New Diet Manual

Posted on Nov 29, 2012 in Announcements | 0 comments

The Food and Nutrition Services Department has adopted a new diet manual titled Morrison’s Manual of Clinical Nutrition Management. This manual will soon be uploaded onto the hospital intranet for interdepartmental access to the contents of the manual and the nutrient specifications of all therapeutic diets that will be available for patient care.

Here are several FAQs about what this new manual adoption will translate into for the provision of services for the Food and Nutrition Department at all Alta Bates Summit Medical Center campuses.


  1. Do I (as the physician) need to change how I currently order diets?
    • No, there is an approved crosswalk/interpretation table for all diets that will allow us (FNS staff) to provide the appropriate diet. For example, if you order the ADA Diet (American Diabetic Association Diet) this will continue to be interpreted now as the Consistent Carbohydrate Diet.
    • One caveat to this response is that “Advance Diet As Tolerated (ADAT)” or “Diet As Tolerated (DAT)” orders will not be accepted under any circumstances.
  2. If I want more information about the diet orders I write where can I find it?
    • You will soon be able to access the manual via the ABSMC Intranet, or you can ask the clinical nutrition team–such as the clinical dietitians–to determine if the diet order will be appropriate for the specific disease therapeutic management of your patient.
  3. What will this mean once EPIC is on-boarded at ABSMC?
    • A crosswalk/interpretation table for any and all discrepancies in the names of certain therapeutic diets will be created for diets integrated into EPIC. This table will be submitted to both P&T and MEC to ensure that all disciplines will be able to provide feedback on appropriateness of facility adaptation.
  4. Will the diets that I (as the physician) order provide the same amount of calories and protein as before?
    • Yes, we still utilize the DRI as the reference standard for the development of the diets and will provide the appropriate DRI levels for men between the ages of 31-55 years of age.
  5. Will this result in a change in the food provided by the department?
    • Yes, BUT FOR THE BETTER!! The premise of the diets provided by the Food and Nutrition Department is to embrace the Dietary Guidelines for Americans 2010, which embodies the eating patterns of the USDA Food Patterns and the DASH Diet (Dietary Approaches to Stop Hypertension) and includes their vegetarian adaptations. To name a few improvements in food preparation, this will result in the preparation of foods from fresh ingredients, utilization of whole grains, a reduction in processed carbohydrates and an increase in fruits and vegetables. All diets will be made without added salt and will only use herbs and spices for flavor enhancement.

By Keiy Murofushi, M.S., R.D., Clinical Nutrition Manager


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