Thank you to all our ‘second round’ testers; please find below the 2nd of our 4 update reports on the testing.

With this next round of testing of the BAPEN malnutrition measurement tool we have now received a total of 151 responses, an increase of 17 responses since the 4th November update.  There are still only 17 records incomplete.

The feedback from the additional responses this week are in line with themes in the previous testing phase and thus no further changes have been made in addition to those outlined below up to the 4th November (which are included again for reference).  The survey will continue to be available for testing at the same link as previously:

https://www.surveymonkey.com/s/BAPEN_test

Throughout this testing phase we will be collating suggestions for additional questions for inclusion and then asking testers for their comments on what they would like to see added to the tool.  Look out for a survey in December!

Analytics – we need your views.

As the measurement tool develops we are keen to develop an initial set of metrics to present as analytical visualisations on the final web tool version.  A question has been included in the current Survey Monkey version in order to gauge what the initial suite of metrics might be.  The results are shown in the table below; there is support for all of the metrics that we suggested with clear preferences for analysing the process elements and less support for the outcome based measures, including the patient feedback questions.

Indicator Proportion
Proportion of patients screened (with MUST) on admission 27.3%
Correlation between MUST score and length of stay 26.7%
Correlation between length of stay and weight loss 26.0%
Proportion of patients with nutritional care plan-documented 26.0%
Proportion of patients with nutritional care plan-delivered 26.0%
Proportion of patients re-screened (with MUST) at appropriate interval 24.7%
Proportion of patients with MUST scores of 0, 1 and 2+; split by setting, age and gender 20.0%
Correlation between MUST score and weight loss 20.0%
Proportion of patients with >10% weight gain, no weight change and >10% weight loss; split by setting, age and gender 18.0%
Demographic indicators (proportion of patients in specific age bands, settings etc.) 14.7%
Proportion of patients with negative patient feedback responses; split by setting, age and gender
12.0%
Proportion of patients with positive patient feedback responses; split by setting, age and gender 10.0%

Please test the tool and complete the questions regarding the analytics you want to see on the final web tool version.

Changes made in response to first wave of feedback (up to 4th November 2014):

  1. Explicit notes of the following added to the front page of the survey:
    a. This survey is not suitable for surveying patients or clients who are being cared for in their own homes.
    b. This survey is not suitable for surveying patients or clients in an outpatient (clinic) setting.
    c. The tool has been explicitly designed for use with adult patients and clients only.
  2. Deletion of the ‘patient reference’ question
  3. Additional checkbox for oedema in patients/clients who are identified with renal, liver or heart failure diagnoses
  4. Simplification of the questions with regard to weight, and inclusion of a checkbox to indicate whether weight and weight loss has been estimated or not
  5. Addition of an e-mail address field to enable ongoing contact with testers