Recognizing malnutrition in the data (Part 2)
Written by MatrixCare Director of Nutrition Management, Amy Wootton, and Senior Process Consultant, Connie French
Malnutrition is an even greater concern for our seniors in our new COVID world. As we discussed in Part 1 of this blog series, MatrixCare makes it easier for post-acute care providers to assess and monitor the nutritional status of older adults to identify malnutrition and take quick and appropriate action to combat it. In Part 2, we will continue to discuss how MatrixCare’s MealTracker and clinical EMR can arm your nurses, dieticians, nutritionists, clinicians, and dietary managers to recognize malnutrition in your data to help you better manage malnourished resident needs.
The front line
Nurses serve on the front-line and have an important role in recognizing factors that place the older adult at risk for malnutrition. An interdisciplinary approach between nursing and nutritional services will not only support the identification of malnutrition risks, but it will help you capture the appropriate diagnosis.
As the Patient Driven Payment Model (PDPM) supports malnutrition identification, it does not give a true definition on how to capture the diagnosis. Providers, nursing, and dietetic professionals need accurate tools to reinforce their findings upon admission and with recurring assessments. Using a validated and appropriate screening tool is the first step in that process.
Diagnosis under PDPM
Time is of the essence in capturing diagnosis under PDPM. If not identified on the 5-day MDS, a missed opportunity can occur for the next 100 days by not capturing malnutrition. The Non-Therapy Ancillary (NTA) is the sixth payment component which includes nutrition and provides a chance to prove how vital the services are of your RD.
PDPM providers will need to identify criteria and have supporting documentation of that criteria, to capture the diagnosis of malnutrition. Having a validated timely Malnutrition Screening Tool (MST), with a referral to an RD for an assessment to diagnosis will result in significant reimbursement opportunity.
Immediate recommendations and care plan interventions will help manage and resolve the malnourished resident, once identified. Nutrition interventions such as honoring resident preferences, additional meal portions, snacks, and oral supplementation with routine monitoring and evaluation will result in the proper treatment of the malnourished resident. Having a food and nutrition software solution to manage those recommendations and assist in monitoring the care is critical. Integrations from MatrixCare to MealTracker will support your facility’s efforts to conquer malnutrition.
MealTracker provides individual resident profile details to better manage the malnourished resident needs. Interventions can be implemented for improved intake at meals, honoring preferences, timing of meals, and adding snacks to increase and improve caloric intake. MealTracker can help you identify and manage weight loss with our Weight Alert Flag, while also monitoring for a criterion of malnutrition factors by comparing resident BMI. MealTrackers’ Malnutrition Risk Alert feature will help notify care providers of those at risk.
Other key MatrixCare clinical EMR tools include:
- ADLs and Functionality Abilities provides data insights into a resident’s ability with the mechanics of eating and swallowing food.
- Orders help identify medications that reduce appetite or alter the taste of food.
- Pain Assessment helps identify signs of chronic pain or inflammation which can impede appetite and intake.
- Activity level information including bed rest orders associated with the loss of lean mass and a poor appetite are highlighted.
Being able to better manage a critical diagnosis like malnutrition will improve your reimbursement under PDPM, while improving overall interdisciplinary care.
The content in this presentation is for informational purposes only and is provided “as-is.” Information and views expressed herein, may change without notice. Given the fluidity of the current regulatory environment due to the pandemic, we encourage you to seek, as appropriate, regulatory and legal advice on any of the matters covered in this presentation.