TAND December Newsletter

December 2018 Newsletter - President's Message

As we bring 2018 to a close, I invite you to reflect on the past year in terms of what you have done professionally, to be a food and nutrition leader. We have done a lot as a group with TAND, to which we should all be proud of. From adding funds to the Tennessee budget for the Breakfast After the Bell program for schools in Tennessee, advocacy work across the state, presence in the media and social media, to collaborations with the Obesity Society, and obtaining order writing privileges, our organization and its members are making an impact on the health of Tennesseans.  Keep up the great work! 
The slate of nominees is out for the 2019-2020 year. The TAND ballot has been posted and the deadline will be during the holidays. Please vote as soon as you can so that you do not forget.

Mark your calendar for the Annual Meeting and Hill Day – February 26 and 27th. It will be in downtown Nashville, where your CPI Chair, Chrystal Dickson and her team are working hard to plan an event full of continuing education, networking opportunities and fun! Stay tuned for more details. 

Thanks for being a member and we look forward to a great 2019 ahead of us!


Emily Maddux
TAND President 

Academy and the Obesity Society Announce Collaboration 

The Academy and the Obesity Society announce a collaboration on Treatment of Obesity and Weight Management!

Our very own, Hollie Raynor, PhD, RDN, LDN, is in the news again! She has been selected as the Academy's liaison in this Academy/Obesity Society collaboration. We are so proud of you, Hollie, for doing such great work in Tennessee and beyond! For the full details, click here.

2019-2020 TAND Board of Directors Ballot Nominees 

We are pleased to present the 2019-2020 TAND Ballot of nominees. Please review each of the candidates’ bios and cast your vote! The nominating committee is so appreciative for everyone’s willingness to volunteer their time to be tomorrow’s leaders. Voting will close on December 22nd, so please make sure and vote early!    
Submitted by the 2018-2019 Nominating Committee: Erin Hartmann (Chair), Ashley Banks (Chair-Elect) and Anna Tuttle (Member)
The nominees are: 

President Elect-Elect
Christy Davis
Collette Powers
Heidi J. Silver

Council on Professional Issues (CPI Chair Elect)
Morgan Anderson
Christie Griffin 

Nominating Committee (choose two)
Leslie Ely
Debra C. Fox
Edward Han
Hannah Hill
Stephanie Horvath
Kaitlyn Philipps
Jackie Roos
Lauren Steele

Candidates Bio Link: Click Here

Survey Monkey Link for the 2019-2020 Ballot (click below):

TAND Members needed to Help Determine the Spring 2019 AND House of Delegates Meeting Mega Issue Topic(s) 

Hello TAND Members:

The Academy House Leadership Team (HLT) and the House of Delegates (HOD) would like your input and/or feedback on the crucial topics to be discussed at the Spring 2019 HOD meeting.  I need your input by December 15!

Based on mega-issues currently submitted by DPGs and delegates, the Council on Future Practice’s Change Drivers and Trends, and information collected through the dialogue at the fall 2018 HOD meeting, the HOD Leadership Team (HLT) identified 3 potential overarching topics impacting our profession, for the spring 2019 HOD meeting.

What do you need to do?
Rank the topics: Technology in Dietetics Practice, Consumer Awareness and Changing Drivers of Food Choices, and Collaborative Ready Practice from (1 to 3) in order of priority (1 = top priority). Please forward your response to catherinesavannah@yahoo.com (Catherine Austin, MS, RDN, LDN, FADA-TN Delegate).

Topic 1:  Technology in Dietetics Practice
This topic addresses opportunities to leverage technology, Big Data and artificial intelligence across all areas of practice to expand practice and create career opportunities. It aligns with the Change Driver – Technological Obsolescence is Accelerating.

Sample question: How does the Academy/Academy’s members leverage technology to build trust, influence stakeholders and provide customizable solutions?

  • Leveraging Big Data and Artificial Intelligence (how they can integrate into and advance the work of RDNs and NDTRs; create career opportunities)
  • Expanding access to care via technology, including telehealth, apps, and remote monitoring devices.
  • Enhancing dietetics education through the use of technology.

Current Academy initiatives include Telehealth Workgroup, collection of practice resources on telehealth, licensure compact, Model Practice Act, webinars, Certificate of Training programs, ANDHII, nutrition informatics surveys, EAL telehealth project, Food & Nutrition Magazine app reviews, CDR simulation grants, and participation with the Center for Telehealth and eHealth Law.

Topic 2:  Consumer awareness and changing drivers of food choices
This topic addresses the challenges and opportunities as a consequence of heightened consumer awareness of food choices and nutrition (choosing for value; value-based food decision-making; choosing based on trust). It aligns with the Change Driver - Consumer Awareness of Food Choice Ramifications Increases.
Sample question: How can we better market the Academy’s members as trusted advisors to educate and promote evidence-based practices and science-based resources to practitioners, the public, policy makers and all (other) stakeholders?

  • Sustainability/sustainable food systems (what should be the role of the Academy/its members with regard to food and social responsibility?)
  • Evidence-based practice (what to do in the absence of evidence?)/Rapid response (science vs fads)

Current Academy initiatives include the Future of Food Initiative, Evidence-based/Evidence-informed Criteria Development Task Force, collection of practice resources on sustainable food systems, position papers, Focus Area Standards for RDNs in Sustainable, Resilient and Healthy Food and Water Systems, multiple webinars, Certificate of Training programs, Code of Ethics, and the Spokesperson program.

Topic 3:  Collaborative Ready Practice
This topic addresses the need for effective collaboration in all areas of practice. It aligns with the Change Driver – Creating Collaborative-Ready Health Professionals.
Sample question: What are the key strategies needed to position the Academy/Academy’s members as the trusted source in prevention and well-being, health care and health systems, and food and nutrition safety and security?

  • Inter-professional education
  • Inter-professional practice
  • Inter-professional team building/development
  • Collaboration with business and industry, governmental agencies, alliances, etc.

Current Academy initiatives include ACEND standards, CDR essential practice competencies, CDR Interdisciplinary Board Certification in Obesity and Weight Management, position papers, Standards of Practice/Standards of Professional Performance, and alliance relationships.

Thank you for participating. Once the topic is selected, the subtopics will be determined. Stay tuned for more information regarding our Spring 2019 HOD Meeting.

Catherine K. Austin, MS, RDN, LDN, FADA
TN Delegate
or text me at 901-230-7244

Diabetes: Decreasing the Stigma

Registered Dietitian Nutritionists are important members of the health care team when it comes to caring for patients with diabetes. We are experts at helping our patients and clients count carbs, use the exchange list, and meal plan. But even with the best intentions, it can be easy for RDNs to forget the reality that many of our patients face. November is National Diabetes Month and a great time to focus on putting ourselves in their shoes for a moment.

Dealing with the social stigma of having type 1 or type 2 diabetes is often not something healthcare professionals think about when they are talking to patients. Recent studies show that many people living with diabetes have felt embarrassed, guilty, anxious, or had low self-esteem because of comments from coworkers, classmates, friends, media, and even healthcare professionals. One study found that the impact of this stigma was associated with a higher hemoglobin A1c and less stable blood glucose readings, meaning these comments and feelings may have a negative impact on patients’ health.

How can RDNs decrease the stigma of diabetes? We can start with our own language and how we discuss diabetes with our patients, coworkers, and community. Below are some recommendations from the American Diabetes Association and the American Association of Diabetes Educators:

• Use first-person language like “a person with diabetes” instead of “a diabetic” to avoid labelling someone as their disease.
• Avoid using words like “noncompliant”, “failing”, “unwilling”, or “poorly controlled” because these terms can seem judgmental, and often do not take into account the physical and financial barriers that patients with diabetes face.
• Focus on the patient’s strengths and what is working for them rather than what can be improved or what the they are not doing well.

It is much more helpful to open a listening ear to patients and build a trusting and genuine relationship. Ask them how they feel about their diagnosis and what barriers you can help them overcome so that you can provide them with the best care. It is also helpful to educate the public about diabetes and dispel myths and negative stigma that can be harmful to those living with diabetes in the community.

This year, the American Diabetes Association has launched the #EverydayReality campaign to shed light on what it truly means to live with diabetes. Visit www.diabetes.org/everdayreality for more information.


The NPI Registry and Why It Matters

View article here: https://www.streamlineverify.com/npi-registry-matters/

This article details why it is so important for RDs to obtain an NPI number. Even if your practice setting is one where your NPI will never be used for billing, having an NPI shows CMS how many RDs we have in a particular area. As the Academy and TAND work on expansion of benefits we need accurate RD numbers. Where does Tennessee stand?

According to CDR we have 2,129 RD (RDNs) in Tennessee. Of those 2,129 RDs only 635 have NPI numbers (29.8%).

To apply for NPI visit: https://nppes.cms.hhs.gov/#/

  • Create a new account.
  • Agree to be redirected.
  • Apply for type I NPI.

Taxonomy for registered dietitian 133V00000X

Other available taxonomy for RDs include:
133VN1006X, Nutrition, Metabolic
133VN1004X, Nutrition, Pediatric
133VN1005X, Nutrition, Renal

If you have any questions please reach out to Andrea.KendrickRD@gmail.com.

KAND Fall Event Recap

The Knoxville Academy of Nutrition and Dietetics hosted their fall "Legislative Meet and Greet" event on October 29th at the Knox County Health Department.

Knox and Anderson County state senators, Senator Briggs, Senator Massey and Lieutenant Governor McNally were in attendance for a meet and greet, and to speak to the audience about their involvement in health-related policy. The 50 attendees had an opportunity to ask questions and engage with their legislators.

TAND Past President Brian Jones and TAND President Emily Maddux joined via webcast to discuss the road to RD order-writing privileges. The audience also had the opportunity to hear from KAND Past President Janet Buck, who took the floor to discuss steps taken with East Tennessee Children's Hospital administrators to prepare for the change in order-writing privileges.

Public Policy Update

Public Policy Coordinators from each district have been charged with contacting their respective representatives who won election races and congratulate them.

PPC's have also been busy 1) inviting RD's in their districts to Hill Day on February 27, 2019, 2) connecting with their respective representatives on social media and 3) making contacts, letters/phone/email, with them.

KAND held a legislative Meet and Greet on October 29th at the Knox County Health Department.

15 RD's from Tennessee participated in the Public Policy Workshop on October 24 on Washington, D.C. It was the largest overall turnout for PPW ever with 1,200 Dietitians on The Hill speaking on Malnutrition.

PPC's this year are:
MAND – Lauren Steele
WTAND – Brian Carroll
KAND – Shanthi Appelo
TCAND – Olivia Wooliver
NAND – Melissa Cobb
CAND – Dee Harwell

Please reach out to you them with any public policy questions or issues you may have.

Send a Note of Congratulations

If your state Senator or Representative came out victorious in the recent election, please seriously consider sending him or her a note of congratulations. Handwritten is best. You can even call and leave a message at their office. Mention of course who you are, but also where you live, your profession and TAND membership. Of course enunciate the "TN Academy of Nutrition and Dietetics", don't use the acronym in speaking or writing.

Regardless of whether or not you support the person, or voted for them, they will be your voice in Nashville for the next 2-4 years and it's always a good idea to get off on the right foot with them.

If you do not know who represents you, check here... http://www.capitol.tn.gov/legislators/

Brian Carroll, Advocacy Pillar