July: The Dish provides a monthly update to participating sites enrolling in the MQii Learning Collaborative.
Malnutrition Quality Improvement Initiative

Learning Collaborative

November 4, 2019

The Dish

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

SPOTLIGHT: GROWING EVIDENCE FOR COMMUNITY-BASED MALNUTRITION CARE

New Evidence Highlights Opportunities for Malnutrition Quality Improvement 

In July 2019, Harris et al. published a mixed-methods study in BMC Family Practice entitled, “Barriers and facilitators to screening and treating malnutrition in older adults living in the community: a mixed-methods synthesis.” The authors investigated published studies of “screen-and-treat policies” and found that few interventions have adequately addressed psychosocial barriers for patients and limited time and self-efficacy in malnutrition treatment pathways among healthcare professionals. The article highlights the potential for these policies to systematically improve management of malnutrition among older, community-dwelling adults and recommends potential modifications to improve their effectiveness.

In September 2019, Dwyer et al. published a review article in the Journal of Community Health entitled, “Screening Community-Living Older Adults for Protein Energy Malnutrition and Frailty: Update and Next Steps.” The authors discussed the importance of effective screening for malnutrition and frailty even outside of acute care settings and an overview of the validity, reliability, and feasibility of various screening tools that can be used. As measures for malnutrition and frailty are important indicators of health risk, they argue that screening community-living older adults should be a routine part of their healthcare.

For those of you seeking to implement or evaluate programs addressing malnutrition in your local communities, these papers highlight key gaps in practice and in research that should be addressed and investigated to maximize effectiveness and patient engagement in malnutrition care.

WHAT'S AROUND THE CORNER?

Please check the MQii Learning Collaborative Calendar to see an upcoming schedule of exciting events with corresponding registration links. We hope you will join us!


Expert Webinar: Elevating the Value of Malnutrition Care Within Your Facility | Thursday, November 7 at 2:00 PM ET

Join us on Thursday, November 7 at 2:00 PM ET for the MQii Expert Webinar, “Elevating the Value of Malnutrition Care Within Your Facility.” During this live webinar, participants will learn about best practices for communicating the business case for malnutrition quality improvement activities to hospital leadership, ways to document and quantify malnutrition in your facility to share with leadership, and opportunities to increase visibility of patients’ nutritional needs to leaders at your facility.

The webinar will feature Christy McFadden, MS, RDN, Quality Improvement Specialist at Spectrum Health and Nathan Munguia, RD, LDN, CNSC, Clinical Nutrition Manager at AMITA Health Holy Family and Resurrection Medical Centers.

Attendees will be eligible to receive one-hour CPEU credit for their participation.

Please register for the webinar in advance here.  

 

Coffee Break #1: Becoming Comfortable with Data Collection and Analysis | Wednesday, November 13 at 11 AM ET

Many of you are new to data collection and analysis and are seeking guidance on how to better quantify the problem of malnutrition in your institution or how to assess your progress in improving management of malnutrition. This call will provide an opportunity to learn from others’ experiences and best practices as well as ask questions of our staff.

Please register for the Coffee Break in advance here

 

Coffee Break #2: Understanding and Adopting Malnutrition eCQMs | Monday, November 18 at 12 PM ET

Through MQii, we have shared information about adopting eCQMs to better streamline your data collection and analysis and to enable your sites to compare your data to national measures. In the future, we hope this will be an integral component of public and private quality reporting initiatives. This call will provide an opportunity for you to better understand the purpose of these measures and how others have been able to adopt them within their own facilities.

Please register for the Coffee Break in advance here.  

 

Expert Webinar: Importance of Evaluating and Implementing Malnutrition Screening Tools | Tuesday, December 10 at 12:00 PM ET

Join us on Tuesday, December 10 at 12:00 PM ET for the MQii Expert Webinar, “Importance of Evaluating and Implementing Malnutrition Screening Tools.” During this live webinar, participants will learn how to:

  • Best implement and evaluate validated malnutrition screening tools,
  • Increase efficiency of an RDN’s assessment, and
  • Communicate about malnutrition with other clinicians following screening.

The webinar will feature Rebecca Edwards, RD, Senior Clinical Dietitian at Maine Medical Center and Jennifer Doley, MBA, RD, CNSC, FAND, Regional Clinical Nutrition Manager and Dietetic Internship Director at Carondelet St. Mary's Hospital.

Attendees will be eligible to receive one-hour CPEU credit for their participation.

Please register for the webinar in advance here .  

 

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].

In case you missed it:

If you missed previous MQii Learning Collaborative expert webinars, you can access webinar recordings and slides on the MQii Member Portal. You will also find other member-only content, including the calendar of upcoming events, pre-recorded educational webinars, and archived Dish newsletters, on this site. As a reminder, the login information is: Username: MQii Password: MQiiLC2018!

 

Consider opportunities to share your MQii project and findings!

Center for Outcomes Research and Evaluation (CORE) Opportunity Announcement

Yale New Haven Health Services Corporation (YNHHSC) – Center for Outcomes Research and Evaluation (CORE) under contract with the Centers for Medicare & Medicaid Services (CMS) developed two approaches for presenting disparities in hospital outcome measures: the Within-Hospital Disparity Method and the Across-Hospital Disparity Method. These methods serve two complementary purposes: one method highlights disparities in healthcare quality between patients with and without social risk within hospitals and the second method illuminates variation in healthcare quality for patients with social risk across hospitals.

CORE is recruiting a Hospital and Provider Workgroup of approximately 15 to 20 participants who will provide critical input on the interpretability and usability of the disparity method results to facilitate hospital quality improvement initiatives. CORE is specifically looking for individuals with experience in institutional quality leadership within hospitals or health system, especially providers that have experience in performance improvement focused on healthcare disparities in quality or outcomes.

For more information, please visit the
CORE website.

Potential workgroup members should be aware that participation is voluntary and their input will be recorded in the meeting minutes. Information reviewed at the meetings may be confidential and conflict of interest disclosures will be required. The anticipated time commitment is 3 hours, which includes a 60-minute orientation/Q&A webinar and a 120-minute conference call/webinar, both of which will take place in January 2020.

If you are interested, please submit your resume/curriculum vitae and a brief cover letter which addresses your interest in participation, role in your current organization, any prior participation in disparity initiatives at your organization and/or experience using CMS quality reports, including the confidential reporting of the two disparity methods. Applications should be received by 5pm on November 8, 2019. The documents may be submitted in hard copy to the address below, faxed (203-764-5653), or
e-mailed. Please contact the CMS Disparity Methods team should you have any questions. This work is under CMS contract number HHSM-75FCMC18D0042 and Task Order HHSM-75FCMC19F0001.

 

American Society on Aging Accepting Poster Session Proposals for National Conference

The American Society on Aging (ASA) will hold its annual Aging in America Conference in Atlanta, GA, from March 24–27, 2020. The theme for the 2020 conference is “Aging 2020: Examining the Needs of Today’s Diverse Older Adults.” Sessions will examine the social constructs of ageism, racism, sexism and heterosexism, and provide an opportunity to individuals to participate in the largest multidisciplinary conference covering issues of aging and quality of life for older adults. Among 12 total tracks, “Health, Wellness, and Care Transitions” may be of particular interest to LC sites. While the call for presentation proposals has now closed, ASA is still accepting poster session proposals, due ASAP.

 

American Geriatrics Society Accepting Abstract Submissions for #AGS20

The American Geriatrics Society (AGS) will host its Annual Scientific Meeting from May 7–9, 2020, in Long Beach, CA. This conference aims to provide the latest information on clinical care, research on aging, and innovative models of care delivery while addressing the educational needs of geriatrics professionals from all disciplines. AGS is accepting abstract reviewer applications by November 18, 2019, and abstract submissions by December 3, 2019, at 11:59 PM ET.

 

The Academy for Nutrition and Dietetics Accepting Session Proposals for FNCE 2020

The Academy will host FNCE 2020 in Indianapolis, IN, from October 1720, 2020. Submissions for general education sessions, expert panels, culinary demos, or novel formats and for pre-FNCE workshops are due by November 21, 2019, at 5:00 PM CT.

 

Clinical Nutrition Managers’ Dietetic Practice Group Accepting Submissions to 2020 Symposium

The Clinical Nutrition Managers’ Dietetic Practice Group will hold its annual symposium, “Staying the Course: Nutrition Leadership in a Rapidly Changing Healthcare Environment,” in Portland, OR, from March 1921, 2020. While the symposium is typically only open to its members, the Quality and Process Improvement Sub-Unit is accepting submissions of best practice quality or process improvement projects to be recognized at the symposium. Up to 2 submissions will be awarded a $750 stipend and complimentary registration for the 2020 Symposium. Poster submissions will be accepted through November 25, 2019.

 

AMDA–The Society for Post-Acute and Long-Term Care Medicine Accepting Poster Session Proposals for National Conference

The American Medical Directors Association (AMDA)–The Society for Post-Acute and Long-Term Care Medicine Annual Conference will offer programming focused on the latest clinical developments in geriatric medicine, best practices in medical direction, policy/regulatory updates, as well as practical tools to help implement new ideas in your practice setting. This year’s forum will take place from April 25, 2020, in Chicago, IL. The Annual Conference Program Planning Subcommittee is now accepting poster abstract submissions covering such topics rural care issues and post-acute and long-term care models within the healthcare system through November 26, 2019.

 

Society of Hospital Medicine Accepting Abstract Submissions for Annual Conference

The Society of Hospital Medicine will hold its annual conference, “Hospital Medicine 2020,” in San Diego, CA from April 1518, 2020. The conference will include many educational and networking opportunities designed specifically for hospital medicine professionals. Abstract submissions may be selected for a poster, oral presentation or plenary session and are due by December 2, 2019.

MalNutrition Resource of Interest

Leaders in Coordinate Care Learn about Importance of Effective Management of Malnutrition 

Earlier this month, the National Association of Accountable Care Organizations (NAACOs) held its biannual conference in Washington, DC.Among other presentations focused on value-based care, “Driving Value by Addressing Malnutrition Across the Care Continuum” described the importance of nutrition care to improve the health of patients with poor nutrition and reduce healthcare costs across various settings. The speaker, Dr. Michael McKenna, Executive Vice President and Chief Medical Offer of McLaren Health Care, highlighted the many components needed to drive success in nutrition-focused quality improvement programs. This first session of the conference highlighted implementation of real-world, comprehensive nutrition care models that are sustainable and scalable across US healthcare systems.

Next Steps 

  • Attend the upcoming webinars and November Coffee Breaks if you have questions regarding your malnutrition quality improvement efforts
  • Share your progress or reach out with any questions to your MQii Point of Contact. We want to hear about any developments you have experienced as well as any challenges you are encountering.
  • Fill out your Project Charter once you identify plans for your malnutrition quality improvement project(s)

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