Better Nutrition, Better Care: Building a Nutrition Best Practice Roadmap

Tool: Nutrition Best Practice Roadmap

Problem: Children with cancer have increased risk of malnutrition. About 30% of our solid tumor and leukemia/lymphoma patients are at nutritional risk. Given the cyclic nature of cancer therapy, malnutrition can be easily missed leading to increased risk of morbidity and mortality. Additionally, the care team had inconsistent approaches for treatment.

Tool Selection: Our team determined patients with malnutrition weren’t correctly identified and subsequently weren’t treated consistently according to best practice. Creating a Nutrition Best Practice Roadmap brought the team together to agree on the process facilitating buy-in and created a structure to follow from identification through treatment completion.

Usage: In addition to driving the QI team, the Nutrition Best Practice Roadmap became a reference for diagnostic criteria, an algorithm guiding malnutrition treatment decision-making, and standardization tool streamlining the dietitian referral process transition from inpatient to outpatient settings. The roadmap also facilitates decisions about ethical considerations including discontinuing nutrition support.

Results: Standardization of care and language around malnutrition has increased understanding and awareness of this complex topic leading to improvement in intervention times and overall decreased malnutrition incidence. Rapid cycle PDSAs, standard work, and data review were critical to success. Barriers included non-standardized language to describe nutrition status and inconsistent treatment.

Performance Improvement Coach
Performance Improvement Coach – Atrium Health's Levine Children's

Speaker Type: Poster Presentations On-Demand

  • Performance and Process Improvement IconPerformance and Process Improvement
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