Premium
Plan for the Registered Dietitian Identification and Documentation of Adult Inpatients
Author(s) -
Browning Maria,
Roberts Beth,
Kingery Joanna,
Carter Kimberly,
Hines Courtney,
GardusPizlo Irmina,
Roberts Scott
Publication year - 2015
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.29.1_supplement.384.3
Subject(s) - malnutrition , medicine , incidence (geometry) , pediatrics , optics , physics
The purpose of the policy was to support the change in procedure to identify and document malnutrition in adult patients admitted to Indiana University Health Methodist Hospital. Retrospective data analysis was used to identify the current state of patients diagnosed with malnutrition at Indiana University Health. Once the new policy was complete and initiated a second data analysis was completed to see if there was a change in the incidence and specificty of the malnutrition diagnosis on patients discharge from IU health Methodist and university hospitals. Intial results indicated that less than 1% of patients discharged form Indiana University Health Methodist in August of 2013 were coded for severe malnutrition or moderate malnutrition. This is significantly less than the predicted 30% of patients in acute care settings. After implementation of the malnturition policy, the incidence of malnutrition diagnosis from August 2014 increase more than 500% to 5%of patients discharged from Indiana University Health Methodist HospitalAugust 2013 August 2014 %Change Severe Protein Calorie Malnutrition 13/2668 (0.5%) 83/2682 (3.1%) +538% Moderate Malnutrition 9/2668 (0.34%) 52/2682 (1.9%) +477%Although there is still a long way to go in improving the diagnosis of patients with malnutrition, the first month of implementation showed the new policy and procedure to be much more effective in identifying and documenting malnutrition in adult patients hospitalized at Indiana University Health.