Schedule F - SMPH Diets.docx
DOCX document 72 KB Posted
- Attached to
- Food Nutritional Services for CFP & SMPH
- Solicitation number
- RFP 171 260000001065 2
- Issued by
- Michigan
About this file
This is a dietary standards and requirements schedule for a Request for Proposal issued by the Michigan Department of Health and Human Services (DHHS) for nutritional services at the Center for Forensic Psychiatry (CFP) and Southeast Michigan Psychiatric Hospital (SMPH), identified as RFP No. 260000001065. The document establishes comprehensive dietary specifications for multiple diet categories including regular healthy diets ranging from 1,800 to 3,200 calories daily, with macronutrient requirements specifying 50% carbohydrates, 20% protein, and 30% fat of total calories. The schedule details therapeutic diets such as sodium-restricted diets limited to 2,000 milligrams of sodium daily, texture-modified diets adhering to the International Dysphagia Diet Standardization Initiative across seven levels from regular to liquidized, and viscosity modifications across five levels from thin to extremely thick. Additional specialized diets include medical test diets, renal diets, restricted nutrient diets, and religious or cultural meals such as Kosher, Vegan-Kosher, and Halal options, all requiring collaboration between physicians, registered dietitian nutritionists, and the SMPH Program Manager.
The schedule requires vendors to provide replacement meals at identical costs when patients are unable to consume meals at designated times or express dissatisfaction with served items, with additional charges applied per Schedule B pricing. Snacks are mandated in three categories: hour-of-sleep snacks providing 200-300 calories with protein and caffeine-free beverages included in daily calorie totals, and AM/PM snacks providing 200-300 calories in addition to total daily intake unless otherwise ordered. All snacks must follow SMPH-specified menu rotations and consistent carbohydrate guidelines, with patient-specific items requiring individual labeling with patient name, last name initial, unit number, and date. Bulk foods and fluids are to be delivered daily to unit serveries according to established timelines, with all dietary modifications applicable across all diet types to accommodate diverse patient needs.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP 260000001065 - Nutrition Services for CFP and SMPH.docx | DOCX document | |
| Schedule B - CFP & SMPH.xlsx | XLSX spreadsheet | |
| Schedule C - Insurance Requirements.docx | DOCX document | |
| Schedule E - CFP Diets.docx | DOCX document | |
| Bidder Q&A RFP 260000001065.docx | DOCX document | |
| Schedule D - Federal Provisions Addendum.docx | DOCX document |
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Text version
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
| Item |
| Value – Daily |
| Special Note |
| Healthy Standard |
| 2,300 Calories |
| Based off a weekly average |
| Healthy 1800 |
| 1,800 Calories |
| Based off a weekly average |
| Healthy 2000 |
| 2,000 Calories |
| Based off a weekly average |
| Healthy 2600 |
| 2,600 Calories |
| Based off a weekly average |
| Healthy 3000-3200 |
| 3,000-3,200 Calories |
| Based off a weekly average |
| Carbohydrate |
| 50% |
| Total calories |
| Protein |
| 20% |
| Total calories |
| Fat |
| 30% |
| Total calories |
| Saturated Fat |
| ≤10% |
| Total calories |
| Fiber |
| 30 grams |
| Based off a weekly average |
| Cholesterol |
| 300 milligrams |
| Based off a weekly average |
| Sodium |
| 1,500 - 2,300 milligrams |
| Based off a weekly average |
| Potassium |
| 4,700 milligrams |
| Based off a weekly average |
*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
| Diet Type |
| Specifications |
Sodium Restricted
· ≤ 2,000 milligrams sodium/day
· ≥ 4,700 milligrams potassium/day All other dietary specifications of the Regular Healthy Diet must be included.
| Texture Modified Diets |
| SMPH will adhere to the International Dysphagia Diet Standardization Initiative as a standard used to describe the characteristics of foods and fluids. |
· 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
| Medical Test Diets |
| 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. |
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.
| Replacement/Substitute Meals |
| If a patient is unable to eat at the time of meal service, or dislikes/or is unhappy with the meal served: |
· 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
| Item(s) |
| Specifications |
| Hour of Sleep (HS) Snacks |
| Snacks must be packaged in bulk by patient unit unless otherwise specified. Bulk foods and fluids are diet specific and are to be delivered to each Unit Servery daily according to the established timelines. |
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)
| AM and PM Snacks |
| If patient specific AM and/or PM snacks are required, these should be sent separately and labeled with the patients: |
· 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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