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Issue: 45 December 10, 2009
Greetings!  
In this issue of RDNews, Veronica Oteyza shares valuable information and tips on how you can help your facilities' control their food costs.
Controlling Food Costs in LTC
Every facility wants to be on budget when it comes to food costs and still be able to prepare a nutritious meal, follow food preference, food for activities and provide nourishments. 
 
Administrators and Dietary Supervisors are looking to Dietitians to provide them with expert advice on how to control costs.  Some calculatorreasoned that they are over budget because the menu is complicated; others say the budget given is just too low to begin with to be on budget and still be able to follow the menu.  Some say the food vendors have increased their prices.  Other says it's the extra nourishments and food used for activities.  It could also be a combination of all these reasons.
 
In controlling food costs, it is important to follow a Standardized Menu, develop and follow portion control and use an Order Guide.  The Order guide lists the food supplies that are needed to be purchased to follow the Standardized Menu.  An inventory of food supplies on hand each week is necessary to determine food items that needed to be purchased. 
 
Proper Storage is also important to prevent spoilage of food items and avoid waste.  Is the food storage area secure to prevent theft?   Also important in controlling costs is the daily census or tally of diet and a food production schedule which guides the cook on how much meat to pull, how much milk and juice to pour to prevent overproduction.  
 
Observing kitchen staff during food preparation may give ideas on food preparation techniques that may cause waste.  Knowing yield per pound of food and how many servings a No. 10 can serve will help in food purchasing and planning meals.
 
Nourishments and nutritional supplements are an additional food cost and this can get out of hand.  Reviewing the list of nourishments and having a system to track, decrease and discontinue nourishments, if residents constantly refused nourishments or is not necessary can help avoid food waste.
 
Orders such as Large Portions can also add to food costs and may need to be reviewed if still necessary.  Ask staff how much food waste is coming back. The DSS and RD can change the unpopular menu item to prevent residents choosing alternates all the time, which can add to food cost. 
 
Training the DSS to use the HMC forms to tally Monthly or potatoesWeekly Food and Supply Expenses, is useful to track where the food budget is being used.  Finding Cost Effective Ways to prepare food can help control food costs. Here are some ideas other RD's and DSS have come up with to cut cost:
  • Compare cost of gallons of milk instead of using cartons of milk.
  • Compare cost of fresh potatoes to frozen or dried potatoes.  
  • Compare cost of making your own soups rather than buying canned. 
  • Compare cost of buying packets of ketchup, jellies or syrups, buying in bulk and using portion cups.
  • Properly use thickener rather than buying pre-thickened fluids.
RD Tip
The consultant dietitian can best serve the HMC client by guiding the Dietary Supervisor to set up systems to monitor and cut food costs.  We are fortunate that as HMC RD's, we don't have to reinvent the wheel in determining excessive food costs or ways to guide DSS to cut food costs.  This is because HMC has provided us with the necessary information on the HMC 'staff only'website about; Controlling Food Costs and Food Cost Calculations .. 
moneyThe information provided will give ideas on what may be causing the high food costs in a facility and calculating raw food cost.  The same information can also be used to train the Dietary Supervisor. 
 
HMC also has a whole section in the Policy and Procedure Manual about Dietary Budget.  It is worth reading these sections to develop a system to track food costs.
Do you know what the facility is budgeting for food and supplements? Since we are nearing the end of the year, most facilities will be beginning a new budget year --- a great time to offer your expertise as their consultant dietitian.
Dear Dietitians;
So as RD's, what is our role in controlling food cost?  You may say, "I'm really only in the facility to chart, inspect the kitchen and assess the nutritional status of residents.  But food cost?  I could not even balance my check book let alone control a company's food budget."  You are not alone in thinking this.  However, the reality is we are partners in controlling food cost and seen as experts.  Veronica Oteyza So as RD's we have to be knowledgeable in providing the necessary information to guide the Dietary Supervisor in determining the cause of high food costs and developing ways to control cost of food. As a consultant you bring fresh eyes to the kitchen and facility, so use your expertise to help control dietary costs.
May your facility (and our families, too) be on budget for 2010.  Dietitians can make the difference!
Veronica Oteyza, RD