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scthgharpy
Tue, Aug-21-07, 09:19
From Inside KP (Kaiser)

By Lynn Mundell

The proof is in the pudding. Or, in the case of the region’s new patient menu that was rolled out Aug. 6, it’s in the whole grains and fresh produce. These days, patient meals are especially tasty and healthy, thanks to the work of a regionwide multidisciplinary task force.

The team was formed last spring in response to patient survey results showing some patient dissatisfaction with hospital meals.




It included physicians, dietitians, nursing representatives, patient advocates, labor partners, support services, as well as KP’s commissary vendor, Food Service Partners.

“We wanted to include patient care representatives particularly because they have such an impact and can really influence the patient perspective on what they are being served in their hospital meals,” explained Jan Sanders, director of National Nutrition Services, who co-chaired the team with Kathryn Donohue, Support Service assistant administrator for the Marin/Sonoma service area.

The group talked with patients in order to develop the menu. One perspective really hit a chord with Sanders and the rest of the group.

“I talked with a patient who was a long-term, borderline diabetic who was concerned when she was put on both a diabetic and a low-sodium menu when she was hospitalized,” Sanders said. “She told me that she didn’t necessarily need a special diet so much as a healthydiet.”

This confirmed the direction the task force wanted to take and, as a result, the new menu began to revolve around grains, whole wheat, increased amounts of locally sourced seasonal produce, and new, interesting entrees—whether for regular, heart healthy or diabetic menus.

A significant point of pride in KP’s new meals and vending machine fare is that it’s made with locally grown food. In 2006, the region’s Food and Nutrition Service Department used 25 to 30 tons of local produce. This year, they project to double that amount. In addition, they buy and use more than 11 different kinds of locally sourced fruits and vegetables, including cherry tomatoes, pixie tangerines, and bing cherries.

But the group also learned that they needed to satisfy a wide range of palates, from those who wanted gourmet choices to those who preferred plainer food.

From there, the team worked with the vendor’s chef, who put together meal ideas and served taste tests to task force members who, in turn, applied the patients’ criteria to the food.

The new menu includes the simple—salmon with lemon dill sauce—and the more complex: cornbread crusted chicken breast with a low-fat buttermilk gravy and tomato confit served with glazed yams. These dishes and all others are accompanied by a descriptive paper menu.

The patient menu changes follow on the heels of KP’s Healthy Picks program, which places healthy foods in KP cafeterias and vending machines. (Look for the green and yellow sticker.)

“I think the menu changes really support our Thrive campaign in terms of getting back to the basics in improving the health of our members through all of the food that we serve at our medical centers,” said Sanders. “The fact that we are buying produce with an eye to the impact on the environment and the communities we serve really gets at the crux of KP’s mission of preventive care.”

08/15/07

Nancy LC
Tue, Aug-21-07, 09:26
You know, most hospitals can't even properly feed a celiac...

gryfonclaw
Tue, Aug-21-07, 09:34
You know, most hospitals can't even properly feed a celiac...


...let alone a diabetic.


Or the rest of the population.

Dodger
Tue, Aug-21-07, 09:51
the new menu began to revolve around grains, whole wheat That is so sad.

scthgharpy
Tue, Aug-21-07, 10:16
And I work for these people. *sigh*

Legeon
Tue, Aug-21-07, 10:42
The salmon sounds pretty good.

+35-65
Tue, Aug-21-07, 12:06
I have always been befuddled by the crap that hospitals serve their patients. Just reinforces that western medicine isn't always in the best interest of the patient's health. So much ignorance.

pennink
Tue, Aug-21-07, 12:34
anybody remember 'junket'? In the 70s it was some kind of jello/pudding crap that would bounce its way off the hospital tray if you put your spoon in too quickly.

What crap.

eryalen
Tue, Aug-21-07, 12:46
anybody remember 'junket'? In the 70s it was some kind of jello/pudding crap that would bounce its way off the hospital tray if you put your spoon in too quickly.

What crap.
It was made of milk, sugar and rennet (used to make cheese - from the stomach of unborn calves). Lovely stuff it was.

pennink
Tue, Aug-21-07, 12:48
fetus calf stomachs... yum.

ReginaW
Tue, Aug-21-07, 13:13
I have always been befuddled by the crap that hospitals serve their patients. Just reinforces that western medicine isn't always in the best interest of the patient's health. So much ignorance.

When I was hanging out in the hospital following the birth of my son (truly, I probably could have gone home!) I was given a menu to order meals from.....me, controlled-carber that I am, ordered (for lunch) a burger (my other choice was spaghetti & meatballs that day), two side garden salads - creamy whatever full-fat dressing they had, and two servings of the green beans....an unsweetened iced tea, lemon wedge on the side (or packet of lemon juice if no real lemon available).....for the buger, add cheese, tomato slice and side the ketchup and also add a side of mayo (or packets, whatever they had)......

So, not 30-minutes later, the dietitian calls me --- tells me I can't have two salads or two servings of the green beans......I needed to pick a starch - potatoes (fries or baked) and if I thought I was that hungry, could choose a dessert - brownie or a cookie......and no, they didn't add mayo to the burger option, but I could have mustard if I wanted it......and no, the iced tea was already sweetened, did I still want it?

So I tell her, I don't want potatoes, why can't I replace the potato with some extra green beans? I don't want sweet iced tea - just bring me hot tea and I'll have the nurse find me some ice......and no, I don't need or want dessert or mustard - plain ole ketchup is fine, no mustard is necessary!

Ya know what she sent up? Cheeseburger, very small portion of green beans - tiny tub of soft margarine with them (ewww), side salad with some creamy fat-free (sugar loaded) dressing, load of french fries - I kid you not, it was enough for four to eat, ketchup and hot water (no tea bag - thanks for nothing).

I wound up having to have my OB issue an "order" in my chart that I was to be allowed whatever the heck I ordered - even if it was a dozen salads - and wasn't "allowed" any starch!!!!! My OB was a total gem - the dietitian was mad as all heck, but did comply with his "order" on my chart! I ate like a queen the rest of my stay since I did get what I ordered and nothing else!

Aeryn
Tue, Aug-21-07, 13:50
Regina, that's the most insane thing I've heard in a while. It makes me so mad!

I guess I should be grateful that this winter, when I finally decided to do something about my health, my university hadn't yet found a new nutritionist for the one who'd left. God knows, I might be sitting here right now denying myself green beans, chowing down on potatoes, and wondering why I still feel like crap!

fetch
Tue, Aug-21-07, 13:53
(- from the stomach of unborn calves).

Try as a by-product of veal operations. Young, but hardly unborn. Nor the only source of rennet used....

ruthla
Tue, Aug-21-07, 14:05
Well, if they're going to serve grains anyway, whole grains are better than the refined versions.

TimesTwo
Tue, Aug-21-07, 14:09
Ugh. When I volunteered at the hospital (NEVER AGAIN!) a diabetic asked for graham crackers. I asked a nurse what I should do, and she got an attitute and told me to "just give him one pack of graham crackers."

eryalen
Tue, Aug-21-07, 15:23
Try as a by-product of veal operations. Young, but hardly unborn. Nor the only source of rennet used....
Sorry, I meant newborn. My grandmother told me how they would harvest it before the calf started to suckle (or if it was stillborn) with a hose. It sounded gruesome.

ReginaW
Tue, Aug-21-07, 15:27
Regina, that's the most insane thing I've heard in a while. It makes me so mad!

I guess I should be grateful that this winter, when I finally decided to do something about my health, my university hadn't yet found a new nutritionist for the one who'd left. God knows, I might be sitting here right now denying myself green beans, chowing down on potatoes, and wondering why I still feel like crap!

I wouldn't budge....my OB was great - let me "careful carb" my whole pregnancy and saw the great results -- a totally complication free pregnancy (and I'm older - was 38 at the time - so he was even more happy with how things progressed along and did credit my eating habits as part of it)......mind you I ordered as much food as I did since I was trying to get going with the breastfeeding and knew I needed a lot more calories to do it.....and was given trans-fats with my food (margarine -- and I'm sure a lot of the stuff was cooked in it too - ugh!)......DH wound up sneaking me in butter and extra virgin olive oil since the hospital kitchen had none and he bought be a bunch of different nuts so I could boost up calories since the food really wasn't all that good (even though I did get what I asked for after my doc put it in my chart).....it was edible, but no way providing enough calories for me if I hadn't "supplemented" with my own fats/oil and nuts!

TimesTwo
Tue, Aug-21-07, 15:29
And I work for these people. *sigh* :lol: My mom works for Kaiser, and I'll soon be getting a job with them too. At the end of Sicko (Michael Moore's movie about health insurance), my mom leaned in and whispered, "Don't tell anyone I work for Kaiser. They'll kill me!"

scthgharpy
Tue, Aug-21-07, 16:23
ugh how horrible. Im getting visions of nazi death camps, only for cows.

yet another reason to not eat veal. Not like I ever have.

Rennet is used to make some cheeses.....I think tillamook has a vegetarian rennet, which is why I usually pay a little more for it.

ok, there went my appetite.

hey, I dare ANYONE to diss kaiser, michael moore movie or no. With a PPO, I never laid eyes on a dr, rather a young RA would see me. With kaiser, Im on a first name basis with dozens of them. I think they are the model by which all health care should be administered. I may disagree with their nutrition...but I will *always* support kaiser's philosophy, and not because Im an employee.

eryalen
Tue, Aug-21-07, 17:06
ugh how horrible. Im getting visions of nazi death camps, only for cows.

yet another reason to not eat veal. Not like I ever have.

Rennet is used to make some cheeses.....I think tillamook has a vegetarian rennet, which is why I usually pay a little more for it.

ok, there went my appetite.

hey, I dare ANYONE to diss kaiser, michael moore movie or no. With a PPO, I never laid eyes on a dr, rather a young RA would see me. With kaiser, Im on a first name basis with dozens of them. I think they are the model by which all health care should be administered. I may disagree with their nutrition...but I will *always* support kaiser's philosophy, and not because Im an employee.
Rennet has more to do with cheese making than veal. I'm not up on commercial cheese making but in the past that was the only way to make cheese. Thinking about it, it was probably not as inhumane as the feedlots and isolation pens employed today. We have a source of milk finished (naturally) veal that does not unduly stress the animal. I personnaly don't favor veal because it is tasteless and requires a strong sauce (I guess because it is low fat).

eryalen
Tue, Aug-21-07, 17:59
[QUOTE=ReginaW]...and was given trans-fats with my food (margarine -- and I'm sure a lot of the stuff was cooked in it too - ugh!)....QUOTE]
They call it "Interesterified" fat now. Same s**t, different name.