Optimal nutritional care for all Prevalence DRM Hospital

Optimal nutritional care for all Prevalence DRM Hospital Care home Community 46% 24% 13% Public health Spain/ Reimbursement Hospital Care home Community Malnutrition National nutrition plan PN Cost DRM Education Presence Engagement Multi-stakeholder PEN Audit Implementation Discharge management Intervention Discharge management Stakeholder groups Dietitians Pharmacists Screening Value of intervention Undergrad Postgrad Nurses Hospital Care home Community Oncology Care home Hospital Care home Community Medics Guidelines ICU Economic data Policy and standards Standards/ quality indicators Hospital ONS Tube Screening policy Nutrition Day Services Public awareness Hospital Care home Community / 45, 831. 123 inhab. / 09 -10 -2018 Trained Staff Hospital Care home Community Screening Ger Medicine Paediatricians Patients Dietitians Nurses Pharmacists General practice Hospital Care plan Health insurance Medical nutrition Industry Discharge management Media Politicians

Optimal nutritional care for all Prevalence DRM Provide % DRM risk per healthcare setting if available Public health National Regional/local None Policy and standards Sound legal basis with implementing measures Soft policy/standards None Reimbursement >80% reimbursement Regional reimbursement, insurance company specific, or co-pay No reimbursement (100% self-pay) Education Mandatory Optional/regional Nutrition Day > 1000 patients + very effective Small/moderate + moderate None + limited Economic data National data Local data Limited/no data Stakeholder groups Presence Established national group Regional group None Limited/no group Implementation Engagement Guidelines Screening + care pathways Structural, > 80% Focus on DRM/ nutritional care Local, 20 -80% Peripheral interest Partial guidelines None Limited, < 20% Limited/no interest