Clinical Nutrition Guidance Council Updates

Nutrition Update 2016

In the life of a dietitian…

Dietitian Specialty Team Updates

Nutrition Support Team NICU Team Outpatient Team Weigh To Health Team

Nutrition Support Team Members

• Andrea Young • Ann Romero • Barbara Sherwood • Deborah Roberts • Hilary Smith • Jacqui Roberts • Jennie Lueckler • Jennifer Hyde

• Jenny Griggs • Jodi Benson • Joy Musselman • Kristeen Bybee • Kristen Johnson • Kristine Douglass • Peggy McClellan • Sherrie Calles

Nutrition Support Team Accomplishments

• Completed nutrition support discharge training • Completing NS discharge dietitian pocket-guide • Compiled NS education materials for

patient/caregivers • Aided w/ system-wide early EN stroke protocol • Implementing new ASPEN/SCCM guidelines for

Critical Care nutrition

NICU Team Members

• Amanda Nederostek • Amber Cuthbert • Caitlin Boyer • Carole Lomax • Cecilia Milroy • Gloria Johnson • Jill Austad • Jessie Hatch • Kathryn Linton

• Katy Bodily • Kimberly Folkman • Mary Boyer • Melodie Greenwood • Michelle Francis • Rachael Gardner • Sherry Bridge • Susie Peterson • Terel Anderson

NICU Team Accomplishments

• Verification & standardization of formula • User-friendly formula resources • Updates to the NICU Calculator • Improved accurate anthropometrics collection • Development of NICU Standardized Feeding Protocols • Increased referral awareness for NICU grads to nearby

Intermountain clinics • Created call/email list to share important information in a

timely manner • ASPEN guidelines utilized to update newborn CPGs

Outpatient Team Members

• Ali Spencer • Ann Romero • Becky Cannon • Betty Wade • Dana Gunderson • Grant Cefalo • Jessica Shields • Jodi Parker

• Joy Musselman • Kelly Kline-Cunningham • Lucy Sorenson • Mary Brown • Mindy Probst • Robin Aufdenkampe • Tennille Houston

Outpatient Team Accomplishments

• Re-design of Patient Education Materials on Intermountain.net • fortified breastmilk and formula recipes • patient handouts

• Created a Patient Education Material Validation Tool • In collaboration with BYU & with IRB-approved testing

• Creation of system-level marketing materials

• Consolidation, creation, and updating of patient education materials

Weigh to Health Team Members

• Ali Spencer • Ann Romero • Becky Cannon • Caitlin Boyer • Emily Hoffman • Jessica Shields

• Kellie Dye • Kylie Peterson • Mary Brown • Mindy Crockett • Theresa Dvorak

Weigh to Health Accomplishments

• Quarterly instructor trainings

• Implemented new ‘book club’

• Pilot collaboration with MyHealth portal

Diabetes Prevention Program

• DPP Class Is Going Well • 2336 Have attended the Prediabetes 101 Class

• 1077 went to MNT • 337 went to Weigh to Health

• Working with Primary Care to establish a Certified Diabetes Prevention Program

• Must be a Certified Program by Jan 2018

Employee LiVe Well Accomplishments

• Healthy cooking info provided at > 40 LiVe Well Fairs for 12,000+ employees.

• Mediterranean diet presented at 4 LiVe Well conferences

• Cooking With Color LiVe Well online learning module 28,000+ employees

• Employees success: What I did: Eat a healthy snack once a day for two weeks. Experiment with different snacks to see what you like best. What I learned: I can eat more fruits and vegetables. I was able to increase my water and, as a result, decreased my Diet Coke to 1/day.

Community LiVe Well Accomplishments

• Collaborated with Associated Foods to develop “Dietitian Preferred” criteria • Full program to be implemented early 2017.

• Collaborated with Associated Foods & Utah DOP to create “LiVe Well Lanes” (healthy checkout stands)

• Active in 5 Associated Foods locations currently • Active in 40+ AF locations by December 2016

Homecare Accomplishments

• WebEx presentations for Nutrition Support discharge • Resolving Medicaid coverage issues

• iCentra – developed EN discharge order templates • Intermountain system-wide product standardization • Home Healthcare Store • Enteral therapy training • Enfit transition

iCentra Accomplishments

2016 MILESTONES: GO-LIVES: • Fillmore, Sevier, Sanpete And Delta – Feb. 20th

• South Region – April 30th • Park City and Heber – July 31st • Dixie Regional – Oct 22nd

Peggy McClellan would like to express her sincere thanks to everyone who’s been involved in the development and implementation of the iCentra project(s) this year.

iCentra Accomplishments

• >10 Generated reports specific to RDN workflow • Message Center bucket for OP RDN services • Nutrition Summary page • DC orders for Nutrition Support • IDNT language project with the Dept. of Defense • SMART growth charts • NICU intake and output component updates • DM education tab • Countless tweaks to improve efficiency

Clinical Nutrition Guidance Council

Members: • Peggy McClellan – SR & Rurals • Kathryn Kauffman --SWR • Kathleen Nielsen– Director NR • Robin Aufdenkampe-- PCH • Amanda Nederostek-- PCH • Barbara Sherwood-- CR • Joy Musselman--NR • Jessica Shields--CR • Dr. Liz Joy– Medical Director • Hilary Smith-- HC • More to come

Work We Do: • 12 meeting per year • ~6000 hours per year

of work for this council

• Develop and implement the Clinical Nutrition Strategic Plan

2016 CNGC Primary Goals

• iCentra development and transition

• Comprehensive update and revisions of nutrition education materials

• Partnership of clinical nutrition at a system-level with home health, medical group, live well, and care management

• Dietitian order writing privileges

Medical Director for Clinical Nutrition

Dr. Liz joy is now our Medical Director for Clinical Nutrition advocating for us at the system-level

Therapeutic Diet Order Writing Privileges

• Aim to start training in Jan/Feb of 2017 and initiate in Feb/March 2017

• Work involved: • Executive Business Case is finalized • Online Audit forms • Utah Nursing Association, Utah Hospital Board and the

Utah Licensing Board have signed off • Continued work on the development of RDN

competencies

Telenutrition

• Intermountain's first Telenutrition appointment • July 2016 • PCH to CRMC

• PCH to offer Telenutrition at DRMC

• IMED working to offer Telenutrition appointments.

What Else?

• Integrating MNT into system-level CPMs

• Obtaining and providing access to MNT electronic resources – NCM on line

• Represented RDNs and DTs at a system level for fair and equitable wages

• Enhance professional development – Improved competencies

NCM on Intermoutain.net

Sincere Appreciation and Gratitude

FOR ALL YOU DO EVERYDAY - HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE