Medical Nutrition Therapy

Nutrition Services Delivery and Payment

FNCE 2018

206. Improving Dialysis Patient Outcomes Within the Constraints of RDN Time

Sunday, October 21
10:00 AM - 11:30 AM
CE: 1.5

Session Level 2 - Intermediate

Nutrition interventions and guidance are critical for dialysis patient outcomes. However, renal dietitians have a myriad of administrative and other responsibilities that limit their patient care time. Attendees will learn about new research using government datasets and direct observation to quantify patient to RDN ratios in dialysis, the proportion of time available for direct patient care, and whether there is a relationship between these ratios and patient outcomes. Attendees will also learn about various quality improvement programs initiated at a dialysis center including a successful one with monetary rewards for improvement in serum phosphorus. The speaker will discuss whether financial incentive programs might be a solution for improving patient outcomes in the face of limited RDN time, and how this finding could be applied to other areas within and outside of renal nutrition.

Learning Objectives:

Learning Need Codes:

  • 7160 - Quality Management
  • 5340 - Renal diseases (disease/disorder)
  • 9030 - Outcomes research, cost-benefit analysis

Rosa Hand, PhD, RDN, LD, FAND

Rosa K Hand is a registered dietitian nutritionist and instructor in the Department of Nutrition at Case Western Reserve University in Cleveland Ohio. Dr. Hand is the CWRU director of the Combined Dietetic Internship/Master’s Degree Program, serving as academic advisor to each cohort and teaching their required research sequence for the internship emphasis in Research Processes and Applications. At the undergraduate level she teaches the Nutrition Department Seminar which prepares students for their capstone experience.
Dr. Hand earned her BS and MS in Nutrition at CWRU, completed her Dietetic Internship at University Hospitals, and her PhD in Clinical and Translational Science at CWRU. Prior to joining the CWRU faculty, Dr. Hand was director of the Dietetics Practice Based Research Network at the Academy of Nutrition and Dietetics for 5 years. Her research on renal nutrition, RDN staffing and patient outcomes, and malnutrition assessment and diagnosis has led to publications in journals such as Journal of Renal Nutrition, Journal of Nutrition Education and Behavior, and Journal of the Academy of Nutrition and Dietetics. Dr. Hand serves on the Journal of Renal Nutrition Editorial Board and on the Committee on Professional Issues of the Greater Cleveland Academy of Nutrition and Dietetics. She was Ohio Recognized Young Dietitian of the Year in 2015.

Presentation(s):

Send Email for Rosa Hand

Lois Hill, MS, RDN, LD, LDE

Lois Hill is a registered and licensed dietitian and licensed diabetes educator. She is the owner of Nutrition Solutions in Lexington KY, and was Nutrition Service Supervisor at Dialysis Clinic Inc. She is Policy Advocacy Leader for the Renal Practice Group and was a member of the Scope of Practice Sub Committee of the Quality Management Committee. She has been recognized with numerous awards throughout her career including the Audrey Hay Award for longstanding commitment, leadership and contributions to the Bluegrass District of the Kentucky Dietetic Association and the DCE Legislative Activity Award.

Presentation(s):

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Desiree De Waal, MS, RD, CD, FAND

Desiree de Waal is a Registered Dietitian in Nephrology and Research Coordinator at the University Of Vermont Medical Center. She cares for patients in all stages of Chronic Kidney Disease . She has coordinated multiple investigational trials in nephrology in addition to her own research on outcomes of Medical Nutrition Therapy and active participation in a number of quality initiatives. She has published research, written book chapters and spoken at a number of conferences on these topics. Desiree was awarded the Dietitian of the Year Award in Vermont in 2013 and recognized as Fellow of the Academy of Nutrition and Dietetics in 2014. Within the Academy, she has volunteered on Evidence Analysis Projects on topics including Sodium, MNT and Heart Failure and previously served on the Evidence- Based Practice Committee. For the Renal Practice Group, she is Managing Editor of the RenalLink. She is the Reimbursement Representative and website administrator for the Vermont affiliate .

Presentation(s):

Send Email for Desiree De Waal

Rosa Hand, PhD, RDN, LD, FAND

Rosa K Hand is a registered dietitian nutritionist and instructor in the Department of Nutrition at Case Western Reserve University in Cleveland Ohio. Dr. Hand is the CWRU director of the Combined Dietetic Internship/Master’s Degree Program, serving as academic advisor to each cohort and teaching their required research sequence for the internship emphasis in Research Processes and Applications. At the undergraduate level she teaches the Nutrition Department Seminar which prepares students for their capstone experience.
Dr. Hand earned her BS and MS in Nutrition at CWRU, completed her Dietetic Internship at University Hospitals, and her PhD in Clinical and Translational Science at CWRU. Prior to joining the CWRU faculty, Dr. Hand was director of the Dietetics Practice Based Research Network at the Academy of Nutrition and Dietetics for 5 years. Her research on renal nutrition, RDN staffing and patient outcomes, and malnutrition assessment and diagnosis has led to publications in journals such as Journal of Renal Nutrition, Journal of Nutrition Education and Behavior, and Journal of the Academy of Nutrition and Dietetics. Dr. Hand serves on the Journal of Renal Nutrition Editorial Board and on the Committee on Professional Issues of the Greater Cleveland Academy of Nutrition and Dietetics. She was Ohio Recognized Young Dietitian of the Year in 2015.

Presentation(s):

Send Email for Rosa Hand


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