Nutrition Stewardship Program

Malnutrition in hospitalized patients is often under-recognized, leading to delayed intervention and poorer clinical outcomes. To address inconsistent nutrition monitoring, a standardized, digitally documented Nutrition Stewardship Program (NSP) was implemented for early identification, monitoring, and management of nutritionally at-risk patients.

1. To identify hospitalized patients at nutritional risk through nutritional screening within 24 hours of admission.
2. Monitor dietary intake.
3. Provide timely individualized nutrition interventions.
4. Improve nutritional adequacy.
5. Reduce nutritional risk.
6. Shorten hospital stay.
7. Reduce readmission risks.
8. Improve clinical outcomes.

The Nutrition Stewardship Program (NSP) is a hospital-wide quality improvement initiative that uses Nutritional Risk Screening-2002 (NRS-2002) and dietary intake monitoring to enable early identification, assessment, and individualized management of nutritionally at-risk inpatients.

Implementation Period: November 2025 – Ongoing

Tools Used:

• Nutritional Risk Screening-2002 (NRS-2002) for nutritional risk screening.
• Nutrition documentation and daily dietary intake monitoring.
• Scheduled 7-day nutritional reassessment.

Nutrition intake adequacy improved from 50% to 84%.

27.9% improvement in risk scores nutritional status.

Enhanced continuity of nutrition care and patient monitoring.

Improved patient recovery and health-related quality of life.

Reduced oral intake due to illness, treatment, or NPO status, and difficulties in nutritional assessment of critically ill or uncooperative patients.

Early nutrition screening improves outcomes. Standardized monitoring enhances care quality. Multidisciplinary collaboration drives success. The NSP model is scalable and replicable.