Newly admitted patients will be screened for risk of malnutrition. Patients will receive either the feeding protocol or current oral nutrition supplement (ONS) practice, pending location. Patients will continue the nutrition plan taking the supplement post discharge. Study team will follow-up with telephone calls to help support post-discharge ONS compliance. Quality and service utilization data will be gathered for analysis.

Inclusion Criteria:

• Patient is ≥ 18 years of age.
• Patient is screened for malnutrition with an MST score ≥ 2 (see Appendix C).
• Patient has length of stay of hospital stay > 2 days.
• Patient is able to consume foods and beverages orally.
• Patient receives Ensure, Nepro or Glucerna during the course of his or her hospital stay in connection with the QIP.

Exclusion Criteria:

• Patient is pregnant.
• Patient is intubated, receiving tube feeding or parenteral nutrition.
• Patient unable to provide HIPAA authorization and informed consent.
• Patient is discharged to hospice care.
• Patient has a condition that would preclude ingestion / absorption of the oral nutritional supplements, including allergic response to any ONS ingredient.
• Patient has severe dementia or delirium, brain metastases, eating disorder, history of significant neurological or psychiatric disorder.
• Patient has stated an allergy or intolerance to any of the ingredients in the study products.

Newly admitted patients to four hospitals within the Advocate Health Care System that have been identifed to be at risk for malnutrition.