1. A Dietitian’s Perspective on Malnutrition Sara Ingersoll, MS, RD, LD
Morison Healthcare Clinical Nutrition Manger
Truman Medical Centers

2. 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

3. ASPEN & The Academy of Nutrition and Dietetics Malnutrition Guidelines

4. Clinical Characteristics
Energy Intake
Weight Loss
Physical Findings
Muscle Mass
Body Fat
Fluid Accumulation
Reduced Grip Strength

5. Documentation to Support a Diagnosis of Malnutrition

6. Documentation to Support a Diagnosis of Malnutrition

7. Additional Guidelines

8. GLIM Criteria

9. World Health Organization
Limited guidance for Adults
Pediatric diagnosis correlates with z-scores

10. Malnutrition Performance Improvement

11. 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

12. Goals Improving -Patient Care -Outcomes -Documentation
-E46 Unspecified
-Severity of Illness (SOI)
-Risk of Mortality (ROM)
-Reimbursement
-Length of Stay/Readmissions

13. Next Steps CMS Proposal Malnutrition Quality Improvement Imitative
Academy of Nutrition and Dietetics
Malnutrition Clinical Characteristics and Staffing Study

14. Questions?