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QUALITY MANAGEMENT

Quality Management

Quality Management is a continuous, systematic process with four main components: 

  • Quality planning: identifying standards and determining how to meet them. This proactive approach ensures meeting stakeholder requirements and expectations. 
  • Quality assurance: activities to monitor processes, compare with standards, and implement a feedback loop to prevent errors. 
  • Quality control: ensures deliverables meet standards. 
  • Continuous process improvement: systematic and continuous actions leading to measurable service improvement using a quality improvement framework. 

Credentialed Practitioners (CPs) in nutrition and dietetics can play a vital role in quality management and process improvement across all practice areas. Quality Management can be both a practice area and a career path for credentialed practitioners. 

For more on careers in quality, see the Quality Forum: Career Advise from RDN Quality Experts (FNCE 2021) recording for a showcase of credentialed practitioners that specialize in quality, insights from their career journeys, and job advice and guidance on quality specific certifications. 

This Careers in Quality handout also highlights the role of CPs can have in the quality sector. 

For tools to support quality knowledge, explore the Quality Resource Collection, which offers a comprehensive index of resources supporting quality management as a critical component of the field.

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Quality Improvement

Quality in healthcare is the degree to which health services increase the likelihood of desired health outcomes and are consistent with current professional knowledge (National Academy of Medicine).

Quality Improvement (QI) focuses on systematic and continuous actions that lead to standardizing processes. 

Performance Improvement (PI) systematically identifies and resolves performance problems, through analysis, interventions, and evaluation, with the goal of sustaining the new process. 

The Quality Improvement 101 video provides a brief introduction to quality management concepts and tools. Furthermore, when developing a PI project, it is important to follow structured steps to support success. 

Most importantly, QI can be done at any level without requiring a degree or certification. Securing leadership support and aligning QI efforts with organizational strategic plans is essential, along with pre- and post-project data collection relevant to the QI problem.

Some of the benefits of QI include: 

  • Reduce costs and/or waste 
  • Improve service delivery and outcomes 
  • Support strategic planning 
  • Enhance accountability for actions 
  • Foster positive intra- and inter-professional team relationships 
  • Recognize excellence 

The below graph shows the recommended steps for any QI/PI project. However, there is flexibility for smaller initiatives. The Quality and Process Improvement Basics 30-minute video explains at depth each of the steps in the structure and offers some examples for some of the key components.

Flowchart titled "General Structure of Process Improvement" showing 11 steps in the improvement cycle, from problem definition to goal assessment, with icons and sequence guide.  Copyright 2024, CDR logo and contact email quality@eatright.org.

 

With this structure in mind, this action plan can support QI/PI project teams in achieving their goals. Having a plan in place can greatly support the steps to achieve the project goal.

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National Quality Strategies

Launched in 2022, the National Quality Strategies (NQS) by the Centers for Medicare & Medicaid Services (CMS) enhances healthcare quality and safety of health care, emphasizing equitable care, while utilizing all of CMS’ programs. The handout Understanding NQS and Its Impact in Nutrition and Dietetics can support further understanding of the NQS. The Health Equity in Nutrition and Dietetics Practice can also guide CPs in how they can further support equitable care.

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Mentorship for Quality in Nutrition and Dietetics Program

The Mentorship for Quality in Nutrition and Dietetics Program, is designed to support credentialed practitioners in the process of developing and implementing continuous quality improvement projects, including the Global Malnutrition Composite Score and Nutrition Care Process in their facility.

 

Logo with two circular arrows connecting human icons, symbolizing mentorship and collaboration, surrounded by green and blue leaves for growth and health. Text: "MENTORSHIP FOR QUALITY IN NUTRITION & DIETETICS

  • Additional information can be found in the program guide.
  • Application is open from June 1st through June 30th of every year.

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Quality Management Committee

The Commission on Dietetic Registration (CDR)’s Quality Management Committee (QMC) provides support for CPs’ understanding of the importance of Quality Management and Quality Improvement Initiatives, by monitoring, developing, approving, evaluating, revising, educating, and maintaining quality in the practice of nutrition and dietetics. For more information and the opportunity to volunteer, email quality@eatright.org

Current QMC Members: 

  • Laura Gollins, MBA, RDN, LD, CNSC, FAND, Chair, 2022-2025 
  • Rebecca Niitzel, MS, RD, CDN, Vice-Chair, 2022-2026 
  • Emily Patten, PhD, RDN, Commissioner Representative, 2024-2025 
  • Krista Clark, MBA, RD, LD, FAND, NASM-CPT, SFS, Member, 2022-2025 
  • Emily Pacetti, MS, RD, CSG, LDN, Member, 2024-2027 
  • Laura J. Sugarwala, MBA, RD, Member 2024-2027 
  • Rene M. Decquir, Member, 2024-2027 
  • Carrie L. Smith, Member, 2024-2027

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CPE Offerings and Resources

Click here for a list of available CPE resources and upcoming events.

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