ASPEN Value Project

Background: Despite decades of recognition that many hospitalized patients are malnourished, concrete evidence-based medicine supporting the benefit of nutrition intervention from a clinical and financial perspective is lacking.

Problem Statement: ASPEN members and other clinical nutrition specialists lack the evidence and messaging expertise to make the case for nutrition interventions across the continuum of care.

Current Condition: The US Healthcare paradigm is not only shifting from rescue and repair to health promotion/disease prevention, but also from volume (under a fee-for service model) to value based on outcomes both clinical and financial. Value is defined as quality plus service divided by cost.

ASPEN, with the assistance of a healthcare economics firm have reviewed the literature to identify clinical and economic outcomes, if available, demonstrating the value of nutrition interventions in specific disease states. A gap analysis will be conducted to identify where evidence is not available. In addition, a Medicare Claims Analysis will be conducted.

Goals of Project:

  1. To provide economic evidence to demonstrate the impact nutrition has on improving patient outcomes.
  2. To provide ASPEN and its membership more effective messaging to communicate with the key healthcare decision makers, such as administrators, providers, payers and regulators

Milestones: Was does success look like?

By early 2019:

ASPEN will have identified adequate literature and data to make a case for the value of nutrition in one or more diagnostic conditions

ASPEN will be able to communicate that value to related providers so that they might incorporate nutrition care into their practice

Main Project Steps

Part I: Literature search and analysis

Review the literature on nutrition & disease/conditions with health economic data. Review of broader nutrition field combined with >10 diagnostic conditions to identify and analyze those conditions in which clinical outcomes and/or economic data is available

Identify top impactful conditions

Develop gap analysis to identify where evidence is not available

Part 2: Medicare Claims data analysis

To support or refute top impactful conditions

Part 3: Communication plan development

Based on findings from Parts 1 and 2

Anticipate this will include abstracts, conference session proposals, papers, messaging and communications for members, industry, and appropriate medical specialties.

Value Project Advisory Council led by Drs. Renay Tyler and Albert Barrocas, staff Peggi Guenter ( [email protected] )

Value Project Presented at IHI Annual Meeting

Value Project Storyboard Early results of the  ASPEN Value Project were presented in a  storyboard at the 2019  Institute of Healthcare Improvement National Forum on Quality Improvement in Healthcare in Orlando in December. Beverly Hernandez, PhD, RD, represented ASPEN at this prestigious meeting where she networked with other professionals and shared the early results of the project. Study findings will be published in JPEN soon.

Supported by: 

Champion Sponsor


Nestle Health Science 2017


Investor Sponsors


Abbott Logo Aug 2017(1)




Supporter Sponsor


B Braun