FNCE 2014!


By: Nikki Nies FNCE

I’m looking forward to October! Not only so I can officially wear scarves, but because it means we’re only days away from the Food and Nutrition Expo (FNCE)!  FNCE is an annual conference that brings together health professionals under one roof to learn, network and regroup! I’m lucky enough to go this year as it’s in Atlanta and my parents live in a nearby suburbs!

If you’re a budding dietitian and/or health professional, I recommend you go at least once.  The location is different on an annual basis, so wait until the conference is near you! For example, in 2015, FNCe will be Nashville, TN, closer anyone?

In case you’re interested in what sessions I’ll be attending, here’s a tentative schedule!

PRE-FNCE WORKSHOP: USING ANDHII AND NCP: DOCUMENTATION FOR YOUR PRACTICE SETTING
Objectives: Document patient progress and outcomes with the Nutrition Care Process Terminology (formerly IDNT) using the new ANHII software tool. Advance Nutrition Care Process Terminology documentation expertise within their area of practice in a hands-on documentation experience working with focused case studies in long-term care, pediatric care and adult acute care. Utilize ANDHII in their practice setting to facilitate documentation to more easily collect and measure patient care outcomes.
Time / Location: Saturday, October 18, 2014 from 11:30AM – 3:30PM Georgia World Congress Center / Room: B213-214
OPENING SESSION – CREATING AN AGE OF ABUNDANCE: UNDERSTANDING HUMANITY’S FUTURE 
Objectives: Identify two key challenges affecting food and nutrition professionals . Develop action steps to address identified challenges to implement change. Identify two incentives to motivate colleagues to adopt problem solving techniques to solve your challenges .
Time / Location: Saturday, October 18, 2014 from 4:00PM – 6:00PM Georgia World Congress Center / Room: Exhibit Hall B1
SUNDAY
HEALTHY FOOD AND SAFE WATER: A NEW ERA OF DIETETIC PRACTICE 
Objectives: Describe principles of sustainable, resilient and healthy food and water systems in the context of the new Standards of Professional Performance. Identify how hospitals, institutions and practitioners can advance healthy food and safe water systems. Demonstrate the benefits of a hospital food system that has successfully implemented sustainable food and water initiatives.
Time / Location: Sunday, October 19, 2014 from 8:00AM – 9:30AM Georgia World Congress Center / Room: B302-305 Read
THE REGISTRATION EXAMINATION EXPERIENCE
Objectives: Anticipate the nature of questions on the registration examination and the exam format. Effectively navigate the online registration, payment and scheduling to take the registration examination. Utilize key resources, such as the Study Guide for the Registration Examination, to successfully prepare to take the examination.
Time / Location: Sunday, October 19, 2014 from 10:00AM – 11:30AM Georgia WorldCongress Center / Room
WHAT’S NEW WITH RESTAURANT MENUS? 
Objectives: Recall one requirement of Section 4205 of the Affordable Healthcare Act. Define the challenges of implementing restaurant menu labeling. Define how nutrients are listed on menu boards in restaurants.
Time / Location: Sunday, October 19, 2014 from 1:30PM – 3:00PM Georgia World Congress Center / Room: B302-305
NONTRADITIONAL CAREER PATHS IN DIETETICS 
Objectives: Identify three career path options for RDNs not choosing to work in a hospital clinical setting. List a variety of career opportunities that RDN and DTR students can pursue when they graduate. Research alternative career paths using the Internet and by networking with contacts.
Time / Location: Sunday, October 19, 2014 from 1:30PM – 3:00PM Georgia World Congress Center / Room: B206
MEDICAL NUTRITION THERAPY’S IMPACT ON HOSPITAL ECONOMICS AND PATIENT OUTCOMES 
Objectives: Communicate the role of health economics research supporting the use of medical nutrition therapy as a cost-effective solution for improving patient outcomes and reducing hospital costs for the malnourished patient or those at risk for malnutrition. Identify effective clinical strategies for achieving interdisciplinary collaboration and incorporating nutrition protocols into the continuum of care. Provide EAL evidence-based nutrition practice guidelines to promote nutrition interventions to treat malnourished patients or those at risk for malnutrition in a timely manner.
Time / Location: Sunday, October 19, 2014 from 3:30PM – 5:00PM Georgia World Congress Center / Room: B401-402
MONDAY
HEALTHY AT HOME….SURELY IT’S NOT THIS SIMPLE! 
Objectives: Describe the proven role of RDNs in providing nutrition and diabetes education in the home and assisting older adults set behavior goals that can positively impact their health. Identify how communities can work together to reduce hospitalizations and health care costs. Describe how advocacy results in improved health outcomes.
Time / Location: Monday, October 20, 2014 from 8:00AM – 9:30AM Georgia World Congress Center / Room: B213-214
PROMISING PRACTICES FOR ADDRESSING ASIAN AMERICAN HEALTH DISPARITIES
Objectives: Discuss the unique cultural and health beliefs as well as dietary practices among Chinese Americans. Identify evidence-based educational resources developed specifically for Asian Americans populations. Apply educational and counseling strategies to promote adherence to dietary and lifestyle recommendations among Chinese American clients.
Time / Location: Monday, October 20, 2014 from 8:00AM – 9:30AM Georgia World Congress Center / Room: B207-208
BE ON THE CUTTING EDGE OF PRACTICE: INTERPRETING THE 2014 NUTRITION IN CRITICAL CARE GUIDELINE 
Objectives: Describe historical background on previous guidelines and update on GRADE approach to literature review. Discuss highlights of the 2014 ASPEN/SCCM Nutrition in the Critical Care Patient. Explain how guidelines can be brought to the bedside in the ICU.
Time / Location: Monday, October 20, 2014 from 1:30PM – 3:00PM Georgia World Congress Center / Room: B102
STEP UP TO HEALTHIER FOOD AND BEVERAGE OPTIONS IN PUBLIC VENUES 
Objectives: Describe national, state and local policies to improve foods and beverages in public places. List three common challenges and possible solutions experienced when trying to implement policies for healthy foods and beverages in public places. Cite three tips for successful implementation of nutrition guidelines for public places and workplaces and where to find helpful materials and resources.
Time / Location: Monday, October 20, 2014 from 3:30PM – 5:00PM Georgia World Congress Center / Room: B302-305
TUESDAY
BEHAVIORAL AND NUTRITION STRATEGIES FOR WOMEN’S LONG-TERM WEIGHT LOSS MAINTENANCE 
Objectives: Discuss the Expert Clinical Obesity Guidelines, their implications and preventative strategies. Explain the complexities of unsuccessful weight loss maintenance (WTLM) in 55+ women including behavioral issues, biological maladaptations, and physiological dysregulations. Translate current evidence-based WTLM behavioral and nutritional strategies into various healthcare settings.
Time / Location: Tuesday, October 21, 2014 from 8:00AM – 9:30AM Georgia World Congress Center / Room: B312-314
GOING INTERNATIONAL: USING KIDS EAT RIGHT TO ADDRESS CHILDHOOD OBESITY AND UNDERNUTRITION 
Objectives: Discuss the state of childhood obesity worldwide and different public policy approaches implemented to overcome it. List the issues involved in adapting and implementing the KER International Campaign in other countries. Identify variables that should be taken into account to adapt the KER program, Energy Balance for Kids with Play, in a disadvantaged international environment.
Time / Location: Tuesday, October 21, 2014 from 9:45AM – 11:15AM Georgia World Congress Center / Room: B213-214
NUTRITION CARE ACROSS CARE SETTINGS: A NEW WAY TO SHARE – HIMSS/ACADEMY
Objectives: Describe the role of present health information technology standards and terminology in supporting nutrition data transmission across the care continuum. Depict the success of the IMPACT (Improving Massachusetts Post-Acute Care Transfer) Project and its role in development and support of template transmission standard. Illustrate practical use of the Nutrition Care Process (NCP) and NCP terminology (previously IDNT) to in electronic health records (EHR) with the intention of nutrition data following the patient across care settings.
Time / Location: Tuesday, October 21, 2014 from 12:00PM – 1:30PM Georgia World Congress Center / Room: B103
GOING GLOBAL: ENTERING THE WORLD OF INTERNATIONAL NUTRITION AND DIETETICS 
Objectives: Locate and utilize relevant resources for involvement in international nutrition and dietetics. Identify some of the diverse roles held by nutrition and dietetics professionals around the world. Explain specific steps needed for pursuing a career in international nutrition and dietetic
Time / Location: Tuesday, October 21, 2014 from 12:00PM – 1:30PM Georgia World Congress Center / Room: B207-208
CLOSING SESSION – MANAGING CHANGE SUCCESSFULLY: OVERCOME OBSTACLES TO ACHIEVEMENT 
Objectives: Implement two new change management techniques Identify the key obstacles to change in team environments Develop personal techniques to manage change in unique work settings
Time / Location: Tuesday, October 21, 2014 from 2:00PM – 3:30PM Georgia World Congress Center / Room: Exhibit Hall B1
If you’re attending the conference as well and would like to meet up, don’t hesitate to contact me!  Additionally, what sessions have I missed that you think are “must” attend? I can’t wait to see old and new friends!

Alarming Costs of Healthcare


By: Nikki Nies

The U.S. is known for putting a lot of its money towards healthcare.  While it would make sense to that a majority of that money is being put to care for the baby boomer generation, in actuality chronic diseases, such as heart disease and diabetes are the main source of health care costs. There’s a misperception that the old and sick should be held accountable for rising health care costs, however, in 2011 84% of costs for entire population were due to chronic diseases.

HC-cost-chart1With 18% of U.S. GDP, or $2.7 trillion spent yearly on healthcare, it hasn’t been enough.  The government has poured a lot of money into caring for its people and by 2021, costs are expected to rise to $4.8 trillion.

Chronic illness is where the misery is, it is where the money is and it is where the greatest opportunity lies.

Physicians, specialists and dentists are paid almost 2.5 times more and hospital costs are 60% higher in the U.S. than in other Organization of Economic Cooperation and Development (OECD) nations.  The treatment of chronic diseases are estimated to contribute an additional $4.2 trillion in treatment costs by 2024 as well.  Obesity related diseases also account for 12% of health care spending in recent years.

It’s hard not to compare the U.S.’ current economic and life expectancy status to other nations.  Comparison is the best way to measure the status of America’s health care system. If you look at the graph below, you’ll see the U.S. spends the most money on healthcare, yet, Japan’s life expectancy at 83 surpasses our life expectancy at a fraction of health care costs. MaryMeeker-graph-e1329513274401

Don’t worry, there’s hope.  Chronic diseases such as heart disease and diabetes can be prevented and in many cases, can be reversed.  By living a more proactive, healthy lifestyle the burden of extra healthcare costs doesn’t have to apply to you.

Photo Credit: Forbes and Aetna

Sources: http://www.nbcnews.com/health/what-makes-u-s-health-care-so-overpriced-its-not-2D11582695

http://www.aetna.com/health-reform-connection/aetnas-vision/facts-about-costs.html

http://absoluteadvantage.org/article/?article=290

http://www.forbes.com/sites/toddhixon/2012/03/01/why-are-u-s-health-care-costs-so-high/