Understanding Malnutrition Guidelines and Performance Improvement

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Sara Ingersoll, a registered dietitian, delves into the significance of malnutrition, discussing ASPEN/Academy guidelines, WHO criteria, clinical characteristics, diagnosis documentation, GLIM criteria, and performance improvement strategies. She emphasizes the importance of proper nutrition assessment and care planning to enhance patient outcomes and healthcare efficiency.


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

  2. Objectives 1. To provide a general understanding of Malnutrition using ASPEN/Academy Malnutrition guidelines 2. To provide a general understanding of WHO guidelines and Glim criteria 3. 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 1. Hospital Approved Malnutrition Criteria 2. Completion of Malnutrition Screening within 24 hours of admission 3. Nutrition Assessment Completed for Patients Identified as At-Risk & Nutrition Focused Physical Exam 4. Nutrition Care Plan 5. Appropriate Documentation 6. Discharge Planning & Outcomes

  12. Goals 1. 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 http://mqii.defeatmalnutrition.today/ Academy of Nutrition and Dietetics Malnutrition Clinical Characteristics and Staffing Study

  14. Questions?

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