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Published on: August 21, 2015
Nutrition-Focused Quality Improvement Programs in Pediatric Care.
Amy R Sharn1, Wendy Phillips2, John T Stutts1
1Global Medical Affairs and Research, Abbott Nutrition Division of Abbott, 2900 Easton Square Place, Columbus, OH 43219, USA.
Pediatric malnutrition impacts child development. Nutrition-focused quality improvement programs (QIPs) can improve care by linking hospital interventions with outpatient support, reducing readmissions.
Area of Science:
- Pediatric Nutrition
- Healthcare Quality Improvement
- Public Health Policy
Background:
- Malnutrition, encompassing undernutrition and overnutrition, significantly impacts child growth and development.
- Food insecurity and various health conditions exacerbate pediatric malnutrition risks.
- Current US health policies address social determinants of health (SDOH) and quality measurement, but pediatric malnutrition care needs further focus.
Purpose of the Study:
- To explore the potential of nutrition-focused quality improvement programs (QIPs) in pediatric hospital care.
- To identify opportunities for implementing QIPs to improve malnutrition screening, intervention, and care coordination for children.
- To examine how QIPs can bridge hospital care with discharge planning and outpatient interventions.
Main Methods:
- Review of current US quality frameworks and child nutrition programs related to malnutrition and food insecurity.
- Discussion of the application of nutrition-focused QIPs in adult care and their potential in pediatrics.
- Analysis of how QIPs can integrate hospital care with post-discharge and outpatient nutrition support.
Main Results:
- Nutrition-focused QIPs offer a successful model for standardizing and improving nutrition care.
- There is a recognized gap in the application of these QIPs within pediatric hospital settings.
- QIPs can effectively link acute care with ongoing nutrition management, potentially improving outcomes.
Conclusions:
- Implementing pediatric nutrition-focused QIPs is crucial for addressing malnutrition in children.
- These programs can enhance the continuity of care, from hospital admission through discharge and outpatient follow-up.
- Targeted QIPs have the potential to reduce healthcare utilization, such as office visits and inpatient readmissions, by optimizing nutrition screening and interventions.
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