A Dietitian’s Perspective on Malnutrition Sara Ingersoll, MS, RD, LD Morison Healthcare Clinical Nutrition Manger Truman Medical Centers
Objectives To provide a general understanding of Malnutrition using ASPEN/Academy Malnutrition guidelines To provide a general understanding of WHO guidelines and Glim criteria Discuss and review Malnutrition performance improvement
ASPEN & The Academy of Nutrition and Dietetics Malnutrition Guidelines
Clinical Characteristics Energy Intake Weight Loss Physical Findings Muscle Mass Body Fat Fluid Accumulation Reduced Grip Strength
Documentation to Support a Diagnosis of Malnutrition
Documentation to Support a Diagnosis of Malnutrition
Additional Guidelines
GLIM Criteria
World Health Organization Limited guidance for Adults Pediatric diagnosis correlates with z-scores
Malnutrition Performance Improvement
Steps for Success Hospital Approved Malnutrition Criteria Completion of Malnutrition Screening within 24 hours of admission Nutrition Assessment Completed for Patients Identified as At-Risk & Nutrition Focused Physical Exam Nutrition Care Plan Appropriate Documentation Discharge Planning & Outcomes
Goals Improving -Patient Care -Outcomes -Documentation -E46 Unspecified -Severity of Illness (SOI) -Risk of Mortality (ROM) -Reimbursement -Length of Stay/Readmissions
Next Steps CMS Proposal Malnutrition Quality Improvement Imitative http://mqii.defeatmalnutrition.today/ Academy of Nutrition and Dietetics Malnutrition Clinical Characteristics and Staffing Study
Questions?