Practice, Science and Quality

The Academy is dedicated to setting the direction for the profession of nutrition and dietetics through practice, science and quality.

Academy of Nutrition and Dietetics Health Informatics Infrastructure

This online tool is designed to guide dietetics practitioners through each step of the Nutrition Care Process while building a national quality improvement database with patient outcomes. In addition, it offers customizable charts, reports and visit summaries.

Code of Ethics for the Nutrition and Dietetics Profession

The Academy and the Commission on Dietetic Registration believe it is in the best interest of the profession—and the public it serves—to have a Code of Ethics that guides professional practice and conduct. The updated Code of Ethics recognizes the changes in nutrition and dietetics practice and is responsive to trends related to digital health care, social media and the evolving use of other technologies.

Definition of Terms

The Academy Definition of Terms List is a resource that houses terms, definitions, and key considerations to support the profession of nutrition and dietetics. The terms and definitions are used in a variety of ways including organization requirements, public policy development, regulations related to professional licensure, and as needed by academia, research, professional publications, employers, industry, and practitioners and members. As a reference document, the definitions serve as standardized language for consistent application in practice settings and Academy documents. The Definition of Terms webpage also includes a webinar, article, policy and form to suggest a new term or modification to an existing term.

Evidence Analysis Library®

The Evidence Analysis Library is a synthesis of the best, most relevant nutritional research on important dietetic practice questions housed within an accessible, online, user-friendly website. With over 40 systematic review topics and 20 evidence-based nutrition practice guidelines, the EAL® is free for Academy members.

Malnutrition Quality Improvement Initiative (MQii)

The MQii is a project of the Academy, Avalere Health, and other stakeholders who provide expert input through a nation-wide collaborative partnership. This Academy initiative encompasses several work streams to advance evidence-based, high-quality malnutrition care for patients who are malnourished or at-risk for malnutrition. The Academy as measure steward and developer supports RDN participation in the Centers for Medicare and Medicaid Services (CMS) quality payment incentive programs. The four electronic clinical quality measures (eCQMs) promote appropriate screening, assessment, diagnosis, and intervention with development of a care plan for malnourished adults. The set of measures now continues as the Global Malnutrition Composite Score (Composite Measure) and together with the MQii Toolkit, the Learning Collaborative, a community of hospitals and health systems, use these tools and resources to transform quality standards and performance of malnutrition delivery through shared learning of real-world approaches, best practices and data to identify remaining care gaps, reduce costs and improve patient outcomes. The Academy by partnering with two Qualified Clinical Data Registries (QCDRs) has also secured outpatient malnutrition quality measures for physicians and RDNs reporting as Medicare Part B providers, thereby increasing opportunity to participate in the Merit-Based Incentive Payment System (MIPS).

Nutrition Care Process (NCP)

Assessment, diagnosis, intervention, and monitoring and evaluation-is the NCP, a systematic multidirectional approach to support critical thinking and timely high-quality nutrition care using the best available evidence. The RDN makes decisions when addressing medical nutrition therapy and providing nutrition-related services.

Nutrition Research Network

Make your practice part of meaningful nutrition and dietetics research. This network brings practitioners and researchers together to identify and design research for real-world practice settings. NRN is open to all Academy members and no research experience is required to participate.

Nutrition Services Coverage

The Academy assists members by providing tools and resources to be successful at delivering high quality nutrition services and getting paid. Whether it is public or private payers, tools are available to market and support the business case for services provided by RDNs and NDTRs; understand changes in health care delivery and payment; and address essential information for compliance, business operations and coding, billing and payment for nutrition services.

Position Papers

An Academy of Nutrition and Dietetics' position paper is a critical analysis of current facts, data and research literature on a specific issue. A key feature of the paper is the position statement, which presents the Academy’s stance on the specific issue that impacts the public's nutritional status and is controversial, confusing, or requires professional clarification. As of 2019, all Academy position papers will be generated from EAL systematic reviews.

Quality Leader Alliance (QLA)

The members of the QLA network to educate food and nutrition professionals on quality management concepts and resources. Through the QLA efforts, the Academy developed Quality Improvement (QI) and Change Management Practice Tips that provide guidance to RDNs and NDTRs and include 30-minute virtual and pivot huddles or Quickinars recorded by QLA participants showcasing QI and Change Management projects.

Quality Management

The Academy assists members by providing quality management tools for safe, effective, person-centered care. Resources include national quality organization and accreditation updates for the Joint Commission, Healthcare Facilities Accreditation Program, Commission on Cancer, and the Public Health Accreditation Board, The Standards of Excellence Metric Tool helps RDNs and NDTRs evaluate their organization's programs, services and initiatives. Case Studies and Practice Tips explain steps for ordering privileges, health and wellness coaching, telehealth, cultural competence, laboratory ordering, and when to cosign in medical records.

Quality Strategies

The Academy's Quality Strategies focus on paralleling efforts with major players in the national quality arena to educate and empower members to be RDN and NDTR leaders in all healthcare delivery models. To advance member knowledge, an Infographic as well as the Quality Resource Collection with over 100 sources was developed. Quality Strategies Learning Modules with CPEU provide insight on national quality strategy trends with Quality Improvement Project examples available to RDNs and NDTRs to conduct quality improvement projects at their organizations. The Quality Improvement 101 Education Package assist educators, preceptors and practitioners with learning and teaching quality improvement basics.

Scope of Practice

The Academy has designed resources to help members understand and describe the Scope of Practice for credentialed nutrition and dietetics practitioners, including the Revised 2017 Scope of Practice for the RDN; Revised 2017 Scope of Practice for the NDTR; Scope of Practice Decision Algorithm, Learning Modules where practitioners can earn CPEU, and Definition of Terms list. Scope of Practice in nutrition and dietetics encompasses the range of roles, activities and regulations within which practitioners perform.

Standards of Practice and Standards of Professional Performance

The Academy offers SOP and SOPP articles and resources to help RDNs and NDTRs assess their individual performance needs. These tools describe competent levels of practice related to nutrition and dietetics care and services. They also serve as guides for self-evaluation and practice advancement, and although not regulations, they can be used by regulatory agencies to determine competence for credentialed nutrition and dietetics practitioners. In addition to the Revised 2017 SOP in Nutrition Care and SOPP for RDNs and Revised 2017 SOP in Nutrition Care and SOPP for NDTRs and Learning Modules, there are 17 focus area SOP and/or SOPP for RDNs on topics such as nutrition in integrative and functional medicine, diabetes care, eating disorders, and education of nutrition and dietetics practitioners.

Telehealth

The Academy has developed a telehealth practice resource webpage. It contains resources related to practicing telehealth, including a practice tip; information on policy, regulation, and payment; and guidance on technology and telehealth documentation. There is also a quick guide for RDNs about practicing telehealth in the context of the COVID-19 national public health emergency.