J Acad Nutr Diet. 2019 Sep;119(9 Suppl 2):S18-S24. doi: 10.1016/j.jand.2019.05.025.
The Academy of Nutrition and Dietetics, representing credentialed nutrition and dietetics practitioners-registered dietitian nutritionists (RDNs) and nutrition and dietetics technicians, registered, and students and interns and professionals holding nutrition and dietetics undergraduate and advanced degrees-and Avalere Health, a Washington, DC-based strategic advisory services firm, have led the charge in closing malnutrition gaps with the Malnutrition Quality Improvement Initiative (MQii), a national nutrition-focused quality improvement initiative. The initiative's journey from 2013-2019 utilized technical advisors and stakeholders to improve care and outcomes for hospitalized adults age 65 and older with a series of innovations. These innovations include the development of the first malnutrition electronic clinical quality measures (eCQMs) and a complementary interdisciplinary quality improvement toolkit and establishing the first nutrition-focused national Learning Collaborative. MQii's vision for future directions and applications in 2020 and beyond will explore partnerships to include the malnutrition eCQM in available clinical data registries. Qualified Clinical Data Registries will provide a pathway for collecting nutrition data relevant to RDNs because as of 2020, payments for Medicare Part B nutrition services and quality improvement are available for eligible RDNs participating in the Centers for Medicare and Medicaid Services Quality Payment Program. The MQii Toolkit's technical specification manuals, data dictionaries, and implementation guides will help RDNs integrate the malnutrition quality measures into existing electronic health records and lead nutrition data collection and analysis. RDNs' continued advancement with information technology leaders to incorporate terminology and clinical standards into electronic health record platforms will provide for malnutrition data transfer across care settings. FUNDING/SUPPORT: Publication of this supplement was supported by Abbott. The Academy of Nutrition and Dietetics does not receive funding for the MQii. Avalere Health's work to support the MQii was funded by Abbott.
美国营养学会（Academy of Nutrition and Dietetics）代表认证的营养和饮食从业人员——注册营养师（RDN）、注册营养技师、营养与饮食学本科生、研究生、实习生以及持有营养与饮食学高级学位的专业人员——与华盛顿特区的战略咨询服务公司 Avalere Health 一起，率先通过营养不良质量改善倡议（Malnutrition Quality Improvement Initiative，MQii）来改善营养不良问题，该倡议是一个全国性的以营养为重点的质量改善倡议。该倡议在 2013 年至 2019 年期间利用技术顾问和利益相关者，通过一系列创新措施，改善了 65 岁及以上住院成年人的护理和结果。这些创新措施包括开发首个营养不良电子临床质量指标（eCQM）以及配套的跨学科质量改进工具包，并建立了首个以营养为重点的全国性学习合作组织。MQii 为 2020 年及以后的未来方向和应用设想将探索合作伙伴关系，包括将营养不良电子临床质量指标纳入现有的临床数据注册库。合格的临床数据注册库将为收集与 RDN 相关的营养数据提供途径，因为截至 2020 年，医疗保险 B 部分营养服务和质量改进的支付适用于参与医疗保险和医疗补助服务质量支付计划的合格 RDN。MQii 工具包的技术规格手册、数据字典和实施指南将帮助 RDN 将营养不良质量指标整合到现有的电子健康记录中，并引领营养数据的收集和分析。RDN 与信息技术领导者的持续合作，将术语和临床标准纳入电子健康记录平台，将实现跨护理环境的营养不良数据传输。
经费支持：本补充材料的出版得到了 Abbott 的支持。Academy of Nutrition and Dietetics 并未从 MQii 中获得资金。Avalere Health 支持 MQii 的工作得到了 Abbott 的资助。
