Sorry, you need to enable JavaScript to visit this website.
This website is intended only for Healthcare Professionals.
Advancing Quality Outcomes

Eighty-five percent (85%) of all traditional Medicare payments may be linked to quality or value outcomes by 2016 with the number growing to 90% by 2018.1 Through the Hospital Value Based Purchasing and Hospital Readmissions Reduction Programs, providers of care will be focused on increasing the quality of care to meet these Medicare objectives. In support of these goals, adopting enteral nutrition evidence based resources and protocols can demonstrate the value nutrition can play in helping hospitals to achieve these goals.



ENact™ Quality Improvement (QI) Program

  • Education on how to conduct Quality Improvement projects
  • Downloadable resources to help develop nutrition QI projects
  • Library of implementable nutrition projects focused on Critical Care, Surgery and Malnutrition
  • For further information, click here

ENact™ QI Grant

  • Funding to support QI projects addressing the delivery of enteral nutrition care
  • Focus on projects related to the delivery of tube feedings or oral supplements in the adult and pediatric population
  • For further information, click here.

ENact™ QI Training Course

  • For Registered Dietitian Nutritionists (RDNs) interested in developing and implementing an enteral nutrition QI project
  • Brings together a small group of RDNs and a Course Leader for group and individual work sessions
  • Upon completion of the course participants will be prepared to execute a QI project in their institution
  • For further information, click here


Utilization of standardized orders and algorithms may be useful resources for the effective use of enteral nutrition and managing risk for malnutrition.

ICU Standing Orders

  • Establishes standardized protocol for initiating nutrition therapy
  • Coordinates activities between dietary, nursing and the medical team for increased efficiencies

Critical Care and Surgery Nutritional Support Algorithms

  • Based on Critical Care Nutrition Guidelines2*
  • Assists in recommending nutrition intervention based on patient condition


Implementation of an evidence based, 24 hour volume-based feeding enteral nutrition protocol may help patients achieve feeding goals through early and adequate nutrition.

PEP uP Early Enteral Nutrition Protocol

  • 24 hour volume-based enteral feeding protocol
  • Clinically shown to help patients achieve feeding goals
  • Supports delivery of early and adequate nutrition

PEP uP: Increased Protein and Energy Delivery

PEP uP: Increased Protein and Energy Delivery

Daren Heyland, MD, FRCPC, MSC
41 minutes

  • Introduces strategy for optimizing calories and protein delivered to ICU patients
  • Reviews results of PEP uP trial and discusses protocol implementation

Contact your Nestlé Sales Representative for further information on the PEP uP Protocol and the PEP uP DVD


Hospital Acquired Conditions (HAC) may put Medicare reimbursement levels at risk as the Centers for Medicare & Medicaid Services (CMS) does not pay for incremental costs related to the treatment of a HAC.3 Recognizing that up to 54% of all hospital acquired infections (HAI) occur in high-risk surgery populations,4 implementing an evidence based, peri-operative nutrition protocol incorporating the use of IMPACT ADVANCED RECOVERY® and IMPACT® PEPTIDE 1.5 formulas may help reduce the risk for surgery site infections.

IMPACT® Surgical Nutrition Program

  • Provides tools to implement this evidence based program
  • Protocol supports developing a program in your hospital

Contact your Nestlé Sales Representative for further information.

  2. Guidelines summarized from McClave SA, Martindale RG et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient. Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN. 2009;33(3):277-316.
  4. Richards et al. Infect Control Hosp Epidemiol. 2000;21:510-515.

*The above statement does not constitute an endorsement of IMPACT® products or any other Nestlé HealthCare Nutrition product by SCCM or A.S.P.E.N.