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
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 decisionmakers,
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
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
Develop gap analysis
to identify where evidence is not available
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])