The Malnutrition Quality Improvement Initiative (MQii) is a multi-year effort that began in 2013 when a variety of stakeholder organizations began to highlight gaps in existing malnutrition care and the impact of these gaps on patient outcomes. Based on the results of subsequent literature reviews, landscape assessments, engagements with key stakeholders, and best practices research, the MQii was established in partnership with the Academy of Nutrition and Dietetics, Avalere Health, and other stakeholders providing guidance through key technical expert and advisory roles. This initiative seeks to advance evidence-based, high-quality patient-driven care for hospitalized adults who are malnourished or at risk for malnutrition.