This is an Example of the Main MQii Implementation Training Title of a Presentation: And This is Where the Subtitle Would Appear with More Info
Presentation Roadmap Review of Project Teams and Toolkit Resources 1 Understanding the Recommended Clinical Workflow 2 Training on Malnutrition Care Intervention 3 This is an Example of the Main Next Steps 4 Title of a Presentation: And This is Where the Subtitle Would Appear with More Info 2
This is an Example of the Main Review of Project Team Roles Title of a Presentation: and Toolkit Resources And This is Where the Subtitle Would Appear with More Info 3
Multidisciplinary Project and Care Teams Are Essential for Effective Implementation of the MQii • The Project Team consists of demonstration leaders responsible for guiding overall execution of the intervention • The Care Team is responsible for direct patient care o Given the consideration of patient-driven care throughout this demonstration, patients/family caregivers are considered an integral part of the Care Team This is an Example of the Main Title of a Presentation: And This is Where the Subtitle Would Appear with More Info Hospital Staff Non-Hospital Staff 24 4
Involvement of the Patient/Family Caregiver is an Essential Component of the MQii THE CONCEPT OF PATIENT-CENTERED CARE IS ONE THAT IS CONTINUOUSLY EVOLVING AS THE ROLE OF THE PATIENT BECOMES INCREASINGLY DEFINED Examples of patient-driven care Patient Patient deriving from the Toolkit include: Experience Experience • Patient provides input on Patient Patient food and oral nutritional Engagement Engagement supplement decisions This is an Example of the Main Patient Patient Empowerment • Empowerment Patient receives education and counseling regarding Title of a Presentation: their conditions Patient-Driven Patient-Centered • Patient helps inform Care discharge planning And This is Where the Subtitle Would Appear with More Info Throughout the MQii, patients are expected to be informed participants in their care, helping to drive decision-making as a member of the Care Team. 5
MQii Toolkit Implementation Will Allow Assessment of Four Primary Research Objectives Toolkit Implementation Objectives 1 Reduce clinical practice variability related to malnutrition care Provide a feasible and usable malnutrition quality improvement 2 This is an Example of the Main Toolkit that can be easily deployed by a multi-disciplinary care team in an acute setting Title of a Presentation: Improve knowledge of the importance of malnutrition and best 3 practices for optimal malnutrition care delivery And This is Where the Subtitle Would Appear with More Info Explore clinical outcomes of average length of stay and 30-day all- 4 cause readmissions as surrogates for the cost of care 6
Care Team Leadership Is Critical for Obtaining MQii Demonstration Results & Inform Research Objectives Objective #1: Reduce clinical practice variability 1. Support changes and enhancement to clinical care practices • Support use of recommended clinical workflow for optimal nutrition care by ensuring timely and consistent care of This is an Example of the Main malnutrition care best practices Your 2. Serve as leaders in change management and help care team Role Title of a Presentation: members meet initiative goals and data collection requirements • Be familiar with eMeasures or quality indicators used and help And This is Where the Subtitle Would Appear with monitor how care team members track this information More Info 3. Ensure that conducted workflow mapping is an accurate reflection of actual current practices 4. Confirm target areas for clinical improvement and methods for implementation * Also a Learning Collaborative research question 7
Care Team Leadership Is Critical for Obtaining MQii Demonstration Results & Inform Research Objectives Objective #2: Provide a feasible and usable malnutrition quality improvement Toolkit 1. Support implementation and assessment of the Toolkit 2. Be familiar with toolkit strategies help ensure implementation of recommended care workflow This is an Example of the Main Your 3. Provide your feedback on implementation of this toolkit or initiative by sharing thoughts on ease of use and relevance Role Title of a Presentation: for changing care practices 4. Participate in regular team meetings and share information on barriers or challenges and successes of implementation And This is Where the Subtitle Would Appear with More Info * Also a Learning Collaborative research question 8
Care Team Leadership Is Critical for Obtaining MQii Demonstration Results & Inform Research Objectives Objective #3: Improve levels of malnutrition 1. Understand importance and impact of malnutrition on patient outcomes and associated costs 2. Help educate other care teams of this importance and This is an Example of the Main strategies for improving malnutrition care Your 3. Work with PI to facilitate administration of knowledge Role Title of a Presentation: attainment test pre- and post- demonstration (if applicable) 4. Complete knowledge attainment test pre- and post- demonstration (if applicable) And This is Where the Subtitle Would Appear with More Info * Also a Learning Collaborative research question 9
Care Team Leadership Is Critical for Obtaining MQii Demonstration Results & Inform Research Objectives Objective #4: Explore clinical outcomes of average length of stay and 30-day all-cause readmission rates 1. Help oversee care team documentation of accurate clinical care practices This is an Example of the Main 2. Help reduce these rates by improving quality of malnutrition Your care as recommended by toolkit strategies Role Title of a Presentation: And This is Where the Subtitle Would Appear with More Info * Also a Learning Collaborative research question 10
This is an Example of the Main Training Your Care Team on Title of a Presentation: Nutrition Care Intervention And This is Where the Subtitle Would Appear with More Info 11
Reviewing Existing Workflow Processes Will Help Identify Where Quality Improvement is Most Needed Your MQii Project Team has completed the following activities and will share results with you to guide MQii implementation: • Created a workflow map of existing care practices to address malnutrition among admitted older adults • Compared your Care Team’s current workflow processes This is an Example of the Main to recommended care practices in order to identify where improvement efforts would be most beneficial Title of a Presentation: • Identified areas in your facility’s nutrition workflow for targeted improvement intervention among your Care And This is Where the Subtitle Would Appear with Teams More Info 12
There Are Seven Key Components in the Recommended MQii Nutrition Care Workflow 1. Malnutrition Screening 2. Nutrition Assessment 3. Malnutrition Diagnosis Systematic process of Systematic approach to Identification and labeling of identifying an individual who collect and interpret a patient’s nutrition problem is malnourished or who is at relevant data from patients that requires independent risk for malnutrition to and family caregivers to treatment that may be establish whether a patient determine a malnutrition secondary to the patient’s is in need of a nutrition diagnosis and severity of index hospital admission assessment malnutrition 6. Malnutrition Monitoring 4. Malnutrition Care Plan 5. Intervention This is an Example of the Main and Evaluation Implementation Development of a Identifies amount of document outlining Implementation of specific progress made since comprehensive planned actions outlined in the Title of a Presentation: patient malnutrition actions with intention of malnutrition care plan diagnosis and assesses impacting nutrition-related whether nutrition factors affecting patient outcomes/goals are being health status met And This is Where the Subtitle Would Appear with More Info 7. Discharge Planning Determines a patient’s appropriate post -hospital discharge destination, requirements to facilitate a safe transition from the hospital, and nutrition services or care patients may need post-discharge. This should include documentation of nutrition diagnosis, status, and orders in discharge plan. Image adapted from Figure 3 on p. 28 of the MQii Toolkit 16 13
Ensuring All Care Members Are Aware of and Trained on Recommended Practice Will Be a Critical Component The following slides review each step of the recommended care components and highlight key items for successful implementation Your Trainer will focus on addressing the care components that have been identified for targeted intervention for this MQii demonstration, but please review approaches for other This is an Example of the Main components to understand what comprehensive and recommended malnutrition care looks like Title of a Presentation: Trainers and trainees can follow along on p. 28-48 of the Toolkit And This is Where the Subtitle Would Appear with for additional details and suggested best practices More Info 14
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