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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
- Visit the new Global Malnutrition Composite Score (GMCS) page on the MQii website, which is continually updated with new resources and information
- Access member-only content, including webinar recordings and slides, a calendar of upcoming events, and archived Dish newsletters, on the MQii Member Portal. Note the login information has changed to:
- Username: MQii
- Password: MQiiLC!
- Attend today's December Coffee Break if you have questions about the benefits to reporting the GMCS or want support communicating these benefits. Please also tell us if you have any requested topics for future Coffee Breaks
- Please inform your MQii Point of Contact about requested topics for future events, any transitions in leadership, or additional events of interest to share with other members
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SPOTLIGHT: GMCS Quick Start Guide
The MQii team recently released a GMCS Quick Start Guide to outline the 2-step process for quality improvement (QI) and GMCS reporting. It provides a quick and effective overview of the process needed to prepare to report on the GMCS to CMS starting as early as 2024. The 2 steps include:
- STEP 1: Implementing malnutrition quality improvement
- STEP 2: Preparing your electronic health record for GMCS measure data collection, monitoring, and reporting
LC members experienced with malnutrition QI can begin with step 2 for an overview of how to prepare for GMCS reporting. The MQii team will share additional resources in the Dish and on our website over the coming months.
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WHAT'S AROUND THE CORNER?
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Coffee Break: “Understanding the Benefits of Reporting on the GMCS” | Monday, December 19, 2022, at 2 PM ET
This month's discussion will focus on the variety of benefits to your patients, nutrition care teams, and hospitals from reporting on the GMCS to CMS through the Hospital Inpatient Quality Reporting Program (beginning in 2024). We will suggest key talking points for advocating that your hospitals report on this particular voluntary electronic clinical quality measure—and also ask for your thoughts about others—and we will share the latest MQii resources to support such conversations.
Please register for the Coffee Break in advance.
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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: MQiiLC!
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Learn and Network at Upcoming Conferences
The list of conferences below may be of interest to you or your team to attend. Feel free to contact us to see if other members of Learning Collaborative or the MQii leadership team will also attend.
View additional upcoming external events (such as conferences and webinars) on our MQii Learning Collaborative calendar.
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Consider Opportunities to Share Your MQii Project and Findings
The list of conference submission opportunities below 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 various audiences. Please reach out with any questions or for assistance in pulling together submission materials.
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NUTRITION POLICY UPDATES
White House Conference on Hunger, Nutrition, and Health
The Biden administration hosted the White House Conference on Hunger, Nutrition, and Health on Wednesday, September 28. In conjunction, it released a National Strategy on Hunger, Nutrition and Health, and a fact sheet describing more than $8 billion of new commitments received as a part of the conference’s call to action. You can watch the recorded conference sessions on conference website. We anticipate future communication and action by the administration on their progress toward achieving the bold goal set forth by President Biden to “end hunger and increase healthy eating and physical activity by 2030, so that fewer Americans experience diet-related diseases like diabetes, obesity, and hypertension.”
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NUTRITION RESEARCH
We are sharing several recent publications and blogs relevant to malnutrition, nutrition care processes, and quality improvement:
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NUTRITION IN THE NEWS
Long-time MQii members Dr. Philip Brown and Angela Lago recently published an article titled, “Why we say 'Food is Medicine’,” which describes how this philosophy has manifested at Novant Health New Hanover Regional Medical Center in Wilmington, NC. Their successful malnutrition transitions of care program has greatly improved the health and lives of their patients and is a model for other hospitals and systems to emulate across the country.
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LEARNING COLLABORATIVE PARTICIPANT RESOURCES AND RECOGNITION
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Learning Collaborative Membership Updates
As you may have seen in our email or website announcement, the MQii leadership team has decided to pause member data collection in order to focus efforts on developing materials and hosting trainings/webinars to support GMCS education and adoption. Current Tier 1 (or data-sharing) members will still send their Q4 2022 data by February 1, 2023, in order to receive Q4 performance feedback reports and Q3/Q4 performance benchmark reports by March 2023, according to this timeline.
MQii Website and Resources
The MQii team is consistently working to update resources available on the MQii website in order to better support your malnutrition QI journey. In light of the recent inclusion of the GMCS in a CMS program for reporting, the MQii team has developed a Quick Start Guide for QI and GMCS reporting that lays out key steps to prepare your facility for reporting. You can also reference the corresponding PowerPoint presentation for your education and to present to other team members, quality teams, leadership, etc., about the benefits of reporting on the GMCS. Additionally, the GMCS page on the MQii website provides more information and resources.
Food & Nutrition Conference & Expo
The MQii team was pleased to meet with so many Learning Collaborative members at FNCE in Orlando in October. Our presentation on October 7 included Dr. Philip Brown from long-time Learning Collaborative member Novant Health New Hanover Regional Medical Center, MQii leadership team member Dana Buelsing Sowards from the Academy, and Mary Pittman from the Public Health Institute (see first photo below). They delivered a comprehensive overview of the critical role that addressing malnutrition plays in advancing health equity within health systems and the community. The CDR and Elsevier booths also happily gave out printed copies of the October JAND supplement on malnutrition and health equity. The leadership team also presented a poster showing the results of a study we conducted with the Phoenix VA Health Care System to evaluate their implementation of a nurse-administered Malnutrition Screen Tool (see second photo below). Finally, we appreciated talking with many of you about updates in your QI work and your excellent ideas for educating more RDNs about the GMCS and preparing them to advocate for reporting on it to their hospitals.
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Congratulations to Members
Congratulations to Advisory Committee members on their recent awards from the Academy of Nutrition and Dietetics. Valaree Williams received the Excellence in Practice: Clinical Nutrition Award and Wendy Phillips received the Medallion Award.
NFPE: Putting it All Together
Why should an RDN perform a Nutrition-Focused Physical Exam (NFPE) on a patient? Several reasons to perform this important physical exam include that it:
- Aids in identifying changes in the body that are specifically linked to nutrition, making it distinct from exams performed by other disciplines. The RDN is trained on nutrition and to view the patient and findings with “nutrition goggles”
- Is part of the standard of practice for RDNs
- Is part of a complete nutrition assessment as included in the Nutrition Care Process
- Can provide information when:
- Laboratory values may not reflect nutrition status
- Anthropometric measurements may not be accurate, reliable, or available
- Recurrent shortages occur in IV macro- and micro-nutrients
- Aids in:
- Monitoring and evaluating responses to nutrition intervention
- Identifying and supporting diagnosis of malnutrition
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ADDITIONAL MALNUTRITION RESOURCES
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October JAND Supplement
The MQii team is pleased to share the release of the October JAND supplement titled, “Measuring Malnutrition and Food Insecurity to Facilitate Quality Care and Health Equity,” that featured the MQii, including work by several Learning Collaborative members. The President’s Page in the August issue of JAND also featured the MQii and its impact.
Webinar Recording: “Let’s Talk Preoperative Nutrition Optimization: Scoping Review from JACS”
This webinar identified 5 nutritional interventions for pre-surgery patients mentioned in the scoping review published in the Journal of the American College of Surgeons (JACS), listed the 2 clinical outcomes most frequently measured in response to preoperative nutrition optimization, and described the “take-away” points meant to guide the practice decisions of general surgeons. It featured Advisory Committee member Dr. Paul Wischmeyer. You may view this webinar recording online.
ASPEN Malnutrition QI and GMCS Reporting Practice Tool
Clinical Nutrition Fellowship Opportunity
Duke University is offering an online, interactive clinical nutrition course and fellowship in partnership with Morpheus Consortium that advances learnings in nutrition risk identification and the latest evidence-based nutrition care of pediatric and adult patients. Clinician participants can choose from multiple available modules based on their interests. For more information, see the Duke University School of Medicine website.
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