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

Phillips, William; Becker, Patricia J.; Vega, Molly Wong; Smith, Elizabeth C.; Konek, Sue; Bailer, J.; Carvalho-Salemi, Jennifer

doi:10.1016/j.jand.2020.08.091

Cited by 8 publications

(8 citation statements)

References 31 publications

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“…The authors state that malnutrition screening tools should be “quick, simple, valid (sensitive and specific), reliable, and done regularly to capture changes in risk.” 1,2 Using malnutrition screening tools that have proof of moderate to high validity, reliability, and agreement is a component of best practice. The use of tools that have low or undemonstrated validity and reliability can result in failure to identify children at risk for malnutrition 44 . The MQii is one tool that can be applied to practice to bridge the gaps in standardized practice, data collection, and reporting.…”

Section: Barriers To Success and Strategies To Close The Gapmentioning

confidence: 99%

“…The toolkit also includes information on discharge planning and transition to other settings of care. It states that ”transitions of care” planning should take place with the family and the healthcare team to ensure ongoing support is provided to resolve the malnutrition diagnosis regardless of the discharge destination, the goal being to reduce the occurrence of unplanned readmissions 44 …”

Section: Malnutrition Risk Surveillancementioning

confidence: 99%

“…The use of tools that have low or undemonstrated validity and reliability can result in failure to identify children at risk for malnutrition. 44 The MQii is one tool that can be applied to practice to bridge the gaps in standardized practice, data collection, and reporting.…”

Section: Barriers To Success and Strategies To Close The Gapmentioning

confidence: 99%

“…It states that "transitions of care" planning should take place with the family and the healthcare team to ensure ongoing support is provided to resolve the malnutrition diagnosis regardless of the discharge destination, the goal being to reduce the occurrence of unplanned readmissions. 44 Two recent publications suggest that malnutrition and conditions associated with malnutrition do have a significant impact on unplanned readmission in children.…”

Section: Malnutrition Risk Surveillancementioning

confidence: 99%

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Pediatric malnutrition screening and assessment tools: Analyzing the gaps

Becker

Brunet-Wood²

2021

Nut in Clin Prac

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Pediatric healthcare professionals know that children who are malnourished have worse clinical outcomes than do their well‐nourished peers. The body of evidence in the literature on the topic of pediatric malnutrition (PMN) is growing and supports this conclusion. The goal of this article is to present the current state of practice related to PMN screening, the use of malnutrition risk screening (MNRS) tools, malnutrition assessment, and the use of malnutrition assessment tools. The purpose is also to discuss best practice for MNRS and assessment and to consider the gaps in practice where additional work is needed.

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Section: Barriers To Success and Strategies To Close The Gapmentioning

confidence: 99%

Section: Malnutrition Risk Surveillancementioning

confidence: 99%

Section: Barriers To Success and Strategies To Close The Gapmentioning

confidence: 99%

Section: Malnutrition Risk Surveillancementioning

confidence: 99%

See 2 more Smart Citations

Pediatric malnutrition screening and assessment tools: Analyzing the gaps

Becker

Brunet-Wood²

2021

Nut in Clin Prac

Self Cite

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“…• As new nutritional policies, programs, and methods are incorporated into practice, it is essential to monitor effectiveness of such changes in achieving sufficient and healthy dietary intake in cost-effective ways (27)(28)(29)(30). We ask the question, "What is the value of nutrition?…”

Section: Introductionmentioning

confidence: 99%

Good nutrition across the lifespan is foundational for healthy aging and sustainable development

et al. 2023

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Ensuring healthy lives and promoting wellbeing across the age spectrum are essential to sustainable development. Nutrition is at the heart of the World Health Organization (WHO) Sustainable Development Goals, particularly for Sustainable Development Goal 2/Subgoal 2, which is to End all forms of malnutrition by 2030. This subgoal addresses people of all ages, including targeted groups like young children and older adults. In recent decades, there have been marked advances in the tools and methods used to screen for risk of malnutrition and to conduct nutritional assessments. There have also been innovations in nutritional interventions and outcome measures related to malnutrition. What has been less common is research on how nutritional interventions can impact healthy aging. Our Perspective article thus takes a life-course approach to consider what is needed to address risk of malnutrition and why, and to examine how good nutrition across the lifespan can contribute to healthy aging. We discuss broad-ranging yet interdependent ways to improve nutritional status worldwide—development of nutritional programs and policies, incorporation of the best nutrition-care tools and methods into practice, provision of professional training for quality nutritional care, and monitoring health and economic benefits of such changes. Taken together, our Perspective aims to (i) identify current challenges to meeting these ideals of nutritional care, and to (ii) discover enabling strategies for the improvement of nutrition care across the lifespan. In harmony with the WHO goal of sustainable development, we underscore roles of nutrition to foster healthy human development and healthy aging worldwide.

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Interprofessional implementation of the Global Malnutrition Composite Score quality measure

et al. 2023

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Malnutrition in hospitalized patients can impact health outcomes, quality of life, and health equity. Quality improvement initiatives and quality measurement can help improve the care of those hospitalized patients with malnutrition. The new Global Malnutrition Composite Score (GMCS) was recently adopted by the Centers for Medicare & Medicaid Services (CMS) as a health equity–focused measure. Beginning in 2024, the GMCS is available for reporting through the CMS Hospital Inpatient Quality Reporting Program. The GMCS provides an opportunity to elevate the importance of patient nutrition status and evidence‐based interventions throughout the interdisciplinary hospital decision‐making process. To promote this opportunity, the American Society for Parenteral and Enteral Nutrition (ASPEN) held an “Interprofessional implementation of the Global Malnutrition Composite Score” webinar as part of its 2022 Malnutrition Awareness Week programming. This article summarizes the underlying rationale and significance of the GMCS measure and showcases clinical observations about integrating quality improvement and measurement into the acute care setting, as presented during the webinar.

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

Cited by 8 publications

References 31 publications

Pediatric malnutrition screening and assessment tools: Analyzing the gaps

Pediatric malnutrition screening and assessment tools: Analyzing the gaps

Good nutrition across the lifespan is foundational for healthy aging and sustainable development

Interprofessional implementation of the Global Malnutrition Composite Score quality measure

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