HUEC MGT - Exam #1 Flashcards
What are the various management roles of dietetics practitioners?
- Foodservice ;
- Clinical;
- Community/Public Health ;
- Other Sectors
What are some expectations of dietitians as managers?
- Educated and unique;
- Management positions;
- Skills to manage successfully;
- Organizational dynamics
Why might a dietician want to be a manager?
- Financial $;
- Challenge(growth/stimulation);
- Control of work ( make schedules)
What is a Registered Dietician?
-RD or RDN;
-“Successfully completed registration requirements established by Commission on Dietetic Registration for Registered Dietitian”;
Requirements =
-Education;
-Supervised practice;
-Examination;
-Continuing Education;
-COMING…. Require MS for entry-level practice
What is a Dietetic Technician?
-DTR; “Successfully completed registration requirements established by the Commission on Dietetic Registration for Dietetic Technicians”; Requirements = -Education; -Supervised Practice; -Examination; Continuing Education
What are the components of Management?
- PLANNING;
- ORGANIZING;
- DIRECTING;
- CONTROLING;
- EVALUATING
What are the CLINICAL Nutrition Management Positions?
- Only dietitian
1. Clinical nutrition manager
2. Chief clinical dietitian
3. Registered dietitian supervisor
4. Patient services director
5. Clinical dietitian
What does the Clinical Nutrition Manager manage?
MANAGES… -Nutrition care of patients/clients; -Screening, assessment; -Nutrition support; -Other interventions SUPERVISES… - Clinical dietitians → MNT; -Diet technicians; -Diet clerks
What is a Chief Clinical Dietician?
- SOME direct patient care;
- Manages staff;
- Coordinate w/ FOODSERVICE
What is a Patient Services Manager?
- Management position;
- Manages foodservice for patients = Trayline, Floor stock, snacks;
- Coordinates w/ clinical staff = Chief clinical RDN
What is a Clinical Dietician?
-Manages diet technician;
-Project manager (diet manual);
-Develops protocols;
-Staff relief;
Team member
**Patient Care!!
What are the RD management roles in public health?
- Public health nutritionist;
2. Community nutritionist/dietitian
What is Public Health Nutrition?
- Advanced degree in public health nutrition;
- Populations rather than individuals
What is involved in AGENCY MGT of public health?
EX: Special Supplemental Nutrition Program for Women, Infants, Children (WIC);
- Agency Site Manager…
1. Assess, plan, implement, evaluate agency;
2. Multiple sites (WIC x 5);
3. Congregate Meals on Wheels;
4. RDNs who provide direct Pt services
What is Community Nutritionist/Dietitian?
-May not have an advanced degree;
-Typically do not manage entire programs;
-May manage a site;
-Major focus = individual client or group of clients in the community setting;
-Gives DIRECT care to clients;
-Community Site Management
— 1 or 2 individual sites where programs and services are offered = EX: particular WIC site, health unit, EFNEP, Snap-Ed;
— Responsible for operation of the sites, supervision of support staff + provide nutritional services to patients.
What are the different types of foodservice?
- Commercial;
2. On-site = Self-operated or Contract management
What are the components of COMMERCIAL Foodservice?
- Retail;
- Profit;
- Customers = choices
What are types of commercial foodservice?
- Restaurants = Fine Dining, Fast-casual, Quick-service;
- Convenience Stores;
- Supermarkets;
- Food Courts;
- Mobile Food Vendors
What are some job opportunities in Commercial Foodservice in restaurants/ grocery for RD’s?
**CONSULTANT RDNs =
-New industry concerns…
-HFCS?;
-Gluten-free?;
-Trans Fats?;
-Food Safety
→ RDS Provide…
— Menu development;
— Nutrient analysis;
— Education
What are the components of ONSITE Foodservice?
(NONCOMMERCIAL);
- Feed those who work, reside, attend;
- May have LIMITED choices;
- May be subsidized;
- Not profit…but this is changing rapidly;
- Hospitals, nursing homes, schools, prisons, military, business campus, senior citizens, day cares
What are the types of ONSITE Foodservice?
- Self-Operated;
2. Contract Management
What are some job opportunities in ONSITE Foodservice in large operations for RD’s?
- Upward Mobility
- Multiple departments
- Administrative positions
— Nutrition
— Housekeeping
— Linen
— Lab
— Maintenance
What are the new trends of ONSITE Foodservice?
- Moved closer to commercial;
- Smaller “captive” customer base;
- Increasingly, profit motive;
- Commercial FS move in and compete
What is Self-Operated foodservice (ONSITE)?
- The organization that receives the service owns and operates the foodservice;
- RDN title may be “Director of Nutrition Services”;
- RDN manager + all employees work for the facility itself;
- Independent;
- One-of-a kind operation
Self-Operated Advantages
- Responsive to needs;
- Ability to be creative
Self-Operated Disadvantages
- High food costs;
- Develop menus, recipes, etc. from scratch
What is a Contract Management Company (ONSITE)?
- Organizations that provide foodservice to other organizations or institutions;
- Employ many dietitians;
- Clinical RDNs, Management RDNs;
- Contract company offers whatever services are needed;
- Differs at every facility; contracts vary
What is UNDER Contract Management (ONSITE)?
- Onsite FS is operated by a FS management company;
- EX: Sodexo, Aramark, Chartwells, or Compass Group;
- Company is hired by the business or institution for this purpose;
- Contractor may employ only management team OR all employees
Contract Management Advantages
- Resources: menus, recipes, etc.;
- Lower food costs (greater purchasing power);
- Standardized services to multiple sites
Contract Management Disadvantages
- Managers = 22 reporting relationships;
- LOTS of paperwork;
- Standardized foodservice NOT very unique
What are the recent foodservice trends?
- Changing school foodservice;
- Quick-Service;
- Fresh, organic, locally grown → (sustainability);
- Strategies to deal with obesity epidemic → (nutrition & health);
- Fusion of ethnic cuisines (like blending Asian and Latin culinary traditions into signature dishes);
- Increased use of trained chefs/culinary professionals in onsite operations;
- Service management, customer satisfaction;
- Innovative meal delivery systems (room service)in health care foodservices;
- Upscale catering (large events, home use on special occasions, holiday)
What is changing about school foodservice?
- *Nutrient Standard Menu Planning;
1. National School Lunch Program
2. Breakfast Program
3. Uniquely qualified
What is the role of a CONSULTANT?
- Product development;
- Menu development;
- Recipe development;
- Nutrition analysis;
- Sales;
- Food Safety
What might be the role of a DIRECTOR?
- 75 bed nursing facility;
- n 50/100 district schools = thousands of meals
What is the role of manager?
- Purchasing;
- Production;
- Service;
- Food Safety
What are other possible management roles for RDs?
- Entrepreneur in Private Practice;
- Business Owner;
- Industry;
- Education;
- Volunteer;
- **pro bon
Dietician jobs in Private Practice?
- Counseling;
- Consultant = Clinical - Hospice; Education – food safety;
- Contractor = Screening at workplace setting, Teach food preparation, Writing for publication
What are the mgt roles in Private Practice?
- Information management;
- Financial management;
- Human resources management
Dietitians as business owners/entrepreneurs
- Computer software;
- Home nutrition care;
- Commercial food manufacturing;
- Initial investment larger;
- Plan, organize, lead, control, staff
Dietitians in the food industry?
- Food, foodservice, nutrition related product;
- Product development…NABISCO;
- Food manufacturers;
- Food equipment and distributors;
- Pharmaceutical
Dietitians in Education?
- College, university → Advanced degree;
2. Manage dietetic programs = Didactic program in dietetics (DPD) or Internship
Dietitians as Volunteers?
- Professional → Academy of Nutrition &Dietetics;
- Non-profit community → Food Bank;
- Government (EX: fema);
- Non-profit → Red Cross
What are some examples of upward mobility in dietetics management?
- Multiple departments;
- Upper management;
- Hospital administration;
- Public Health;
- Contract management company;
- Sales/marketing;
- Education;
- Nutrition policy → State or Federal government
What are the main characteristics of dietitians in management roles?
- Variety…management positions;
- Opportunities → increasing;
- Full-time or part-time;
- Management skills;
- Dietitians are uniquely prepared;
- Management leads to upward mobility
Ethics is the struggle between….
- “Right & Wrong”;
- “Moral & Immoral”;
- “Just & Unjust”
What is Ethics?
(Several definitions)
- The study of standards of conduct and moral judgment.;
- 2. The study of the general nature of morals and of the specific moral choices to be made by a person.
* *3. The rules or standards governing the conduct of a person or the members of a profession. → Applies to AND Code of Ethics
What is the AND Code of Ethics?
- Set of rules for practitioner behavior;
- Statement of behavioral norms for a profession;
- Can help practitioners work through an ethical practice dilemma or issue;
- Can help build public trust in the activities of a profession
What are the types of codes?
- Aspirational → Hippocratic Oath;
- Educational → Student Honor Code – academic integrity ;
- Regulatory → Police Officer’s Code of Conduct = used to settle grievances and are enforced by applying and monitoring sanctions
What is the Code of Ethics intended to do?
- Protect the profession and the credential;
- Influence public and private policy;
- Improve professional practice;
- Educate dietetics practitioners about ethical decision making;
- Meet the guidelines of the accrediting agency for the;
- Commission on Dietetic Registration
What is the FOCUS of the Code of Ethics?
- Education;
- Remediation;
- Self Regulation
How does the Code fit with other Academy and CDR initiatives?
The Standards of Professional Practice + Professional Development Portfolio → Lifelong Learning and Professional Enhancement
What is the History of the Academy/CDR Code?
- 1934 – 1st Report presented to members.;
- 1982 – 1st Code adopted. Enforced 1985;
- 1987 – 2nd Code adopted. Enforced 1987.;
- 1998 – 3rd revised Code adopted by HOD in fall.;
- 1999 – Revised Code published January.;
- 2007 – New Task Force formed to review and revise the 1999 Code.;
- 2009 – Revised Code approved by HOD, BOD and CDR
When was the AND Code Effective?
- All Academy members → credentialed or non-credentialed;
- All CDR credentialed practitioners → RD/RDN, DTR;
- Agree to abide by the Code
What are the Tools and Resources for the Code of Ethics?
- Ethics Committee;
- Ethics Team at Headquarters;
- Ethics For Further Reading List;
- FNCE sessions;
- Ethics Opinions;
- Ethics in Action columns;
- Ethics Video Series
What are the Five Categories within the Code of Ethics?
- Fundamental Principles
- Responsibilities to the Public
- Responsibilities to Clients
- Responsibilities to the Profession
- Responsibilities to Colleagues and Other Professionals
How many principles are within the Code of Ethics?
Nineteen Principles – common “values” we share in our individual definitions of “professional ethics”
What are the FUNDAMENTAL Principles (Section 1)?
Be true to your people!
1. Honesty, integrity, fairness;
2. High standards of professional practice
— Obligation to protect clients, public, profession
— Upholding the Code
— Reporting perceived violations of the Code
What are the Responsibilities to the PUBLIC (Section 2)?
- Considers health, safety, welfare of public;
- Complies with all laws, regulations;
- Provides professional services objectivity, respect for individual;
- No misleading practices or communication;
- Withdraws from professional practice when unable…professional duties/responsibilities
What are the Responsibilities to the CLIENT (Section 3)?
- Judgment within the limits of his/her qualifications…collaborates
- Treats clients/patients with respect
- Protects confidential information…full disclosure
- Principles 3-7 (same as for the public above)
What are the Responsibilities to the PROFESSION (Section 4)?
- Practices based on evidence-based principles
- No personal bias
- Life-long responsibility/accountability for competence
- Alert to conflict of interest
- Permits use of name only if services are provided
- Accurate presents qualifications/credentials
- No gifts, money, considerations that affect professional judgment
What are the Responsibilities to the COLLEAGUES/PROFESSIONALS (Section 5)?
- Demonstrates respect for values, rights, knowledge, skills of colleagues, other professionals
What are the stages of the Ethics Process?
- Committee
- Opinions
- Cases
What is stated in the Preamble of the Code of Ethics?
- Fair resolution of disputes;
- Protects right;
- Promotes understanding and ethical practice;
- Authority, flexibility to determine best way to resolve
What is the FIRST step in Enforcement of the Code?
- COMPLAINT =
- Submitted in writing on form
- Within one (1) year
- Need not be practitioner or credentialed
- Details of complaint
- Cite sections(s) violated
- Signed and sworn by complainant
What is the SECOND step in Enforcement of the Code?
- PRELIMINARY REVIEW
- Review for meeting requirements
- Review for ethics question involved
- Will not process if similar complaint already under consideration (will not start a new case until a prior one is closed or will handle them simultaneously)
What is the THIRD step in Enforcement of the Code?
- RESPONSE
- Notify respondent
- Certified mail, return-receipt
- Copy of complaint
- Thirty (30) days to respond
- Response signed, sworn; may copy complainant
- Contact by phone
What is the FOURTH step in Enforcement of the Code?
- COMMITTEE REVIEW
- Dismiss complaint
- Request further information
- Resolve through education
- Hearing
- Expert review
- Decision notification
What is the FIFTH step in Enforcement of the Code?
- LICENSURE, FINAL, ADMINISTRATIVE ACTION;
- Disciplinary action without hearing
What is the SIXTH step in Enforcement of the Code?
- HEARING
- All parties right to appear, present witnesses & evidence
- Affirmative vote of 2/3 required to reach decision
What is the SEVENTH step in Enforcement of the Code?
- DECISION
1) Acquit
2) Education
3) Censure, probation, suspension, expulsion from the Academy of Nutrition and Dietetics
4) Credential suspended, revoked by CDR
What are the possible disciplinary actions?
- Probation;
- Suspension;
- Suspension of Registration;
- Revocation of Credential
What are the possible Notification of Adverse Action?
- Academy of Nutrition and Dietetics;
- CDR;
- State and district associations;
- Licensure boards;
- Government;
- Private bodies;
- Within 30 days
What are the first steps in working through an ethical issue?
→ Start with a series of simple questions =
- Legal, regulatory, or ethical issue?
- Employer policy issue?
- Personal issue?
- Business dispute?
- Academy/CDR member issue?
- If violation of the Code violation-cite principle violated
How is the Academy’s Legal Counsel utilized?
- Attends all meetings of Ethics Committee;
- Reviews files and correspondence;
- Provides counsel as to legal implications of decisions, actions
What is an organization?
- Systematic arrangement of people to accomplish a specific purpose;
- EX: Hospital, restaurant, government, church, sports team, family
What are the 3 main components of an organization?
- People → Managers, workers
- Structure → Framework
- Purpose → Driving mission, philosophy, goals
What is makes for good organizational structure?
Responsibility must be divided in order to function smoothly.