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How a Malnutrition Quality Improvement Initiative Furthers Malnutrition Measurement and Care: Results From a Hospital Learning Collaborative
BACKGROUND: Malnutrition in hospitalized patients can adversely affect health outcomes and increase the cost of care. Real‐world strategies are needed for prompt identification and treatment of patients at risk of malnutrition. OBJECTIVES: The aim of this quality improvement (QI) study was to measur...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7984333/ https://www.ncbi.nlm.nih.gov/pubmed/32282948 http://dx.doi.org/10.1002/jpen.1833 |
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author | Valladares, Angel F. Kilgore, Karl M. Partridge, Jamie Sulo, Suela Kerr, Kirk W. McCauley, Sharon |
author_facet | Valladares, Angel F. Kilgore, Karl M. Partridge, Jamie Sulo, Suela Kerr, Kirk W. McCauley, Sharon |
author_sort | Valladares, Angel F. |
collection | PubMed |
description | BACKGROUND: Malnutrition in hospitalized patients can adversely affect health outcomes and increase the cost of care. Real‐world strategies are needed for prompt identification and treatment of patients at risk of malnutrition. OBJECTIVES: The aim of this quality improvement (QI) study was to measure the impact of a nutrition‐focused program on the malnutrition care processes of participating hospitals. Secondary objectives were to determine whether improvements in these nutrition‐related processes reduced hospital readmissions and length of stay (LOS) in patients ≥65 years. METHODS: A group of 27 US hospitals (“The Collaborative”) implemented the Malnutrition Quality Improvement Initiative (MQii), as guided by a Malnutrition QI Toolkit and 4 electronic clinical quality measures (eCQMs), including (1) nutrition screening; (2) nutrition assessment following detection of malnutrition risk; (3) nutrition care plan for patients identified as malnourished after completed nutrition assessment; and (4) documentation of malnutrition diagnoses. Multivariate analyses identified the variables best correlated with patient outcomes. RESULTS: Improvements were observed for all 4 eCQMs. The greatest improvements were achieved as a result of timely nutrition assessment (P = .06) and malnutrition diagnosis (P = .02). Patients ≥65 years with a malnutrition diagnosis and nutrition care plan had a 24% lower likelihood of 30‐day readmission but a longer mean LOS than did those without a care plan. CONCLUSIONS: In this study, the implementation of MQii practices significantly improved the identification of malnutrition. The prompt identification and treatment of patients at malnutrition risk can improve patient care and health, as well as reduce costly readmissions. |
format | Online Article Text |
id | pubmed-7984333 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-79843332021-03-24 How a Malnutrition Quality Improvement Initiative Furthers Malnutrition Measurement and Care: Results From a Hospital Learning Collaborative Valladares, Angel F. Kilgore, Karl M. Partridge, Jamie Sulo, Suela Kerr, Kirk W. McCauley, Sharon JPEN J Parenter Enteral Nutr Original Communications BACKGROUND: Malnutrition in hospitalized patients can adversely affect health outcomes and increase the cost of care. Real‐world strategies are needed for prompt identification and treatment of patients at risk of malnutrition. OBJECTIVES: The aim of this quality improvement (QI) study was to measure the impact of a nutrition‐focused program on the malnutrition care processes of participating hospitals. Secondary objectives were to determine whether improvements in these nutrition‐related processes reduced hospital readmissions and length of stay (LOS) in patients ≥65 years. METHODS: A group of 27 US hospitals (“The Collaborative”) implemented the Malnutrition Quality Improvement Initiative (MQii), as guided by a Malnutrition QI Toolkit and 4 electronic clinical quality measures (eCQMs), including (1) nutrition screening; (2) nutrition assessment following detection of malnutrition risk; (3) nutrition care plan for patients identified as malnourished after completed nutrition assessment; and (4) documentation of malnutrition diagnoses. Multivariate analyses identified the variables best correlated with patient outcomes. RESULTS: Improvements were observed for all 4 eCQMs. The greatest improvements were achieved as a result of timely nutrition assessment (P = .06) and malnutrition diagnosis (P = .02). Patients ≥65 years with a malnutrition diagnosis and nutrition care plan had a 24% lower likelihood of 30‐day readmission but a longer mean LOS than did those without a care plan. CONCLUSIONS: In this study, the implementation of MQii practices significantly improved the identification of malnutrition. The prompt identification and treatment of patients at malnutrition risk can improve patient care and health, as well as reduce costly readmissions. John Wiley and Sons Inc. 2020-04-13 2021-02 /pmc/articles/PMC7984333/ /pubmed/32282948 http://dx.doi.org/10.1002/jpen.1833 Text en © 2020 The Authors. Journal of Parenteral and Enteral Nutrition published by Wiley Periodicals, Inc. on behalf of American Society for Parenteral and Enteral Nutrition. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Communications Valladares, Angel F. Kilgore, Karl M. Partridge, Jamie Sulo, Suela Kerr, Kirk W. McCauley, Sharon How a Malnutrition Quality Improvement Initiative Furthers Malnutrition Measurement and Care: Results From a Hospital Learning Collaborative |
title | How a Malnutrition Quality Improvement Initiative Furthers Malnutrition Measurement and Care: Results From a Hospital Learning Collaborative |
title_full | How a Malnutrition Quality Improvement Initiative Furthers Malnutrition Measurement and Care: Results From a Hospital Learning Collaborative |
title_fullStr | How a Malnutrition Quality Improvement Initiative Furthers Malnutrition Measurement and Care: Results From a Hospital Learning Collaborative |
title_full_unstemmed | How a Malnutrition Quality Improvement Initiative Furthers Malnutrition Measurement and Care: Results From a Hospital Learning Collaborative |
title_short | How a Malnutrition Quality Improvement Initiative Furthers Malnutrition Measurement and Care: Results From a Hospital Learning Collaborative |
title_sort | how a malnutrition quality improvement initiative furthers malnutrition measurement and care: results from a hospital learning collaborative |
topic | Original Communications |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7984333/ https://www.ncbi.nlm.nih.gov/pubmed/32282948 http://dx.doi.org/10.1002/jpen.1833 |
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