Patient Outcome Collection

Clinical outcomes are the changes in the health status of individuals or populations that result from specific healthcare interventions, treatments, or procedures. These outcomes are assessed and measured to determine the effectiveness of care and to guide decisions about patient management.

Outcomes can be objective (e.g., lab values, weight) or subjective (e.g., symptom scores), and may include a wide range of health parameters.

The following were used to evaluate all outcome metrics:

• Falls within the dietitian scope of practice and primary interventions for the specialties dietitians treat

• Can be improved through nutrition intervention

• Is actionable within a 6-month period so that patients and dietitians can detect trends and adjust care

• Can be accurately captured, and/or has potential for expanded capture with future integrations (e.g., Apple HealthKit, laboratory and diagnostic partners)

• Derived from a validated questionnaire with minimal or no modification

Reminder: Outcomes are collected over time and represent just one piece of the puzzle. You should continue to gather additional data and clinical insights to deliver outstanding care.

Outcomes are collected in three ways:

1. Provider-entered in the patient chart note
   (Labs & Tests, Lifestyle, Progress Questionnaires, or Medications sections)

2. Provider-entered in the patient profile
   (Outcomes section of the Provider Portal)

3. Patient-entered in the Patient Portal or app
   (Via questionnaires or outcome nudge requests)

You should collect new patients outcomes approximately every 30 days for condition-specific questionnaires and every 3 months for lab values.

Patients and providers will be prompted to collect outcomes if no new information has been shared in the last 30 days. You should not enter an outcome that has already been collected (for example, you should only input new weight information).

With the Outcomes Nudge tool, you can effortlessly send a message to a patient requesting specific outcomes, such as lab results, tests, or questionnaires, directly from the chart note banner. The patient can then simply click the message to input their most up-to-date outcome data.

Nourish patients receive intake questions intake questions tailored to their selected conditions.

• Core questions (mental health, food security, allergies, medications, medical history) are asked to all patients

• Additional outcome questions are personalized to the patient’s condition(s)

How to request additional questionnaires:
You can always request additional condition-specific questionnaires during or after intake - for example, if a patient signs up for weight loss but also has gut health, diabetes, or DE/ED concerns. Simply click “Add New” in the Outcomes section of the patient profile to request additional questionnaires.

Providers can view patient outcomes directly on a patient's profile within the Provider Portal. Intake answers are:

• Embedded in the chart note (either in the relevant field or via “Questionnaire”)

• Available in the Documents section of the sidebar

• Continued visibility in the Patient Recap to help guide care

Patients see similar visuals in their app or portal - however, weight graphs are only shown to patients who do not have an Eating Disorder (ED), ED sub-specialties, or disordered eating selected as a condition.

In the event that an outcome was added by mistake, you can delete the individual outcome data point by clicking “View all data” in the Outcomes section of the patient profile. Then, simply click the associated trash icon to delete permanently.

Please note: Outcomes should only be deleted if they were entered incorrectly.