Beginning in November 2013, to best prioritize initial nutrition assessment and patient follow-up, Mount Sinai Beth Israel implemented nutrition risk-level guidelines to address the exact timeframe in which patients need to be seen, according to their nutrition risk acuity.
The hospital tracked the timeliness of each patient encounter—both initial assessments and follow-up visits—to ensure it was meeting or exceeding its goal of 90% timeliness. The information technology department distributed a daily roster of all hospitalized patients with pressure ulcers. Dietitians review the roster daily to ensure that these patients are seen quickly. To comply with the documentation of patient education in the Interdisciplinary Patient/Family Education Record, the hospital tracks and analyzes the data of each initial nutrition education given and follow-up education when appropriate. Diet education is always provided to patients on non-transitional therapeutic diets.
As a result of these process improvements, timeliness of nutrition assessments and interventions improved, compliance with documentation of nutrition education requirements improved, and overall incidence and severity of pressure ulcers decreased across the institution.