Global Malnutrition Composite Score

The Global Malnutrition Composite Score (GMCS) electronic clinical quality measure (eCQM), stewarded by the Academy of Nutrition and Dietetics, assesses the percentage of hospitalizations for adults aged 65 years and older prior to the start of the measurement period with a length of stay equal to or greater than 24 hours who received optimal malnutrition care during the current inpatient hospitalizations where care performed was appropriate to the patient's level of malnutrition risk and severity.

The Measures Specification Manual serves as a guide for practitioners to readily implement the malnutrition electronic clinical quality measures within their hospital systems. This manual provides an overview of the measures, specification of each measure including its rationale, available resources, and data element dictionary.

The GMCS incentivizes screening all older adults for malnutrition risk at hospital admission, assessing those found to be malnourished and at risk for malnutrition, documenting diagnosed malnutrition, and developing a nutrition care plan with implementing intervention and treatment before discharge which then follows patients as they transition to the next point of care setting.

Preceding the GMCS, the Academy developed four individual malnutrition eCQMs that were morphed into components for the GMCS. The below videos highlight RDN success stories with adopting eCQMs and messages from past Academy president(s) and stakeholders.

• MQii – Advancing Patient-Driven Care
• Expanding MQii Across the Continuum of Care
• MQii Transitions of Care
• MQii Success Stories
• MQii Leadership Message
• RDN Call to Action: MQii 

The table below lists the GMCS with the assigned NQF number and the downloadable specification file. Included is an HTML file detailing the measure specification, two XML files coded for hospital adoption into an electronic health record system, and an excel spreadsheet with corresponding informatics value sets.