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:
- To provide economic evidence to demonstrate the impact nutrition has on improving patient outcomes.
- 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
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.