Nutrition Care Process and Model:
Get on Board with AKDA!
Carrie King, AKDA Delegate
Posted on 12/20/06:
You can now pay for the Nutrition Care Process Teleconference with Paypal.
Please click here for more information.
If you are still interested in signing up for the Nutrition Care Process Teleconference please contact Carrie King or Samantha Maloney by Jan 19, 2007.
Posted on 11/27/06:
Hello AKDA,
We're off and running with the AKDA Nutrition Care Process Implementation Collaboration! The introductory audio conference was held Tuesday 11/21 with more than 50 RDs and UAA dietetic interns in attendance!
Announcements:
1. There have been some questions as to why AKDA is offering this program. Information from the ADA House of Delegates is offered at the end of this article, detailing ADA's expectations on the role of the delegates and affiliate leadership in implementing the NCP in each state.
*****Please note******
2. There has been a change in the delivery format for the 2007 trainings, per the recommendation of Dee Pratt, RD from Tennessee who has been instrumental in implementing the NCP statewide in TN. Dee felt we needed more time in trainings to practice case studies and consult with each other.
As a result of her advice the training schedule for 2007 will now be as follows:
- 1/23/07 9am-1 pm: Webinar with case studies on the NCP, led by Dee Pratt.
- 2/20/07 9 am- 1pm: Webinar with case studies, part two, led by Dee Pratt.
- 3/27/07 9-10am: Audio conference with participants, led by Carrie King, to assess progress with NCP implementation.
- 4/26/07: additional case study practice on location in Anchorage led by Annalynn Skipper, with webinar option available to those unable to attend locally.
- 4/27-28: AKDA conference with one session by Sylvia Escott Stump on additional practice with the NCP.
4. It's not too late to sign-up. If you want to participate, the registration form is available below.
AKDA Nutrition Care Process Implementation and Collaboration Registration Form (Word Document)
I welcome your questions at any time. Here we go!
Carrie King
AKDA Delegate:afcdk@uaa.alasa.edu, 907-786-1362
ADA House of Delegates charge to Delegates, Affiliate Leaders, RDs, DTRs and students/interns:
Role of Delegates:
The role of a delegate is to assist in the implementation of the NCPM. Some examples of leadership roles for delegates are:
1) requesting a workshop or educational session at an affiliate annual meeting;
2)submitting articles and information about the NCPM in newsletters;
3) posting information about the NCPM on Web sites;
4) promoting mentor networks to support implementation;
5) talking to members about the benefits of the NCPM to practice; and,
6) promoting implementation within practice setting.
Each delegate has an important role to play in promoting implementation-we need your commitment to support the NCPM!
Role of Affiliate and DPG Leaders:
The role of affiliates and DPGs leaders is to identify a variety of educational opportunities to assist RDs, DTRs and students/interns to learn the Nutrition Care Process/Model and its implementation. Some examples of educational opportunities are:
1) offering workshops (1/2 day or full day);
2) providing annual meeting sessions with featured speaker;
3) disseminating regular information on implementation via newsletters and Web site; and,
4) developing and distributing case studies regarding implementation. Affiliates and DPGs can provide a valuable service to all RDs, DTRs, and students/interns by offering educational activities. We need all affiliates and DPGs to support this initiative! Role of RDs, DTRs, Students/Interns (both ADA and non-ADA members):
The role of RDs, DTRs, and students/interns is to learn and implement the Nutrition Care Process/Model to all practice settings. The Nutrition Care Process/Model is another way to educate other professionals about the roles of the RD and DTR in providing food and nutrition services to the public.
Posted 10/17/2007
Have you heard about the new Nutrition Care Process from the American Dietetic Association (ADA). The Alaska Dietetic Association (AKDA) Executive Board is asking all dietetics professionals in Alaska to take part in a survey (whether you are an ADA member or not) (also available at the AKDA website: www.eatrightalaska.org , under the 'AKDA Latest News' section.
You might be thinking this may not apply to you or your area of practice. However, this process and model have been designed for application in all areas of dietetics practice (i.e. clinical, outpatient, community) settings, except, perhaps school foodservice. This is a new approach to communicating about nutrition care and monitoring the impact dietetics professionals and Medical Nutrition Therapy has on patient care.
Key: One of the primary goals behind the implementation of the Nutrition Care Process is for all dietetics professionals to be "speaking the same language". This is a standardized process but it doesn't provide cookbook nutrition or standardized care, there is still the need to provide individualized nutrition care for each patient. (1)
There are four distinct steps in the Nutrition Care Process:
1. Nutrition Assessment
2. Nutrition Diagnosis
3. Nutrition Monitoring and Evaluation
4. Nutrition Intervention
WHAT? Did you just read correctly that registered dietitians are going to be use a term that involves "diagnosis"? Yes, that's correct! There are key differences between a medical diagnosis and a nutrition diagnosis:
Medical Diagnosis: A disease or pathology of specific organs or body systems that can be treated or prevented. (1)
Nutrition Diagnosis: the identification and labeling of the specific nutrition problem that the dietetics professionals are responsible for treating independently. (2)
Another way to think of this is the nutrition diagnosis changes as the patient/client/group's response changes BUT a medical diagnosis doesn't change as long as the disease or condition exists. (1) In other words, we aren't diagnosing people with an illness such as diabetes, but we could give them a nutrition diagnosis such as "excessive carbohydrate intake".
Key: Why does this matter? The Nutrition Care Process will show that our profession is science-based and that dietetics professionals are practicing Medical Nutrition Therapy based on research (i.e. ADA's new Evidence Analysis Library). This distinguishes the nutrition care provided by registered dietitians from that of the individual labeling themselves as something such as a "Certified Clinical Nutritionist" or supplement salesperson!
Key: Do we have to do this? This is an expectation for all dietetics professionals to transition to the Nutrition Care Process and Model for the delivery of nutrition care within the next seven years.
Key: The ability to document nutrition care in a standardized process, using the same language across the profession, and documenting whether or interventions worked or not (and thus what was done differently), will prime us for further reimbursement opportunities. Bottom line: this is going to ultimately have a financial impact on our profession.
Key: The healthcare marketplace is competitive! The Nutrition Care Process will enable us to better market ourselves by using a standardized language process. Other healthcare providers will better understand what it is exactly that we do and if used correctly, will enhance our position on the medical healthcare team.
Good News: The AKDA Executive Board recognizes the challenge facing all of us as we need to learn about this new process and implement it in our individual facilities. Let's do this together! We'd like to invite all of the dietetics professionals in the State of Alaska to join the AKDA Nutrition Care Process Implementation Collaboration.
"Change is the law of life. And those who look only to the past or present are certain to miss the future." JFK
References:
1. Lacey K, Pritchett E. Nutrition Care Process and Model: ADA adopts road map to quality care and outcomes management. J Am Diet Assoc. 2003;103:1061-1072.
2. American Dietetic Association. Nutrition Diagnosis and Intervention: Standardized Language for the Nutrition Care Process. 2007.
AKDA Nutrition Care Process Implementation Collaboration
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Timeline:
- Listed below is a timeline of events for those who are interested in joining us:
- October 16, 2006: Initial invitation to all dietetics professionals in Alaska.
- Completion of survey at AKDA website by 11/17/06.
- Deadline to sign-up to be part of the Collaboration via the AKDA website: 11/17/06.
- Payment due date: 12/1/06.
- Monthly audio conferences on the third Tuesday of each month from November 2006-April 2007 from 11:00 am-12:00 pm to discuss assigned NCP readings, brainstorm, problem-solve, and strategize for implementation at each of our facilities. CEUS will be provided.
- Audio conference dates: 11/21/06, (skip 12/06), 2/20/07, 3/20/07, 4/17/07
- Special audio conference 1/17/07 with Karen Lacey, MS, RD, former member of the ADA Standardized Language Task Force
- Nutrition Care Process training day (Train the Trainer): Thursday April 26, 2007 at Alaska Native Medical Center in Anchorage, hosted by the Alaska Dietetic Association, featuring Annalynn Skipper, PhD, RD, FADA, vice chair of ADA's Standardized Language Task Force.
- Additional practice with applying case studies to the NCP at the AKDA spring conference April 27-28, 2007, with guest speaker Sylvia Escott-Stump, MA, RD, LDN, former chair of the ADA Standardized Language Task Force.
- Summer 2007 (5/07 onward) ongoing support via audio conferencing and AKDA website with implementation of NCP in your area.
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Cost for all conference calls [one line access per facility], one participant attendance at 4/26/07 training, and one copy of 2007 ADA Nutrition Diagnosis and Intervention manual:
- $200 for facility participation
- $50 for each additional participant to attend 4/26/07 training
- $75 for individual practitioners (AKDA members)
- $150 for non-AKDA member individual practitioners
- Cost for 2007 Spring AKDA meeting registration (4/27-4/28/07) is separate
For more information please contact:
Carrie King, Delegate at afcdk@uaa.alaska.edu or 907-786-1362
Samantha Maloney, President at smaloney@anmc.org or 907-729-2675