement professionals, world leaders, and industry newcomers to share methodologies and gain practical knowledge on best practices to improve healthcare quality. This year’s forum will take place from December 8–11, 2019, in Orlando, FL. IHI is now accepting storyboards covering such topics as building improvement capability and person-centered care through September 6, 2019. Please visit the IHI website for more information.
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Next Steps
- Attend the upcoming expert webinar and newly enhanced August Coffee Breaks if you have questions regarding your malnutrition quality improvement efforts
- 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)
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