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Publication Date: 24 July 2023
Author(s): Matthew L. Bechtold, MD
Kenneth G. Nepple, MD
Sharon M. McCauley, MS, RDN
Christina Badaracco, MPH, RDN
Ainsley Malone, MS, RDN
Malnutrition in hospitalized patients can impact health outcomes, quality of life, and health equity. Quality improvement initiatives and quality measurement can help improve the care of those hospitalized patients with malnutrition. The new Global Malnutrition Composite Score (GMCS) was recently adopted by the Centers for Medicare & Medicaid Services (CMS) as a health equity–focused measure. This article summarizes the underlying rationale and significance of the GMCS measure and showcases clinical observations about integrating quality improvement and measurement into the acute care setting.
Bechtold ML, Nepple KG, McCauley SM, Badaracco C, Malone A. Interprofessional implementation of the Global Malnutrition Composite Score quality measure. Nutr Clin Pract. 2023; 1‐11. doi:10.1002/ncp.11033
Department of Medicine, University of Missouri School of Medicine, Columbia, Missouri
Department of Urology, University of Iowa Carver College of Medicine, Iowa City, IA
Senior Director, Strategic and Quality Management, Malnutrition Quality Improvement Initiative
Academy of Nutrition and Dietetics Chicago
Illinois, USA
Research Scientist
Avalere Health
Washington, District of Columbia, USA
Clinical Practice Specialist
American Society for Parenteral and Enteral Nutrition
Columbus, OH, USA
Ainsley M. Malone, MS, RDN, LD, CNSC, FAND, FASPEN serves as a Clinical Practice Specialist for the American Society for Parenteral and Enteral Nutrition (ASPEN) where she works to support clinical practice activities for the organization. She retired in 2023 from her 40-year career as a nutrition support dietitian within the Mt. Carmel Health System in Columbus where she assisted in the management of patients requiring enteral and parenteral nutrition.
Ainsley is a global and national leader in malnutrition related activities having served as an author of the 2012 Academy of Nutrition and Dietetics/ASPEN Malnutrition Consensus Characteristics and the 2018 Global Leadership Initiative on Malnutrition (GLIM) consensus characteristics. She is currently serving as Co-Lead of the GLIM Implementation and Dissemination working group. Over her longstanding career, Ainsley has served in many nutrition leadership capacities including President of ASPEN 2013-14 and on the Board of Directors for the Academy of Nutrition and Dietetics where she currently serves as Speaker of the House of Delegates.
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