Patient and Retail - WordPress.com · Make meals visually appealing in order to reduce waste...

Wellness Meals Patient and Retail

Emily Cook and Andrea Cox, Dietetic Interns, OHSU

NUTRITION SERVICES

2 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. December 5, 2014

Agenda

PHA & Healthy Picks Guidelines

Current Patient Box Meals

Proposed Patient Box Meals

Proposed Retail Grab & Go Boxes

Closing Thoughts


Information Covered

PHA & Healthy Picks Guidelines

PHA Requirements

Healthy Picks Guidelines

Project Goals


PHA Wellness Meals

A minimum of three wellness meals need to be offered daily in cafeteria and on general service patient menu by July 1, 2015

Currently two meals meet PHA guidelines in the cafeteria and one meal meets guidelines in patient boxed lunches

Requirements and Guidelines


PHA Wellness Meals

≤ 700 calories

≤ 10% calories from saturated fat

No artificial trans fat

≤ 800 mg. of sodium

Nutrient Profile

Food Profile

2 oz. serving equivalent lean meat/poultry/fish or alternative

2 oz. serving equivalent whole grain rich grain

¾ cup serving fruit or equivalent

¾ cup serving non-fried vegetable or equivalent

1 cup serving low-fat dairy or equivalent

Healthy Picks Guidelines


Fats must be considered healthy and made without trans fat

Proteins must be a healthy protein source

Carbohydrates must have whole grains as first ingredient

Fruits and vegetables must be fresh, or if packaged, have no added salt and sugar

Dairy must be 1% or non-fat

BEST Nutrition Criteria


Project Goals

• Update current patient box meals and

comply with PHA Wellness

Meal/Healthy Picks Guidelines when

appropriate

• Create Grab & Go wellness meals for

retail sales

Patient Boxed Meals Currently Offered


Information Covered


Contents

Prices per box

Waste for month of August 2014

Nutrition



Healthy

Turkey Sandwich (Whole or Half), Fresh Apple, Baby Carrots, Mayo and Mustard

Whole Turkey and Provolone Sandwich, Grandma’s Cookies, Sun Chips, Mayo

and Mustard

Oncology



Gourmet

Whole Turkey and Provolone Sandwich, Fresh Apple, Grandma’s Cookies, Sun

Chips, Mayo, Mustard

Whole Turkey and Provolone Sandwich, Fresh Apple, Sun Chips, Mustard

ADA


Current Patient Box Meal Prices Sixty-five boxed meals ordered daily

Price per Box*

Healthy Full (Whole Sandwich) $1.55

Healthy Half (Half Sandwich) $1.27

Oncology $1.98

Gourmet $2.04

ADA $1.77

*Price includes container and utensils


Current Patient Box Meal Waste Waste for month of August, 2014

# Returned Price/Box Price of Waste*

Healthy Full 122 $1.24 $151.77

Healthy Half 593 $0.96 $571.65

Oncology 31 $1.68 $51.99

Gourmet 88 $1.74 $152.86

ADA 17 $1.47 $24.94

TOTAL $953.20

*All packaged items and fruit are re-used when possible, price does not take into account re-used items


Current Patient Box Meal Waste

Estimated cost for 6 months

– $5,719.21

Estimated cost for 1 year

– $11,438.42

Predicting for the Future



Calories Saturated Fat % Saturated

Fat

Healthy Full 360 0.0 0%

Healthy Half* 255 0.0 0%

Oncology 823 11.8 13%

Gourmet 883 11.8 12%

ADA 543 5.8 9.6%

Nutritional Information

Sodium Carbohydrates

1136 62.0

661 46.5

1680 95.6

1602 119.6

1382 75.6

*The only box that currently fits within PHA guidelines is the Healthy Half

Proposed New Wellness Meals


Information Covered

Proposed Wellness Meals

Contents

Pricing

Nutrition

Plan of Action


Objectives for Contents

Follow PHA/Healthy Picks guidelines when appropriate

– Oncology and Gourmet are exempt in certain areas

Make meals visually appealing in order to reduce waste

– Adults prefer three components and three colors on their plates

– The perception of choice has a profound impact on consumption; research suggests when we perceive more variety, consumption increases by almost 77%

– This is particularly significant where meal selection is limited

Hoy, Kathryn, RD. "The Art of Influence." Food & Nutrition Magazine. 26 Aug. 2014. Web.


Proposed Box Meal Contents

Healthy Chicken wrap, succotash with quinoa, string cheese, whole fruit

Oncology Chicken wrap (no lettuce or tomato), baby carrots, packaged

peaches, string cheese, pudding

Gourmet Chicken wrap, succotash with quinoa, string cheese, whole fruit,

pudding

ADA Chicken wrap, succotash with quinoa, string cheese, fresh

orange

Succotash:

– Black beans, corn, cherry tomatoes, diced onion, red bell pepper, basil, red wine vinegar, olive oil all on top of quinoa

Chicken Wrap:

– Whole wheat tortilla, chicken breast, cream cheese, lettuce, tomato


Proposed Box Meal Contents Recipe Ingredients


Proposed Box Lunch Nutritionals

Calories Saturated Fat % Saturated

Fat

Healthy 606.4 6.3 9.4%

Oncology 547.0 7.8 12.8%

Gourmet 726.4 8.3 10.3%

ADA 606.4 6.3 9.4%

Nutritional Information


598.2 72.2

713.0 71.0

733.2 94.2

598.2 67.2

Patient Wellness Meal - Healthy


Succotash and Quinoa

Retail Wellness Meal – Grab & Go



Proposed Box Meal Pricing

Price per Box*

Healthy $2.16

Oncology $2.38

Gourmet $2.45

ADA $2.16

*Price includes container and utensils **Price includes containers, but not utensils

Retail Box** $2.32


Proposed Box Meal Price Comparison

Total Price Difference: +$0.54

Current Price Proposed Price Price Difference

Healthy Full $1.55 $2.16 +$0.61

Healthy Half $1.27 N/A -$1.27

Oncology $1.98 $2.38 +$0.40

Gourmet $2.04 $2.45 +$0.41

ADA $1.77 $2.16 +$0.39


Plan of Action: Patient Wellness Box

AM Cold Prep PM Prep AM/PM Prep

AM personnel prep chicken wraps

AM personnel assemble patient wellness boxes

Estimated prep time:

1 Hour: Wraps

30 Min: Assembly

PM personnel make succotash and quinoa in bulk every Monday, Wednesday and Friday

Estimated time: 30 min

PM personnel or AM nutrition aides scoop quinoa and succotash into containers

Estimated time: 30 min

We propose the following:


Plan of Action: Retail Wellness Box

PM Prep

PM personnel prep box, including wrap

Use succotash and quinoa already prepared for patient box

Less retail boxes will need to be made than patient boxes

Estimated time: 1 hour


Additional Retail Grab & Go Wellness Meal

3 Pita Triangles, Hummus, Broccoli, Cucumber Slices, String Cheese, Almonds, Greek Yogurt and Fresh Fruit

– Customers grab their own whole fruit


Mediterranean Box Contents and Information

Price* Calories Saturated Fat % Saturated

Fat

$3.05 637.5 4.79 6.80%


766.5 70.32

*Includes price of containers


Plan of Action: Mediterranean Box

PM Prep

PM personnel prepare boxes

Make in batches of 4 boxes due to amount of pita

3 pita triangles = ¾ pita

Estimated time: 2-3 min/box



Closing Statements

The proposed boxes now fit into the PHA/Healthy Picks criteria laid out for KSMC

– Something new, change is good and refreshing!

We anticipate price increase in boxes will be offset with Grab & Go purchases

– Test run could be made to determine estimate

We are working towards a healthier staff and clientele and believe we are one step closer with meals we have created


Questions, Comments, Concerns?

Patient and Retail - WordPress.com · Make meals visually appealing in order to reduce waste...

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