A recent podcast produced by ASPEN featured Jay Mirtallo and Wendy Phillips (member of the MQii Advisory Committee) speaking about their recent publication in Nutrition in Clinical Practice, which was titled, “Update on Use of Enteral and Parenteral Nutrition in Hospitalized Patients with a Diagnosis of Malnutrition in the United States.” In this podcast and corresponding paper, Jay and Wendy discuss their updated review of national data from the Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project and Medicare Claims in patients with a coded diagnosis of malnutrition and the use of nutrition support. Their results demonstrated a growing trend in such diagnoses with continued low use of these support media, which they attribute to product shortages, clinician reluctance to use these therapies, undercoding of nutrition support, close adherence to published guidelines, and other factors.