Standards of Excellence Metric Tool

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What Is Standards of Excellence?

Standards of Excellence in Nutrition and Dietetics for an Organization is a self-assessment tool to measure and evaluate an organization's program, services and initiatives that identify and distinguish the Registered Dietitian Nutritionist (RDN) brand as the professional expert in food and nutrition. Quality in nutrition and dietetics is a measure of excellence. The RDN can't manage what he or she doesn't measure; and can't improve what he or she doesn't measure! The Quality Management Committee has developed four Standards of Excellence in Nutrition and Dietetics for Organizations:

  • Quality of Leadership
  • Quality of Organization
  • Quality of Practice
  • Quality of Outcomes

The four standards can be utilized in four practice segments: health care, education and research, business and industry, and community nutrition and public health. The purpose of the Standards of Excellence is to provide RDNs with a self-assessment tool to measure and evaluate their organization's programs, services and initiatives.

An organization can demonstrate Standards of Excellence in one of many ways…



What Is this Self-Evaluation Intended to Accomplish?

The self-evaluation Metric Scoring Tool will assist the organization in applying and implementing one or more of the strategies in the Standards of Excellence Indicators. The organization can use the Metric Scoring Tool to establish quality improvement projects.

An organization that champions the role of the RDN by applying the Standards of Excellence will realize a positive impact on many aspects of the organization. The organization, exceeding Standards of Excellence in Nutrition and Dietetics, will attract high-performing applicants, persuade administrators to accept innovative ideas, augment financial resources and target increased customer satisfaction and volume.

How to Take the Assessment

This test consists of 32 weighted questions. You will need approximately 50-60 minutes to complete the assessment. NOTE: If you leave the assessment without completing all the questions, your answers will NOT be saved and you'll need to begin again.

When you complete the assessment, you will receive your score on a page that you may print for future reference. Analyzing the score may demonstrate the need for your organization to complete further quality assessment in certain indicators leading to performance and process improvement projects as the ultimate goal is to administer safe and reliable services on a consistent basis.

You can preview the questions here and gather the resources needed to answer the questions to complete the assessment.

Please accept our terms and conditions to get started


Terms and Conditions

The Standards of Excellence Metric Tool (Tool) has been formulated for an organization's self-assessment to determine excellence in leadership, organization, practice and outcomes whereby indicating quality improvement projects as appropriate. The Standards of Excellence criteria apply to all practice segments of nutrition and dietetics: health care, education and research, business and industry, and community nutrition and public health. The Tool is designed to measure and evaluate an organization's program, services and initiatives that identify and distinguish the Registered Dietitian Nutritionist (RDN) brand as the professional expert in food and nutrition. The Tool does not constitute medical, professional or consultative advice, and should not be taken as such. The information presented in the Tool is not a substitute for professional judgment by the RDN and Nutrition and Dietetics Technician, Registered (NDTR), but rather an exercise in evaluation by the individual practitioner and his or her organization. The Academy of Nutrition and Dietetics is not responsible for an individual RDN or NDTR's actions or omissions based on use of the Tool. The user agrees to release and indemnify the Academy of Nutrition and Dietetics and its employees and agents from any liability arising from use of the Tool.

Copyright© 2018 Academy of Nutrition and Dietetics. The Standards of Excellence Metric Tool is intended for use by individual RDNs and NDTRs within organizations.

Contact Academy Quality Management for questions regarding reproduction or distribution at: quality@eatright.org

All registered dietitians are nutritionists, but not all nutritionists are registered dietitians. The Academy's Board of Directors and Commission on Dietetic Registration have determined that those who hold the credential Registered Dietitian (RD) may optionally use "Registered Dietitian Nutritionist" (RDN) instead. The two credentials have identical meanings. In this Standards of Excellence in Nutrition and Dietetics self-assessment tool, the Quality Management Committee has chosen to use the term RDN to refer to both the registered dietitian and registered dietitian nutritionist and the term NDTR to refer to both the dietetic technician, registered and nutrition (NDTR) and dietetics technician, registered (DTR).

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Standards of Excellence: Quality of Leadership

The organization values the education, skills, knowledge, applied judgment and attitudes the Registered Dietitian Nutritionist (RDN) brings to the leadership of the organization. The organization employs an RDN in a leadership role and the RDN holds a position of influence in the organization.

Rationale: Quality of Leadership includes leadership within the organization and the profession, volunteer leadership, individual honors and awards, transformational leadership, and mentorship.

Journal of the Academy of Nutrition and Dietetics: Using Academy Standards of Excellence in Nutrition and Dietetics for Organization Self-Assessment and Quality Improvement

1.1 Does the organization For purposes of Standard of Excellence criteria, "organization" means workplace or practice setting. employ RDNs in leadership positions?




1.2 Is the RDN-leader transformational?




1.3 Does the RDN-leader empower staff?




1.4 Does the RDN-leader value advancing practice and professional growth?




1.5 Is RDN leadership in the Academy, State or District Dietetic Association's valued?




1.6 Is RDN leadership in non-Academy organizations valued?




1.7 Are RDNs honored for their volunteer activities?




1.8 Is mentorship by RDNs valued?




Quality of Leadership score:

Percent completed:%

 

Quality of Leadership Resources To Consider:

  • Leadership: Leadership: Reflections over the past 100 years. Gregoire, Mary B. et al. Journal of the American Dietetic Association, Volume 104, Issue 3, 395 – 403.
  • Transformational: Transformational Leadership of Clinical Nutrition Managers. ARENSBERG, MARYBETH FOLTZ et al. Journal of the American Dietetic Association, Volume 96 , Issue 1 , 39 – 45.
  • RDN Staff: Clinical Nutrition Staffing Benchmarks for Acute Care Hospitals. Phillips, Wendy. Journal of the Academy of Nutrition and Dietetics, Volume 115, Issue 7, 1054 – 1056.
  • Academy and State: Networking Groups: Advancing Nutrition and Dietetics through Practice, Culture, and Geography. Stein, Karen. Journal of the Academy of Nutrition and Dietetics, Volume 113, Issue 2, 326 – 343.
  • Volunteer: Career Development in Nutrition and Dietetics: Carving Out Your Own Route. Stein, Karen. Journal of the Academy of Nutrition and Dietetics, Volume 112, Issue 10, 1533.
  • Mentorship: Instant Mentoring: Sharing Wisdom and Getting Advice Online with E-Mentoring. Lipscomb, Ryan. Journal of the American Dietetic Association, Volume 110, Issue 8, 1148.
  • SOP/SOPP: Academy of Nutrition and Dietetics: Standards of Professional Performance for Registered Dietitians (Competent, Proficient, Expert) in Clinical Nutrition Management. Clark, Krista M. et al. Journal of the Academy of Nutrition and Dietetics, Volume 112, Issue 10, 1662 - 1669.e17.

Copyright© 2018 Academy of Nutrition and Dietetics. The Standards of Excellence Metric Tool is intended for use by individual RDNs and NDTRs within organizations.

Contact Academy Quality Management for questions regarding reproduction or distribution at: quality@eatright.org

 

Standards of Excellence: Quality of Organization

The organization empowers the RDN to make decisions at the organizational level.

Rationale: The organization empowers RDNs through inclusion of RDNs in its strategic plans, performance improvement plan, internal and external programs, systems, and corporate culture.

Journal of the Academy of Nutrition and Dietetics: Using Academy Standards of Excellence in Nutrition and Dietetics for Organization Self-Assessment and Quality Improvement

2.1 How does the organization support the registered dietitian nutritionist credential?




2.2 How does the organization recognize the achievements of RDNs?




2.3 How satisfied are employees?




2.4 What is the turnover rate for RDNs, NDTRs, food and nutrition practitioners in the organization?




2.5 What is the organization's strategic plan?




2.6 How does the organization support research and education?




2.7 Pick how the organization best empowers RDN collaborations.




2.8 Pick how the organization supports quality and performance improvement. Performance Improvement (PI) focuses on individual performance to correct errors when safety thresholds are crossed. PI studies processes which intend to prevent or decrease the likelihood of problems by identifying areas of opportunity and testing new approaches to fix underlying causes of persistent problems.




2.9 How autonomous is the practice?




2.10 Organization provisions RDNs to develop a flexible staffing model appropriate for the work environment. How flexible is the staffing model?




2.11 How well does the organizational system support initiatives that affect RDNs, i.e. new technology, outcome management system and research?




Quality of Organization score:

Percent completed:%

 

Quality of Organization Resources To Consider:

Copyright© 2018 Academy of Nutrition and Dietetics. The Standards of Excellence Metric Tool is intended for use by individual RDNs and NDTRs within organizations.

Contact Academy Quality Management for questions regarding reproduction or distribution at: quality@eatright.org

 

Standards of Excellence: Quality of Practice

The organization provides quality nutrition and dietetic services utilizing RDN's and NDTR's professional expertise and understanding of the role of RDNs and NDTRs within the organization. RDNs are identified as leaders, accountable, and dedicated resources for nutrition and dietetics practice. The organization values Academy practice resources and makes them available for use by RDNs, NDTRs, and nutrition and dietetics practitioners.

Rationale: Quality nutrition and dietetics practice is built on a solid foundation of education, credentialing The process of reviewing, verifying, and evaluating a practitioner's credentials (i.e., professional education, clinical training, licensure, board and other certification, clinical experience, letters of reference, other professional qualifications, and disciplinary actions) to establish the presence of the specialized professional background required for membership, affiliation, or a position within a healthcare organization or system. The result of credentialing in an organizational setting is that a practitioner is granted membership in a medical staff. The practitioner is evaluated on an organizational or accreditation specific basis, usually every 2 years., evidence-informed practice, demonstrated competence, and adherence to established professional standards. RDNs and NDTRs provide quality nutrition and dietetics practice, which is safe, effective, timely, efficient, equitable, and customer The term customer is used in these Standard of Excellence criteria as a universal term. Customer could also mean client/patient, client/patient/customer, student, participant, consumer or any individual, group, or organization to which the registered dietitian nutritionist provides service reflecting the context of the situation and setting. Generally, these terms are used interchangeably with the actual term used in a given situation dependent on the setting and the population receiving care or services. In a clinical setting, the terms client/patient are commonly used. Use of "customer" is not intended to imply monetary exchange. -centered.

Journal of the Academy of Nutrition and Dietetics: Using Academy Standards of Excellence in Nutrition and Dietetics for Organization Self-Assessment and Quality Improvement

3.1 Does the organization integrate Scope of Practice "Legal scopes of practice for the health care professions establish which professionals may provide which health care services, in which settings, and under which guidelines or parameters. With few exceptions, determining scopes of practice is a state-based activity. State legislatures consider and pass the practice acts, which become state statute or code., Standards of Practice and Standards of Professional Performance?




3.2 Do organization RDNs participate in continuing education or professional development programs to maintain competency? A competency is a synthesis of knowledge, skills, abilities, behaviors and other characteristics an individual must demonstrate in order to perform work roles or occupational functions successfully




3.3 Are organization RDNs involved in policy and advocacy? Advocacy means a wide range of activities conducted to influence decision makers at various levels. This definition intentionally includes not only traditional advocacy work like litigation, lobbying, and public education, but also capacity building, network formation, relationship building, communication, and leadership development.




3.4 Are organization RDNs involved in research?




3.5 How many of the following Academy resources do organizational RDNs use: Evidence Based Practice (EBP) Guidelines and Toolkits; Evidence Analysis Library (EAL); Standardized Language - Terminology for electronic health records (eNCPT); Health Informatics Infrastructure (ANDHII); and Nutrition Care Manual® (NCM), Pediatric Nutrition Care Manual® (PNCM) or Sports Nutrition Care Manual® (SNCM)?




3.6 Are organizational RDNs considered experts in quality improvement Quality Improvement (QI) uses techniques to assess and improve internal operations. QI focuses on organizational systems to improve quality which involves setting goals, implementing systematic changes, measuring outcomes and making subsequent improvements. and performance improvement Performance Improvement (PI) focuses on individual performance to correct errors when safety thresholds are crossed. PI studies processes which intend to prevent or decrease the likelihood of problems by identifying areas of opportunity and testing new approaches to fix underlying causes of persistent problems. ?




3.7 Who in the organization uses Academy resources?




3.8 Do organization RDNs engage in internal or external partnerships?




Quality of Practice score:

Percent completed:%

 

Quality of Practice Resources To Consider:

Copyright© 2018 Academy of Nutrition and Dietetics. The Standards of Excellence Metric Tool is intended for use by individual RDNs and NDTRs within organizations.

Contact Academy Quality Management for questions regarding reproduction or distribution at: quality@eatright.org

 

Standards of Excellence: Quality of Outcomes

The organization measures nutrition-sensitive outcomes to document performance, value and satisfaction, and uses the outcomes to refine its continuous performance improvement plans.

Rationale: Quality practice requires systematic measurement of outcomes, regular performance evaluations and continuous improvement. The organization values excellence and continuously strives to measure and improve performance of RDN and NDTR in delivering safe and timely nutrition and dietetics services that are effective in producing positive outcomes for the patient, client, student, education program or business.

Journal of the Academy of Nutrition and Dietetics: Using Academy Standards of Excellence in Nutrition and Dietetics for Organization Self-Assessment and Quality Improvement

4.1 Pick the appropriate client outcome.




4.2 How are process outcomes established to enhance the RDN area of practice through use of quality improvement tools?




4.3 How are key performance indicator (KPI) A key performance indicator (KPI) is a business metric used to evaluate factors that are crucial to the success of an organization. KPIs differ per organization; business KPIs may be net revenue or a customer loyalty metric, while government might consider unemployment rates. metrics used to compare and evaluate success?




4.4 How is the overall quality improvement?




4.5 How sustainable is the structural outcome?




Quality of Outcomes score:

Percent completed:%

 

Quality of Outcomes Resources To Consider:

  • What Are Standardized Clinical Assessment and Management Plans (SCAMPS)? Peregrin, Tony. Journal of the Academy of Nutrition and Dietetics, Volume 113 , Issue 11 , 1438 – 1439.
  • A Novel Approach to Gathering and Acting on Relevant Clinical Information: SCAMPs. Rahul H. Rathod, MD*, Michael Farias, MS†, Kevin G. Friedman, MD*, Dionne Graham, PhD*, David R. Fulton, MD*, Jane W. Newburger, MD, MPH*, Steven Colan, MD*, Kathy Jenkins, MD, MPH*, and James E. Lock, MD*. Department of Cardiology, Children's Hospital Boston, and Department of Pediatrics, Harvard, Medical School, Boston, Mass, USA. Congenit Heart Dis. 2010 ; 5(4): 343–353.
  • Standardized Clinical Assessment And Management Plans (SCAMPs) Provide A Better Alternative To Clinical Practice Guidelines. Michael Farias, Kathy Jenkins, James Lock, Rahul Rathod, Jane Newburger, David W. Bates, Dana G. Safran, Kevin Friedman and Josh Greenberg. Health Affairs, 32, no.5 (2013):911-920.

Copyright© 2018 Academy of Nutrition and Dietetics. The Standards of Excellence Metric Tool is intended for use by individual RDNs and NDTRs within organizations.

Contact Academy Quality Management for questions regarding reproduction or distribution at: quality@eatright.org

 

Standards of Excellence Summary

Standard Raw Score Total
Possible
Remarks
Quality of Leadership
33
Quality of Organization
45
Quality of Practice
42
Quality of Outcomes
45
Total for all Standards
165

 

General Resources To Consider:

Copyright© 2018 Academy of Nutrition and Dietetics. The Standards of Excellence Metric Tool is intended for use by individual RDNs and NDTRs within organizations.

Contact Academy Quality Management for questions regarding reproduction or distribution at: quality@eatright.org