ncp lesson 1

• NUTRITION CARE PROCESS ● Systematic framework of guiding dietitians in the provision of high-quality individual, family, or population-centered nutrition care.

  ● Systematic problem solving used to think critically and make decisions to address problems.

  ● Developed by ACADEMY OF

  NUTRITION AND DIETETICS (AND)
• NUTRITION CARE PROCESS AND MODEL (NCPM) ● Adopted by the American Dietetic Association’s (ADA), House of Delegates (HOD) in 2003. ● ncludes the four-step Nutrition Care Process (NCP) along with a conceptual framework that describe the relationship between the dietetics professional and the setting in which they function ● ADA has focused which the attention on encouraging dietetics professional (RD/DTR) to utilized the four step NCP in practice
• Resistance is most often due to lack of understanding of what a care process is, how health care professionals use care processess can be used to demonstrate effectiveness of intervention in improving health outcomes.
• HEALTH CARE ENVIRONMENT ● great deal of interest being given to the quality, quantity and cost of health care provided in the U.S
• HEALTH CARE QUALITY ● The definition of quality may be almost anything anyone wishes it to be although it is, ordinarily, a reflection of the goals current in the larger society of which it is a part” ● Care quality is often defined differently depending on the viewpoint of interested stakeholders
• Stakeholder Perceived Components of Quality Health Care
• Health Care Provider •Smooth system functioning •Timely and accurate communication •Patient outcomes commensurate with inputs (taking into account factors beyond clinician control)
• Patient/client •Timeliness of care •Feeling that needs are heard and addressed •Health outcomes within reasonable expectations
• Health care manager •Cost-effectiveness •Judicious use of resources
• Third party payer •Cost-effectiveness •Eficiency of care systems •Care provided most likely to produce
• CUSTOMERS ● Healthcare professionals who work alongside the RD/DTR. ● Expect a quick response to questions and concerns about nutrition care for patients. ● Provides nutrition therapy ● Employers are also customers as they expect the RD/DTR to work efficiently.
• CARE PROCESS ● The content of care, i.e, how the patient was moved into, through, and out of the

  healthcare system, and the services that

  were provided during the care episode.
• PROBLEMS ● Lack of consistency in providing healthcare identifies the need to further evaluate care processes, including how nutrition care is provided.
• Quality triad: process, structure, and outcome.
• Avedis Donabedian — pioneer in the evaluation of healthcare quality. He advocated the evaluation of care processes as a key component of the quality triad.
• STEPS IN NUTRITION CARE PROCESS 1. Nutrition Assessment 2. Nutrition Diagnosis 3. Nutrition Intervention 4. Nutrition Monitoring and Evaluation
• NUTRITION CARE PROCESS MODEL ● Includes a description of the knowledge and skills of the dietetics professional that describe professional practice.
• NURSING PROCESS: The essential core of practice for the registered nurse to deliver holistic, patient-focused care. (ANA, 2008)
• Deficiencies Identified by Process Measures

  Actions not taken Inappropriate actions taken
• Actions not taken •Diagnosis delayed •Necessary investigations not made •Indicated treatment not given •Treatment not being adhered to
• Inappropriate actions taken •Wrong diagnosis •Inappropriate investigations requested •Inappropriate treatment given