The Wesley Hospital Improves Malnutrition Management

Improving Nutrition Outcomes at The Wesley Hospital

As stated in their recent media release, The Wesley Hospital Dietetics and Nutrition teams have successfully implemented a screening program to reduce the risk of malnutrition in hospital patients. “To reduce the risk of malnutrition in our hospital, we have been able to successfully implement a program which ensures all patients are screened for malnutrition within the first 24 hours of their admission to hospital,” reports Dione Jacka, head of dietetics at The Wesley Hospital.

Dione explains all patients are screened to assess their malnutrition status or if they are at risk of developing malnutrition. “Patients who are identified at risk of malnutrition or who present already malnourished are referred to a dietitian who is able to implement a nutrition plan for the patient with weekly follow ups.

Using new technology, the patient’s nutrition information is uploaded into bedside mobile devices which are accessible to the clinical teams to see. The hospital has also recently implemented room service which allows patients to eat what they want, when they want, further reducing their risk of developing malnutrition,” Dione said. Through education and training, staff are making referrals to her team faster and more accurately.

“While the program has been incredibly successful, we have also raised awareness of malnutrition among the clinical staff who are now more aware of the signs of malnutrition and the importance of screening,” Dione said. “The program has been a huge success and is something all clinical teams should be proud of.”

The CBORD electronic Malnutrition and Nutrition Workload solution (eMS) provides consulting services and digital tools to close the gap between hospital malnutrition prevalence 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 

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  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:

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