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• W2058623003 abstract "The numbers are here Dietetics professionals have been saying it for years, but finally, with the publication of the Lewin Group's findings (p 428), we have documentation that use of medical nutrition therapy (MNT) results in cost savings over the long term for Medicare patients with cardiovascular disease and diabetes. This report is a key document in The American Dietetic Association's (ADA) legislative efforts to effect changes in Medicare's reimbursement policy. For more insights into what these findings mean for our profession and how we are still responding to the need to “show them the numbers,” see the articles by Johnson (p 426) and President Coulston (p 404). With continued documentation of the cost-effectiveness of MNT we may achieve our legislative goals during the current Congressional session.Where public policy and public health meet ADA has also been actively influencing public policy in another arena: the Healthy People 2010 objectives. For an in-depth look at the objectives set forth in Healthy People 2010 and ADA's involvement in shaping the nation's health goals for the next 10 years, see FYI (p 415) and Public Policy News (p 420). ADA believes strongly that “public policies must be aligned with the priorities set forth in Healthy People” (p 420). To that end, dietetics professionals have an important role in translating these goals into nutrition advice for the public as well as compiling data to prove how effectively the nation reaches these public health goals.Assessing the fruits of public policy Much of the practical research dietetics professionals conduct about nutrition behaviors contains valuable data about the effectiveness of public policy messages. Are people reading the Nutrition Facts label? According to Marietta et al (p 445), the answer is yes: 70% of college students read the label when buying a product for the first time. Is the public getting the message about keeping fat intake to 30% of energy or less? The answer is mixed. Clemens et al (p 442) suggest that women who eat out more often tend to have higher fat intakes whereas French et al (p 473) examine factors that influence people to choose low-fat vending machine snacks. Are low-income women being educated effectively about infant feeding choices? Maybe not. Bronner et al found that, despite educational efforts, many low-income African-American mothers introduced nonmilk liquids and solids to their infants too soon. Findings such as these can guide practitioners on ways to strengthen public education efforts.From the public to the private Savvy dietitians are also adept at setting long-range personal goals for enhancing professional skills. Those considering a career move could review Dodd's (p 422) probing questions to help them reflect on current job situations, assess strengths, and plan a new career path. Those interested in career enhancement might consider implementing policy and procedure changes at their current worksite by using Braunschweig's (p 467) model to set up a clinical nutrition registry or adopting Aldrich and Massey's (p 478) liberalized geriatric diet in a long-term-care facility. To help dietetics professionals design more effective patient education materials, Kenner and colleagues (p 462) provide a list of the nutrition and wellness topics of greatest interest to physicians. Finally, this issue returns full circle to the policy and MNT areas with the lactose maldigestion protocols (p 481), which are designed for easy implementation in practice settings. By documenting the outcomes and savings of using these and other MNT protocols, practitioners will take their efforts even further by showing more numbers.BOARD OF EDITORSJudith M. Ashley, PhD, RD, University of Nevada, RenoStacey J. Bell, DSc, RD, Medical Foods, Inc, Cambridge, MassLori Borrud, DrPH, RD, US Department of Agriculture, Riverdale, MdPamela L. Y. H. Ching, ScD, RD, Centers for Disease Control and Prevention, Atlanta, GaBertrum C. Connell, PhD, RD, Loma Linda University, Loma Linda, CalifSonja L. Connor, MS, RD, The Oregon Health Sciences University, PortlandAbby Ershow, ScD, RD, The National Heart, Lung, and Blood Institute, Bethesda, MdConstance Geiger, PhD, RD, Geiger and Associates, Salt Lake City, UtahMichele Morath Gottschlich, PhD, RD, Shriners Burns Institute, Cincinnati, OhioMary B. Gregoire, PhD, RD, FADA, Iowa State University, AmesJean H. Hankin, DrPH, RD, University of Hawaii, HonoluluJanet R. Hunt, PhD, RD, US Department of Agriculture, Grand Forks, NDRachel K. Johnson, PhD, MPH, RD, University of Vermont, BurlingtonJanice L. Kidd, PhD, MBA, RD, Kidd & Company, Knoxville, TennNancy F. Krebs, MD, RD, University of Colorado School of Medicine, DenverKaren S. Kubena, PhD, RD, Texas A&M University, College StationRichard D. Mattes, PhD, MPH, RD, Purdue University, West Lafayette, IndBeverly J. McCabe, PhD, RD, The University of Arkansas for Medical Sciences, Little RockCheryl L. Rock, PhD, RD, FADA, University of California, San DiegoLinda G. Snetselaar, PhD, RD, University of Iowa, Iowa CityPatricia L. Splett, PhD, RD, Evaluation Consultant, St Paul, MinnAmy Subar, PhD, MPH, RD, National Cancer Institute, Bethesda, MdLesley Fels Tinker, PhD, RD, Fred Hutchinson Cancer Center, Seattle, WashLinda V. Van Horn, PhD, RD, Northwestern University Medical School, Chicago, IllVirginia L. Wilkening, MS, RD, US Food and Drug Administration, Washington, DCAnita K. Wilson, PhD, University of Wisconsin-Stout, MenomonieJudith Wylie-Rosett, EdD, RD, Albert Einstein College of Medicine, Bronx, NYMonica Yamamoto, DrPH, RD, FADA, University of Pittsburgh, Pittsburgh, Pa The numbers are here Dietetics professionals have been saying it for years, but finally, with the publication of the Lewin Group's findings (p 428), we have documentation that use of medical nutrition therapy (MNT) results in cost savings over the long term for Medicare patients with cardiovascular disease and diabetes. This report is a key document in The American Dietetic Association's (ADA) legislative efforts to effect changes in Medicare's reimbursement policy. For more insights into what these findings mean for our profession and how we are still responding to the need to “show them the numbers,” see the articles by Johnson (p 426) and President Coulston (p 404). With continued documentation of the cost-effectiveness of MNT we may achieve our legislative goals during the current Congressional session. Where public policy and public health meet ADA has also been actively influencing public policy in another arena: the Healthy People 2010 objectives. For an in-depth look at the objectives set forth in Healthy People 2010 and ADA's involvement in shaping the nation's health goals for the next 10 years, see FYI (p 415) and Public Policy News (p 420). ADA believes strongly that “public policies must be aligned with the priorities set forth in Healthy People” (p 420). To that end, dietetics professionals have an important role in translating these goals into nutrition advice for the public as well as compiling data to prove how effectively the nation reaches these public health goals. Assessing the fruits of public policy Much of the practical research dietetics professionals conduct about nutrition behaviors contains valuable data about the effectiveness of public policy messages. Are people reading the Nutrition Facts label? According to Marietta et al (p 445), the answer is yes: 70% of college students read the label when buying a product for the first time. Is the public getting the message about keeping fat intake to 30% of energy or less? The answer is mixed. Clemens et al (p 442) suggest that women who eat out more often tend to have higher fat intakes whereas French et al (p 473) examine factors that influence people to choose low-fat vending machine snacks. Are low-income women being educated effectively about infant feeding choices? Maybe not. Bronner et al found that, despite educational efforts, many low-income African-American mothers introduced nonmilk liquids and solids to their infants too soon. Findings such as these can guide practitioners on ways to strengthen public education efforts. From the public to the private Savvy dietitians are also adept at setting long-range personal goals for enhancing professional skills. Those considering a career move could review Dodd's (p 422) probing questions to help them reflect on current job situations, assess strengths, and plan a new career path. Those interested in career enhancement might consider implementing policy and procedure changes at their current worksite by using Braunschweig's (p 467) model to set up a clinical nutrition registry or adopting Aldrich and Massey's (p 478) liberalized geriatric diet in a long-term-care facility. To help dietetics professionals design more effective patient education materials, Kenner and colleagues (p 462) provide a list of the nutrition and wellness topics of greatest interest to physicians. Finally, this issue returns full circle to the policy and MNT areas with the lactose maldigestion protocols (p 481), which are designed for easy implementation in practice settings. By documenting the outcomes and savings of using these and other MNT protocols, practitioners will take their efforts even further by showing more numbers. BOARD OF EDITORS Judith M. Ashley, PhD, RD, University of Nevada, Reno Stacey J. Bell, DSc, RD, Medical Foods, Inc, Cambridge, Mass Lori Borrud, DrPH, RD, US Department of Agriculture, Riverdale, Md Pamela L. Y. H. Ching, ScD, RD, Centers for Disease Control and Prevention, Atlanta, Ga Bertrum C. Connell, PhD, RD, Loma Linda University, Loma Linda, Calif Sonja L. Connor, MS, RD, The Oregon Health Sciences University, Portland Abby Ershow, ScD, RD, The National Heart, Lung, and Blood Institute, Bethesda, Md Constance Geiger, PhD, RD, Geiger and Associates, Salt Lake City, Utah Michele Morath Gottschlich, PhD, RD, Shriners Burns Institute, Cincinnati, Ohio Mary B. Gregoire, PhD, RD, FADA, Iowa State University, Ames Jean H. Hankin, DrPH, RD, University of Hawaii, Honolulu Janet R. Hunt, PhD, RD, US Department of Agriculture, Grand Forks, ND Rachel K. Johnson, PhD, MPH, RD, University of Vermont, Burlington Janice L. Kidd, PhD, MBA, RD, Kidd & Company, Knoxville, Tenn Nancy F. Krebs, MD, RD, University of Colorado School of Medicine, Denver Karen S. Kubena, PhD, RD, Texas A&M University, College Station Richard D. Mattes, PhD, MPH, RD, Purdue University, West Lafayette, Ind Beverly J. McCabe, PhD, RD, The University of Arkansas for Medical Sciences, Little Rock Cheryl L. Rock, PhD, RD, FADA, University of California, San Diego Linda G. Snetselaar, PhD, RD, University of Iowa, Iowa City Patricia L. Splett, PhD, RD, Evaluation Consultant, St Paul, Minn Amy Subar, PhD, MPH, RD, National Cancer Institute, Bethesda, Md Lesley Fels Tinker, PhD, RD, Fred Hutchinson Cancer Center, Seattle, Wash Linda V. Van Horn, PhD, RD, Northwestern University Medical School, Chicago, Ill Virginia L. Wilkening, MS, RD, US Food and Drug Administration, Washington, DC Anita K. Wilson, PhD, University of Wisconsin-Stout, Menomonie Judith Wylie-Rosett, EdD, RD, Albert Einstein College of Medicine, Bronx, NY Monica Yamamoto, DrPH, RD, FADA, University of Pittsburgh, Pittsburgh, Pa" @default.
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• W2058623003 title "Public Policy, Public Health Hold the Forefront in April" @default.
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