Infuse Infuse 2 December 2017 | Page 34

well in advance of meal times, and large amounts of food are produced in a bulk cooking model to be delivered at set meals time each day. With the room service or the “cook on demand” model, food is only produced when ordered and when a patient feels like eating; therefore, the significant food waste associated with the bulk cooking, long lead time forecasting models is expected to reduce. meal times, it can also be between these times. We have seen patients ordering scrambled eggs at 3pm in the afternoon or a pizza at 11am. It also required a significant shift to embrace the use of technology in implementation of our electronic menu management system. Many of the previously manual tasks are replaced by this electronic system, which allows us to take personalised meal orders, track each meal delivery, and then monitor a patient’s meal order pattern and nutritional intake to ensure that their nutritional requirements are being met. This was a major change to the way we produce and deliver food, and has greatly enhanced the safety and clinical monitoring around our patients’ food intake. “Our research has shown that overall average plate waste has reduced from 29% to 12%.” In addition to this, plate waste, which is well documented in the literature between 30-50%, is significantly reduced, as patients order when the feel like eating, and therefore eat almost all of the food that they have ordered. Our research has shown that our overall average plate waste has reduced from 29% to 12%. Specifically, we have seen the greatest reduction in plate waste in groups that are typically the hardest to feed, such as the oncology group. This group saw a reduction from 34% to 6%. These reductions in waste contribute to significant cost savings for the organisation. Reduction of food wastage has been a benefit of the room service program. Was this intentional, or an unexpected yet positive side effect [and can you share any examples or stats on the percentages of reduction]? What advice would you have for dietitians in foodservice who may be seeking to implement a similar initiative at their institution? There is typically significant food waste in traditional hospital foodservice models because patients orders are taken © Dietitian Connection 34 Infuse | December 2017