What's Wrong with This Picture?

 

This critique is based on the fact that this is a hospital tray in a setting where most of the customers are seniors who frequently complain that they get too much food.  

The recommendations are based on my experience, and "trial and error" while working in hundreds of different hospitals over a 30 year period.  

If you find yourself thinking that you just can't make these changes in your facility then you really need to attend the ASHFSA pre-conference.  

Hundreds of hospitals are already making the changes, and they have the same challenges that you do.  At the conference, we can show you how to make it happen with your resistant team, that have been on the job for years.

  • Overall the tray is messy and disorganized due to a lack of specific standards for the location of all the products on it.  It looks like everything was just thrown on the tray.
  • It is better to have the silverware, napkin and diet kit on the right since most folks are right handed.
  • A roll on a small bread and butter plate with a doily is more elegant than the prewrapped bread concept.
  • In a salad, iceberg lettuce alone is anemic looking.  The mix should have 25 or 30% dark green lettuce such as Romaine or green leaf.  It also needs a very small amount of shredded carrots and purple cabbage.  And, there is too much lettuce in the bowl.  Most hospital patients prefer small servings.
  • Angel food cake or pound cake by itself on a paper plate is just about as low as you can go on the "class", and "quality" scale.  Since people eat with their eyes first, these bland, boring desserts either have to be enhanced or eliminated.  In general, use paper only when your dish machine is broken down, your food service team didn't show up for work, your facility is near bankruptcy, or you're in the middle of some sort of major crisis.  Paper may work on insulated trays because it's nearly impossible to make insulated trays look great.  The paper doesn't stand out as much with insulated trays.
  • All condiments need to be in a 3 to 4 oz. clear, disposable plastic, low profile cup, or in the re-usable plastic fluted cup.  The practice of simply tossing the condiments on the tray is "tacky" and sends the wrong message.  You can afford the plastic cup because you'll save $20,000 to $50,000 per year (due to forced portion control) if you use a very small "monkey"/fruit dishes for all of your side dishes such as canned fruit.
  • Look at the hot plate.  They have served 100% too many wax beans.  This is not uncommon.  What's more, wax beans (because they are anemic looking) should be avoided on patient menus.  Using wax beans is like shooting yourself in the foot.
  • Notice that there's no gravy.  This is not as uncommon as you think.  We believe a gravy, glaze or sauce is necessary on almost all meats to make them more palatable.  Not instant gravy either, but gravy made from natural defatted drippings, quality meat base, and a thickener of your choice.  The mashed potatoes should be indented and have gravy on them.  The meat should be located at 6 o'clock not 3 o'clock.
  • This hot plate needs a garnish.  Also, an ideally written menu would offer scalloped apples (Stouffers for example) with the pork as an extra touch of excellence.  It's like cranberry sauce and turkey- they go together naturally.  Perhaps the hot plate wouldn't need a garnish if a beautiful, upscale vegetable blend was offered.  We recommend lots of the new attractive vegetable blends on patient menus.
  • We have more constructive comments but space is limited, so now look at the next photo (#2) of a more attractive patient tray that we would score at the 10 level.
 

 

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