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Flatware Roll-out
Elizabeth Haley, RD, Brandon King, Sarah Littmann, RD
BIDMC Food Services
Problem
• BIDMC Food Service Department serves ~1660 meals per day between both campuses. Up against
high census numbers and limited FTE’s, it can be challenging to deliver patient meals within our goal of
45 minutes. However, no one wants to start their day off with a cold omelet or eat cold chicken noodle
soup! On the other side, Food Services do not want the temperature of the food to negatively impact
the food quality for the patient. Due to the amount of trays being delivered and time spent delivering
trays throughout the hospital, solutions were sought out to keep the food hotter for longer.
• To combat the problem of hot holding temperatures, the Food Services Department rolled out a new
fleet of high technology flatware in January 2018. The decision to transition to Aladdin Temp-Rite
Flatware was made based on its success and positive feedback from BIDMC satellite locations,
Needham and Milton. With this change, Food Services strives to increase food quality for our patients
as well as increase Press Ganey scores.
Goals
Implementation
New Aladdin Items:
Essence® Entrée Domes
Heat on Demand
Advantage® Entrée Bases
Allure® Insulated Soup
Bowls and Lids
Allure® 8oz. Mugs
Increase Press Ganey scores for temperature by improving patient satisfaction of meals
Improve quality of food by increasing temperature to maximize approval of meals offered
Enhance tray appearance to increase acceptability of trays by patients
The Food Services Patient Services Team
Elizabeth Haley, RD, Patient Services West
Brandon King, Patient Services West
Sarah Littmann, RD, Patient Services West
Mieka Martin, Patient Services Ops West
Emily Bridges, RD, Patient Services East
Maude Meade, Patient Services East
Kelsey Whalen, RD Patient Services Ops East
Gary Visnick, Executive Chef West
Andre Silva, Sous Chef West
Steve Pierce, Exec Chef East
Chris Lumpkins, Sous Chef East
Shana Sporman, MS RD LDN, Director
Chris Weiss MBA, Assistant Director
Michael Hanley, Productions Ops Manager
Chris Minette, MBA Senior Director Food &EVS
Nora Blake, Sodexo District Manager
Previous: Dinex
Current: Aladdin
What’s different?
Soup bowl covers
Bases are heated
before plating
Elegant appearance
For more information, contact:
FoodServiceManagementWest@caregroup.harvard.edu
�Flatware Roll-out
Elizabeth Haley, RD, Brandon King, Sarah Littmann, RD
BIDMC Food Services
Results
We are still in the infancy phase of collecting significant data of the new flatware technology impacting the quality
of food for the patients. However we saw an immediate difference in hot holding temperatures by conducting test
trays emulating the food delivery process. Below are the temperature results of test trays comparing the Dinex
flatware to the new Aladdin flatware and Press Ganey discharge data scores for temperature for the last five
months for both campuses. We hope as Press Ganey discharge data continues to be collected in the next few
months we will continue to see a rise in our temperature scores.
Improved Hot Holding Temperatures:
Lessons Learned
Cooks had to be trained prior to implementation on how to use the new warmers to heat the
bases. The new warmers also came with some restrictions. For example, anyone with a cardiac
pacemaker cannot use them. These restrictions were communicated with the staff and regularly
followed.
The sanitation team was instructed on how to arrange the new flatware in the dish machine to
assure it is being washed, rinsed, and sanitized effectively.
The trayline team worked through how to properly arrange a tray with proper weight distribution
and appetizing visual appearance. Also, fitting the new flatware on the trays due to the diameter of
the soup bowl covers taking up extra room on the tray.
There is a one pound weight difference in the new Aladdin bases and lids compared to the Dinex
bases and lids . This had to be considered when asking our tray passers to continue delivering
them and transporting a full truck of trays. Also re-training all employees on proper lifting
techniques. The call center employees needed to be re-educated of proper ordering limits (i.e. 2
entrees max, 4 beverages, etc.) to eliminate heavy trays.
Facilities had to be involved when installing the new base warmers on the trayline. In order to
effectively utilize the small space we have, we had to move a plug and re-arrange some electrical
work to accommodate the new warming equipment.
Next Steps
Press Ganey Update:
We will continue to replace older flatware and to maintain the integrity of the Aladdin flatware by
properly using, washing, and sanitizing. This includes disseminating communication to the units to
avoid microwaving the plate bases, as over time it can deactivate the heating ability.
Explore options for cold holding flatware. This may include beverage tumblers, ice cream bowls,
and insulated salad and fruit bowls
Recycle the old Dinex tray system to other Beth Israel accounts as they are still in good working
conditions and should not be thrown out..
For more information, contact:
FoodServiceManagementWest@caregroup.harvard.edu
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Sarah Littmann (<a href="mailto:slittman@bidmc.harvard.edu">slittman@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Food Services
Project Team
Elizabeth Haley
Brandon King
Mieka Martin
Emily Bridges
Maude Meade
Kelsey Whalen
Gary Visnick
Andre Silva
Steve Pierce
Chris Lumpkins
Shana Sporman
Chris Weiss
Michael Hanley
Chris Minette
Nora Blake
Sarah Littman
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Aladdin Temp-Rite Flatware Rollout
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
Format
The file format, physical medium, or dimensions of the resource
pdf
Efficiency
Environmental Sustainability
Patient and Family-Centeredness