A Dietitian’s Perspective on Malnutrition Sara Ingersoll, MS, RD, LD

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Presentation transcript:

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?