The Global Malnutrition Composite Score Quality Measure-Seize this Opportunity to Benefit Older Adult Care and Health Equity!

Abstract

In August 2022, the Centers for Medicare and Medicaid Services (CMS) adopted its first-ever nutrition electronic clinical quality measure (eCQM), known as the Global Malnutrition Composite Score (GMCS) as part of the Inpatient Hospital Quality Reporting (IQR) Program. Starting in January 2024, hospitals can self-select to include the GMCS as one of three optional eCQMs for reporting. This article focuses on the importance of addressing malnutrition to improve the overall health of the aging population, reduce preventable healthcare expenditures and achieve greater health equity. A detailed explanation of the development of the GMCS, its components, its utility, and the critical role of registered dietitian nutritionists (RDNs) in promoting its adoption are discussed. The successful implementation of malnutrition quality measures and their positive impact on patient care and business operations is exemplified through the experience of the Novant Health New Hanover Regional Medical Center of Southeastern North Carolina. A recommended process for RDNs to pursue to secure the adoption of the GMCS at their respective hospitals and supporting resources are reviewed.