Better Malnutrition Management at Sydney Adventist Hospital

Sydney Adventist Hospital Improves Malnutrition Management with CBORD

The CBORD electronic Malnutrition and Nutrition Workload solution (eMS) provides the consulting services and digital tools to close the gap between hospital malnutrition prevalence (30-50%) and low rates of diagnosis and coding.1-4

The negative outcomes associated with malnutrition are well recognised, including increased length of stay, increased readmission rates, increased pressure injury prevalence, greater risk of falls, increased mortality, higher treatment costs, and greater utilisation of hospital resources.5-9  Malnutrition screening, assessment and treatment are a part of the National Safety and Quality Health Service (NSQHS) Standards (Standard 5 Comprehensive Care, Action 5.27 & 5.28).12 In addition, malnutrition is one of sixteen NSQHS hospital-acquired complications (HAC) which may incur financial penalties.

Sydney Adventist Hospital (SAN) is a large 524 bed acute care hospital, that has been a CBORD customer since 2006. They were the CBORD pilot partner in the user-centred design approach for the development of the eMS, and after the success of the pilot continued using it as their digital tool for their ongoing management of malnutrition. “Jodie Privett (Allied Health and Cardiac Rehab Manager SAN) was a fantastic partner and leader of this pilot, delivering transformational change for their hospital, and providing invaluable feedback to fine-tune the development of the eMS,” reports Kirsty Maunder, manager of clinical consulting and business development at CBORD.

Malnutrition was a challenge for the SAN due to their limited dietitian resources to assess and diagnose malnutrition. Significant resource efficiencies were gained through interfacing positive MST referrals from nursing and creating daily lists of at-risk and follow-up patients for dietitians, as well as through analytics which provides automated process and prevalence audits. With the significant revenue opportunity, additional dietitians were recruited to deliver the ongoing assessment and diagnosis of malnutrition, within a more interoperable and efficient digital solution.

“With the eMS our dietitians can easily identify and monitor at-risk patients within their existing workload, and we are excited to be one of the first utilising this digital tool to enhance patient nutrition care, and innovate how dietitians practice,” said Jodie Privett.

Due to their outstanding achievements, the SAN team were a finalist in the Australian Private Hospital Association Clinical Excellence Award in 2022, and have presented their project findings at numerous local and international conferences.

To learn more about how CBORD can help your malnutrition program, contact healthcare@cbord.com.

 

  1. Agarwal, E., Ferguson M, Banks M, Batterham M, Bauer J, Capra S, Isenring E. Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: results from the Nutrition Care Day Survey 2010. Clin Nutr. 2013;32(5):737-745.
  2. Barker LA, Gout BS, Crowe TC. Hospital Malnutrition: Prevalence, Identification and Impact on Patients and the Healthcare System. J. Environ. Res. Public Health. 2011;8:514-527.
  3. Boltong AG, Loeliger JM, Steer BL. Using a public hospital funding model to strengthen a case for improved nutritional care in a cancer setting. Health Review 2013;37:286-290.
  4. McCray S, Maunder K, Barsha L. Implementation of an electronic solution to improve malnutrition identification and support clinical best practice. J Hum Nutr & Diet. 2022;35(6):1071-1078.
  5. Lim SL, Ong KC, Chan YH, Loke WC, Ferguson M, Daniels L. Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr. 2012;31(3):345-350.
  6. Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr. 2003;22(3):235-239.
  7. Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr. 2008;27(1):5-15.
  8. Compher C, Mehta NM. Diagnosing Malnutrition: Where Are We and Where Do We Need to Go? J Acad Nutr Diet. 2016;116(5):779-784.
  9. Australian Commission on Safety and Quality in Health Care. Hospital-Acquired Complications Information Kit. 2018; Available from: https://www.safetyandquality.gov.au/wp-content/uploads/2018/06/SAQ7730_HAC_InfomationKit_V2.pdf

Find Out How Tucson Medical Center is Improving the Patient Experience

Read the case study today!

AGED CARE

HEALTHCARE

TERTIARY EDUCATION

CONSULTING

PROFESSIONAL SERVICES

SUPPORT

BLOGS

CLIENT ACHIEVEMENTS

EVENTS

WEBINARS

WE ARE CBORD

About CBORD
Newsroom
Careers
Contact Us

Partners