The Team of the Month recognition is awarded for the amazing work that numerous teams, groups, committees and departments perform either on a regular or occasional basis that directly relates to any of our five cornerstones: People, Quality, Service, Growth and Finance. The Team of the Month is given a luncheon celebration hosted by Alan G. Macdonald, president and chief executive officer; banners listing their team name are featured throughout our facilities; a framed certificate; and an opportunity to present at a leadership meeting.
Nomination forms may also be picked up in the Human Resources office at either Lawrence Memorial Hospital of Medford or Melrose-Wakefield Hospital.
Team of the Month: March 2017
Comprehensive Malnutrition Platform Team
This dynamic team assembled to improve the diagnosis, documentation, coding and reimbursement for acute malnutrition in the hospital setting. The team is made up of a diverse set of experts including inpatient registered dietitians, coding managers, clinical documentation specialists and physicians.
People who are malnourished tend to be admitted to the hospital more often and are subject to frequent readmissions and increased lengths of stay. They are also vulnerable to poor wound healing, a higher rate of infection and increased complications. With the comprehensive malnutrition platform, we are identifying these patients sooner and intervening appropriately so that we are addressing the underlying issue of malnutrition.
The program launched in November 2016 and involved a coordinated effort and training. The inpatient dietitians underwent extensive training on conducting physical assessments to help identify patients in the hospital that are acutely malnourished. Hospitalists received education to identify appropriate evidenced-based criteria for the diagnosis of acute malnutrition. The clinical documentation specialists trained to act as liaisons between the dietitians and the physicians to ensure proper documentation.The coding managers ensure that once documented by the physician, the proper coding is used for the correct reimbursement.
In the first two months of the program, 56 patients were identified and treated for either moderate or severe malnutrition. The team was able to address their underlying malnutrition in the hospital setting and intervene appropriately.