Malnutrition Gains National Attention
Transcription
Malnutrition Gains National Attention
FEAT URE Malnutrition Gains National Attention PAGE 01 AU G U ST / S E P T E MB E R 2 015 VO LU ME 0 4 | ISSU E 0 2 Malnutrition Gains National Attention A.S.P. E.N. DEVELOPING NEW AND UPDATED RESOURCES CLI NIC A L NUTRIT ION WEEK 2 016 Save the Date for CNW16 PAGE 03 In 2009, A.S.P. E.N. recognized a need for greater awareness of malnutrition, a common problem for hospitalized patients in the U.S. In some studies, 30 to 50 percent of patients become malnourished, often during a hospital stay. Because malnutrition is associated with unfavorable outcomes, including higher infection rates, poor wound healing, longer lengths of stay, and higher frequency of readmission, A.S.P. E.N. decided to take significant steps toward making change. In just a few short years, the Society has succeeded in bringing national attention to this critical health issue and continues to roll out educational products and services designed to help mobilize the healthcare community and caregivers. A.S.P. E.N. NUTRITION CARE PATHWAYS RESOURCES A.S.P. E.N. Library of PN Resources Grows PAGES 04—05 Our newest tools will be interactive, web-based care pathways for both adult and pediatric patients. The pathways will be designed as an algorithm-based decision tree, beginning with patient admission and walking clinicians through a series of questions that will help them evaluate and assess whether malnutrition is present. If it is, the care pathway will provide a series of actions, including determining severity, chronicity, and etiology; documentation; coding; intervention; monitoring and evaluating; reassessment; and discharging planning. The end goal is to provide clinicians with a step-by-step guide for providing optimal nutrition care. “Throughout the care pathways, users will be able to access other malnutrition tools for further support,” said Peggi Guenter, PhD, RN, FAAN, A.S.P. E.N.’s senior director of clinical practice, quality, and advocacy. “It will serve as an interactive toolkit, with decision points and interventions at every step of patient care. It will be the first of its kind to help counteract the incidence of malnutrition in hospitalized patients.” We plan to have the Nutrition Care Pathways and comprehensive resource center completed for both adults and pediatrics by late summer 2015. RAISING AWARENESS Meanwhile, we have made huge strides over the past year in raising awareness and bringing national attention to this important health topic. In 2014, A.S.P. E.N. petitioned the U.S. Department of Health and Human Services to place Malnutrition Awareness Week™ (MAW) on its National Health Observances calendar, which serves to dedicate special days, weeks, or months to a specific health concern. A .S.P.E.N. NEWS Meet A.S.P. E.N.’s 2015–2016 President PAGE 07 C O NTI N U E D O N PAG E 0 6 THE A.S.P.E.N. BOOKSTORE ESSENTIAL RESOURCES ON CLINICAL NUTRITION PAGE 03 A.S.P.E.N. Parenteral Nutrition Handbook Second Edition The A.S.P.E.N. PEDIATRIC NUTRITION SUPPORT CORE CURRICULUM Phil Ayers, PharmD, BCNSP, FASHP Beverly Holcombe, PharmD, BCNSP, FASHP Steve Plogsted, PharmD, BCNSP, CNSC Peggi Guenter, PhD, RN Clinical Nutrition Week (CNW) is all about having choices, whether it’s by discipline or skill set, years of expertise, or need for practice-based course content versus advanced research. And CNW16—January 16 – 19, 2016—will offer a Texas-sized platter of choices for all of its attendees at the Austin Conference Center! 2nd Edition EDITOR-IN-CHIEF Mark R. Corkins, MD, CNSP, SPR, FAAP SECTION EDITORS Jane Balint, MD • Elizabeth Bobo, MS, RD, LDN, CNSC • Steve Plogsted, PharmD, BCNSP, CNSC • Jane Anne Yaworski, MSN, RN This newly revised book focuses on the pediatric patient and the importance of nutrition to the growth and development of children. BONUS: Free online podcasts and videos! This interdisciplinary go-to quick reference guide on parenteral nutrition features the latest PN information and new sections on order review, compounding, and drug shortage management. An essential resource for all professionals involved in nutrition support for the adult patient. Test-your-knowledge questions make this an ideal CNSC and classroom study companion. Member: $144.95 Non-Member: $189.95 Member: $34.95 Non-Member: $49.95 Member: $169.95 Non-Member: $214.95 A.S.P.E.N. Parenteral Nutrition Workbook The A.S.P.E.N. Cases and Worksheets for Adult, Pediatric, and Neonatal Patients PEDIATRIC NUTRITION SUPPORT HANDBOOK 2nd Edition EDITOR-IN-CHIEF IMPLEMENTING THE LATEST MALNUTRITIO GUIDELINES! N CLINICAL NUTRITION POCKET CARDS Mark R. Corkins, MD, CNSP, SPR, FAAP SECTION EDITORS Jane Balint, MD Elizabeth Bobo, MS, RD, LDN, CNSC Kelly Green Corkins, MS, RD, LDN, CNSC Steve Plogsted, PharmD, BCNSP, CNSC Jane Anne Yaworski, MSN, RN M. Petrea Cober, PharmD, BCNSP Karrie Derenski, PharmD, BCNSP, CNSC Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN Jessica Monczka, RD, LDN, CNSC Based on A.S.P.E.N. Adult Nutrition Support Clinical Guidelines and Other Documents LEADING THE SCIENCE AND PRACTICE OF CLINICAL NUTRITION American Society for Parenteral and Enteral Nutrition New Coming Soon Coming Soon Coming Soon Concise and portable, this handbook contains need-to-know, on-the-go pediatric nutrition support information for a variety of disciplines and practice backgrounds. This pack of cards will fit nicely and conveniently in your pocket while you’re visiting patients and need to reference highlights from A.S.P. E.N.’s Clinical Guidelines at the bedside. You simply will not find a more comprehensive, quick-reference resource on how to safely and effectively care for your patients who have fluid, electrolyte, and acid-base disorders. Enhance your knowledge base of safe PN practices by using the cases and worksheets for adult, pediatric, and neonatal patients featured in this workbook. Member: $39.95 Non-Member: $54.95 Member: $12.95 Non-Member: $16.95 Member: $39.95 Non-Member: $54.95 Member: $39.95 Non-Member: $54.95 Order now through the A.S.P.E.N. bookstore: www.nutritioncare.org/bookstore Long known as THE must-attend conference of the year, CNW16 will serve up cutting-edge research and best practices; education that will help you care for your patients while saving your institution time and money; opportunities to network with world-renowned thought leaders; and tips on raising awareness of the significance of clinical nutrition. Session topics and faculty are still in development, but several highlights are already confirmed: • Advance-level, critical care Research Workshop on Fat Emulsions and Protein Delivery to the Critically Ill Patient. • Preconference course topics include: -- Parenteral Nutrition (PN) Order-Writing Workshop -- Excellence in Pediatric Nutrition Support -- Critical Care: Applying Evidence to Practice -- Physical Examination Skills Lab • Education sessions on timely topics, including: -- Nutrition Metabolomics in Critical Illness -- The Trend to Blend -- Vitamin D Trials and Tribulations -- Maintaining Healthy Circadian Rhythms in the ICU (Chronically Critically Ill) -- Manipulation of the Gut Microbiome to Improve Health Outcomes World-class education isn’t the only thing CNW16 has to offer: Austin, Texas, offers its visitors a unique combination of southwestern culture, stunning outdoor settings, a big-city vibe, and more than 250 music venues that have given it “live music capital of the world” status. Make plans today to visit this unforgettable capital city! REGISTRATION OPENS AUGUST 3, WITH EARLY BIRD RATES GOOD UNTIL NOVEMBER 11. TO REGISTER FOR CNW16, AND FOR MORE INFORMATION, VISIT WWW.NUTRITIONCARE.ORG/CNW. CALL FOR ABSTRACTS! Be a part of CNW16 by submitting a basic science, clinical research, or practice abstract. Original, international, and encore abstracts are being accepted through September 8. Late-breaking abstracts will be accepted from September 14 to October 5. Please visit www.nutritioncare.org/abstracts for more information. A.S.P.E.N. RHOADS RESEARCH FOUNDATION DOUBLING GRANTS IN 2016 The Foundation is now accepting proposals for seven grants, with the recipients being recognized at CNW16. For the first time, a $50,000 PN grant and two $10,000 grants are inlcuded in the total available grants, which will each provide a unique opportunity for newer investigators to obtain national Foundation funding. Learn more about all seven grants and how to submit a proposal at www.nutritioncare.org/ foundation. PAGE 04 PAGE 05 A.S.P. E.N. Library of PN Resources Grows Parenteral nutrition (PN) safety has long been a priority for A.S.P. E.N., with education at the forefront of the Society’s strategy for advancing the best evidence-based practices. This focus on safe PN therapy for all age populations and disease states is due in large part to PN’s prevalence: Approximately 320,000 patients during hospital stays in the U.S. receive PN, while many others receive it at home and in alternative care settings.1 Only 58 percent of organizations have precautions in place to prevent errors and patient harm associated with PN2; 44 percent don’t track PN–related medication errors; and only 39 percent have a recognized clinical effectiveness or quality improvement process for PN.3 Yet, the fact that PN is administered in a broad range of healthcare settings raises the potential for disparities to exist at all stages of its use — from prescribing, reviewing, and compounding to administration. PN is a high-alert medication, and deaths have occurred when safe practice guidelines were not followed.4 To counteract these realities, A.S.P. E.N. continues to introduce a variety of new and updated resources—all focused on improving competencies and, as a result, improving patient care in all settings. STANDARDIZED COMPETENCIES FOR PN PRESCRIBING NCP Nutrition in Clinical Practice Volume 30 • Number 4 • August 2015 NUTRITION THERAPY IN CHRONIC DISEASE STATES Oral Diets and Nutrition Support for Inflammatory Bowel Disease: What Is the Evidence? On June 15, A.S.P. E.N.’s highly anticipated paper, “Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Parenteral and Enteral Nutrition Model,” went live on NCP’s website and can be accessed via www. nutritioncare.org/pnresources. Enteral Nutrition in Chronic Liver Disease: Translating Evidence Into Practice The paper highlights many of the issues that have made the PN process so error-prone: PN formulations, for example, sometimes contain more than 40 ingredients, while nutrient Peer-reviewed, practical solutions in clinical nutrition dosing may follow a number of different formats (amount per day, amount per volume, or amount per liter). The majority of PN orders are communicated in handwriting over electronic order entry, and for transitions in patient care, PN orders are communicated by a number of individuals, including the case manager, dietitian, nurse, pharmacist, or physician. It’s perhaps no surprise, then, that compared with most other medications, ordering PN varies most considerably between organizations. Nutrition Management of Cystic Fibrosis in the 21st Century Inherited Metabolic Disorders: Aspects of Chronic Nutrition Management Nutrition Considerations in Duchenne Muscular Dystrophy PN ORDER-WRITING WORKBOOK A.S.P.E.N. COMING SOON! PRE-ORDER TODAY! It’s never been easier to learn parenteral nutrition (PN) order writing, with A.S.P. E.N.’s newest workbook, A.S.P. E.N. Parenteral Nutrition Workbook: Cases and Worksheets for Adult, Pediatric, and Neonatal Patients. Packed with 12 case studies highlighting common clinical presentations for all age populations, clinicians at every level of experience will gain hands-on practice for prescribing and writing safe PN orders. The appendix material includes definitions and terms; phrases; explanations of how calculations are derived; sample workbook-style fillable order forms; and other pertinent background information needed for a working understanding of the content. The workbook includes the most up-to-date guideline recommendations, including information from the 2014 A.S.P. E.N. Clinical Guidelines for Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing. The Parenteral Nutrition Workbook is due out in the fall; pre-order today at www.nutritioncare.org/pnresources. Parenteral Nutrition Workbook Cases and Worksheets for Adult, Pediatric, and Neonatal Patients M. Petrea Cober, PharmD, BCNSP Karrie Derenski, PharmD, BCNSP, CNSC Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN Jessica Monczka, RD, LDN, CNSC LEADING THE SCIENCE AND PRACTICE OF CLINICAL NUTRITION American Society for Parenteral and Enteral Nutrition Can Hypocaloric, High-Protein Nutrition Support Be Used in Complicated Bariatric Patients to Promote Weight Loss? A Call to Action to Bring Safer Parenteral Micronutrient Products to the U.S. Market Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Parenteral and Enteral Nutrition Model ncp.sagepub.com ISSN: 0884-5336 ON-DEMAND WEBINAR: PN PRESCRIBING AND ELECTRONIC HEALTH RECORD SYSTEMS This online session, which was first presented in March by the A.S.P. E.N. Clinical Nutrition Informatics Committee, presents important information about parenteral nutrition (PN) prescribing, using two large Electronic Health Records (EHR) systems, and the tenets and challenges with order writing this complex therapy within hospitals. To help counteract these variations, the paper outlines what a model program—based on excellent communication—looks like and leads readers through a series of competencies and an evaluative checklist. The goal, of course, is for institutions to more easily establish and implement a standardized privileging system for PN prescribing. Speakers Michael Kraft, PharmD, BCNSP; Vicki Ross, RN, PhD, CNSC; and Vincent Vanek, MD, FACS, FASPEN, also share their experiences with working with EHR vendors and modifications needed to make their systems successful. To view the A.S.P. E.N. Clinical Nutrition Informatics Webinar: PN Prescribing and Electronic Health Record Systems, visit www.nutritioncare.org/PNResources. The webinar is free for A.S.P. E.N. members. The paper will be published in the print issue of NCP in August. A.S.P. E.N. also published a paper titled “Parenteral Nutrition Safety Consensus Recommendations” in the Journal of Parenteral and Enteral Nutrition (JPEN), in March 2014, as well as clinical guidelines on PN ordering, order review, compounding, labeling and dispensing—both of which are now two of the top most-downloaded articles in recent years. These important resources are designed to help individuals and institutions apply best practices, implement standards, and improve competencies—which allow us to do the most important thing of all: improve patient care. UPDATED! An A.S.P.E.N. best seller since 2009, the A.S.P. E.N. Parenteral Nutrition Handbook, 2nd Edition, is a fully revised, interdisciplinary reference on parenteral nutrition (PN). New material includes sections on order review, compounding, and drug shortage management. There’s something for everyone involved in caring for patients receiving PN therapy, from the novice to the advanced practitioner. PN SAFETY SERIES AND CERTIFICATE OF TRAINING PROGRAM A.S.P.E.N.’s popular training series, developed to educate all members of the healthcare team who work with PN to optimize their knowledge base of safe PN practices, is available on demand! Access the archived content, claim CE credit, and receive a certificate of training at a time that is convenient for you. Learn more at www.nutritioncare.org/pnresources. Order online at www.nutritioncare.org/bookstore. Ask us about bulk discounts. REFERENCES 1. National Inpatient Sample (NIS) of the Healthcare Cost and Utilization Project (HCUP) from the Agency for Healthcare Research and Quality (AHRQ). http://hcupnet.ahrq.gov/ 2. Institute for Safe Medication Practices. Results of ISMP survey on high alert medications. ISMP Medication Safety Alert! 2012;7(3):1-4. 3. Boullata J, Guenter P, Mirtallo J. A parenteral nutrition use survey with a gap analysis. JPEN J Parenter Enteral Nutr. March 2013 37:212-222. 4. Mirtallo J, Canada T, Johnson D, et al; A.S.P.E.N. Board of Directors and Task Force for the Revision of Safe Practices for Parenteral Nutrition. Safe practices for parenteral nutrition [published correction appears in JPEN J Parenter Enteral Nutr. 2006;30:177]. JPEN J Parenter Enteral Nutr. 2004;28:S39-S70. 5. Boullata JI, Guenter P, Mirtallo JM. A parenteral nutrition use survey with gap analysis. JPEN J Parenter Enteral Nutr. 2013;37(2):212–222. PAGE 07 PAGE 06 MALNUTRITION AWARENESS WEEK TM Meet A.S.P. E.N.’s 2015 – 2016 President, Gordon S. Sacks, PharmD, FCCP, BCNSP SEPTEMBER 28 – OCTOBER 2, 2015 WWW.NUTRITIONCARE.ORG/MAW and doctors; that was a unique experience for me, and I like to interact with patients, so I fell in love with the specialty area, and I’ve been involved with A.S.P. E.N. ever since. Mark your calendars for the week of September 28, and get ready to participate in our fourth annual Malnutrition Awareness Week™! This year’s program promises to be one of our best yet, with a full schedule of webinars and virtual chats with experts from diverse healthcare settings, all designed to increase clinicians’ knowledge about malnutrition and provide participants with additional resources for detecting malnutrition. The following webinars and chats with the experts will be offered: • MONDAY, SEPTEMBER 28: 4:00 – 5:30 P.M. FREE FOR MEMBERS ONLY Webinar: Addressing Pediatric Malnutrition, A Carepath from Admission to Discharge* • TUESDAY, SEPTEMBER 29: 1:00 – 2:00 P.M. FREE FOR MEMBERS AND NONMEMBERS Chat With The Experts: Pediatric Malnutrition—Connections in the Community • WEDNESDAY, SEPTEMBER 30: 4:00 – 5:30 P.M. FREE FOR MEMBERS ONLY Webinar: Adult Malnutrition—Tools and Algorithms to Optimize Early Recognition and Malnutrition* • THURSDAY, OCTOBER 1: 1:00 – 2:00 P.M. FREE FOR MEMBERS AND NONMEMBERS Chat With The Experts: Adult Malnutrition—Connections in the Community * Continuing Education (CE) credits offered. Non-members can access the webinars for $19 during pre-registration dates, or for $29 within 72 hours of the webinar. C O N T I N UE D FROM PAGE 01 Our petition was accepted, and we are pleased that MAW is featured on the 2015 calendar. Its placement there will direct even more attention to malnutrition, as well as increase recognition nationwide that it can pose a serious threat to patient health. A.S.P. E.N. also took the lead last year on formally requesting that The Joint Commission consider recognizing disease-related malnutrition as a National Patient Safety Goal. We will learn the outcome of our request after the Commission’s Patient Safety Advisory Group meets; if malnutrition is made a National Patient Safety Goal, additional standards may be written to assist accredited hospitals to deliver optimal nutrition care. A position paper on this topic was also accepted for publication in The Joint Commission’s publication, The Joint Commission Journal on Quality and Patient Safety, and should be out shortly. We will continue to track this issue closely and will continue to lead the effort to put malnutrition in the forefront. ONLINE & PRINT RESOURCES A.S.P. E.N. is updating its popular Malnutrition Toolkit, ensuring that healthcare professionals can quickly access the latest articles; tools; educational opportunities; and websites to screen, assess, and diagnose malnutrition. If you haven’t accessed the online Toolkit recently, now is the time! Visit www.nutritioncare.org/MalToolkit. Malnutrition awareness resources directed to the public, such as family members and caregivers of those at risk for malnutrition, are also available. Help empower consumers at your institution with these powerful and informative posters for adult and pediatric malnutrition, which can be downloaded from www.nutritioncare.org/posters. DON’T DELAY—GET INVOLVED! Get your chapter or institution in on Malnutrition Awareness WeekTM offerings. Here are the top five ways to participate: 1 R egister for a Malnutrition Awareness Week™ webinar as a chapter or site and invite as many people as you want, both members and nonmembers, to participate for CE credit. 2 F ill out the customizable PDF resolution template at www.nutritioncare.org/ MAWResolution/ and petition your state legislature to recognize Malnutrition Awareness Week™. 3 Identify an expert in your chapter or institution to lead your own “Ask the Experts” in-person session. 4 O rganize a campaign to distribute and post A.S.P. E.N.’s malnutrition posters in your institution. 5 G et active on ASPENConnect and social media (use the hashtag #MAW2015) to ask questions and share best practices with colleagues all over the world. FOR MORE INFORMATION ABOUT HOW YOU CAN GET INVOLVED WITH MALNUTRITION AWARENESS WEEK , INCLUDING HOW TO ACCESS COMPLIMENTARY RESOURCES AND REGISTER FOR THE EDUCATIONAL EVENTS, VISIT WWW.NUTRITIONCARE.ORG/MAW. TM 2015-2016 A.S.P.E.N. President Gordon S. Sacks, PharmD, FCCP, BCNSP On June 1, the 2015-2016 A.S.P. E.N. Board of Directors began their terms, with Gordon S. Sacks, PharmD, FCCP, BCNSP, leading the Society as our new president; eight members continuing their service; and three new members joining the Board. Dr. Sacks is department head and professor at the Harrison School of Pharmacy at Auburn University, in Auburn, Ala. He has been a board-certified Nutrition Support Pharmacist since 1995 and an active member and leader within A.S.P. E.N., serving as president of two A.S.P. E.N.state chapters (Mississippi and Wisconsin) and chair of four committees. He has served on the Board of Directors for the past three years and on the editorial board of NCP from 1998 to 2012, including as an associate editor between 2003 and 2012. Read on for an overview of what Dr. Sacks hopes to accomplish this year. Q: What drew you to A.S.P. E.N., and why did you decide to lead? A: I became a member during a nutrition support research fellowship at the University of Tennessee Health Science Center, Memphis, Tennessee, from 1992 to 1994. When I was working with Rex Brown, an active A.S.P.E.N. pharmacy member, and Ken Kudsk, a surgeon and former A.S.P.E.N. president, I attended my first Clinical Nutrition Week (CNW) in 1992 and presented research. Rex introduced me to other involved pharmacists, and I quickly realized CNW and the Society provided an excellent opportunity to network and learn more about the pharmacists’ role in nutrition support. At that time, pharmacists were ‘down in the basement’ dispensing prescriptions. Being part of a nutrition support team meant going up on the floor and talking with patients I decided to take on leadership positions because if you really want to have an impact, you need to be at the table to craft policies and procedures. Because of my interest in nutrition support, and my desire to advance the profession, I got involved in a lot of committees and task forces. But I didn’t easily ascend to this position today, and that’s an important part of the story too. I applied to be on the Board several times but wasn’t selected. It took time to understand the process, but if you’re passionate about something, find out what qualities and prerequisites they’re looking for, and then go after it! Don’t give up! Q: What do you see as the most critical priorities in education within A.S.P. E.N.’s membership? A: Our two biggest audiences are novices and experts. For those who are new to the specialty, we need to make sure there are enough basic education courses to give them a foundation. For the growth and future of the organization, we need to keep the experts coming back with advanced education and research that will attract clinicians and researchers. Outside of that, parenteral nutrition (PN) is a major focus of mine. Nutrition education has fallen out of the curriculums of a lot of schools, and I want to make sure it’s prevalent not only in schools of pharmacy but also in physician and nursing programs. The delivery route for nutrition, be it parenterally or enterally, is something we all need to be more knowledgeable about— for both feeding and administering drugs. No matter our specialty, it’s something we all need to understand. Q: What do you find exciting about being a part of the nutrition support field? A: Interdisciplinary teamwork is what brought me in to this specialty and in to A.S.P. E.N.— working with physicians, researchers, nurses, and patients makes this experience so unique and so different. And healthcare is moving in that direction. In pharmacy education, our accrediting body is mandating that from the first day of pharmacy school to the last day, students have to be involved with interdisciplinary education. It’s important to the educational process, but it’s also the way healthcare is provided today—by a team, instead of by a sole provider. Nutrition support is the gold standard for interdisciplinary care, and it’s our unique training that makes us so strong. Nutrition support in the field of pharmacy is on the periphery to a lot of students, but when they observe the interdisciplinary nature of it, and the teamwork, it attracts them. I think it’s a hugely exciting role to play. Q: How has A.S.P. E.N. helped you professionally? A: From a knowledge base, A.S.P. E.N. is the premier organization within the U.S., if not the world, for nutrition support education and resources. But my involvement as a volunteer has been very fulfilling, giving me an opportunity to meet people from all over world, and travel to places I’d never have gone to otherwise. South America, Japan, Switzerland, Sweden … on a personal basis, it’s opened my eyes to the differences between how countries provide nutrition support, and that’s been a huge learning opportunity. “From a knowledge base, A.S.P. E.N. is the premier organization within the U.S., if not the world, for nutrition support education and resources.” When I went to Japan in 2000, I talked with Japanese pharmacists about how to ‘get out of that basement’ and interact with patients, which they hadn’t traditionally done. Those conversations helped them evolve to the type of patient care we’re enjoying in the States. For a new member thinking about joining, A.S.P. E.N. is the organization that will help tease out whether nutrition support is what you want to do, as well as give you the tools you need to become an expert in the field. Once you get involved, there are endless opportunities; for me, that meant developing documents, writing clinical guidelines, and being involved in educational presentations at CNW, all of which have helped me professionally. I have A.S.P. E.N. to thank for my success as a faculty member. I also benefited enormously from my mentors, Rex Brown, PharmD, and Ken Kudsk, MD, and one way to honor them and pay it forward is to be a mentor for others. Part of that mentorship is taking an active role in professional organizations like A.S.P. E.N. I’m proud to do this. Please join A.S.P.E.N. in welcoming our 2015 – 2016 Board members! Albert Barrocas, MD, FACS, FASPEN South Fulton Medical Center, Atlanta, Ga. Charlene W. Compher, PhD, RD, CNSC, LDN, FADA, FASPEN University of Pennsylvania School of Nursing, Philadelphia, Pa. DIRECTORS PRESIDENT ELECT Daniel Teitelbaum, MD C.S. Mott Children’s Hospital, Ann Arbor, Mich. Gordon Sacks, PharmD, BCNSP, FCCP Harrison School of Pharmacy, Auburn, Ala. IMMEDIATE PAST PRESIDENT PRESIDENT VICE PRESIDENT M. Molly McMahon, MD Mayo Clinic, Rochester, Minn. SECRETARY/TREASURER Phil Ayers, PharmD, BCNSP, FASHP Mississippi Baptist Medical Center, Madison, Miss. WELCOME Michael Christensen, PharmD University of Tennessee, Dept. of Clinical Pharmacy, Memphis, Tenn. Bryan Collier, DO, CNSC, FACS Carilion Roanoke Memorial Hospital, Roanoke, Va. Nilesh Mehta, MD Boston Children’s Hospital, Critical Care Nutrition, Boston, Mass. A.S.P. E.N. RHOADS RESEARCH FOUNDATION PRESIDENT WELCOME Marion Winkler, PhD, RD, LDN, CNSC, FASPEN Rhode Island Hospital and Alpert Medical School of Brown University, Providence, R.I. EX-OFFICIO MEMBER Debra S. BenAvram, CAE Chief Executive Officer, A.S.P. E.N., Silver Spring, Md. FOR MORE INFORMATION ABOUT A.S.P.E.N.’S BOARD OF DIRECTORS, PLEASE VISIT NUTRITIONCARE.ORG/ BOARDOFDIRECTORS. WELCOME Renay Tyler, DNP, CNSN The Johns Hopkins Hospital, Baltimore, Md. Jennifer A. Wooley, MS, RD, CNSC University of Michigan Health System, Saline, Mich. © 2015 American Society for Parenteral and Enteral Nutrition (A.S.P. E.N.). All rights reserved. www.nutritioncare.org 8630 Fenton Street, Suite 412 Silver Spring, MD 20910