Global Malnutrition Composite Score for IQR

The Global Malnutrition Composite Score quality measure is now available for 2024 hospital reporting.

Learn More
The Malnutrition Quality Improvement Initiative
The MQii is designed to help your organization improve
malnutrition care and subsequently achieve better outcomes.

MQii Toolkit / References

MQii toolkit References

  1. Avalere, Dialogue Proceedings / Launching the Malnutrition Quality Improvement Initiative. 2014, Avalere: Washington,
  2. Skipper, A., Applying the Nutrition Care Process: Nutrition Diagnosis and Intervention. Support Line, 29(6): p. 12-23.
  3. Correia, M.I. and D.L. Waitzberg, The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr, 2003. 22(3): p. 235-9.
  4. Barker, A., B.S. Gout, and T.C. Crowe, Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health, 2011. 8(2): p. 514-27.
  5. Barrett ML, B.M., Owens PL. Non-maternal and Non-neonatal Inpatient Stays in the United States Involving Malnutrition, 2018; Available from: www.hcup-us.ahrq.gov/reports.jsp.
  6. Wells, J.L. and A.C. Dumbrell, Nutrition and aging: assessment and treatment of compromised nutritional status in frail elderly patients. Clin Interv Aging, 1(1): p. 67-79.
  7. Weiss AJ, et al., Characteristics of Hospital Stays Involving Malnutrition, 2013, in HCUP Statistical Brief 2016, Agency for Healthcare Research and Quality: Rockville,
  8. Fingar KR, W.A., Barrett ML, et al. , All-Cause Readmissions Following Hospital Stays for Patients with Malnutrition, HCUP Statistical Brief #218. December 2016, AHRQ: Rockville, MD.
  9. A, N., Nutrition Professionals Improve Clinical and Financial Outcomes in Patients Receiving Parenteral . Support Line, December 2015. 37(6): p. 17-18.
  10. Fessler MS, Malnutrition: A Serious Concern for Hospitalized Patients. Today’s Dietitian, 2008. 10(7): 44.
  11. American Society for Quality. Learn about Quality: Quality Tools A to Z. [cited 2016 March 18]; Available from: http://asq.org/learn-about-quality/quality-tools.
  12. US Department of Health and Human Services and Health Resources and Services
    13. Quality Improvement. 2016]; Available from: http://www.hrsa.gov/quality/.
  13. Institute for Healthcare Improvement. Tools: Flowchart. [cited 2016 March 18]; Available from: http://www.ihi.org/resources/pages/tools/flowchart.aspx.
  14. Ways To Approach the Quality Improvement Process. 2015 July 2017; Available from: https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi- process/sect4part2.html.
  15. Centers for Medicare & Medicaid Services. toolkit for Making Written Material Clear and Effective. 2012 [cited 2016 March 18]; Available from: https://www.cms.gov/Outreach-and- Education/Outreach/WrittenMaterialstoolkit/.
  16. Alliance to Advance Patient Nutrition Staff. Nutrition Care Recommendations: Physician. 2014 [cited 2016 March 18]; Available from: http://static.abbottnutrition.com/cms- prod/malnutrition.com/img/Alliance_Roles_Hospitalist_2014_v1.pdf.
  17. Alliance to Advance Patient Nutrition Staff. Nutrition Care Recommendations: Dietitian. 2014 [cited 2016 March 18]; Available from: http://static.abbottnutrition.com/cms- prod/malnutrition.com/img/Alliance_Roles_Dietitian_2104_v1.pdf.
  18. Alliance to Advance Patient Nutrition Staff. Nutrition Care Recommendations: Nurse. 2014 [cited 2016 March 18]; Available from: http://static.abbottnutrition.com/cms- prod/malnutrition.com/img/Alliance_Roles_Nurse_2014_v1.pdf.
  19. Alliance to Advance Patient Nutrition. Nutrition Care Recommendations: Hospital Administrator. 2014 [cited 2016 March 18]; Available from: http://static.ab- com/cms- prod/malnutrition.com/img/Alliance_Roles_Admin_2014_v1.pdf.
  20. Mueller C, et al., S.P.E.N. Clinical Guidelines: Nutrition Screening, Assessment, and Intervention in Adults. J. of Parenteral and Enteral Nutrition, 2011. 35(1): p. 16-24.
  21. Alliance to Advance Patient Nutrition Staff. Malnutrition Screening Tool (MST). [cited 2016 March 18]; Available from: http://static.abbottnutrition.com/cms- prod/malnutrition.com/img/Alliance_Malnutrition_Screening_Tool_2014_v1.pdf.
  22. Jeejeebhoy K, W.J., Gramlich L, Garchow S. Subjective Global Assessment: A Highly Reliable Nutritional Assessment Tool. 2012; Available from: http://subjectiveglobalassessment.com/.
  23. Writing Group of the Nutrition Care Process/Standardized Language Committee, Nutrition Care Process and Model Part 1: The 2008 Update. Journal of the American Dietetic Association, 2008. 108(7): 1113-1117.
  24. Alliance to Advance Patient Nutrition. Alleviating Hospital-based Malnutrition: A Baseline Progress Report. July 2014 [cited July 8 2016]; Available from: http://malnutrition.com/progressreport.
  25. Chima, C.S., et al., Relationship of nutritional status to length of stay, hospital costs, and discharge status of patients hospitalized in the medicine service. J Am Diet Assoc, 1997. 97(9): p. 975-8; quiz 979-80.
  26. Services, C.f.M.M. Medicare Learning Network: Discharge Planning. [cited 2015 July 27]; Available from: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network- MLN/MLNProducts/Downloads/Discharge-Planning-Booklet-ICN908184.pdf.
  27. Based on Avalere Best Practice research and expert input from the Malnutrition Quality IMprovement Initiative Advisory
  28. Lim HM and Kurniasanti KS, Shared Decision Making and Effective Physician-Patient Communication: The Quintessence of Patient-Centered International Journal of Medical Students, 2015. 3(1): p. 7-9.
  29. Shafir A and R. J, Shared Decision Making: Advancing Patient-Centered Care Through State and Federal Implementation. 2012, NASHP: Portland, p. 1-43.
  30. CE, K., Nutrition considerations in esophagectomy patients. Nutr Clin Pract, 2008. 23(5): p. 521-
  31. Cerantola Y, et , Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality. Gastroenterology Research and Practice, 2011. Article ID 739347: p. 1-8.
  32. Alliance to Advance Patient Nutrition Staff. Take-Home Nutrition: Know Your Nutritional Needs to Continue Your Recovery. [cited 2015 February 3]; Available from: http://static.abbottnutrition.com/cms- prod/malnutrition.com/img/Patient%20Education%20Sheet%20With%20Logos%202014.pdf.
  33. Coulter A, Patient Engagement—What Works? J Ambulatory Care 2012. 35(2): p. 80-89.
  34. Writing Group of the Nutrition Care Process/Standardized Language Committee, Nutrition Care Process Part II: Using the International Dietetics and Nutrition Terminology to Document the Nutrition Care Journal of the American Dietetic Association, 2008. 108(8): p. 1287-1293.
  35. Health Policy Brief: Patient Engagement, in Health Affairs.
  36. Sofaer S and Schumann MJ, Fostering Successful Patient and Family Engagement: Nursing’s Critical Role. 2013, Nursing Alliance for Quality
  37. Cocchi R. Hospital Shares 10 Steps to Patient-Centered Care [Mountain States Healthcare Alliance (MSHA)]. 2013 [cited 2016; Available from: http://www.healthcarebusinesstech.com/patient- centered-care/.
  38. Forum, N.Q. National Quality Partners Playbook: Shared Decision Making in Healthcare. 2018; Available from: https://www.qualityforum.org/Guidance_to_Improve_Shared_Decision_Making.aspx.
  39. Alliance for Aging Research. Malnutrition for aging adults. [cited 2016 July 18]; Available from: http://www.agingresearch.org/malnutrition.
  40. National Council on Aging. Older adult malnutrition and chronic diseases. [cited 2016 July 20]; Available from: https://www.ncoa.org/healthy-aging/chronic-disease/nutrition-chronic-conditions/.
  41. Improvement, f.H. The Science of Improvement: How to Improve. [cited 2015 June 10]; Available from: http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementHowtoImprove.aspx.
  42. Alliance to Advance Patient Nutrition. Patient discharge assessment. 2014 [cited 2016 March 18]; Available from: http://static.abbottnutrition.com/cms-prod/mal- com/img/Patient%20Discharge%20Sheet%20Without%20Logos.pdf.
  43. Alliance to Advance Patient Nutrition. Alliance nutrition care model and toolkit. 2015 [cited 2016 March 18]; Available from: http://malnutrition.com/getinvolved/hospitalnutritiontoolkit.
  44. Academy of Nutrition and Dietetics. Standards of excellence metric tool. 2015 [cited 2016 March 18]; Available from: https://www.eatrightpro.org/practice/quality-management/standards-of-excellence/standards-of-excellence-metric-tool.
  45. AV, A.J.O., Run Charts Revisited: A Simulation Study of Run Chart Rules for Detection of Non- Random Variation in Health Care PLoS ONE, 2014. 9(11): p. Ce113825.
  46. Medicine, S.o.H. Quality and Innovation: Holding the Gains and Spreading Your Improvement – Glycemic Control Implementation toolkit. [cited 2015 June 11]; Available from: https://www.hospitalmedicine.org/Web/Quality_Innovation/Implementation_toolkits/Web/Quality Innovation/Implementation_toolkit/Landing_Page.aspx.
  47. AHRQ health care innovations exchange. Available from: https://innovations.ahrq.gov/.
  48. National Quality Forum. 2014 John M. Eisenberg patient safety and quality awards. Available from: http://www.qualityforum.org/eisen-berg_award/.
  49. National Health Service Scotland. Quality Improvement hub: Driver Diagram. [cited 2016 July 30]; Available from: http://www.qihub.scot.nhs.uk/knowl-edge-centre/quality-improvement-tools/driver- aspx.
  50. Institute of Medicine, Envisioning the national health care quality report. 2001, National Academies Press: Washington,
  51. Subjective Global Assessment: A Highly Reliable Nutritional Assessment Tool. [cited 2015 February 3]; Available from: http://subjectiveglobalassessment.com/.
  52. Institute of Medicine, Crossing the Quality Chasm: A New Healthcare System for the 21st Century. 2001, National Academy
  53. Quality, f.A.C.o.M., Policy on Quality Improvement in Healthcare. February 2010.
  54. Lawrence M and Olesen F, Indicators of Quality in Health Care. Eur J Gen Pract, 1997. 3: p. 103-
  55. Centers for Medicare & Medicaid Services. Quality Measures. Available from: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html?redirect=/qualitymeasures/03_electronicspecifications.asp.
  56. Center for Health Workforce Studies, H.W.T.A.C., Rapid Cycle Quality Improvement (RCQI): A Resource Guide to Accelerate Improvement Efforts for Health Resources and Services Administration (HRSA) Grantees.
  57. Alston C, B.Z., Brownlee S, Elwyn G, Fowler FJ, Kelly Hall L, Montori VM, Moulton B, Paget L, Haviland Shebel B, Singerman R, Walker J, Wynia MK, Henderson D, Shared decision-making strategies for best care: patient decision aids. 2014, Institute of Medicine Washington,
Last Updated on September 12, 2024

On this page:

MQii Toolkit:

The Malnutrition Quality Improvement Initiative

These materials were developed by the Malnutrition Quality Improvement Initiative (MQii),
a project of the Academy of Nutrition and Dietetics, Avalere, and other stakeholders who
provided guidance and expertise through a collaborative partnership. Support provided by Abbott.

© 2024 MQii – All rights reserved

The Malnutrition Quality Improvement Initiative

MQii Learning Collaborative

Members Area