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Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care
Author(s) -
Kight Cassandra E.,
Bouche Jean M.,
Curry Angie,
Frankenfield David,
Good Katy,
Guenter Peggi,
Murphy Brian,
Papoutsakis Constantina,
Brown Richards Emily,
Vanek Vincent W.,
Wilk Deanne,
Wootton Amy
Publication year - 2020
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1002/ncp.10433
Subject(s) - medicine , documentation , health care , ambulatory care , nursing , electronic health record , health information technology , clinical nutrition , medline , health records , family medicine , computer science , political science , law , economics , programming language , economic growth
Provision of nutrition care is vital to the health and well‐being of any patient who enters the health care system, whether in the ambulatory, inpatient, or long‐term care setting. Interdisciplinary professionals—nurses, physicians, advanced practice providers, pharmacists, and dietitians—identify and treat nutrition problems or clinical conditions in each of these health care settings. The documentation of nutrition care in a structured format from screening and assessment to discharge allows communication of the nutrition treatment plans. The goal of this document is to provide recommendations to clinicians for working with an organization's Information Systems department to create tools for documentation of nutrition care in the electronic health record. These recommendations can also serve as guidance for health care organizations choosing and implementing health care software.