Posts Tagged ‘Academy of Nutrition and Dietetics’

Medical Nutrition Therapy

Wednesday, May 15th, 2013

Susan Ramsey, MS RD CDE LDN

In 2002, when the United States Congress passed the Benefits Improvements and Protection Act, most dietitians were still trying to figure out Medicare Part A from Medicare Part B.  However a very astute and savvy area nutrition manager saw the big picture and pitched a new idea.  Noralyn Wilson, RD knew that Sodexo, as the largest employer of dietitians, had a responsibility and an opportunity to act on the new legislation.  Ten years later her idea is not only thriving but has emerged as an industry leader.

The Academy of Nutrition and Dietetics worked tirelessly in the late 90’s, collecting the evidence and demonstrating to Congress that Registered Dietitians (RDs) and medical nutrition therapy (MNT) can make a difference.  Their hard work paid off in 2002 when the Medical Nutrition Therapy legislation was written and expanded Medicare Part B coverage to include nutrition counseling to Part B beneficiaries with diabetes or kidney disease.   Medicare, the biggest and most influential insurer in the land, recognized the work of Registered Dietitians in disease management and began reimbursing for nutrition counseling.  As things go, this was the best thing to happen in nutrition therapy since the food model.

Immediately after the new legislation was written Sodexo dedicated resources to the development of programs to assist our clients and dietitians in addressing the new Medicare benefit.  Not only were there many new rules and regulations to follow, the risk of non-compliance had severe consequences.

I’ve been managing the Sodexo Medicare MNT programs for the past 10 (gulp) years.  During that time the Medicare MNT benefit has evolved and today it continues to provide Medicare beneficiaries with outstanding nutrition service.  Sodexo’s MNT programs are in over 160 hospitals in 29 states with hundreds of Sodexo and client dietitians enrolled as Medicare providers.  Sodexo itself is enrolled with 14 different Medicare carriers.  Over 15,000 individuals have received MNT from our program sites.  In 2011, Sodexo MNT was expanded to Senior Living when our first site in Tacoma, WA was added.

Sodexo’s MNT programs are dedicated to not only ensuring Medicare compliance but also assisting our clients and dietitians in developing outpatient nutrition but more importantly helping the public manage their chronic disease, their quality of life and their wellness.  Registered Dietitians are uniquely trained in deciphering medical science and complex nutrition research and delivering it to the people.  We are proud to report that our national clinical MNT outcomes are statistically significant for weight loss, a decrease in BMI and a decrease in hemoglobin a1c, a blood value that indicates the severity of diabetes.

Over the past 10 years, our Sodexo MNT programs have fully embraced Noralyn’s original vision, maximized the Medicare MNT benefit for our patients and allowed Sodexo to emerge as a leader in comprehensive nutrition services.   Congratulations to our Registered Dietitians and MNT programs who work so hard providing Quality of Daily Life Services.

Susan Ramsey, MS RD CDE LDN, is a Senior Manager for Medical Nutrition Therapy in Yardley, Pennsylvania.

Eat Right, Your Way, Every Day

Tuesday, April 16th, 2013

Nicole M. Moore, MS, RD, CNSC, LD

This year the Academy of Nutrition and Dietetics invited us to “Eat Right, Your Way, Every Day” during National Nutrition Month®. What are some steps we can take this month to eat a little bit better within our lifestyles?

Start with small steps for making healthier choices. Set a goal and work on it until you reach it. Want to make your goal to eat more fruits and vegetables? The recommendation for a healthy diet is making sure half of your plate is fruits and vegetables. Seems overwhelming? Start with adding a piece of fruit with breakfast today. Once you have the habit of eating that one piece of fruit, add a vegetable to dinner or lunch. Keep increasing over time and before you know it you may be eating enough fruits and vegetables. You can also try keeping fruits and vegetables in your line of sight. A basket of fruit may remind you to eat a piece for snack instead of cookies.  Keep cut up vegetables in the fridge, so you don’t have to wash and chop every time. It can make it easier to throw some vegetables in for a salad, if they are already prepared.

The recommendation for a healthy diet is making sure half of your plate is fruits and vegetables.

Another idea is to try a new food or recipe. Consider occasionally taking a vacation for dinner and try a recipe from a different culture. You may find you like beans when they are cooked in curry. Not feeling too adventurous? Maybe try cooking foods a different way. You may find you like asparagus roasted when you didn’t like it steamed.  Baking, broiling, grilling, roasting, and steaming are all potentially lower fat and calorie cooking methods.

Busy? Many of us are and find it challenging to eat healthy every day. To make it a little easier, try planning ahead. Consider writing out a shopping list to remember to buy the healthier foods to keep in your home. Compare food labels to find a product that may work for you and is a little bit healthier. You can also help with portion control by packaging snacks into one serving containers or baggies to grab and go during the week. You can also cook a little extra when you have time and fix up portions to freeze, so during the week you have a healthy meal to heat up.

Take the time to think about your diet and lifestyle. Consider your habits a work in progress and add small changes to make your eating just a little bit better step by step. If you need some extra help, consider making an appointment with a Registered Dietitian. A RD can help you look at your diet and think about ways to make your diet a little better, so you can “Eat Right, Your Way, Every Day.”

Nicole M. Moore, MS, RD, CNSC, LD is a registered dietitian for Sodexo at Georgia Regents Medical Center in Augusta, Georgia.

How Important are Supplements?

Wednesday, June 6th, 2012

Jessica Crandall, Sodexo Registered Dietitian, Certified Diabetes Educator & National Spokesperson for the Academy of Nutrition and Dietetics

Whether you are looking to stay in shape, increase energy and performance, lose excess weight, or delay the effects of aging and prevent diseases such as diabetes and heart disease there seems to be a supplement marketed toward you. Supplement manufactures tell you to take protein shakes to build muscle or fish oil to improve heart health, but how do you know what you should or should not take?

What is a supplement?

The Food and Drug Administration (FDA) defines a supplement as: “a product taken by mouth that contains a “dietary ingredient” intended to supplement the diet. The “dietary ingredients” in these products may include: vitamins, minerals, herbs or other botanicals, amino acids, and substances such as enzymes, organ tissues, glandulars, and metabolites.” Supplements are intended to supplement nutrients missing in your diet, not replace them.

How do I determine if a supplement is right for me?

You first need to ask yourself if you really need to be taking a supplement. You can generally achieve all of the health benefits promised by a supplement by simply eating a healthy balanced diet. For example; a protein shake label may tell you that you need to drink their shake after every work out to build muscle and improve performance and recovery time. While it is true that eating some protein after a workout is good for you, you probably do not need the amount they are suggesting in the supplement, plus you can easily meet the increased protein needs eating a healthy balanced diet. Not to mention save a lot of money! To determine your protein and calorie needs speak with a registered dietitian.

Vitamins and Minerals

Despite popular belief here in America, more is NOT better, especially when it comes to vitamins and minerals. Taking excessive amounts of vitamins and minerals not only creates expensive urine, but high amounts of certain nutrients can cause harm. Your doctor and dietitian can help you determine if you are deficient in a certain vitamin or mineral. Another misconception about vitamins and minerals is that they give you energy. Energy only comes from calories, not vitamins and minerals. The best way to increase your energy and to meet all of your vitamin and mineral requirements is to exercise regularly, get adequate sleep, and eat a balanced healthy diet.

Which supplements are safe to buy?

Sodexo intern and avid biker Chris Logan rounds a corner.

The FDA does not regulate supplements sold in the U.S. to verify their safety or efficacy. Some supplements do not even contain the main ingredient(s) listed on the label. Not only can supplement labels be deceiving, but some supplements can cause harm. Many performance enhancing supplements are even banned by the NCAA and professional sports like the NBA and NFL.

Some tips for determining if a supplement is safe:

  • Do your homework. Before ingesting a supplement which may contain “organ tissues” or other strange ingredients, research the product. Find out if the supplement is safe and the claims are supported by evidenced based research.
  • When buying supplements only buy from reputable sources. The supplement manufacturer can put almost anything he wants in that bottle, if you are buying supplements at a grocery store/pharmacy speak with the pharmacist to help identify which supplement sources are the safest.
  • Only take the recommended dose. Again, more is not better especially when it comes to supplements. Too much may cause you harm.

Remember, before taking any supplement, even a multivitamin; speak with your dietitian and doctor, they can help determine your need for supplements and how much should be taken, if any at all.

Jessica Crandall is a Sodexo Registered Dietitian, Certified Diabetes Educator & National Spokesperson for the Academy of Nutrition and Dietetics.