This woman taking her daughter to see a doctor represents one of the responsibilities of some women as healthcare decision makers.

The Crucial Role of Women as Healthcare Decision Makers

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HealthWare Systems Blog

The Crucial Role of Women as Healthcare Decision Makers

Posted on Wednesday, January 22, 2020

In order to attract and retain the loyalty of an extremely important demographic, health facilities must recognize women as healthcare decision makers.  Many women determine not only where they will receive care, but where their family members will as well.

This woman taking her daughter to see a doctor represents one of the responsibilities of some women as healthcare decision makers.

Hospitals must recognize women as healthcare decision makers.


Consider the following statistics that illustrate the significant role of women as healthcare decision makers for their families:

  • Seventy-nine percent of mothers report that they usually choose their children’s healthcare provider, compared to 22% of fathers who report responsibility for this decision.
  • Seventy-seven percent of mothers report that they usually take their children to doctor’s appointments, compared to 24% of fathers who report responsibility for this.
  • Whether or not they are married or have children, 94% of women make healthcare decisions for themselves and 59% make healthcare decisions for others.
  • According to the CDC, 58% of family caregivers are women (although other estimates range from 53 to 68 percent).
  • In its study on women and healthcare decisions, the Center for Talent Innovation found that 58% of women who make healthcare decisions for others lack confidence in their ability to do so.

Based on the results of its study, the CTI report suggests ways in which healthcare professionals and organizations like doctors, pharmacists, and insurance and pharmaceutical companies could build more trusting relationships with their female patients and consequently improve their confidence.

Additionally, the authors recommend viewing women as the “Chief Medical Officers” of their families to ensure their roles as healthcare decision makers get the “notice or respect” they deserve.

When a hospital recognizes women as healthcare decision makers, focusing on appealing to female healthcare consumers makes sense.  Ideally, once you’ve earned the loyalty of your female patients, they will book their family members’ appointments with your organization as well.


Here are a few ways some facilities are appealing to female healthcare consumers:

Hospitals can’t afford to ignore the large influence women have over the health and healthcare decisions of their partners/spouses, children, elderly parents, and other relatives.  Recognizing and appealing to women as healthcare decision makers can help you gain more female patients and, importantly, numerous other patients related to them.


By Stephanie Salmich

You can improve patient engagement in older patients, like this doctor talking with his patient about her health.

Improve Patient Engagement in Older Patients

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HealthWare Systems Blog

Improve Patient Engagement in Older Patients

Posted on Wednesday, August 28, 2019

You can improve patient engagement in older patients, like this doctor talking with his patient about her health.

Improve patient engagement in older patients by helping them view aging in a positive way.

You can improve patient engagement in older patients by helping them view aging in a positive way.  This coming month, “September is Healthy Aging® Month,” offers a special opportunity to do just that!

Here are a few ways you can improve patient engagement in older patients:

Celebrate aging –September is Healthy Aging® Month” is meant to draw attention to the positive aspects of aging and to assure people that it’s never too late to make healthy lifestyle changes.  Older patients should be encouraged to take control of their health at any age.

You may also wish to celebrate grandparents this next month, as Grandparents Day falls in September as well.  Remind older patients of the need to maintain their health so that they can continue to benefit their grandchildren’s lives for many years to come!  And make sure they know that this special relationship can benefit their own health, too. (Check out our previous blog on additional monthly health observances.)

Emphasize prevention, rather than reaction – Some of the most prevalent health issues affecting older patients, such as diabetes, hypertension, obesity, heart disease, malnutrition, and injuries from falls, are potentially preventable.  Yet, per the CDC, only 7% of older adults obtain all their recommended preventive health services.

Our blogs on increasing preventive screenings for men, improving male patient engagement, and increasing mammogram appointments can provide you with some excellent ideas for promoting preventive health services at your facility.

Improve family engagement – Family engagement can be especially important for older patients who may have family caregivers.  Family caregivers play a significant role in older patients’ safety and comfort.  Plus, patient and family satisfaction are related.

Address the social determinants of health – Some of the social determinants of health may affect older patients in different ways than younger patients.  For example, patient transportation needspatient housing needs, and dietary needs often change as patients age.

Provide technology information – A 2018 AARP survey found that 76% of U.S. adults age 50-plus want to stay in their own homes as they age.  Many older patients also want and believe they need access to health technology in order to manage their own healthcare.  Educate patients and their families about technology that can help them achieve these goals and keep them safe.

Implement the 4M Framework – The Age-Friendly Health Systems initiative encourages healthcare facilities to embrace the 4M’s when caring for older patients:

  • What Matters – Aligning care with the patient and family’s health goals.
  • Medication – Choosing age-friendly medications that don’t hinder the other three “M’s” of the framework.
  • Mentation – Addressing dementia, depression, and delirium.
  • Mobility – Ensuring patients move safely every day.

According to the Population Reference Bureau, there were 46 million Americans (15% of the population) aged 65 and older in 2016 and that number is expected to more than double by 2060, to over 98 million (24% of the population).

As the American Hospital Association pointed out in its publication “Creating Age-Friendly Health Systems,” improving care for older patients now can put your hospital “ahead of the curve” as the healthcare market shifts to accommodate our aging population.

September is the perfect time for exploring new policies that will improve patient engagement in older patients and ensure they have the best possible care at your facility all year round.


By Stephanie Salmich

Physicians hold a thumbs up sign for solutions that can streamline prior authorizations.

Streamline Prior Authorizations with a Pre-Arrival Workflow Solution

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Streamline Prior Authorizations with a Pre-Arrival Workflow Solution

Posted on Monday, July 1, 2019

The results of a recent survey conducted by the American Medical Association illustrate the importance of solutions that can streamline prior authorizations.


The 2018 AMA Prior Authorization Physician Survey found the following:

  • 91% The percentage of physicians who say the prior authorization process postpones patients’ access to necessary care.
  • 28% The percentage of physicians who say the prior authorization process has resulted in a serious adverse event for their patients (e.g., “death, hospitalization, disability/permanent bodily damage, or other life-threatening event”).
  • 86% The percentage of physicians who describe prior authorization burdens as high or extremely high.
  • Almost 2 Business Days (14.9 hours) The average length of physician/staff time that is devoted to prior authorization requirements per physician per week.
  • 36% The percentage of physicians who have employees who work solely on prior authorization tasks.

Clearly, health systems face many challenges related to preauthorization.  Patient safety is compromised when care is delayed.  Patient and physician satisfaction are at risk as patients endure frustrating waits for treatment and physicians deal with administrative duties that disengage them from their medical work.

And not only can each prior authorization be costly, but excess costs are also incurred in the forms of extra clerical staff and rework when prior authorizations are denied and must be resubmitted.


According to CAQH CORE, 88 percent of prior authorizations are completed either partially or completely manually; and, the majority of preauthorization issues are related to manual processes.

A pre-arrival workflow solution can automate manual processes and streamline prior authorizations.


With a pre-arrival workflow solution that can streamline prior authorizations, you can address the issues mentioned above:
Physicians hold a thumbs up sign for solutions that can streamline prior authorizations.

A pre-arrival workflow solution can streamline prior authorizations and improve staff and physician satisfaction.


Support your physicians by utilizing solutions that make their jobs easier.  Implementing time-savers for physicians can go a long way toward reducing physician burnout, which is often related to stressful and time-consuming administrative workloads.

In addition to increasing physician and employee satisfaction, a pre-arrival workflow solution will improve your revenue cycle and patients’ access to care they need.

Hospitals can no longer afford to delay employing solutions that will streamline prior authorizations and benefit all stakeholders in their organizations.


By Stephanie Salmich

This doctor talking to his patient is taking proactive steps toward increasing preventive screenings for men!

Increasing Preventive Screenings for Men at Your Facility

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HealthWare Systems Blog

Increasing Preventive Screenings for Men at Your Facility

Posted on Thursday, November 1, 2018

Increasing preventive screenings for men at your facility can save patients’ lives.  “Movember” is the perfect time to start working toward this goal.


Consider these ideas for increasing preventive screenings for men at your facility:


Educate your patients.  Patients may be unclear on the correct or most-up-to-date recommendations for preventive screenings and may not realize when it is time for them to start discussing these topics with their doctor.  Make sure your clinicians initiate the conversation when patients reach the proper age to begin making decisions about testing in case patients forget.

Improve patient engagement with preventive health by utilizing social media in healthcare.  Share preventive health tips, educational materials, and powerful statistics demonstrating the importance of early detection of male health issues.

(Check out our previous blog for more information on male patient engagement.)

Ensure patients are aware that most health plans are required to cover the cost of many preventive screenings (when performed by an in-network provider).  Highlight the fact that most plans cannot charge a copayment or coinsurance for these services even if the patient has not met his yearly deductible yet.  Instruct patients to check with their insurance company.  Additionally, help patients find out if they qualify for financial assistance and facilitate the application process for them.

Use their time in the waiting room as an opportunity to reach your patients.  For example, print educational materials on the back of wayfinding maps.  If you use a lobby display screen or patient notification board, feature male preventive health facts periodically throughout your rotation of announcements.  Or, incorporate moustaches into the backdrop of your screen to draw more attention to Movember and male health issues.

(Read here how one acute care facility used ActiveTRACK to promote customizable messages to patients in their waiting area.)

Accommodate your patients.  Allow for evening and weekend appointments.  Besides providing interpreters and educational materials in various languages, train staff to understand how culture affects health and healthcare decisions.  Don’t let inconvenience or cultural barriers stand in the way of accessing preventive health care.

Talk to female patients about preventive screenings for men.  Women make approximately 80% of household healthcare decisions.  Since women can have such a large impact on male health, clinicians may want to bring up the topic when meeting with female patients.  This could trigger a reminder for female patients to schedule appointments for their loved ones, or simply provide them with pertinent preventive health information to pass on to the men in their lives.

Start the Movember Healthcare Challenge at your facility.  Compete against others in your industry to raise money to improve male health through the Movember Foundation.  Raise awareness by growing a (or wearing a fake) moustache!  Use the hashtag #Movember when you share the pictures on social media.

(You can also find ideas for promoting other health observances throughout the year here, and a detailed calendar of this year’s health observances and recognition days here.)

Most of the above ideas can be implemented all year long!  Increasing preventive screenings for men is an important goal to strive toward and November is a great time to start.

This doctor talking to his patient is taking proactive steps toward increasing preventive screenings for men!

Take proactive steps toward increasing preventive screenings for men!


By Stephanie Salmich

Increasing mammogram appointments… a woman holds a sign reading “Have YOU scheduled your annual MAMMOGRAM?”

Ideas for Increasing Mammogram Appointments

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HealthWare Systems Blog

Ideas for Increasing Mammogram Appointments

Posted on Monday, October 1, 2018

Increasing mammogram appointments… a woman holds a sign reading “Have YOU scheduled your annual MAMMOGRAM?”

Take proactive steps toward increasing mammogram appointments!

October is the perfect time to focus on increasing mammogram appointments.  During Breast Cancer Awareness Month, prioritize preventive care using the suggestions below.


Consider these ideas for increasing mammogram appointments at your facility:


Educate your patients on breast cancer prevention.  Patients may be unclear on the correct or most-up-to-date recommendations for mammography screening or may have heard conflicting instructions from different organizations.  Make sure your clinicians clarify.

“Current guidelines from the American College of Radiology and the Society for Breast Imaging recommend that women receive annual mammograms starting at age 40 — even if they have no symptoms or family history of breast cancer.”

Ensure patients are aware that most health plans are required to cover the cost of a breast cancer mammography screening for women over 40 every 1 to 2 years (when performed by an in-network provider).  Highlight the fact that most plans also cannot charge a copayment or coinsurance for this service even if the patient has not met her yearly deductible yet.  Some states even require insurers to cover 3D mammograms.  Instruct patients to check with their insurance company.  Additionally, help patients find out if they qualify for financial assistance and facilitate the application process for them.

Send mammogram reminders through texts, emails, letters, postcards, and/or phone calls. A study conducted by Kaiser Permanente found mammogram reminders to be very effective in increasing mammogram appointments, especially when sent to patients whose mammogram appointments were coming due.

When patients check in, instruct registrars to ask them if they’ve scheduled their annual mammogram exam yet; and if not, have registrars try to schedule one with them.  Additionally, registrars should confirm they have the correct mailing address and phone number for the patient in the system used to send mammogram reminders.

Use their time in the waiting room as an opportunity to reach your patients.  For example, print mammogram reminders on the back of wayfinding maps.  If you use a lobby display screen or patient notification board, include mammogram reminders and breast cancer prevention facts that appear periodically throughout your rotation of announcements.  Or, use a mammogram reminder as the full-time backdrop of your screen.

(Read here how one acute care facility used ActiveTRACK to promote customizable messages, including encouragement of mammogram appointments during Breast Cancer Awareness Month, to patients in their waiting area.)

Improve patient engagement with preventive health by utilizing social media in healthcare.  Share mammogram reminders, educational materials, and powerful statistics demonstrating the importance of early detection.  For instance, according to the American College of Radiology, “mammography has helped reduce breast cancer mortality in the U.S. by nearly 40% since 1990” and “skipping a mammogram every other year would miss up to 30% of cancers.”

Accommodate your patients. Allow for evening and weekend mammogram appointments.  Besides providing interpreters and educational materials in various languages, train staff to understand how culture affects health and healthcare decisions in order to reach patients of all backgrounds.  Don’t let inconvenience or cultural barriers stand in the way of accessing preventive care.

Emphasize your goal of increasing mammogram appointments to your staff. Stratis Health suggests providing your clinicians and registrars with “missed opportunity” reports, which would demonstrate the number of patients who visited throughout the month who were due/overdue for their mammogram appointments but did not get scheduled.


October is the opportune time to launch a breast cancer awareness campaign!  Of course, the suggestions above are best used throughout the entire year to help you in your goal of increasing mammogram appointments and improving your rates of early detection to save lives.


By Stephanie Salmich

The effects of nurse burnout: A nurse crossing her arms experiences nurse burnout.

The Effects of Nurse Burnout

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HealthWare Systems Blog

The Effects of Nurse Burnout

Posted on Wednesday, September 12, 2018

The effects of nurse burnout: A nurse crossing her arms experiences nurse burnout.

The effects of nurse burnout reach your nurses, patients, and bottom line.

The effects of nurse burnout are far-reaching.  Everyone, from your patients and their families to your nurses and the entire facility, can be affected by nurse burnout.


The Effects of Nurse Burnout Reach Your Nurses, Patients, and Bottom Line…


Here are some of the effects of nurse burnout:

Nurse Well-Being Nurse burnout can lead to feelings of dread about work, mental and physical exhaustion, sleep issues, and depression for your nurses.  The effects of nurse burnout also include compassion fatigue, causing your nurses to disengage from your patients.

Patient & Family Satisfaction Interactions between your nurses and patients and their family members are crucial to the patient experience and patient satisfaction scores.

A study published in the journal Medical Care found the following relationship between nurse work environment, nurse burnout, and patient satisfaction with nursing care:

“Patients cared for on units that nurses characterized as having adequate staff, good administrative support for nursing care, and good relations between doctors and nurses were more than twice likely as other patients to report high satisfaction with their care, and their nurses reported significantly lower burnout. The overall level of nurse burnout on hospital units also affected patient satisfaction.”

Patient Safety Clinicians suffering from burnout may be less motivated and/or may experience lower cognitive functioning due to emotional exhaustion, putting patient safety at risk.

An article published in the American Journal of Infection Control found a significant association between nurse burnout and UTIs and surgical site infection.  According to the researchers, “hospitals in which burnout was reduced by 30% had a total of 6,239 fewer infections, for an annual cost saving of up to $68 million.”

Reducing nurse burnout can decrease the likelihood of medical errors and improve patient safety at your facility.

Turnover & Nursing Shortage According to the American Association of Colleges of Nursing, factors contributing to the national nursing shortage include insufficient nursing school enrollment and faculty, high retirement numbers, the aging population’s need for more healthcare workers, and high turnover/number of nurses leaving the profession altogether.

Almost 1 in 5 new nurses leaves his/her first job within the first year, and about 1 in 3 leaves within the second year.  In a national study conducted by RNnetwork, “half of the nurses surveyed have considered leaving nursing.”  According to the survey, “the number one reason for wanting to leave is feeling overworked (27 percent), followed by not enjoying their job anymore (16 percent) and spending too much time on paperwork (15 percent).”

Unfortunately, there is a cyclical relationship at work here: the national nursing shortage increases nurse burnout for those who are working in the profession as their workloads consequently grow.


As you can see, the effects of nurse burnout have a critical impact on nurse well-being, patient satisfaction, patient safety, and the national nursing shortage.  Please read our next post on how to prevent and address nurse burnout to ensure your health system can avoid the dire effects of nurse burnout mentioned above.


By Stephanie Salmich

Male patient engagement: A doctor and male patient shake hands.

Male Patient Engagement: Improving Men’s Health Outcomes

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HealthWare Systems Blog

Male Patient Engagement: Improving Men’s Health Outcomes

Posted on Tuesday, June 5, 2018

Improving male patient engagement is a struggle for many providers who find that men are much less likely than women to seek care, whether it be for a specific health concern, preventive healthcare, or standard annual exam.

Consider the following alarming statistics concerning men’s health outcomes:

Men’s Health Network provides these explanations for “The Silent Health Crisis” men are experiencing:

  • “A higher percentage of men have no healthcare coverage.
  • Men make ½ as many physician visits for prevention.
  • Men are employed in the most dangerous occupations, such as mining, fire fighting, construction, and fishing.
  • Society discourages healthy behaviors in men and boys.
  • Research on male-specific diseases is under funded.
  • Men may have less healthy lifestyles including risk-taking at younger ages.”

Improving Male Patient Engagement

Male patient engagement: A doctor and male patient shake hands.

Improving male patient engagement is critical to improving men’s health outcomes. Start your commitment today.


June is Men’s Health Month.  Men’s Health Month presents an opportunity for healthcare facilities to address the epidemic of poor male patient engagement.  Men’s Health Network offers many ideas for promoting Men’s Health Month and improving male patient engagement and men’s health outcomes, including: 

In addition, hospitals should educate male patients about their payment options.  Costs may deter male patients from seeing a doctor, and they may not realize that they could be eligible for free or low-cost screenings through their insurance carrier, Medicare, or financial assistance programs.

Healthcare facilities should also make the issues of improving male patient engagement and men’s health outcomes top priorities all year long.  A great example for providers is the work of Dr. Paul Turek (an international leader in men’s health who boasts a 90+% patient engagement rate).  Dr. Turek’s blog lists his suggestions and rules for improving male patient engagement.

Men’s health outcomes affect not only the men and boys in all our lives, but also their families and the women who love them.  Through improving male patient engagement providers can benefit families and their community by improving men’s health outcomes, all while boosting revenue (in the form of more appointments kept by, and more preventive screening tests administered to, male patients).

You can also find ideas for promoting other health observances throughout the year here, and a detailed calendar of this year’s health observances and recognition days here.


By Stephanie Salmich

A doctor and patients smile behind the blog’s title: ADDRESS PATIENT TRANSPORTATION NEEDS TO CREATE BETTER HEALTH OUTCOMES.

Address Patient Transportation Needs to Create Better Health Outcomes

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HealthWare Systems Blog

Address Patient Transportation Needs to Create Better Health Outcomes

Posted on Wednesday, April 18, 2018

Patient transportation needs can critically affect access to care and health outcomes; approximately 3.6 million Americans miss or postpone medical care due to transportation issues.

Improved access to transportation benefits patients, health facilities, and communities.  Health systems that address patient transportation needs are advocates for their patients, produce better health outcomes, lower readmission rates, reduce no-show appointments, and improve the general health of the community.

Efforts should begin with screening patients to determine their need/eligibility for transportation or other financial assistance.


Here are some specific ways your facility can then help those patients and create better health outcomes:


A doctor and patients smile behind the blog’s title: ADDRESS PATIENT TRANSPORTATION NEEDS TO CREATE BETTER HEALTH OUTCOMES.

Educate Patients About Transportation Options


Compile a resource list of patient transportation options available in your area.  For example, many senior centers and churches provide free or low-cost transportation and Pace offers a “Call-n-Ride” service in the Chicago suburbs for as little as $2.00.  What affordable local transportation options could you suggest to your patients?

Promote patient transportation options through flyers, posters, or digital signage at your facility.  If you use a lobby display screen or patient notification board, include notices for patient transportation options that appear throughout your rotation of announcements.

Assign staff members to address patients’ needs, one-on-one.  These employees can help patients determine which transportation assistance programs they may be eligible for (e.g. Medicaid non-emergency medical transportation (NEMT), the American Cancer Society’s Road to Recovery program), help them apply or sign up for assistance, and help them understand their existing benefits or coverage (e.g. how ambulance transportation may or may not be covered under Medicare).

Promote patient transportation options through your hospital’s social media accounts.

Create New Patient Transportation Options


Institute a driver volunteer program to provide rides to eligible patients, as Grace Cottage Family Health & Hospital and Green Mountain RSVP have done.

Start a hospital van service, like the one Taylor Regional Hospital created to deliver prescriptions and bring patients to and from the hospital.

Partner with an on-demand transportation service, like Maryland Health System has with Uber and Denver Health has with Lyft, to offer free or discounted transportation to qualifying patients.

Provide shuttle, bus, or taxi travel vouchers.  Create an incentive program for eligible patients who keep their appointments.

Participate in local government and community planning projects.  The American Hospital Association suggests hospital representatives “participate in local or regional transportation planning initiatives and educate decision-makers about how health can be affected by transportation” to encourage the development of new patient transportation options (such as more walkable routes, bike lanes, bike-sharing programs, bus or shuttle services, etc.).

Alleviate Patient Transportation Needs by Bringing Care to the Patients


Invest in a mobile health center, as Calvert Health System has; the Calvert Health System Mobile Health Center brings primary and preventive health services to patients by visiting churches and community centers.

Create a prescription delivery or mail service, or provide pharmacy services on site to cut travel for patients, as the American Hospital Association advises here (p. 12).

Provide more telehealth opportunities and encourage use of the patient portal for minor questions.


Make a commitment to address patient transportation needs using the suggestions above, and your patients, community, and facility will all enjoy the benefits of better health outcomes.

You can read in further detail how the health systems mentioned above (Grace Cottage, Taylor Regional, Denver Health, and Calvert Health) address patient transportation needs in the case studies provided by the American Hospital Association.


By Stephanie Salmich

Improve patient safety for patients like the family and newborn pictured here.

Medical Errors Statistics Reveal the Need to Improve Patient Safety

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HealthWare Systems Blog

Medical Errors Statistics Reveal the Need to Improve Patient Safety

Posted on Monday, March 12, 2018

In 2018, it can be easy to take patient safety for granted; however, studies show that we have a long way to go to truly improve patient safety:

According to a nationwide survey conducted by NORC at the University of Chicago, 21% of patients report experience with medical errors.  The survey also found that these medical errors “often have lasting impact on the patient’s physical health, emotional health, financial well-being, or family relationships.”

With approximately 251,454 deaths in the U.S. per year due to medical errors, Johns Hopkins University researchers estimate that this is the third leading cause of death in the country.  (Research published in the Journal of Patient Safety estimates the number of premature deaths due to medical errors could be even higher – over 400,000 per year.)

Patient safety is of the utmost importance to any healthcare system, so how can these numbers be so high?

As the PatientSafe Network explains, there are many obstacles that thwart or diminish efforts to improve patient safety.  These include issues regarding cognitive dissonance, blame/pointing fingers, complexity, cost, and many more.  See their full list of (18!) obstacles here.

Improve Patient Safety

Improve patient safety for patients like the family and newborn pictured here.

Make the commitment to reduce medical errors and improve patient safety during National Patient Safety Awareness Week.

This week is National Patient Safety Awareness Week, an initiative of The Institute for Healthcare Improvement (IHI) and the National Patient Safety Foundation (NPSF) “designed to mark a dedicated time and a platform to increase awareness about patient safety among health professionals and the public,” according to their website.  There will be two main issues highlighted this year – safety culture and patient engagement.

National Patient Safety Awareness Week offers an opportunity for both healthcare professionals and healthcare consumers to come together to improve patient safety.  IHI and NPSF offer plenty of ideas for getting involved and a day-by-day guide to activities for the week, and invite you to join the conversation on social media (use the hashtag #PSAW in your posts).

You can also find ideas for promoting other health observances throughout the year here, and a detailed calendar of this year’s health observances and recognition days here.

In order to improve patient safety and reduce medical errors and patient safety risks, it will take the work of all stakeholders (administrators, clinicians, staff, patients, family members, etc.) to raise awareness of this critical issue.  It will also take their commitment to making the changes necessary for lowering risks to patient safety.


By Stephanie Salmich

A doctor holds a tablet showing healthy food images representing the blog topic – reduce patient malnutrition.

Taking Steps to Reduce Patient Malnutrition is Critical to Health Outcomes

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Taking Steps to Reduce Patient Malnutrition is Critical to Health Outcomes

Posted on Wednesday, March 7, 2018

When we look at the statistics, the importance of taking steps to reduce patient malnutrition becomes clear.  A study of 818 inpatients published in Clinical Nutrition found that up to one third were malnourished, resulting in “poor hospitalization outcomes” such as increased mortality rates and higher costs of care.

Indeed, according to an article published in the Journal of the Academy of Nutrition and Dietetics:

“Malnutrition is associated with many adverse outcomes, including an increased risk of pressure ulcers and impaired wound healing, immune suppression and increased infection rate, muscle wasting and functional loss increasing the risk of falls, longer length of hospital stay, higher readmission rates, higher treatment costs, and increased mortality.”

The authors of the article point out that malnutrition is often overlooked, despite its dire consequences and the startling number of patients who suffer from it.  Per research cited in the article, it is estimated that in developed countries at least one third of patients are malnourished to some degree at the point of admission; during their hospital stay, the nutrition of about two thirds of these patients will worsen if untreated; and about one third of patients who are not malnourished when admitted may become malnourished during their stay.

Fortunately, hospitals can prevent many of the negative effects of malnutrition.  The authors of the article in the Journal of the Academy of Nutrition and Dietetics suggest healthcare facilities apply the following six principles to nutrition care in order to reduce patient malnutrition:

Reduce Patient Malnutrition


1 – “Create an institutional culture where all stakeholders value nutrition” – Administrators and all healthcare professionals (doctors, nurses, physician assistants, pharmacists, dieticians, etc.) must collaborate.

2 – “Redefine clinicians’ roles to include nutrition care” – Provide clinicians with nutrition training and continuing education.

3 – “Recognize and diagnose all malnourished patients and those at risk” – Every hospitalized patient should be screened according to a standardized procedure.

4 – “Rapidly implement comprehensive nutrition interventions and continued monitoring” – Immediate nutrition interventions must be a high priority; consumption must be monitored and adjusted as necessary.

5 – “Communicate nutrition care plans” – Ensure patients’ nutrition care plans are updated in the EHR and all healthcare professionals are informed.

6 – “Develop a comprehensive discharge nutrition care and education plan” – Communicate the nutrition care plan to the patient and caregivers, provide them with nutrition education, and follow up to check adherence to the plan.


A doctor holds a tablet showing healthy food images representing the blog topic – reduce patient malnutrition.

Reduce patient malnutrition to improve health outcomes.

A piece featured on the Hospitals & Health Networks website proposes that “before implementing interventions, a hospital must first visualize food as medicine to realize the impact that food can make in the community.”  This article provides many ideas for hospitals looking to serve their communities and reduce patient malnutrition (such as establishing on-site gardens, healthy cooking classes, food pantries, and food pharmacies).

March is National Nutrition Month®, an education and information campaign created by the Academy of Nutrition and Dietetics.  This is the perfect time to start implementing the above principles at your facility and take steps to reduce patient malnutrition.  You can also promote healthy eating habits for your employees and patients using the tools the Academy of Nutrition and Dietetics provides here.

Don’t forget to recognize the RDNs who serve and advance the health of your community by celebrating Registered Dietitian Nutritionist Day (the second Wednesday in March) as well!


You can also find ideas for promoting other health observances throughout the year here, a detailed calendar of this year’s health observances and recognition days here, and information on the other social determinants of health here.


By Stephanie Salmich