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The Dish provides a quarterly update to participating sites enrolled in the MQii Learning Collaborative.
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AT A GLANCE
- Learn more about the Global Malnutrition Composite Score (GMCS) and consider commenting in support of its adoption in the Hospital Inpatient Quality Reporting (IQR) Program (by the 6/17 deadline)
- Attend upcoming Coffee Breaks:
- June 30: Using your malnutrition care quality data to demonstrate the importance of hospital-based nutrition teams
- July 27: New continuing medical education (CME) courses on malnutrition and food insecurity developed by our partners
- Review upcoming conference submission and participation opportunities
- Share your progress and updates or reach out with questions to your MQii Point of Contact
- Let us know about any transitions in leadership, requested topics for future events, or additional events of interest to share with other members
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SPOTLIGHT: GLOBAL MALNUTRITION COMPOSITE SCORE INCLUDED IN IPPS PROPOSED RULE
On April 18, CMS released the Fiscal Year 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) proposed rule, which proposed to include the MQii-developed electronical clinical quality measure (eCQM), the Global Malnutrition Composite Score (NQF #3592e), as a reporting option for hospitals in the IQR Program. If finalized, the GMCS would be the first composite eCQM and the first nutrition-focused quality measure in a CMS program. Hospitals would then be able to select the measure as 1 of their submitted eCQMs starting in 2024.
- You can submit a comment to CMS (due tomorrow, June 17) in support of the inclusion of the GMCS on regulations.gov
- For more information about the GMCS and its important role in addressing older adult malnutrition in the acute care setting, view this recording of a webinar (and view the slides and CEU instructions) hosted by the Academy and Defeat Malnutrition Today Coalition on June 8, 2022
- Access more resources—such as the measure specifications manual—on the Academy’s website
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WHAT'S AROUND THE CORNER?
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Coffee Break: “Collection and Use of Data Reflecting Malnutrition Care Quality” | June 30, 2022, at 2 PM ET
Learn how data on malnutrition care processes can be collected and used to share with hospitals administrators and other stakeholders to showcase the value of nutrition teams and medical nutrition therapy, including on cost savings, to optimize patient outcomes.
Coffee Break: “Educating Our Physician Colleagues About Malnutrition and Food Insecurity” | Wednesday, July 27, 2022, at 11 AM ET
Learn about 2 recently published CME courses focused on food insecurity and malnutrition and how best to share with physician colleagues to help educate them about the importance of these issues and how they should be addressed.
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As a reminder, you can access member-only content, including webinar recordings and slides, a calendar of upcoming events, and archived Dish newsletters, on the MQii Member Portal. The login information is:
Username: MQii Password: MQiiLC2018!
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Consider Opportunities to Share Your MQii Project and Findings
The following list outlines upcoming conferences that may be of interest to you or your team. We encourage you to look at the event websites, review submission criteria, and consider sharing your research with the various audiences. Please reach out with any questions or for assistance in pulling together submission materials.
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Learn and Network at Upcoming Conferences
Conferences that may offer valuable learning opportunities include:
View additional upcoming external events (such as conferences and webinars) on our MQii Learning Collaborative calendar.
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NUTRITION POLICY UPDATES
Health Equity and Accountability Act Includes Medical Nutrition Therapy Act
The Tri-Caucus, composed of the Congressional Black Caucus, Congressional Hispanic Caucus, and Congressional Asian Pacific American Caucus, included the Medical Nutrition Therapy (MNT) Act in the Health Equity and Accountability Act (HEAA) that was re-introduced last month. The MNT Act aims to increase the conditions eligible for MNT Medicare coverage and expand the number of healthcare professionals able to refer patients to registered dietitian nutritionists, among other changes. Co-sponsored by 59 representatives, HEAA aims to reduce health inequities, address maternal mortality, bolster research, increase healthcare access, and more. Given the opportunity to expand professional opportunities for dietitians to care for patients, MQii Learning Collaborative members can consider expressing their support for HEAA and the MNT Act.
White House Conference on Hunger, Nutrition, and Health
The Biden Administration will host the second White House Conference on Hunger, Nutrition, and Health in September 2022. It will cover food access and affordability, integration of nutrition and health, consumer empowerment to access healthy choices, support for more physical activity, and enhancement of nutrition and food security research. You can sign up to receive updates and more details about the conference as they become available, and submit comments directly. Academy members can provide feedback on key topics and policy recommendations that should be addressed to the Academy to submit collectively. Additionally, the Defeat Malnutrition Today Coalition is hosting a virtual convening to gather ideas on Wednesday, June 29, from 1:30–3:30 PM ET and collecting ideas via a survey to share collectively through their comments.
Nutrition Education in Medical Training Resolution
The House of Representatives passed a bipartisan resolution calling for medical schools, residencies, and fellowship programs to offer nutrition education as part of their curricula. The resolution was coauthored by Congressmen James McGovern (D-MA) and Dr. Michael C. Burgess (R-TX), who recognize that training about the connection between diet and disease for physicians is sorely lacking and seek to address this gap.
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NUTRITION RESEARCH
We are sharing several recent publications and blogs relevant to nutrition care processes and quality improvement:
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NUTRITION IN THE NEWS
Health Affairs recently published a health policy brief titled, “COVID-19 Pandemic-Era Nutrition Assistance: Impact And Sustainability,” which gave an overview of pandemic-specific nutrition assistance programs and their impacts. Nutrition assistance programs aim to alleviate hunger and malnutrition, and some evidence ties them to improved diet quality and health. The article expressed concerns about temporary assistance programs ending and advocated for longer-term solutions even as the COVID-19 pandemic subsides.
Yale New Haven recently announced a partnership with Medically Home to offer at-home hospital services to Medicare patients living within 25 miles of Yale New Haven or Bridgeport hospitals. The program is designed to bring inpatient services to the home of patients with conditions such as heart failure, chronic obstructive pulmonary disease, pneumonia, and more. Along with a daily physician telehealth appointment, patients will receive at least 2 in-home nurse visits per day, nutrition services, and services from other healthcare professionals as needed. This will present a valuable opportunity to increase access to nutrition care for high-risk patients.
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LEARNING COLLABORATIVE PARTICIPANT RESOURCES AND RECOGNITION
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Data-Sharing Member Reminders
Tier 1 Learning Collaborative members should send their Q2 data to the MQii team by August 1, 2022, to receive Q2 performance feedback reports and Q1/Q2 performance benchmark reports by September 1, 2022. Please contact the MQii team with any questions or concerns about data-sharing or report generation, or if you are interested in becoming a data-sharing member.
Congratulations to Members
Please join us in congratulating these Learning Collaborative members for their recent accomplishments:
- Sara O’Brien from Lahey Hospital won outstanding preceptor for the Northeast region and will be celebrated during the Nutrition and Dietetics Educators and Preceptors meeting at FNCE in October 2022
- Sherri Jones from the University of Pittsburgh Medical Center was elected to the Academy Board of Directors for 2022–2023 year
We are also pleased to share the following awards given to our Advisory Committee members:
- Wendy Phillips is a 2022 Academy National Honors and Awards recipient of the “Medallion Award”
- Valaree Williams is a 2022 Academy National Honors and Awards recipient of the “Excellence in Practice Award” for Clinical Nutrition
NFPE: Putting It All Together
Performing a nutrition focused physical exam (NFPE) is an important component of the nutrition assessment that aids in identifying malnutrition. If you are looking to obtain NFPE skills and have been waiting for an in-person training, the Academy of Nutrition and Dietetics is excited to announce that the NFPE Hands-on Training Workshop will be held in-person before FNCE in Orlando, FL, on Saturday, October 8, 2022. For more information, visit the FNCE website with registration opening June 21. Space is limited, so register early.
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