Nutrition support team management of enterally fed patients in a community hospital is cost-beneficial

Hassell, J.T.; Games, Adolfo D; Shaffer, Beth; Harkins, Linda E

doi:10.1016/0002-8223(94)92192-x

Cited by 51 publications

(24 citation statements)

References 20 publications

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“…(Mughal & Irving, 1986;Brown et al, 1987;Payne-James et al, 1990;Howard et al, 1991;Cohen, 1993;Hassel et al, 1994;Sousa, 1994;Elia, 1993). The spatial distribution of the NST in Germany showed a clear West-East slope.…”

Section: Discussionmentioning

confidence: 99%

“…In the Anglo-American countries, the medical nutrition of patients through nutrition teams, the so-called nutrition support teams (NST), have an important role (Payne-James et al, 1990;Regenstein, 1991;Hassel et al, 1994;Howard, 2001a, b). NSTs in North America and a few in European countries are integrating physicians, dietitians, nurses and pharmacists to an independent and interdisciplinary working unit (Payne-James et al, 1990;Howard et al, 1997;Jonkers et al, 1999;Howard, 2001a, b).…”

Section: Introductionmentioning

confidence: 99%

“…NSTs in North America and a few in European countries are integrating physicians, dietitians, nurses and pharmacists to an independent and interdisciplinary working unit (Payne-James et al, 1990;Howard et al, 1997;Jonkers et al, 1999;Howard, 2001a, b). NSTs in the Anglo-America region have shown their worth in clinical care as well as within the scope of medical nutrition education, research and in quality management (Payne-James et al, 1990;Regenstein, 1991;Hassel et al, 1994;Howard, 2001a, b). Individual NSTs have been shown to cover their own operating costs and in many cases have demonstrated savings in therapy costs (Roberts & Levine, 1992;Hassel et al, 1994;Ashley and Howard, 2000;Howard, 2001a,b).…”

Section: Introductionmentioning

confidence: 99%

“…NSTs in the Anglo-America region have shown their worth in clinical care as well as within the scope of medical nutrition education, research and in quality management (Payne-James et al, 1990;Regenstein, 1991;Hassel et al, 1994;Howard, 2001a, b). Individual NSTs have been shown to cover their own operating costs and in many cases have demonstrated savings in therapy costs (Roberts & Levine, 1992;Hassel et al, 1994;Ashley and Howard, 2000;Howard, 2001a,b). Although the advantages of NST in various disciplines inhospital as well as in the out-patient field could be demonstrated for the USA and a few European countries (Mughal & Irving, 1986;Brown et al, 1987;Payne-James et al, 1990;Howard et al, 1991;Cohen, 1993;Elia, 1993;Hassel et al, 1994;Sousa, 1994;Howard et al, 1997;Ashley & Howard, 2000;Allison, 2001), but very little is known on the structure and function of NST in Germany (Suchner et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…Individual NSTs have been shown to cover their own operating costs and in many cases have demonstrated savings in therapy costs (Roberts & Levine, 1992;Hassel et al, 1994;Ashley and Howard, 2000;Howard, 2001a,b). Although the advantages of NST in various disciplines inhospital as well as in the out-patient field could be demonstrated for the USA and a few European countries (Mughal & Irving, 1986;Brown et al, 1987;Payne-James et al, 1990;Howard et al, 1991;Cohen, 1993;Elia, 1993;Hassel et al, 1994;Sousa, 1994;Howard et al, 1997;Ashley & Howard, 2000;Allison, 2001), but very little is known on the structure and function of NST in Germany (Suchner et al, 2000). Among others, this must be because of the lack of acceptance of nutritional medicine in Germany (general lack of specialty, or subspecialty or curriculum) and also because of the lack of specifications for a standardisation of clinical nutrition by the patronage organisations, for example, DEGEM (Suchner et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

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Structure and organisation of 47 nutrition support teams in Germany: a prospective investigation in 2000 German hospitals in 1999

et al. 2003

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Objective: Evaluation. Contrary to the Anglo-American region, very little is known in Germany on the structure and organisation of nutrition support teams (NST). Design: Prospective investigation of the structure and organisation of German NST, using standardised interview questionnaires. Settings: Hospitals with more than 250 beds in Germany. Subjects: German NST (n ¼ 47). Interventions: Face-to-face interview in 1999, using a standardised questionnaire. Results: From a total of 2000 German hospitals, NST have been established at 47 hospitals (2.3%). Most NST are affiliated to a large university hospital or an academic teaching hospital. In general, the NST are not independently operating units but are affiliated to a special discipline, and were in operation for an average of 8 y. The NST cared for a median of 65 outpatients annually. At the university hospitals in average, 477 in-patients were treated per year, at the teaching hospitals 400 and at all other hospitals 179. The work of the NST centred on enteral nutrition. A total of 47% of the physicians, 19% of the nurses and 19% of the dietitians in the NST held a nutrition-specific additional qualification. A total of 2% of the physicians, 68% of the nurses and 77% of the dietitians are exclusively responsible for the NST. More than 70% of the financing of the personnel was secured through third-party funds. Conclusion: In Germany, neither uniform nor comprehensive patient care by NST existed in 1999. More than 50% of all NST members do not hold a nutrition-specific additional qualification. Frequently, besides their tasks in the team, the NST staff also carries out other clinical functions. Contrary to the American NST, the German NST are not interdisciplinary operating units but are primarily financed through third-party funds of the industry.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Structure and organisation of 47 nutrition support teams in Germany: a prospective investigation in 2000 German hospitals in 1999

et al. 2003

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Hospital Readmissions as a Measure of Quality of Health Care

Benbassat¹,

Taragin²

2000

Arch Intern Med

527

363

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We reviewed the recent literature on hospital readmissions and found that most of them are believed to be caused by patient frailty and progression of chronic disease. However, from 9% to 48% of all readmissions have been judged to be preventable because they were associated with indicators of substandard care during the index hospitalization, such as poor resolution of the main problem, unstable therapy at discharge, and inadequate postdischarge care. Furthermore, randomized prospective trials have shown that 12% to 75% of all readmissions can be prevented by patient education, predischarge assessment, and domiciliary aftercare. We conclude that most readmissions seem to be caused by unmodifiable causes, and that, pending an agreed-on method to adjust for confounders, global readmission rates are not a useful indicator of quality of care. However, high readmission rates of patients with defined conditions, such as diabetes and bronchial asthma, may identify quality-of-care problems. A focus on the specific needs of such patients may lead to the creation of more responsive health care systems for the chronically ill.

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Standards for Nutrition Support: Adult Hospitalized Patients

et al. 2018

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The American Society for Parenteral and Enteral Nutrition defines standards as benchmarks representing a range of performance of competent care that should be provided to assure safe and efficacious nutrition care in most circumstances. Standards are documents that define the structure needed to provide competent care. These Standards for Nutrition Support for Adult Hospitalized Patients are an update of the 2010 Standards. These practice-based standards are intended for use by healthcare professionals charged with the care of adult hospitalized patients receiving nutrition support therapy in any hospital with or without a formal nutrition support service or team. These Standards address professional responsibilities as they relate to patient assessment,

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Nutrition support team management of enterally fed patients in a community hospital is cost-beneficial

Cited by 51 publications

References 20 publications

Structure and organisation of 47 nutrition support teams in Germany: a prospective investigation in 2000 German hospitals in 1999

Structure and organisation of 47 nutrition support teams in Germany: a prospective investigation in 2000 German hospitals in 1999

Hospital Readmissions as a Measure of Quality of Health Care

Standards for Nutrition Support: Adult Hospitalized Patients

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