Optimal Nutritional Care for All In Israel

Transcription

1 Optimal Nutritional Care for All In Israel Dr Ronit Endevelt, Prof Pierre Singer, Josefa Kachal The Ministry of Health ( Departments: Public health, Medical administration, Nutrition, Geriatric, Nurse, quality assurance). The Society for clinical nutrition The hospital managers organization The Dietitian and nutritionists organization ATID The medical association in Israel HARRI Patient organization ZVI The family physician organization The geriatric medical society Abbott Israel - industry

2 Steps for Optimal nutrition for all A nationwide meeting of all stakeholders A committee for health quality assurance in children. 3. Quality assurance (accreditation) in most health care centers for screening and treating malnutrition. 4. Participating in a national committee for food security, creating a national food security basket and research networking.

3 Challenges in optimal nutrition for all 5 discussion groups community Continuity of care Communications Quality measurement

4 Recommendations of 5 discussion groups in the optimal nutrition for all discussion day 1. A Systematic nutritional screening coverage in hospitals and community. 2. Preparing professional teams in all settings to screen for malnutrition, and refer for treatment to registered dietician. 3. Improving the nutritional quality of food served to patients in hospital settings. 4. Policy creation for the continuity of treatment- care sequence. 5. Creating media climate allowing and connecting of all stakeholders. 6. Eliminate barriers to nutritional treatments 7. Setting health quality metrics for success: Incentives to encourage and assimilate the recommendations. 8. Prepare an interactive tutorial on nutrition screening and malnutrition.

5 Multidisciplinary challenges in food security for all Measurement Screening Treatment Sustainable followup and monitoring research

6 Optimal nutrition through life cycle Elderly infancy Maturity childhood Adolescent

7 Optimal nutrition through disease management, (screening and treatment( General hospitals Geriatric hospitals Psychiatric hospitals Health funds community clinics Public health centers

8 Status of our collaboration with National and international Industry Groups (NIG) 1. Addressing the health Law of technology to include all the MNT s first and second line for tube feeding (MNT s industries). 2. Nutrition committee that check all the specification range of all the nutrients in the MNT s in Israel. 3. National program, to lower salt in the Industrial food products (30% reduction in salt in most food categories by 2017). 4. Starting to think about FOP s and reformulation of industrial products.

9 Planned research into the cost of malnutrition A master thesis on screening and cost of hospitalization in home care setting due to malnutrition in the north of Israel. A research networking for food security. Collecting data on the prevalence of malnutrition in 18,000 elderly patients in geriatric hospitals.

10 Effectiveness of screening/intervention In Hospitals General hospitals: There is a ministry of health regulation to screen every patients by the age of 65 and above. Accreditation demand for screening of all patients within 48 hours and treating In the coming 48 hours. Geriatric and psychiatric hospitals: There is a ministry of health quality assurance demanding to screen all patients in the geriatric and psychiatric hospital. In the community clinics Screening for malnutrition only in home care. BMI screening of all the patients every 2 years by the age 65 and every 5 years between the ages of

11 Objectives and action plan for A charter signing of all the stakeholders on the 16 of May. A national program lead by the ministry of health with all the stakeholders to screen treat and follow malnutrition. A national program for reformulation of industrial food. A committee for nutrition fortification regulation and monitoring. Frank De Man, the Secretary-General of ENHA commented that Nutrition is a basic need. Let s treat it like one! Thank you!!!