Dining vs. Nutrition Majestic Ballroom Thursday, May 1, 2014 www.nasuad.org
There is no ability to carry food off site either leftovers of meals? 60% 1. True 2. False 40% Page 2
There is no ability to carry food off site either leftovers of meals? Answer: False Reference : Some states have guidelines which meet the OAA Sections 307 and 331. Kansas and California have addressed leftovers. Takeout meals are more of a gray area under section 331 Kansas guidance. • Nutrition service providers, at their discretion and per written food safety policy, may allow customers to take out food and milk remaining from their own served meal. • When food has been removed from the premises, its safety is the sole responsibility of the customer. OAA Section 331 : The Assistant Secretary shall carry out a program for making grants to States under State plans approved under section 307 for the establishment and operation of nutrition … (1) 5 or more days a week (except in a rural area where such frequency is not feasible (as defined by the Assistant Secretary by regulation) and a lesser frequency is approved by the State agency), provide at least one hot or other appropriate meal per day and any additional meals which the recipient of a grant or contract under this subpart may elect to provide; Page 3
You must meet the Dietary Guidelines for Americans set by the Departments of Health and Human Services and Agriculture? 1. True 91% 2. False 9% Page 4
You must meet the Dietary Guidelines for Americans set by the Departments of Health and Human Services and Agriculture? Answer: True Reference : OAA Section 331, 336, 339 The OAA requires that meals meet the nutrient and food requirements found in the Dietary Reference Intakes (DRIs) and the Dietary Guidelines for Americans (DGAs). An older adult may be offered a particular food, but that individual may refuse the food and it does not need to be served. Page 5
You cannot substitute items in the meal? 1. True 15% 2. False 85% Page 6
You cannot substitute items in the meal? Answer: False Reference : http://www.aoa.gov/AOARoot/AoA_Programs/OAA/resources/Faqs.asp x#Nutrition Many programs make every effort to substitute food items such as milk. There is an orange juice product fortified with calcium that substitutes for the calcium in milk. Many programs especially those providing meals to an ethnic population (Asian or African American) where milk to drink is uncommon, this product is usually provided. Page 7
There are options for rural settings? 1. True 58% 2. False 42% Page 8
There are options for rural settings? Answer : True Reference: OAA Section 339 The Assistant Secretary shall establish and carry out a program for making grants to States under State plans approved under section 307 for the establishment and operation of nutrition projects for older individuals that provide--- (1) on 5 or more days a week (except in a rural area where such frequency is not feasible (as defined by the Assistant Secretary by rule) at least 1 home delivered meal per day, which may consist of hot, cold, frozen, dried, canned, fresh, or supplemental foods and any additional meals that the recipient of a grant or contract under this subpart elects to provide; (2) nutrition education, nutrition counseling, and other nutrition services, as appropriate, based on the needs of meal recipients. Page 9
Congregate settings must be senior centers? 1. True 2% 2. False 98% Page 10
Congregate settings must be senior centers? Answer : False Reference : There are several states that have programs that are using alternate sites to the congregate setting for a meal. Kansas is one of the better known models that uses a grocery store food court. Not only does this venue provide a choice of food items offered, but the participant also is provided nutrition education sessions. A PowerPoint is provided that was presented at n4a Conference in 2013 on this particular model. Other States to consider are California, Ohio and Florida who have models. Page 11
A meal site cannot use local produce or farm-to-table type items? 6% 1. True 2. False 94% Page 12
A meal site cannot use local produce or farm-to-table type items? Answer: False Reference : Texas is beginning to address this in a program instruction. Through this process they have contacted the Health Department and the Department of Agriculture for guidance to cover food safety concerns. Vermont has developed a farm to table initiative with their nutrition programs. Page 13
Do you currently use the Resource Center on Nutrition and Aging? www.nutritionandaging.org 42% 1. Yes 2. No 58% Page 14
What could be done to make the National Resource Center on Nutrition and Aging more useful? For example, providing guidance on: • improving congregate meal sites • how to use the Medicaid waiver to fund meals • developing a statewide purchasing plan/procurement • performance-based contracting Page 15
Does your agency, or other organizations in your state have formalized partnerships with health plans or health systems that including meals provision? Page 16
For more information, please visit: www.nasuad.org Or call us at: 202-898-2583
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