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Abstract Malnutrition is frequently found in hospital settings with alarming high prevalence rate. Of note, hospitalized patients have highest malnutrition incidence rate among population groups. 20%~60% patients have malnutrition at the time of admission, 30%~80% patients have in-hospital weight loss, indicating patients have nosocomial malnutrition (NM) or hospital acquired malnutrition (HAM) during hospital stay, all of which exacerbates DRM. Hungry-free hospital (HFH) is a nutrition care delivery program, with its focus on providing high-quality patient care, to ensure patients get easy access to safe, affordable, nourishing meals during hospital tasty, to reduce hunger or hidden hunger, to efficiently prevent HAM, to ensure inpatients receive proper nutrition therapy, and to effectively treat DRM. HFH is a comprehensive program, comprising with improving recognition of the adverse effects of malnutrition, develop a simple and easy-to-use clinical diagnostic tool, reinforce multimodal strategies for nutrition screening at admission, achieve higher completion rate of nutrition assessment, setting up NST and NSC, implementing nutritional nutrition consultation costing system, provide RUSF and RUTF, optimizing clinical examination and treatment time, develop a HFH evaluation system, and implementing continuous quality improvement (CQI) in hospital. In this article, HFH program consisted of four key approaches related to HFH efficient implementation: firstly, from nutrition science point of view, standardise key terms in clinical nutrition; secondly, address and apply standard clinical nutrition care process; thirdly, improve hospital administration management. Finally, reinforce hospital catering services. HFH is a multi-level approach involving professionals in clinical setting, staffs in catering system, patients and family members into HFH. Ultimately, promotion of a multi-level approach to hospital malnutrition at society level to raise awareness of the public as a whole, maximising hospital service quality and improving patient satisfaction.
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2018, Vol. 5 
