Schedule F - SMPH Diets.docx

Michigan.gov/MiProcurement Schedule F – southeast michigan psychiatric hospital (SMPH) Dietary Standards and Requirements Request For Proposal No. 260000001065 Nutritional Services at the Center for Forensic Psychiatry (CFP) and Southeast Michigan Psychiatric Hospital (SMPH – Michigan Department of Health and Human Services (DHHS) Regular Healthy Diet

*Consistent Carbohydrate content must be utilized at all meals

*Emphasis must be put on the utilization of whole grains, low fat dairy, healthy fats, and healthy fish

*All Regular Healthy Diet meals must be appropriate and provide the same specifications with special dietary needs including:

· Diabetes

· Vegetarian Meals

· Vegan Meals

· Religious/Cultural Meals

· Modified Texture Meals

Therapeutic Diets

Sodium Restricted

· ≤ 2,000 milligrams sodium/day

· ≥ 4,700 milligrams potassium/day All other dietary specifications of the Regular Healthy Diet must be included.

· Level 7 - Regular/Easy to Chew

· Level 6 - Soft & Bite Sized

· Level 5 - Minced & Moist

· Level 4 – Pureed

· Level 3 - Liquidized Any modifications must be provided for all diet types.

Viscosity Modifications include, but not limited to the following:

· Level 4 – Extremely Thick

· Level 3 – Moderately Thick

· Level 2 – Mildly Thick

· Level 1 – Slightly Thick

· Level 0 - Thin Viscosity Modifications are used for patients that have difficulty swallowing the regular thickness of a given liquid and are used on an individual specially ordered basis.

Any modifications must be provided for all diet types.

Other Diets/ Special Diets/ Replacement Meals Other diets are prescribed for medical necessity.

Diet Type Specifications

Meal beverages must consist of clear liquids with no: orange, red or purple dyes.

And, use all other standards provided by the testing facility.

· Renal Diets

· Restricted Nutrient Diets

· Religious/Cultural Diets (Kosher, Vegan-Kosher, Halal, etc.)

Special diets will be ordered by the physician and/or Registered Dietitian Nutritionist at SMPH and must be developed in collaboration with the Registered Dietitians and the SMPH Program Manager.

· A replacement meal must be provided.

· The replacement meal will be additionally charged to the State at the same cost established in Schedule B, Pricing Table 2

Snacks

HS snacks must follow a menu rotation specified by SMPH, provide 200-300 calories, follow consistent carbohydrate guidelines and must contain a protein serving, and a caffeine-free beverage unless otherwise specified, and are included in the patient’s total daily calorie provision.

If patient specific HS snacks are required, these should be sent separately and labeled with the patients:

· First Name

· Last Name Initial

· Unit Number

· Date Snacks may be prescribed as a specific food(s)

· First Name

· Last Name Initial

· Unit Number

· Date Snacks must follow a menu rotation specified by SMPH Snacks must consist of 200-300 calories, or as ordered by SMPH physicians and/or Registered Dietitians and be in addition to the patients’ total daily calorie intake.

Snacks shall follow consistent carbohydrate guidelines, and must contain a protein and a caffeine-free beverage unless otherwise specified.

Snacks may be prescribed as a specific food(s).

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