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Comprehensive Application of the Malnutrition Quality Improvement Initiative (MQII) Toolkit to Pediatric Malnutrition Care

2020; Elsevier BV; Volume: 121; Issue: 6 Linguagem: Inglês

10.1016/j.jand.2020.08.091

2212-2680

Wendy Phillips, Patricia J. Becker, Molly Wong Vega, Elizabeth C. Smith, Sue Konek, J. Bailer, Jennifer Carvalho‐Salemi,

Child Nutrition and Feeding Issues

As pediatric registered dietitian nutritionists (RDNs) make addressing malnutrition a critical part of their nutrition care process (NCP) and integrate malnutrition quality improvement into their health care facilities, they have looked to the Pediatric Nutrition Practice Group (PNPG) for guidance on how to best achieve this goal in the care of infants, children, and adolescents. The Malnutrition Quality Improvement Initiative (MQii) was developed by the Academy of Nutrition and Dietetics (Academy), Avalere Health, and other stakeholders to provide guidance for malnutrition quality improvement efforts through key technical expert and advisory roles. 1 McCauley S.M. Barrocas A. Malone A. Hospital nutrition care betters patient clinical outcomes and reduces costs: The malnutrition quality improvement initiative story. J Acad Nutr Diet. 2019; 119: S11-S14 Abstract Full Text Full Text PDF PubMed Scopus (13) Google Scholar MQii is a dual-pronged approach to support quality improvement (QI) for malnutrition care based on a set of four malnutrition-focused electronic clinical quality metrics (eCQMs) and a malnutrition QI toolkit with resources to guide implementation of QI activities. 1 McCauley S.M. Barrocas A. Malone A. Hospital nutrition care betters patient clinical outcomes and reduces costs: The malnutrition quality improvement initiative story. J Acad Nutr Diet. 2019; 119: S11-S14 Abstract Full Text Full Text PDF PubMed Scopus (13) Google Scholar The MQii Toolkit 2 Malnutrition Quality Improvement Initiative2nd ed. Malnutrition Quality Improvement Initiative website. 2018. http://malnutritionquality.org/static/pdf/complete-mqii-toolkit.pdfDate accessed: May 6, 2020 Google Scholar is a well created and comprehensive framework developed for patients aged 65 years and older. The goals of the MQii include reducing variation in clinical practice for malnutrition care across different care providers and settings; improving clinicians’ knowledge of the importance of malnutrition and best practices for optimal malnutrition care delivery; and exploring how optimal malnutrition care impacts cost of care proxies such as average length of stay and 30-day all-cause readmissions for patients who are malnourished or at risk for malnutrition. 1 McCauley S.M. Barrocas A. Malone A. Hospital nutrition care betters patient clinical outcomes and reduces costs: The malnutrition quality improvement initiative story. J Acad Nutr Diet. 2019; 119: S11-S14 Abstract Full Text Full Text PDF PubMed Scopus (13) Google Scholar ,2 Malnutrition Quality Improvement Initiative2nd ed. Malnutrition Quality Improvement Initiative website. 2018. http://malnutritionquality.org/static/pdf/complete-mqii-toolkit.pdfDate accessed: May 6, 2020 Google Scholar This publication provides guidance for pediatric nutrition practitioners to implement malnutrition QI activities and evaluate the eCQMs in pediatrics, providing age-appropriate nutrition screening, assessment, care plan, and documentation resources where needed. W. Phillips, MS, RD, CD, NWCC, FAND, is a Regional Vice President, Morrison Healthcare, St. George, UT. P. J. Becker, MS, RDN, CSP, FAND, is a pediatric/neonatal nutrition specialist—RDIII, Dayton Children’s Hospital, Dayton, OH. M. Wong Vega, MS, RD, is a senior pediatric clinical dietitian, Texas Children's Hospital, Houston, TX. E. Smith, MA, RD, LDN, is an inpatient clinical nutrition manager, Children’s Hospital of Philadelphia, Philadelphia, PA. S. Konek, MA, RDN, CSP, LD, FAND, is a partner, Pediatric Nutrition Partners, LLC, Oakwood, OH. J. Bailer RD-AP, LDN, Registered Dietitian III, Children’s Hospital of Philadelphia, Philadelphia PA. J. Carvalho-Salemi, MPH, RDN, LD, is a senior pediatric dietitian, Nephrology ǀ Texas Children’s Hospital, Lutz, FL.