IDDSI: Who, Why, What, When & How of Implementation
From Aware - Prepare - Adopt
June 3, 2021 | 6:30 PM - 8:00 PM ET
The International Dysphagia Diet Standardization Initiative's (IDDSI) main goal is: "Safety through common terminology for all ages, in all care settings, and for all cultures."
Speech-language pathologists in Massachusetts have been at the forefront of this global standardization of dysphagia diets. Imagine global consensus! This lecture will bring you out of simply the awareness phase and into implementation and eventual adoption in your facilities.
IDDSI is now best-practice, as IDDSI was based on:
- Years of literature reviews gathering the latest evidence,
- Data collection from stakeholders across healthcare to create and revise the IDDSI framework and descriptors of dysphagia diets, and
- Expert opinion from many related disciplines from around the world.
Join the global wave of IDDSI. It is not too late to get started. IDDSI knows that the process can be complex and may take 1-2 years to fully implement and adopt. That is okay. Let's get started at this Webinar. We will cover:
- Why we are standardizing to IDDSI,
- What the new IDDSI framework means,
- How to use the simple IDDSI testing methods for all the drinks and food textures, and
- Many resources to assist you in implementation,
- And more...
IDDSI.org has "Implementation Guides" available to help you along the way. By "Guides," we mean IDDSI's charts with a 12-month plan to demonstrate your progress to your IDDSI team, your facility and future surveyors. By "Guides," we also mean that IDDSI has created a United States & Territories IDDSI Reference Group (USTIRG) made up of hundreds of volunteers to help you and your facilities with implementation.
In conclusion, IDDSI was created by a multidisciplinary team of volunteers from around the world. IDDSI is a "living document," with future changes guided by global consensus; therefore, we know that by switching to IDDSI, we will always be providing our patients with the BEST!
About the Speaker
Karen Sheffler, MS, CCC-SLP, BCS-S
Karen has over 24 years of experience as a medical speech-language pathologist, specializing in dysphagia since 1995, when she graduated from the University of Wisconsin-Madison. She obtained her Board Certification as a Swallowing Specialist (BCS-S) in 2012. In 2014, she started SwallowStudy.com, which is a dysphagia resource for professionals & people with difficulty swallowing (dysphagia). Karen has worked in acute care, rehabilitation centers, skilled nursing facilities, and in home health care. She currently works at a hospital in Boston, owns her own dysphagia consulting business, performs peer reviews and presentations, and provides dysphagia expert services to companies and law firms. Believing in constant continuing education, she has been awarded the ASHA Award for Continuing Education 7 times. She received the Health Hero Award from Hormel Health Labs. She is a member of ASHA’s Special Interest Group 13, the National Foundation of Swallowing Disorders (NFOSD), the Dysphagia Research Society, IDDSI’s USTIRG, and is co-chair of the PR & Communications Committee for the American Board of Swallowing and Swallowing Disorders (ABSSD).
Per diem inpatient & outpatient senior speech-language pathologist - Beth Israel Deaconess Medical Center/BIDMC (3 days/week prior to COVID-19 crisis)
- Dysphagia consultant and presenter for Hormel Health Labs, and she sits on a Hormel Advisory Council with RDNs. Paid positions.
- Compensated as an instructor by Summit Education, SpeechPathology.com/Continued.com, Encompass Health. Ongoing royalties received from my Summit Education webinars only (x2).
- Honorariums for presenting on IDDSI from Hormel Health Labs, Becky Dorner Associates, Martin Bros. Distributing Co, Inc., New Hampshire Academy of Nutrition & Dietetics, Nutritious Lifestyles, and Mass DHCC.
- Karen Sheffler's website, SwallowStudy.com, has affiliate relationships with MedSLP Collective, Medbridge Education and CWI (which sells dysphagia products such as thickeners and pureed foods). These have been very small monetary commissions if any.
- Performed paid peer reviews for MedBridge prior to their discontinuation of that practice.
- Paid by Medbridge, Trudell Medical International (regarding Abilex), and Arkray USA, Inc (regarding “Assure Slide/Phazix”) for blogs and dysphagia consultation services.
- Paid by Medbridge to assist in creating their dysphagia platform of patient education/exercises.
- Consulting fees for dysphagia expert witness work from law firms.
Founder, developer & writer of the website SwallowStudy.com. Active on social media through @SwallowStudySLP (LinkedIn, Twitter, Instagram, Facebook, Pinterest).
- Member of the ASHA Special Interest Group 13 and the National Foundation of Swallowing Disorders (NFOSD).
- Member of the Dysphagia Research Society. Ended a two-term membership on the Website, Communications, Public Relations Committee in April 2020. Prior to that, I was actively promoting DRS through social media.
- Member and co-chair of American Board of Swallow and Swallowing Disorders’ Public Relations & Communications Committee /PRCC (ABSSD).
- Volunteer peer-reviewing for DysphagiaGrandRounds.com, the American Board of Swallowing and Swallowing Disorders (ABSSD) and the Swallowing Training and Education Portal (STEP).
- IDDSI Champion, promoting the International Dysphagia Diet Standardization Initiative through social media since 2014. Member of the IDDSI USTIRG work groups for resources and development, as well as implementation and advocacy.
Participants will be able to:
- Advocate for the International Dysphagia Diet Standardisation Initiative (IDDSI), by understanding IDDSI and why there is a global effort to standardize diets for people who have difficulty swallowing (dysphagia).
- Classify foods and liquids, according to the IDDSI Framework and Descriptors.
- Demonstrate effective testing and analysis of foods and liquids, according to the IDDSI Framework Testing Methods.
- Create individual and facility “to-do” lists in order to guide the facility’s implementation plan.
- Gain resources to create a plan to move from IDDSI awareness, to preparation, and eventually to adoption.
6:30 -6:35pm (5 minutes) Introduction of speaker, learning objectives, and IDDSI's Monitor-Aware-Prepare-Adopt schematic
6:35-6:40 pm (5 minutes) WHO - IDDSI's mission, board of directors, sponsors
6:40-6:55 pm (15 minutes) WHY
IDDSI's original "Why" slides
What does a regular diet require?
Choking risks, literature, coroner's reports, expert witness experience, IDDSI's YouTube video on choking risk with bread
Diet modification systems around the world
IDDSI's literature reviews
6:55-7:10 pm (15 minutes) WHAT
Detailed Descriptors & Testing Methods
Mapping from NDD to IDDSI
Descriptions of all solids: Levels 4, 5, 6, 7 Easy to Chew
Descriptions of all drink levels: Levels 0, 1, 2, 3, 4
7:10-7:30 pm (20 minutes) WHAT continued on Testing Methods
Importance of Point of Service testing. IDDSI food characteristics
Spoon Tilt Test
Fork Drip Test
Particle Size Testing
Fork Pressure Test & Fork Separation Test
IDDSI Flow Test
Flow test at your facility with all liquid meds and supplements
7:30-7:35 pm (5 minutes) WHEN
When did the US recommend adoption of IDDSI?
Fully supported by the AND, ANFP, ASHA. What does that mean?
7:35-7:50 pm (15 minutes) HOW
Monitor throughout your process of aware, prepare, adopt
Find champions at your facility to form a task force (doctors, nurse practioners, physician's assistants, nursing, chefs, kitchen staff, certified dietary managers, registered dietitians, CNAs, other SLPs, and residents/patients/families/caregivers)
Plug into website: check out the USTIRG (flag icons have country specific resources), sign up for emails and e-bites, IDDSI app, download and print posters, print audit sheets and implementation guides
Talk about risk management to get administration buy-in
Computer abbreviations/labeling/colors -- all cannot be altered. Did you know that the colors pass color-blind testing? Must use exact IDDSI colors.
Start dual labeling on your orders, diet cards, and in your reports. We teach iddsi through our reports. Start "brainwashing" to new labels. The nurses love the new labels, as Mildly thick versus Moderately thick is so much clearer than Nectar versus Honey. Our new solid texture labels are much more descriptive than terms like "mechanical soft" and "mechanically altered," and risk of liability will reduce while patient safety improves!
IDDSI Framework is protected by the creative commons license, which allows sharing and reproduction of materials for free, but we cannot start making massive modifications, as that will put people back into high risks for aspiration and choking due to the lack of standards.
7:50-8:00 pm (10 minutes) Questions
ASHA requires participation in the CEU Registry to receive CEUs. If you are not part of ASHA’s CEU Registry, the Certificate of Completion will serve as documentation for ASHA CMHs.
This course is being submitted for ASHA CEUs