Performance Indicators

The Dutch Health Care Inspectorate, which is part of  the Dutch Ministry of Health, has established 17 Performance Indicators on which hospitals have to report annually and which are used for benchmarking between hospitals. Screening and the treatment of malnutrition in hospitals have become part of this set of indicators since 2007. Every summer the previous  year’s data are published and both the Health Care Inspectorate and the media then use them for quality rating of hospitals. In 2013, screening of hospitals outpatients has been added to the malnutrition indicator.

Performance Indicator: children

As of 2008, screening and treatment of malnutrition in hospitalized children is part of the malnutrition indicator. For children, the treatment indicator focuses on both adequate protein and energy intake.

Screening (children)
Do you systematically screen nutritional status of all children (< 18 years) on admission to hospital? Yes / No
What screening tool is used for malnutrition screening in children? STRONGkids / other
A Number of children admitted to hospital (>24 hours) in year of report * n
B Number of children screened at hospital admission n (%)
C Number of children screened as malnourished n (%)

* Children < 28 days or with planned admission for < 24 hours are excluded from this measurement


Treatment (children)
What type of measurement was performed? (preferably continuous measurement) Continuous / subsample
A Number of malnourished children with >4 days admission n
B Number of malnourished children with adequate protein intake on 4th day of admission * n (%)
C Number of malnourished children with adequate energy intake on 4th day of admission **  

* Optimal protein intake is defined as: 1,2 – 1,5 gram/per kg/day (for children ≥ 1 year)
**  Optimal energy intake is defined as: Schofield + 30% additional factor
(Ref: Schofield WN. Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr 1985;39:5–41).