1999 FOOD CODE

HOW DOES IT AFFECT LONG TERM CARE FACILITIES

OBJECTIVES Following this presentation the participants will be able to verbalize:

A. Rationale for change in food service standards within long term care

B. The 5 significant areas of change between 1993 food code and 1999 food code

C. Special requirements for highly susceptible people D.. Parameters for glove use vs. bare hand contact by food service

personnel E. Food cooling guidelines for potentially hazardous foods F. Parameters for maintaining refrigerated leftovers G. Heating and holding temperatures for potentially hazardous foods

1999 FOOD CODE THE INCIDENCE OF FOOD BORNE

ILLNESS IS ON THE RISE IN OUR COUNTRY.

SAFE FOOD HANDLING AND PREPARATION IS NEEDED TO IMPACT THE PROBLEM

OUR ELDERLY ARE VULNERABLE AND HIGHLY SUCEPTIBLE

DURING A 6 MONTH PERIOD MICHIGAN CITED FEDERAL TAG 371 IN 48% OF NURING HOMES

OVERVIEW FOR ADOPTING 1999 FOOD CODE

1993~1999: 5 AREAS OF CHANGE

SUMMARY

QUESTIONS

1999 FOOD CODE

INITIATION OF MICHIGAN FOOD LAW 2000

PUBLIC HEALTH CODE

5 AREAS OF CHANGE IN 1999 FOOD CODE SPECIAL REQUIREMENTS

FOR HIGHLY SUSCEPTIBLE

POPULATIONS GLOVE USE VS. BARE HAND

CONTACT FOOD COOLING HOLDING OR SHELF LIFE OR

LEFTOVERS FOOD HEATING AND

COOLING

SPECIAL REQUIREMENTS FOR HIGHLY SUSCEPTIBLE

PEOPLE

UNPASTERIZED/UNPROCESSED BEVERAGES AND FOOD

SERVING RAW SHELL EGGS

THE RESERVING OF FOOD FROM THE ORIGINAL PACKAGE

SERVING RAW ANIMAL FOODS, LIGHTLY COOKED MEATS,SOFT BOILED EGGS, AND RAW SEED SPROUTS

“EXCEPTIONS”

“ EXCEPTIONS”

“EXCEPTIONS”

GLOVE USE vs. BARE HAND CONTACT

HAND WASHING

HAND WASHING FACILITIES

HAND CONTACT WITH READY-TO-EAT FOODS

“EXCEPTIONS”

“EXCEPTIONS”

“ EXCEPTIONS”

FOOD COOLING

POTENTIALLY HAZARDOUS FOOD

COOLING TEMPERATURES AND TIMES

MONITORING OF COOLING TEMPERATURES AND TIMES

HOLDING LEFTOVERS MARK DATE ON

POTENTIALLY HAZARDOUS FOODS

DISPOSAL OF POTENTIALLY HAZARDOUS FOODS

MONITORING TIME FRAMES AND REFRIGERATION TEMPS

FOOD HEATING AND HOLDING HEATING

TEMPS/HOLDING TIMES FOR RAW ANIMAL FOODS

HEATING TEMPS/HOLDING TIMES FOR INJECTED,RATITES,GAME, AND COMMINUTED MEATS

TEMPS/HOLDING TIMES FOR RAW EGGS

HEATING TEMPS/HOLDLING TIMES FOR POULTRY, WILD GAME,STUFFED FISH, MEAT,RATITES,PASTA,

POULTY, OR STUFFING CONTAINING THE ABOVE MEATS

FOOD HEATING AND HOLDING

COOKING TEMPS/ HOLDING TIMES FOR BEEF AND PORK ROASTS, AND CURED PORK ROAST SUCH AS HAM

SUMMARY FOOD SERVICE WITHIN LONG TERM CARE FACILITIES

WILL ADHERE TO PERTINENT GUIDELINES FROM 1999 ADA FOOD CODE

IN YEAR 2000 THE MICHIGAN DIVISION OF NURSING HOME MONITORING CITED F TAG 371 IN 48% OF NURSING HOME SURVEYS DURING A 6 MONTH PERIOD

THERE ARE 5 AREAS OF PERTINENT CHANGE FOR LONG TERM CARE FACILITIES WITHIN THE 1999 ADA FOOD CODE

SUMMARY (CONT.) THE 5 AREAS OF PERTINENT CHANGE CONSIST OF:

1. SPECIAL REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS

2. GLOVE vs. BARE HAND CONTACT

3. FOOD COOLING

4. HOLDING OR SHELF LIFE OF LEFTOVERS

5.FOOD HEATING AND COOLING

SUMMARY (CONT.) SPECIAL REQUIREMENTS FOR HIGHLY SUSCEPTIBLE

POPULATIONS

THE SERVING OF UNPASTEURIZED/UNPROCESSED BEVERAGES AND FOODS TO LONG TERM CARE RESIDENTS IS AN AREA OF CONCERN

GLOVE USE vs.BARE HAND CONTACT

MORE SPECIFIC GUIDELINES FOR FOOD SERVICE EMPLOYEES RELATED TO HYGIENIC PRACTICES AND PERSONAL HEALTH STATUS

SUMMARY (CONT.) FOOD COOLING

YOU HAVE A LONGER TIME (I.E. 6 HRS) TO COOL POTENTIALLY HAZARDOUS FOODS IN YOUR FACILITIES

HOLDING LEFTOVERS

POTENTIALLY HAZARDOUS READY-TO-EAT FOODS CAN BE KEPT REFRIGERATED LONGER BEFORE DISPOSAL IF YOUR REFRIGERATION EQUIPMENT MEETS THE SPECIFIED TEMPERATURE GUIDELINES

SUMMARY (CONT.) FOOD HEATING AND HOLDING

VARIOUS FOODS MUST BE COOKED AT DIFFERENT TEMPERATURES TO KILL POTENT MICROORGANISMS. THAT TEMPERATURE MUST BE HELD FOR A SPECIFIED TIME(DEPENDING ON THE FOOD) SO THAT ALL PARTS OF THE FOOD REACH THE SPECIFIED TEMPERATURE. FOOD HEATING AND HOLDING TEMPS ARE CHECKED WITH A CALIBRATED THEMOMETER

LASTLY- THE IMPORTANCE OF IMPLEMENTING QA PROJECTS THAT WILL MONITOR ADHERENCE TO THE CHANGES AND OUTCOMES CAN NOT BE OVER EMPHASIZED

QUESTIONS ???