A new system of documentation to improve dietitian – physician crosstalk

Shelly Rachman-Elbaum, Aliza H. Stark, Josefa Kachal, Teresa W. Johnson, Bat Sheva Porat-Katz*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: Standardization of the dietetic care process allows for early identification of malnutrition and metabolic disorders, interdisciplinary collaboration among the medical team, and improved quality of patient care. Globally, dietitians are adopting a nutrition care model that integrates national regulations with professional scope of practice. Currently, Israel lacks a standardized dietetic care process and documentation terminology. Objectives: To assess the utilization of a novel sectoral documentation system for nutrition care in Israel. Methods: Seventy dietitians working in 63 geriatric facilities completed an online training program presenting the proposed patient-sectoral-model. Training was followed by submission of sample case studies from clinical practice or completion of a case simulation. Application of the proposed model was assessed by measuring the frequency participants implemented different sections of the model and responses to an approval questionnaire. Results: Fifty-four participants (77%) provided completed cases. Over 80% of participants reported each step of the proposed dietary care process with 100% reporting the “nutrition diagnosis”. Fifty-one dietitians (72.8%) completed the approval survey with the section on nutrition diagnosis receiving a highly favorable response (95%), indicating that the new documentation system was beneficial. Over 80% of participants rated the model useful in clinical practice. Conclusions: A sectoral approach for documenting dietetic care may be the ideal model for dietitians working in specific patient populations with the potential for improving interdisciplinary collaboration in patient care.

Original languageAmerican English
Pages (from-to)360-364
Number of pages5
JournalIsrael Medical Association Journal
Issue number6
StatePublished - Jun 2017

Bibliographical note

Publisher Copyright:
© 2017, Israel Medical Association. All rights reserved.


  • Geriatrics
  • Interdisciplinary patient care
  • Long-term care facility (LTCF)
  • Malnutrition
  • Nutrition care process (NCP)


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