Abstract
I N 2001,THE INSTITUTEOFMEDICINE of the National Academy of Sciences published Crossing the Quality Chasm: A New Health System for the 21st Century, which promoted evidence-based practice as a prerequisite to quality health care. Implementation of evidence-based practice guidelines has become an integral component of the national health care quality strategy mandated by the Patient Protection and Affordable Care Act of 2010, with the goal of providing affordable care that leads to healthier communities. Evidence-based practice guidelines are essential to the delivery of quality care that is safe, effective, efficient, personalized, timely, and equitable. Despite this emphasis, it is challenging to ensure that registered dietitian nutritionists (RDNs) and other health care practitioners are following guidelines and that guideline use does in fact lead to quality care. This article describes a novel framework that uses the Nutrition Care Process (NCP) to link evidence-based practice guidelines and nutrition practice. The value of this framework for research measurement and clinical practice is also described.
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