Quality assurance. II. Application of oncology standards against a levels of care model.

Application of standards of practice for oncology patients against the model previously described allows the clinical dietitian to determine priorities and delineate the degree of care required and to ensure the delivery of high-quality nutritional care. During Step I, identification, questions designed to identify specific nutritional problems of the oncology patient are asked. A basic medical record review is completed. Step II, assessment phase, is completed and a level of care is assigned to each patient. Step III uses the standards to develop, implement, and evaluate a nutritional care plan.