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CDR Essential Practice Competencies Charts Copyright © 2015 Commission on Dietetic Registraiton
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CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

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Page 1: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

CDR Essential Practice Competencies Charts

Copyright © 2015 Commission on Dietetic Registraiton

Page 2: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Chart 1: RDN Frequency – High Ranking

Competencies Frequency Performed

Competencies and Performance Indicators Avg. Std. Dev. N

1.4 Adheres to confidentiality and privacy

legislation, standards and policies.

3.84 0.47 7736

1.4.3 Adheres to legislative requirements and

facility/employer guidelines regarding protection of

privacy and security of information.

3.82 0.50 7736

1.1.8 Adheres to the Standards of Professional

Performance for RDNs.

3.80 0.47 12138

1.4.1 Maintains confidentiality and security in the

sharing, transmission, storage and management of

personal health information.

3.80 0.54 7738

1.1 Identifies with and adheres to the code of ethics

for the profession.

3.80 0.48 12107

1.1.5 Recognizes and maintains appropriate

relationships and boundaries.

3.76 0.46 12171

2.1.7 Delivers information and opinions in a

respectful and professional manner.

3.76 0.46 6446

1.1.1 Accepts responsibility and accountability for

actions and decisions related to customers.

3.76 0.53 12171

Page 3: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

10.5.3 Adheres to legislative and organization

requirements regarding the protection of privacy

and security of information and storage and

disclosure of customer records.

3.75 0.53 2348

5.3 Demonstrates ethical and professional behavior

when using technology.

3.74 0.56 4749

2.1.8 Delivers accurate and credible messaging. 3.73 0.48 6445

10.5.2 Maintains clear, accurate and appropriate

records of customer encounters, communications

with customer and others, plans and interventions

according to organization policies, standards and

state and federal regulations.

3.73 0.53 2348

10.5 Document and maintain records according to

the SOP for the RDN, legislation, regulations and

organization policies.

3.71 0.58 2348

10.5.1 Uses a systematic approach to record

keeping.

3.71 0.56 2348

Page 4: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Chart 2: NDTR Frequency – High Ranking

Competencies Frequency Performed

Competencies and Performance Indicators Avg. Std. Dev. N

10.5.4 Takes action to anticipate and minimize

foreseeable risk of unauthorized access to records.

3.69 0.66 125

1.1.1 Accepts responsibility and accountability for

actions and decisions related to customers.

3.72 0.58 773

1.1.5 Recognizes and maintains appropriate

relationships and boundaries.

3.73 0.51 772

1.1.4 Practices with honesty, integrity,

transparency and fairness.

3.86 0.40 771

1.1.8 Adheres to the Standards of Professional

Performance for NDTRs.

3.77 0.54 768

1.0 Identifies with and adheres to the code of ethics

for the profession.

3.75 0.57 767

1.41 Maintains confidentiality and security in the

sharing, transmission, storage and management of

personal health information.

3.79 0.61 489

1.43 Adheres to legislative requirements and

facility/employer guidelines regarding protection

of privacy and security of information.

3.79 0.58 489

1.4 Adheres to confidentiality and privacy

legislation, standards and policies.

3.82 0.49 489

Page 5: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

2.1.7 Delivers information and opinions in a

respectful and professional manner.

3.72 0.55 415

10.1.1 Conducts the nutrition screening using

standardized, validated tools to identify customer

risks and level of criticality.

3.71 0.68 129

10.5 Document and maintain records according to

the SOP for the NDTR, legislation, regulations and

organization policies.

3.71 0.67 125

10.5.1 Uses a systematic approach to record

keeping.

3.71 0.59 125

10.5.3 Adheres to legislative and organization

requirements regarding the protection of privacy

and security of information and storage and

disclosure of customer records.

3.73 0.63 125

10.5.2 Maintains clear, accurate and appropriate

records of customer encounters, communications

with customer and others, plans and interventions

according to organization policies, standards and

state and federal regulations.

3.75 0.59 125

Page 6: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Chart 3: RDN Frequency - Low Ranking

Competencies Frequency Performed

Competencies and Performance Indicators Avg. Std. Dev. N

6.3.2 Conceptualizes and formulates research

hypotheses. 1.73 0.98 4433

6.3.5 Identifies and designs appropriate research

instruments or tools. 1.75 1.01 4433

6.3.3 Obtains approval for research initiatives and

follows established research code of ethics and

policies. 1.76 1.06 4434

11.1.3 Leads and facilitates product testing using

research methodologies to determine acceptability

and viability and to confirm desired outcomes. 1.76 1.03 710

9.5.3 Writes new items to be used in data

collection for research. 1.82 1.00 3984

9.5.4 Develops procedures for standardized use of

instruments. 1.85 1.01 3984

6.3.4 Defines and establishes appropriate

measurements and evaluations. 1.86 1.04 4433

11.1.1 Conducts feasibility studies to determine

validity of, and need for, products or services. 1.87 1.06 710

6.3 Participates in and leads research initiatives

following ethical and professional research 1.89 1.02 4434

Page 7: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

methodology.

3.2.7 Contributes to the development and revision

of government policies. 1.90 0.99 5494

11.1.2 Develops and implements evaluation tools

and methodologies to test products and services. 1.90 1.05 710

6.3.6 Using the scientific process systematically

investigates and searches for information from a

wide variety of sources. 1.97 1.08 4432

9.5.2 Writes new items to be used in data

collection for evaluation. 1.97 1.01 3984

6.3.10 Defines appropriate measurements and

evaluations for establishing benchmarking and best

practices. 1.98 1.06 4432

Page 8: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Chart 4: NDTR Frequency - Low Ranking

Competencies Frequency Performed

Competencies and Performance Indicators Avg. Std. Dev. N

11.1.2 Leads and facilitates product testing. 2.00 1.16 38

11.1.1 Supports coordination and administration of

feasibility studies.

2.05 1.21 38

11.2.4 Collects data to define target audience. 2.10 1.23 39

11.2.3 Conducts environmental scans and literature

reviews and collects data to support team decisions

to develop advertising and marketing strategies.

2.13 1.22 39

5.2.5 Suggests, develops and/or implements

innovative enhancements and new software

platforms, applications and technologies to meet

the needs of the population, environment,

profession or customer.

2.19 1.18 304

14.3.2 Participates in stakeholder analysis and

collaboration in order to establish project

objectives and goals.

2.20 1.22 69

5.2.2 Participates on teams to design or develop

criteria for the selection or implementation of

software programs, applications or systems to

advance work objectives.

2.23 1.20 304

Page 9: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

11.2.5 Communicates product claims identifying

validated product ingredients and characteristics in

collaboration with product development team.

2.23 1.16 39

12.3.3 Supports RDN in the development of

presentation to stakeholders to communicate

evaluation findings to promote change and/or

substantiate program.

2.24 1.21 80

Page 10: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Functional Ares of Practice

Chart 5: RDN Clinical Care – Highest Frequency Rankings

Total Number of Respondents 8746

Competencies and Performance Indicators Mean

10.4.3 Evaluates, educates and counsels on the interrelationship and impact

of pharmacotherapy on nutrient absorption. 3.76

8.1.5 Applies medical nutrition therapy in disease prevention and

management. 3.75

10.2.5 Develops nutrition prescription to communicate required food and

nutrient needs. 3.73

10.5 Document and maintain records according to the SOP for the RDN,

legislation, regulations and organization policies. 3.72

8.1.1 Interprets and applies evidence-based, comparative standards for

determining nutritional needs. 3.69

8.1.1 Interprets and applies evidence-based, comparative standards for

determining nutritional needs. 3.68

10.2.7 Prioritizes specific nutrition problem(s). 3.67

8.1.4 Demonstrates knowledge of nutrient requirements throughout the life

span and their role in health promotion and disease management. 3.67

8.1.2 Applies knowledge of food and nutrition, as well as biological,

physical and social sciences when developing plan of

care/interventions/menus, consulting with other professionals, and teaching

and/or coaching on food preparation techniques. 3.67

Page 11: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

10.2.6 Effectively communicates findings and nutrition diagnoses to clients

and the health care team. 3.65

8.1.3 Integrates knowledge of macronutrients and micronutrients for

absorption, digestion and metabolism throughout the life span in practice. 3.65

10.2.11 Monitors, identifies and adjusts the intervention based on customer

progress in meeting established goals 3.64

10.2.5 Develops nutrition prescription to communicate required food and

nutrient needs. 3.63

10.2.10 Monitors and identifies factors affecting customer progress in

meeting goals. 3.62

10.4.5 Adheres to legislation, regulations, standards and organization

policies related to recommending, prescribing and dispensing vitamins and

minerals, dietary supplements, functional foods and medical nutrition

foods/products. 3.62

8.3.1 Maintains the knowledge and skill to manage a variety of disease

states and clinical conditions. 3.62

Page 12: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Functional Ares of Practice

Chart 6: RDN Clinical Care – Lowest Frequency Rankings

Total Number of Respondents 8746

Competencies and Performance Indicators Mean

6.3.2 Conceptualizes and formulates research hypotheses. 1.67

6.3.5 Identifies and designs appropriate research instruments or tools. 1.68

6.3.3 Obtains approval for research initiatives and follows established

research code of ethics and policies. 1.68

11.1.1 Conducts feasibility studies to determine validity of, and need for,

products or services. 1.72

9.5.3 Writes new items to be used in data collection for research. 1.77

6.3.4 Defines and establishes appropriate measurements and evaluations. 1.79

9.5.4 Develops procedures for standardized use of instruments. 1.80

11.1.1 Conducts feasibility studies to determine validity of, and need for,

products or services. 1.83

6.3 Participates in and leads research initiatives following ethical and

professional research methodology. 1.84

3.2.7 Contributes to the development and revision of government policies. 1.85

11.1.2 Develops and implements evaluation tools and methodologies to

test products and services. 1.85

11.2.3 Conducts environmental scans and evaluates product ingredients

and product / service claims to develop advertising and marketing

strategies. 1.91

Page 13: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

9.5.2 Writes new items to be used in data collection for evaluation. 1.91

6.3.6 Using the scientific process, systematically investigates and searches

for information from a wide variety of sources. 1.92

6.3.10 Defines appropriate measurements and evaluations for establishing

benchmarking and best practices. 1.92

9.5.5 Uses evaluation instrument to collect data and assess outcomes of

education process. 1.96

9.5.6 Analyzes and synthesizes evaluation data to recommend and make

modifications to program. 1.98

Page 14: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Functional Ares of Practice

Chart 7: NDTR Clinical Care – Highest Frequency Rankings

Total Number of Respondents 496

Competencies and Performance Indicators Mean

10.1.2 Communicates screening information to the RDN. 3.71

10.1.1 Conducts the nutrition screening using standardized, validated tools to

identify customer risks and level of criticality. 3.70

10.5.1 Uses a systematic approach to record keeping. 3.68

10.2 Implements the Nutrition Care Process under the supervision of the RDN

while adhering to the Standards of Practice in Nutrition Care for NDTRs. 3.66

10.2.1 Under the supervision of the RDN, collects and calculates the 3.66

11.1 Participates in the development of products and/or services related to food,

nutrition, equipment and systems. 3.66

10.5.2 Maintains clear, accurate and appropriate records of customer

encounters, communications with customer and others, plans and interventions

according to organization policies, standards and state and federal regulations. 3.64

10.3 Engages customer or substitute decision maker in the informed consent

process prior to and during the provision of services. 3.59

10.2.5 Communicates findings to support the adjustment or redesign of the plan

of care/intervention as needed. 3.57

13.2.2 Collaborates with the RDN and/or leadership in evaluating and

incorporating the individual or group in the development of a menu. 3.56

Page 15: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

13.2.7 Collaborates with the RDN and/or leadership, modifying recipes and

menus that accommodate diverse health, economic, and cultural needs in order

to achieve nutritional goals and requirements. 3.56

10.2.3 As directed by the RDN, assists with implementation of nutrition

interventions and education. 3.56

10.4.3 Provides standardized and pre-developed information to support

customer education on potential adverse drug/nutrient interaction. 3.55

10.2.4 As directed by the RDN, monitors factors affecting customer progress in

meeting goals. 3.54

10.4.2 Recognizes and communicates any potential adverse drug/nutrient

interaction to the appropriate professional. 3.53

10.4.1 Collects information related to the customer's use of pharmacotherapy

and dietary supplements. 3.52

Page 16: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Functional Ares of Practice

Chart 8: NDTR Clinical Care - Lowest Frequency Rankings

Total Number of Respondents 496

Competencies and Performance Indicators Mean

11.1.2 Leads and facilitates product testing 2.09

11.2 Integrates product, service and industry knowledge with evidence-based

scientific research when engaging in sales, advertising and marketing of

products and services. 2.09

11.2.5 Communicates product claims identifying validated product ingredients

and characteristics in collaboration with product development team. 2.09

11.2.7 Considers audience needs and product features and suggests adjustments

to messaging and delivery method accordingly. 2.09

11.3 Incorporates key sales principles, ensuring integrity of self, the

organization and the nutrition and dietetics profession. 2.09

11.3.1 Adheres to the code of ethics of the profession. 2.09

11.4 Develops advertising messages and materials in a professional and ethical

manner. 2.09

11.4.3 Ensures advertising information is balanced, accurate and in the public’s

best interest. 2.09

11.4.4 Collaborates with others to develop materials and messaging when the

required skills exceed ability levels. 2.09

11.1.1 Supports coordination and administration of feasibility studies. 2.18

Page 17: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

11.2.1 Gathers data to support the evaluation of the product characteristics,

ingredients and claims in order to ensure compliance with regulatory

requirements. 2.18

11.2.2 Participates in team discussion to identify market trends and target

customers wants and needs. 2.18

11.2.4 Collects data to define target audience. 2.18

11.2.6 Contributes to the development of customer messaging, taking into

consideration change management and motivation. 2.18

11.2.8 Collaborates and communicates with external stakeholders to support

product acceptance. 2.18

11.3.8 Follows industry regulations, standards and policies when engaging in

market testing process and market research testing activities for products or

services. 2.18

11.4.1 Stays abreast of changing trends and technology in promotion, marketing

and advertising. 2.18

Page 18: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Functional Ares of Practice

Chart 9: RDN Director and Manger of Programs and

Foodservice Manager – Highest Frequency Rankings

Dire

ctor

of a

pro

gram

,

faci

lity,

uni

t, de

partm

ent

Man

ager

of a

pro

gram

,

unit

or d

epar

tmen

t Fo

od se

rvic

e m

anag

er

(i.e.

scho

ol sy

stem

,

Total Number of Respondents 1070 1763 984

Competencies and Performance Indicators Mean Mean Mean

13.1.7 Applies principles of food safety and sanitation in the design

and purchase of equipment for production and service of food. 3.75 3.59 3.44

10.5 Document and maintain records according to the SOP for the

RDN, legislation, regulations and organization policies. 3.75 3.73 3.70

13.2.1 Adheres to and communicates relevant regulations, dietary

guidelines and organization policies in menu development and

implementation. 3.67 3.61 3.66

13.3 Develops, manages and demonstrates accountability for

operational budgets in foodservice systems. 3.67 3.32 3.35

14.2 Applies principles of financial management to support and

achieve budgetary goals. 3.49 2.93 3.26

13.1.6 Adheres to all relevant regulatory guidelines in establishing

facility layout and design. 3.65 3.56 3.39

13.1 Analyzes, designs and monitors foodservice systems to optimize

operations. 3.63 3.60 3.51

10.5.4 Takes action to anticipate and minimize foreseeable risk of 3.63 3.65 3.62

Page 19: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

unauthorized access to records.

13.2 Develops, directs, manages and evaluates the use of standardized

recipes for food production in delivery systems. 3.63 3.58 3.57

13.2.4 Develops menus in consideration of production and service

capabilities of facility and staff. 3.61 3.51 3.61

10.1 Performs nutrition screening to evaluate individual health,

malnutrition and disease while adhering to the Standards of Practice

(SOP) in Nutrition Care for RDNs. 3.60 3.58 3.75

13.1.4 Applies budgeting principles when ordering equipment. 3.60 3.46 3.34

10.2.7 Prioritizes specific nutrition problem(s). 3.59 3.66 3.72

13.1.3 Applies nutrition and foodservice principles in order to

develop equipment specifications that meet the expectations of

internal and external stakeholders. 3.54 3.32 3.13

10.2.7 Prioritizes specific nutrition problem(s). 3.59 3.66 3.72

10.2.6 Effectively communicates findings and nutrition diagnoses to

clients and the health care team. 3.53 3.64 3.70

13.2.1 Adheres to and communicates relevant regulations, dietary

guidelines and organization policies in menu development and

implementation. 3.67 3.61 3.66

10.2.5 Develops nutrition prescription to communicate required food

and nutrient needs. 3.52 3.61 3.63

13.1 Analyzes, designs and monitors foodservice systems to optimize

operations. 3.63 3.60 3.51

Page 20: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

13.1.5 Considers staffing, processes, equipment, and layout plans in

developing and optimizing workflow. 3.69 3.60 3.47

10.2.8 Establishes the plan of care, directly addressing the nutrition

diagnosis in collaboration with the customer in defining the time,

frequency, and duration of the intervention. 3.49 3.60 3.63

Page 21: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Functional Ares of Practice

Chart 10: RDN Director and Manger of Programs and

Foodservice Manager – Lowest Frequency Rankings

depa

rtmen

t (i.

e. E

xecu

tive

offic

er,

Cor

pora

te d

irect

or, e

tc.)

Man

ager

of a

pro

gram

, uni

t or

depa

rtmen

t

syst

em, f

oods

ervi

ce,

long

-term

care

faci

lity,

hos

pita

l, et

c.)

Total Number of Respondents 1070 1763 984

Competencies and Performance Indicators Mean Mean Mean

9.5.2 Writes new items to be used in data collection for evaluation. 2.30 2.08 1.98

11.1.3 Leads and facilitates product testing using research

methodologies to determine acceptability and viability and to confirm

desired outcomes. 2.25 1.94 2.02

9.5.4 Develops procedures for standardized use of instruments. 2.24 2.00 1.92

6.3.6 Using the scientific process systematically investigates and

searches for information from a wide variety of sources. 2.21 2.06 2.00

6.3 Participates in and/or leads research initiatives following ethical

and professional research methodology. 2.19 2.00 1.98

6.3.4 Defines and establishes appropriate measurements and

evaluations. 2.18 2.03 2.00

6.3.3 Obtains approval for research initiatives and follows established

research code of ethics and policies. 2.24 2.00 1.92

6.3.3 Obtains approval for research initiatives and follows established

research code of ethics and policies. 2.09 1.89 1.82

Page 22: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

6.3.5 Identifies and designs appropriate research instruments or tools. 2.05 1.87 1.84

Page 23: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Functional Ares of Practice

Chart 11: NDTR Director and Manger of Programs

and Foodservice Manager – Highest Frequency

Rankings Di

rect

or o

f a p

rogr

am,

faci

lity,

uni

t, de

part

men

t (i.

e. S

enio

r Lea

ders

hip,

Ex

ecut

ive

offic

er,

Corp

orat

e di

rect

or, e

tc.)

Man

ager

of a

pro

gram

, uni

t or

dep

artm

ent

Food

serv

ice

man

ager

(i.e

. sc

hool

syst

em, f

oods

ervi

ce,

long

-ter

m c

are

faci

lity,

ho

spita

l, et

c.)

Total Number of Respondents 41 63 191

10.1. Performs the nutrition screening to support the

RDNs comprehensive nutrition assessment while

adhering to the Standards of Practice (SOP) in Nutrition

Care for NDTRs. 4.00 3.86 3.62

10.1.1 Conducts the nutrition screening using

standardized, validated tools to identify customer risks

and level of criticality. 4.00 3.86 3.81

10.1.2 Communicates screening information to the RDN. 4.00 4.00 3.48

10.4.5 Adheres to legislation, regulations, standards and

organization policies related to recommending vitamins

and minerals, dietary supplements, functional foods, and

medical nutrition foods/products. 4.00 3.57 3.24

10.5.4 Takes action to anticipate and minimize

foreseeable risk of unauthorized access to records. 4.00 3.57 3.48

12.1 Advocates for health and disease prevention in the

community. 4.00 3.25 3.08

12.1.1 Promotes nutrition programs and resources to

address issues of food security, nutritional health and 4.00 3.25 3.08

Page 24: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

overall health and wellness.

12.1.2 Participates in the development of food and

nutrition policies. 4.00 3.25 2.77

14.4 Coordinates human resource activities, adhering to

legislation, labor agreements and organization policies. 3.91 3.33 3.31

14.4.2 Initiates and participates in recruitment and hiring

of staff. 3.91 3.42 3.44

14.4.3 Plans and coordinates staff orientation and

training. 3.91 3.33 3.28

10.2 Implements the Nutrition Care Process under the

supervision of the RDN while adhering to the Standards

of Practice in Nutrition Care for NDTRs. 3.88 3.71 3.43

10.2.2 Communicates to the RDN objective and

subjective data, to support determination of nutrition

problems/ nutrition diagnosis. 3.88 3.71 3.48

10.2.3 As directed by the RDN, assists with

implementation of nutrition interventions and education. 3.88 3.71 3.43

10.2.4 As directed by the RDN, monitors factors

affecting customer progress in meeting goals. 3.88 3.71 3.43

10.2.5 Communicates findings to support the adjustment

or redesign of the plan of care/intervention as needed. 3.88 3.71 3.57

Page 25: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

10.4.4 Provides standardized and pre-developed

information to support customer education for the

appropriate use of vitamin and mineral supplementation

in the management of health and disease. 3.88 3.29 3.14

13.2 Implements, manages, and evaluates the use of

standardized recipes for food production in delivery

systems. 3.83 3.56 3.37

13.2.1 Adheres to and communicates relevant

regulations, dietary guidelines and organization policies

in the implementation of the menu. 3.67 3.56 3.49

13.2.2 Collaborates with the RDN and/or leadership in

evaluating and incorporating the individual or group in

the development of a menu. 3.67 3.33 3.37

11.1 Participates in the development of products and/or

services related to food, nutrition, equipment and

systems. 2.50 3.67 3.22

Page 26: CDR Essential Practice Competencies Charts Essential Practice Competencies Charts.pdf10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access to records.

Functional Ares of Practice

Chart 12: NDTR Director and Manger of Programs

and Foodservice Manager

Lowest Frequency Rankings Di

rect

or o

f a p

rogr

am, f

acili

ty,

unit,

dep

artm

ent

(i.e.

Sen

ior

Lead

ersh

ip, E

xecu

tive

offic

er,

Corp

orat

e di

rect

or, e

tc.)

Man

ager

of a

pro

gram

, uni

t or

depa

rtm

ent

Food

serv

ice

man

ager

(i.e

. sc

hool

syst

em, f

oods

ervi

ce,

long

-ter

m c

are

faci

lity,

hos

pita

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c.)

Total Number of Respondents 41 63 191

11.1 Participates in the development of products and/or

services related to food, nutrition, equipment and

systems. 2.50 3.67 3.22

11.1.1 Supports coordination and administration of

feasibility studies. 2.50 3.33 2.89

11.1.2 Leads and facilitates product testing 2.50 2.67 2.89

9.5.2 Under the RDN’s supervision, analyzes and

synthesizes evaluation data to recommend modification

to the program, class and/or course. 2.62 2.07 2.29

14.3.2 Participates in stakeholder 2.73 2.75 2.28

1.5.5 Engage in national, state and district professional

elections. 2.81 2.57 2.48

6.2 Demonstrates skills in researching and in

collaboration with others, critically examines and

evaluates information to influence practice. 2.85 2.86 2.63

6.2.1 Uses established benchmarking and best practices

to inform practice. 2.85 3.00 2.61

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5.2.5 Suggests, develops and/or implements innovative

enhancements and new software platforms, applications

and technologies to meet the needs of the population,

environment, profession or customer. 2.87 2.56 2.38

8.2.1 Under the supervision of the RDN, collects data to

support the assessment of the physical, social and cultural

needs of the individual, group or community. 2.92 2.57 2.83

9.2.2 Follows a pre-developed learning plan. 2.92 3.00 2.56

9.3 Selects and incorporates pre-developed educational

materials that are theory based and culturally sensitive to

meet the learning needs of the individual or group. 2.92 2.86 2.54

9.3.2 Implements a variety of predefined activities based

on a plan of action and the needs of the individual, group

and community. 2.92 2.71 2.44

9.5.1 Employs an evaluation tool to assess outcome of

educational process. 2.92 2.21 2.40

5.4.3 Queries databases composed of standardized terms

to retrieve customer information for practice and process

improvement and to monitor the effectiveness of

interventions in individuals and populations. 2.93 2.50 2.43

9.5.2 Under the RDN’s supervision, analyzes and

synthesizes evaluation data to recommend modification

to the program, class and/or course. 2.62 2.07 2.29

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9.5.1 Employs an evaluation tool to assess outcome of

educational process. 2.92 2.21 2.40

9.5 Evaluates learning including teaching style and

delivery using appropriately designed instruments for

data collection 3.08 2.43 2.48

9.5.2 Under the RDN’s supervision, analyzes and

synthesizes evaluation data to recommend modification

to the program, class and/or course. 2.62 2.07 2.29

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Functional Ares of Practice

Chart 13: RDN Community and Public Health Program

Spheres 10 and 12 - Highest to Lowest Frequency Rankings

Total Number of Respondents 3507

Competencies and Performance Indicators Mean

10.5.4 Takes action to anticipate and minimize foreseeable risk of unauthorized access

to records. 3.72

10.5.3 Adheres to legislative and organization requirements regarding the protection of

privacy and security of information and storage and disclosure of customer records. 3.71

10.5.2 Maintains clear, accurate and appropriate records of customer encounters,

communications with customer and others, plans and interventions according to

organization policies, standards and state and federal regulations. 3.69

10.5.1 Uses a systematic approach to record keeping. 3.68

10.2.8 Establishes the plan of care, directly addressing the nutrition diagnosis in

collaboration with the customer in defining the time, frequency, and duration of the

intervention. 3.58

10.2.7 Prioritizes specific nutrition problem(s). 3.54

10.2.12 Establishes new goals and a new plan of care when original or interim goals are

met. 3.52

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10.2.9 In collaboration with the client and interdisciplinary team (including the DTRs),

selects and implements current and evidence-based nutrition interventions and

education. 3.51

10.3 Engages customer or substitute decision maker in the informed consent process

prior to and during the provision of services. 3.51

10.2.1 Identifies and selects valid and reliable tools to conduct a comprehensive

nutrition assessment. 3.51

10.2.6 Effectively communicates findings and nutrition diagnoses to clients and the

health care team. 3.50

10.2.11 Monitors, identifies and adjusts the intervention based on customer progress in

meeting established goals 3.50

10.1.1 Identifies and selects valid and reliable screening tool(s) to obtain and verify

relevant data in support of nutrition assessment. 3.49

10.2.10 Monitors and identifies factors affecting customer progress in meeting goals. 3.47

10.2.5 Develops nutrition prescription to communicate required food and nutrient

needs. 3.46

10.4.2 Applies knowledge of pharmacotherapy and its effect on nutrient absorption,

utilization and metabolism when developing and/or revising the plan of care. 3.45

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10.2.4 Integrates foundational dietetics knowledge with appraisal of assessment data to

diagnose nutrition problems (problem, etiology, signs and symptoms [PES] statements),

which can be resolved or improved through treatment or nutrition intervention. 3.44

10.5 Document and maintain records according to the SOP for the RDN, legislation,

regulations and organization policies. 3.44

12.1.1 Promotes nutrition programs and resources to address issues of food security,

nutritional health and overall health and wellness. 3.43

10.2.2 Works collaboratively with interdisciplinary team to identify and implement valid

and reliable nutrition assessment tool to support access to care. 3.43

12.1.2 Leads or participates in the development of food, nutrition and health policies. 3.42

10.1.3 Works collaboratively with the interdisciplinary team (including DTRs) to

identify and implement valid and reliable nutrition screening to support access to care. 3.40

10.4.1 Collects information related to the customer's use of pharmacotherapy and dietary

supplements. 3.40

10.4.3 Evaluates, educates and counsels on the interrelationship and impact of

pharmacotherapy on nutrient absorption. 3.34

10.2.3 Analyzes and synthesizes the assessment data to identify nutrition problems

following the Standards of Practice in Nutrition Care for RDNs. 3.34

10.1.2 Conducts the nutrition screening to identify customer risks, level of ity and to 3.30

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direct services.

10.2 Implements the Nutrition Care Process to ensure individual health goals are

established, monitored and achieved while adhering to the Standards of Practice in

Nutrition Care for RDNs 3.30

10.1 Performs nutrition screening to evaluate individual health, malnutrition and disease

while adhering to the Standards of Practice (SOP) in Nutrition Care for RDNs. 3.27

10.4.4 Makes recommendations for the appropriate use of vitamin and mineral

supplementation in the management of health and disease. 3.26

10.4.5 Adheres to legislation, regulations, standards and organization policies related to

recommending, prescribing and dispensing vitamins and minerals, dietary supplements,

functional foods and medical nutrition foods/products. 3.26

12.4.6 Applies and integrates the Nutrition Care Process to meet the complex needs of

the target population. 3.18

10.3.2 Obtains consent from customers for the involvement of support personnel,

students, and other providers in the provision of medical nutrition therapy. 3.02

10.3.3 Verifies with the customer that he/she engaged in a third-party informed consent

process (if referral was obtained by a third party) 2.99

10.3.1 Demonstrates knowledge and applies principles of the informed consent process

in accordance with organization policies, protocols and state and federal regulations. 2.98

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12.1.4 Influences legislation, regulation, and policy changes to impact nutrition in the

community. 2.93

12.4.4 Identifies and implements strategies for reaching individuals and populations in

collaboration with stakeholders. 2.87

10.3.5 Identifies situations in which informed consent is problematic and take steps to

rectifies issues. 2.86

12.4.2 Collaborates with community partners to implement programs based on the

assessed needs, values, beliefs, limitations and strengths of the population. 2.84

12.2.2 Identifies and reviews relevant literature and evidence-based research to create

program plans and to justify needs and/or actions. 2.73

12.4.3 Utilizes appropriate behavioral change theories, social marketing, behavior

economics, and communication strategies in the delivery of nutrition programs. 2.73

12.4.1 Implements programs and/or interventions while adhering to public health

policies and standards related to food and nutrition. 2.71

12.3.4 Collaborates with community partners to design the program. 2.70

10.3.4 Demonstrates awareness that informed consent is an ongoing process. 2.70

10.4 Apply knowledge of the interrelationship and impact of pharmacotherapy, dietary

supplements, functional foods, and nutrients on health and disease in accordance with

Scope of Practice, the SOP and Standards of Professional Performance for RDNs. 2.69

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12.3.6 Prioritizes goals and objectives based on level of importance and changeability of

the health problem. 2.67

12.3.7 Documents social and epidemiological findings and the programs? priority goals

and objectives (including required behavior change and education needs), availability,

accessibility, timetable, budget implications and allocation. 2.66

12.2.1 Identifies determinants of health and their influence on population health status. 2.66

12.2.3 Identifies individual, public/private organization and government roles and

responsibilities within public health and health care systems. 2.65

12.4.5 Provides nutrition information and education within the community. 2.65

12.1 Advocates for health and disease prevention in the community and population. 2.62

12.5 Evaluates nutrition program to measure program effectiveness and outcomes and

recommend modifications to support changes and/or sustainability of program. 2.62

12.2.4 Identifies available resources and funding opportunities. 2.58

12.5.1 Develops or contributes to an evaluation process and/or cost-benefit analysis to

determine the effectiveness and outcomes of the program. 2.53

12.3.2 Applies community-based and population-based models and theories in the

development of the programs and/or interventions. 2.53

12.3.1 Designs programs and/or interventions based on assessment and evidence-based 2.53

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literature.

12.4 Implements community-based and population-based programs and/or interventions

in collaboration with stakeholders. 2.52

12.1.3 Collaborates with community partners and stakeholders in promoting nutrition

health and disease prevention. 2.51

12.3.5 Takes into consideration public health policies and standards related to food and

nutrition. 2.49

12.3.3 Takes into consideration any population and environmental disparities (health,

availability, finances, access) when developing programs. 2.48

12.2.5 Collaborates with stakeholder to determine level of support, opportunities and

risks. 2.48

12.3.9 Identify measureable outcomes and indicators for evaluation plan. 2.47

12.5.4 Develops recommendations considering evaluation data, needs of the population,

trending data, cost-benefit analysis and funding source. 2.46

12.2.7 Utilizes applicable databases to analyze and assess variables associated with the

target population. 2.44

12.5.2 Develops a mechanism and/or maintain databases to monitor and measure goals,

outcomes and trending data. 2.39

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12.2.6 Determines resource implications for community and public health programs. 2.39

12.3 Develops a community and population health program or intervention to meet the

needs of the community and/or population. 2.36

12.3.8 Assesses the compatibility of the program goals and objectives with those of the

organization and its administration and adjusts accordingly. 2.34

12.5.5 Presents evaluation findings, outcomes and recommendations to stakeholders to

promote change and/or substantiate program. 2.33

12.2.8 Synthesize assessment data to determine and prioritize program goals and

objectives. 2.32

12.2 Assesses the need to develop and implement a community or population health

program and/or intervention. 2.31

12.5.3 Critically reviews evaluations to make recommendations for changes. 2.28

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Functional Ares of Practice

Chart 14: RDN Community and Public Health Program – Lowest Frequency

Rankings

Total Number of Respondents 3507

6.3 Participates in and/or leads research initiatives following ethical and professional

research methodology. 3.08

6.3.1 Uses established benchmarking and best practices to inform practice. 1.87

6.3.2 Conceptualizes and formulates research hypotheses. 2.31

6.3.3 Obtains approval for research initiatives and follows established research code of

ethics and policies. 1.72

6.3.4 Defines and establishes appropriate measurements and evaluations. 1.73

6.3.5 Identifies and designs appropriate research instruments or tools. 1.84

6.3.6 Using the scientific process systematically investigates and searches for

information from a wide variety of sources. 1.74

6.3.7 Interprets data to make recommendations and to form realistic and valid

conclusions. 1.97

6.3.8 Interprets, analyzes, synthesizes and critically appraises research findings. 2.17

6.3.9 Disseminates research or performance improvement outcomes to advance

knowledge, change practice and enhance effectiveness of services. 2.08

6.3.10 Defines appropriate measurements and evaluations for establishing

benchmarking and best practices. 2.08

6.3.11 Applies research/evidence-based findings to improve practice, service delivery

and health and nutrition of customers. 1.95

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9.5 Evaluates learning including teaching style and delivery using appropriately

designed instruments for data collection 3.23

9.5.1 Identifies usable evaluation questions from existing instruments. 2.43

9.5.2 Writes new items to be used in data collection for evaluation. 2.33

9.5.3 Writes new items to be used in data collection for research. 2.09

9.5.4 Develops procedures for standardized use of instruments. 1.91

9.5.5 Uses evaluation instrument to collect data and assess outcomes of education

process. 1.92

9.5.6 Analyzes and synthesizes evaluation data to recommend and make modifications

to program. 2.20

11.1 Leads or participates in the development of products and/or services related to

food, nutrition, equipment and systems. 3.56

11.1.1 Conducts feasibility studies to determine validity of, and need for, products or

services. 2.32

11.1.2 Develops and implements evaluation tools and methodologies to test products

and services. 1.98

11.1.3 Leads and facilitates product testing using research methodologies to determine

acceptability and viability and to confirm desired outcomes. 2.01

11.1.4 Interprets and advises on food 1.86

11.1.5 Incorporates market research, consumer insights and current evidence-based

trends in order to develop new products and services. 2.75

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Functional Ares of Practice

Chart 15: NDTR Community and Public Health Program – Highest

Frequency Rankings

Total Number of Respondents 177

Competency and Performance Indicators Mean

10.1. Performs the nutrition screening to support the RDNs comprehensive

nutrition assessment while adhering to the Standards of Practice (SOP) in

Nutrition Care for NDTRs. 3.89

10.1.1 Conducts the nutrition screening using standardized, validated tools

to identify customer risks and level of criticality. 3.89

10.1.2 Communicates screening information to the RDN. 3.56

10.2 Implements the Nutrition Care Process under the supervision of the

RDN while adhering to the Standards of Practice in Nutrition Care for

NDTRs. 3.11

10.2.1 Under the supervision of the RDN, collects and calculates the 2.78

10.2.2 Communicates to the RDN objective and subjective data, to support

determination of nutrition problems/ nutrition diagnosis. 3.33

10.2.3 As directed by the RDN, assists with implementation of nutrition

interventions and education. 3.22

10.2.4 As directed by the RDN, monitors factors affecting customer

progress in meeting goals. 3.11

10.2.5 Communicates findings to support the adjustment or redesign of the

plan of care/intervention as needed. 3.33

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10.3 Engages customer or substitute decision maker in the informed

consent process prior to and during the provision of services. 3.56

10.3.1 Understands principles of the informed consent process in

accordance with organization policies, protocols and state and federal

regulations. 3.56

10.3.2 Obtains consent from customers for the involvement of support

personnel, students, and other providers involved in the provision of

nutritional foodservices. 3.56

10.3.3 Verifies with the customer that he/she engaged in a third-party

informed consent process (if referral was obtained by third party) 3.56

10.3.4 Demonstrates awareness that informed consent is an ongoing

process 3.56

10.3.5 Identifies situations where informed consent may be problematic

and take steps to rectify the issues. 3.56

10.4 Under the supervision of the RDN, identify and communicate the

interrelationship and use of pharmacotherapy, dietary supplements and

nutrients on health and disease in accordance with Scope of Practice, the

SOP and Standards of Professional Performance for NDTRs. 3.33

10.4.1 Collects information related to the customer's use of

pharmacotherapy and dietary supplements. 3.11

10.4.2 Recognizes and communicates any potential adverse drug nutrient

interaction to the appropriate professional. 3.00

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10.4.3 Provides standardized and pre-developed information to support

customer education on potential adverse drug nutrient interaction. 2.89

10.4.4 Provides standardized and pre-developed information to support

customer education for the appropriate use of vitamin and mineral

supplementation in the management of health and disease. 3.00

10.4.5 Adheres to legislation, regulations, standards and organization

policies related to recommending vitamins and minerals, dietary

supplements, functional foods, and medical nutrition foods/products. 3.56

10.5 Document and maintain records according to the SOP for the NDTR,

legislation, regulations and organization policies. 3.89

10.5.1 Uses a systematic approach to record keeping. 3.89

10.5.2 Maintains clear, accurate and appropriate records of customer

encounters, communications with customer and others, plans and

interventions according to organization policies, standards and state and

federal regulations. 3.89

10.5.3 Adheres to legislative and organization requirements regarding the

protection of privacy and security of information and storage and

disclosure of customer records. 3.89

10.5.4 Takes action to anticipate and minimize foreseeable risk of

unauthorized access to records. 3.89

12.1 Advocates for health and disease prevention in the community. 3.33

12.1.1 Promotes nutrition programs and resources to address issues of food

security, nutritional health and overall health and wellness. 3.53

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12.1.2 Participates in the development of food and nutrition policies. 2.43

12.1.3 Under the supervision of the RDN, collaborates with community

partners and stakeholders in promoting nutrition health and disease

prevention. 2.58

12.3 Supports leadership in the planning, development and implementation

of a community health population program and/or intervention. 2.70

12.3.1 Under supervision and direction of RDN, collects data to support the

assessment and development of the programs or interventions. 2.40

12.3.2 Provides input to program lead regarding the development of the

programs. 2.40

12.3.3 Supports implementation of the programs by conducting a literature

search and identifying potential resources. 2.30

12.3.4 Communicates benefits to promote use of the program and/or

policies. 2.88

12.3.5 Under supervision provides nutritional information and education

within the community. 3.28

12.3.6 Collects data to support evaluation of the sustainability of the

program. 2.60

12.5 Supports RDN in evaluation of nutrition program and recommend

modifications to support changes and/or sustainability of program. 2.65

12.5.1 Collects data to support the evaluation process and/or cost-benefit

analysis to determine the effectiveness and outcomes of the program. 2.40

12.5.2 Under the supervision of the RDN, maintains databases to monitor 2.43

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and measure goals.

12.5.3 Supports RDN in the development of presentation to stakeholders to

communicate evaluation findings to promote change and/or substantiate

program. 2.15

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Functional Ares of Practice

Chart 16: NDTR Community and Public Health Program – Lowest

Frequency Rankings

Total Number of Respondents 177

Competency and Performance Indicators Mean

11.1.1 Supports coordination and administration of feasibility studies. 1.50

11.1.2 Leads and facilitates product testing 1.50

11.2.3 Conducts environmental scans and literature reviews and

collects data to support team decisions to develop advertising and

marketing strategies. 1.50

11.2.4 Collects data to define target audience. 1.50

11.1 Participates in the development of products and/or services related

to food, nutrition, equipment and systems. 1.67

11.2.1 Gathers data to support the evaluation of the product

characteristics, ingredients and claims in order to ensure compliance

with regulatory requirements. 1.67

11.2 Integrates product, service and industry knowledge with evidence-

based scientific research when engaging in sales, advertising and

marketing of products and services. 1.83

11.2.5 Communicates product claims identifying validated product

ingredients and characteristics in collaboration with product

development team. 1.83

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14.4.5 Initiates and manages staff remediation and termination

processes, applying applicable legislation and labor agreements. 1.88

11.2.8 Collaborates and communicates with external stakeholders to

support product acceptance. 2.00

14.4 Coordinates human resource activities, adhering to legislation,

labor agreements and organization policies. 2.00

14.4.1 Utilizes policies and processes to manage workforce. 2.00

14.4.2 Initiates and participates in recruitment and hiring of staff. 2.00

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Functional Ares of Practice - Frequency Scale

Chart 17: RDN Researcher – Highest Frequency Rankings

Total Number of Respondents 711

Competencies and Performance Indicators mean

13.1 Analyzes, designs and monitors foodservice systems to optimize operations. 3.09

13.1.1 Conducts a needs assessment in collaboration with staff to determine

overall department needs. 3.80

13.1.2 Designs a plan for the purchase of equipment for the production and

service of food that meets required safety and sanitation standards. 4.00

13.1.3 Applies nutrition and foodservice principles in order to develop

equipment specifications that meet the expectations of internal and external

stakeholders. 3.60

13.1.4 Applies budgeting principles when ordering equipment. 3.80

13.1.5 Considers staffing, processes, equipment, and layout plans in developing

and optimizing workflow. 3.80

13.1.6 Adheres to all relevant regulatory guidelines in establishing facility layout

and design. 3.80

13.1.7 Applies principles of food safety and sanitation in the design and

purchase of equipment for production and service of food. 3.60

13.2 Develops, directs, manages and evaluates the use of standardized recipes

for food production in delivery systems. 4.00

13.2.1 Adheres to and communicates relevant regulations, dietary guidelines and

organization policies in menu development and implementation. 4.00

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13.2.2 Evaluates and incorporates individual and target group needs and

requirements in order to develop menu items. 3.60

13.2.3 Incorporates principles of food science and preparation in recipe

development. 3.80

13.2.4 Develops menus in consideration of production and service capabilities of

facility and staff. 4.00

13.2.5 Participates in and coordinates with committees and staff to review and

determine purchasing and product needs. 3.80

13.2.6 Develops tools and measurements to evaluate menu items, quality of

products, costs, nutritional values and customer needs. 3.20

13.2.7 Modifies recipes and menus that accommodate diverse health, economic,

and cultural needs in order to achieve nutritional goals and requirements. 3.60

13.2.8 Seeks and incorporates staff and customer feedback in developing menus

and recipes. 3.60

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Functional Ares of Practice

Chart 18: RDN Researcher – Lowest Frequency Rankings

Total Number of Respondents 711

Competencies and Performance Indicators mean

7.2 Applies principles, standards, regulations and organization policies to

reduce the risk of food-borne and water-borne illness outbreaks. 2.26

7.2.1 Applies knowledge of biological, physical or chemical properties that may

cause food to be unsafe for human and animal consumption. 2.50

7.2.2 Develops and provides education and counseling on safe food-handling

and sustainable practices to prevent and minimize contamination. 2.60

7.2.3 Communicates the role of sustainable food practices and food insecurities

for populations. 2.39

7.2.4 Identifies and analyzes insecurities in food and water system. 2.14

7.2.5 Develops, implements and adheres to policies and procedures to optimize

food and water safety. 1.96

7.2.6 Identifies and promotes sustainable, resilient, healthy food to staff,

customers and public. 2.11

7.2.7 Identifies and implements risk management and environmental safety

principles to enhance public safety and reduce risk to self, staff, customers,

public and organization. 2.26

7.2.8 Develops and implements food safety and sanitation programs in

compliance with state and federal regulations. 2.03

7.2.9 Develops and communicates awareness of disaster planning and food and 2.00

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water safety.

7.2.10 Collaborates with organizations and vendors to develop and implement

safety specifications and procedures for the optimization of food and water

safety and to provide adequate food storage and supply. 1.91

7.2.11 Applies knowledge of hygienic food preparation practices and causes of

food poisoning in food preparation. 1.86

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Functional Ares of Practice

Chart 19: NDTR Researcher – Highest Frequency Ranking

Total Number of Respondents 22

Competency and Performance Indicators Mean

6.1 Participates in quality improvement and customer satisfaction

activities to improve delivery of services. 2.60

6.1.1 Demonstrates awareness of systems errors and risk reduction

measures. 2.90

6.1.2 Formulates a clear understanding of the nature of problems or

need for improvement to achieve desired outcome. 3.00

6.1.3 Establishes goals for improving quality of services provided. 2.80

6.1.4 Collects qualitative and quantitative data using mixed

methodologies. 3.00

6.1.5 Reviews reports to identify trends and improvements. 2.60

6.1.6 Identifies and implements strategies, techniques and tools for

process improvement in consultation with others. 2.90

6.1.7 Evaluates, documents and communicates quality improvement

outcomes. 2.90

6.1.8 Monitors quality of own work and engages in continuing learning

and professional development to enhance practice knowledge. 3.40

6.1.9 Interprets data to formulate judgments, conclusions and reports. 3.00

6.2 Demonstrates skills in researching, and in collaboration with others,

critically examines and evaluates information to influence practice. 3.30

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6.2.1 Uses established benchmarking and best practices to inform

practice. 2.80

6.2.2 Demonstrates knowledge of research instruments and tools (i.e.

surveys, interview tools) to support research initiatives. 3.30

6.2.3 In collaboration with others, interprets data to make

recommendations. 3.10

6.2.4 Disseminates research or performance improvement outcomes to

advance knowledge, change practice and enhance effectiveness of

services. 3.10

6.2.5 Applies research/evidence-based findings to improve practice,

service delivery and health and nutrition of customers. 2.70

14.1 Employs principles of productivity to optimize safe, ethical and

efficient resource utilization. 4.00

14.1.1 Applies criteria to measure and monitor productivity in order to

support safe, ethical, and efficient services delivery. 4.00

14.1.2 Develops goals and outcomes to measure and enhance

productivity. 4.00

14.1.3 Assesses skills and competence of staff to optimize workflow. 4.00

14.1.4 Monitors staff compliance with laws, policies, procedures, and

established systems. 4.00

14.1.5 Leads and participates in department goal setting to support the

organization's strategic plan. 4.00

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14.1.6 Measures goals and tracks outcomes against established

benchmarks to ensure desired goals, standards and regulatory

requirements are met. 4.00

14.1.7 Implements, monitors and evaluates strategies for efficient

workflow. 4.00

14.1.8 Communicates process changes to staff, customers, vendors and

other stakeholders. 4.00

14.1.9 Ensures staff is working within individual scope of practice and

competence. 4.00

14.1.10 Advocates and allocates resources to increase staff skills,

considering the best interests of the public. 4.00

14.2 Applies principles of financial management to support and achieve

budgetary goals. 4.00

14.2.1 Establishes and maintains an operational budget. 4.00

14.2.2 Manages expenditures and revenues using established

procedures and tools. 4.00

14.2.3 Synthesizes and analyzes data from multiple sources to manage

organizational budget. 4.00

14.2.4 Conducts and participates in a cost analysis to establish budget

priorities. 4.00

14.2.5 Interprets operational data and financial statements to manage

programs and services within budget. 4.00

14.3 Incorporates and communicates principles of project management 4.00

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to achieve project objectives and goals.

14.3.1 Participates in team meetings to establish project parameters. 4.00

14.3.2 Participates in stakeholder 4.00

14.3.3 Communicates purpose and desired outcomes to stakeholders in

order to achieve project objectives and goals. 4.00

14.3.4 Assists in management of identified risks to support successful

completion of the project. 4.00

14.3.5 Identifies and reports risks related to the project. 4.00

14.3.6 Tracks progress and completion of deliverables and takes action

to keep project within scope. 4.00

14.4 Coordinates human resource activities, adhering to legislation,

labor agreements and organization policies. 4.00

14.4.1 Utilizes policies and processes to manage workforce. 4.00

14.4.2 Initiates and participates in recruitment and hiring of staff. 4.00

14.4.3 Plans and coordinates staff orientation and training. 4.00

14.4.4 Reviews and updates job descriptions to reflect current practices

and the organizations needs. 4.00

14.4.5 Initiates and manages staff remediation and termination

processes, applying applicable legislation and labor agreements. 4.00

14.5.6 Communicates and measures performance expectations of staff. 4.00

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Functional Ares of Practice

Chart 20: NDTR Researcher – Lowest Frequency Ranking

Total Number of Respondents 22

Competency and Performance Indicators Mean

10.3 Engages customer or substitute decision maker in the informed

consent process prior to and during the provision of services. 1.50

10.3.1 Understands principles of the informed consent process in

accordance with organization policies, protocols and state and federal

regulations. 1.50

10.3.2 Obtains consent from customers for the involvement of support

personnel, students, and other providers involved in the provision of

nutritional foodservices. 1.50

10.3.3 Verifies with the customer that he/she engaged in a third-party

informed consent process (if referral was obtained by third party) 1.50

10.3.4 Demonstrates awareness that informed consent is an ongoing

process 1.50

10.3.5 Identifies situations where informed consent may be problematic

and take steps to rectify the issues. 1.50

7.2.9 Develops and communicates awareness of disaster planning and

food and water safety. 1.89

7.2.10 Collaborates with organizations and vendors to develop and

implement safety specifications and procedures for the optimization of

food and water safety and to provide adequate food storage and supply. 1.89

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8.2.5 Keeps abreast of national and local funding models that impact

services provided. 1.89

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Chart 21: RDN

Sphere 5: Informatics – Frequency and Level of

Importance Ranking

Frequency Importance

Competency Avg.

Std.

Dev. N Avg.

Std.

Dev. N

5.1. Acquires knowledge of technology systems

consistent with role and responsibilities. 3.34 0.71 4921 3.38 0.62 4925

5.1.1 Demonstrates proficient use of technical operating

systems and software to communicate and disseminate

information; to collect, track and retrieve data; and to

create documents, spreadsheets and presentations. 3.26 0.74 4921 3.34 0.64 4924

5.1.2 Applies understanding of informatics terminology

and input and output devices. 3.00 0.88 4921 3.11 0.75 4924

5.1.3 Seeks guidance from technology advisors or experts

when requirements are beyond competence. 3.29 0.81 4921 3.38 0.67 4924

5.1.4 Demonstrates knowledge of system interfaces used

in the delivery of services. 3.05 0.87 4921 3.15 0.75 4922

5.2 Utilizes technology according to organization needs

and workplace policies and procedures. 3.25 0.86 4823 3.36 0.68 4831

5.2.1 Integrates technology platforms with other internal

and external services (e.g., risk management, disease

management, data tracking and reporting). 2.49 1.04 4823 2.94 0.86 4827

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5.2.2 Leads or participates on teams to design or develop

criteria for the selection or implementation of software

programs, applications or systems to advance work

objectives. 2.03 1.03 4823 2.60 0.97 4827

5.2.3 Advocates, implements and monitors security and

data protection practices. 2.27 1.13 4823 2.78 1.00 4827

5.2.4 Determines the workflow and resource needs for

clinical information system implementation, maintenance

and upgrades. 2.02 1.05 4823 2.59 0.99 4824

5.2.5 Instructs or advises others on the use of clinical

information systems, nutrition informatics tools and other

technology topics. 2.22 1.02 4823 2.69 0.94 4824

5.2.6 Develops and implements policies and procedures

consistent with privacy and confidentiality legislation and

regulation. 2.05 1.10 4823 2.72 1.02 4823

5.2.7 Suggests, develops and/or implements innovative

enhancements and new software platforms, applications

and technologies to meet the needs of the population,

environment, profession or customer. 2.02 1.03 4822 2.58 0.98 4823

5.3 Demonstrates ethical and professional behavior when

using technology. 3.74 0.56 4749 3.66 0.56 4757

5.3.1 Complies with legislative requirements and

organization policies for maintaining and storing personal 3.65 0.72 4749 3.60 0.67 4754

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health information.

5.3.2 Maintains technological security and confidentiality

in the electronic sharing, transmission, storage and

management of information. 3.65 0.71 4749 3.61 0.64 4753

5.3.3 Monitors compliance with privacy and

confidentiality legislation and organization policies

related to informatics. 3.18 1.09 4748 3.37 0.86 4753

5.3.4 Takes appropriate action in response to

unauthorized access, use and disclosure of information. 3.25 1.08 4748 3.48 0.78 4751

5.3.5 Demonstrates professional behaviors and

professional boundaries when using social media

platforms. 3.57 0.82 4748 3.57 0.68 4751

5.4 Demonstrates the ability to store and retrieve data

using the International Dietetics and Nutrition

Terminology (IDNT) and other standardized languages. 2.50 1.19 4692 2.79 1.02 4692

5.4.1 Complies with IDNT terminology when

documenting customer information in electronic

databases. 2.54 1.21 4692 2.79 1.02 4692

5.4.2 Uses standardized terminology to describe nutrition

assessment data, nutrition diagnoses, nutrition

interventions and nutrition monitoring and evaluation. 2.77 1.14 4692 2.95 0.96 4692

5.4.3 Queries databases composed of standardized terms

to retrieve customer information for practice and process 2.25 1.16 4691 2.68 1.01 4692

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improvement and to monitor the effectiveness of

interventions in individuals and populations.

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Chart 22: RDN Informatics

Sphere 5: Informatics - Sphere 5: Informatics - Frequency Mean Ranking by Area of

Practice

Clin

ical

car

e

Dire

ctor

of a

pro

gram

, fac

ility

, uni

t, de

part

men

t (i.

e. S

enio

r Lea

ders

hip,

Ex

ecut

ive

offic

er,

Corp

orat

e di

rect

or, e

tc.)

Man

ager

of a

pro

gram

, uni

t or d

epar

tmen

t

Food

serv

ice

man

ager

(i.e

. sch

ool s

yste

m,

food

serv

ice,

long

-ter

m c

are

faci

lity,

hos

pita

l, et

c.)

Busin

ess a

nd in

dust

ry (i

.e. m

arke

ting,

co

ntra

ct fo

od se

rvic

e, sa

les,

nut

ritio

n sc

ienc

e, c

onsu

mer

test

ing,

etc

.)

Rese

arch

er

Educ

ator

/ pr

ofes

sor

Com

mun

ity o

r pub

lic h

ealth

pro

gram

Nut

ritio

n In

form

atic

s

Frequency Ranking Mean score for Sphere 5: Informatics 3.15 3.43 3.18 3.06 2.76 3.13 2.90 2.70 3.00

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Chart 23: NDTR

Sphere 5: Informatics – Frequency and Level of

Importance Ranking

Frequency Importance

Competency Avg.

Std.

Dev. N Avg.

Std.

Dev. N

5.1. Acquires knowledge of technology systems

consistent with role and responsibilities. 3.42 0.77 306 3.45 0.67 307

5.1.1 Demonstrates proficient use of technical operating

systems and software to communicate and disseminate

information; to collect, track and retrieve data; and to

create documents, spreadsheets and presentations. 3.34 0.82 306 3.37 0.71 306

5.1.2 Applies understanding of informatics terminology

and input and output devices. 3.18 0.94 306 3.25 0.79 306

5.1.3 Seeks guidance from technology advisors or experts

when requirements are beyond competence. 3.35 0.86 306 3.41 0.72 306

5.1.4 Demonstrates knowledge of system interfaces used

in the delivery of services. 3.22 0.90 306 3.28 0.75 306

5.2 Utilizes technology according to organization needs

and workplace policies and procedures. 3.27 0.93 304 3.43 0.68 304

5.2.1 Integrates technology platforms with other internal

and external services (for example, risk management,

disease management, data tracking and reporting). 2.67 1.13 304 3.04 0.90 304

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5.2.2 Participates on teams to design or develop criteria

for the selection or implementation of software programs,

applications or systems to advance work objectives. 2.23 1.20 304 2.69 1.01 304

5.2.3 Advocates, implements and monitors security and

data protection practices. 2.48 1.23 304 2.85 1.04 304

5.2.4 Instructs or advises others on the use of clinical

information systems, nutrition informatics tools and other

technology topics. 2.48 1.12 304 2.89 0.97 304

5.2.5 Suggests, develops and/or implements innovative

enhancements and new software platforms, applications

and technologies to meet the needs of the population,

environment, profession or customer. 2.19 1.18 304 2.69 1.03 304

5.3 Demonstrates ethical and professional behavior when

using technology. 3.67 0.69 298 3.66 0.56 298

5.3.1 Complies with legislative requirements and

organization policies for maintaining and storing personal

health information. 3.57 0.82 298 3.57 0.70 298

5.3.2 Maintains technological security and confidentiality

in the electronic sharing, transmission, storage and

management of information. 3.61 0.79 298 3.62 0.67 298

5.3.3 Monitors compliance with privacy and

confidentiality legislation and organization policies

related to informatics. 3.27 1.08 298 3.41 0.86 298

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5.3.4 Takes appropriate action in response to

unauthorized access, use and disclosure of information. 3.23 1.11 298 3.45 0.82 298

5.3.5 Demonstrates professional behaviors and

professional boundaries when using social media

platforms. 3.52 0.86 298 3.52 0.70 298

5.4 Demonstrates the ability to store and retrieve data

using the International Dietetics and Nutrition

Terminology (IDNT) and other standardized languages. 2.53 1.24 294 2.86 1.07 294

5.4.1 Complies with IDNT terminology when

documenting customer information in electronic

databases. 2.57 1.25 294 2.87 1.09 294

5.4.2 Uses standardized terminology to describe nutrition

assessment data, nutrition diagnoses, nutrition

interventions and nutrition monitoring and evaluation. 2.80 1.21 294 3.01 1.03 294

5.4.3 Queries databases composed of standardized terms

to retrieve customer information for practice and process

improvement and to monitor the effectiveness of

interventions in individuals and populations. 2.45 1.23 294 2.81 1.06 294

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Chart 24: NDTR Informatics

Sphere 5: Informatics - Frequency Mean Ranking by Area of Practice

Clin

ical

car

e

Dire

ctor

of a

pro

gram

, fac

ility

, uni

t, de

part

men

t (i.

e. S

enio

r Lea

ders

hip,

Ex

ecut

ive

offic

er,

Corp

orat

e di

rect

or, e

tc.)

Man

ager

of a

pro

gram

, uni

t or d

epar

tmen

t

Food

serv

ice

man

ager

(i.e

. sch

ool s

yste

m,

food

serv

ice,

long

-ter

m c

are

faci

lity,

hos

pita

l, et

c.)

Busin

ess a

nd in

dust

ry (i

.e. m

arke

ting,

co

ntra

ct fo

od se

rvic

e, sa

les,

nut

ritio

n sc

ienc

e, c

onsu

mer

test

ing,

etc

.)

Rese

arch

er

Educ

ator

/ pr

ofes

sor

Com

mun

ity o

r pub

lic h

ealth

pro

gram

Nut

ritio

n In

form

atic

s

Frequency Ranking Mean score for Sphere 5: Informatics 2.95 3.07 3.01 2.99 2.81 2.94 2.88 2.83 3.10