File ANNUAL_REPORT(117.3) Data List
| QTR/YR |
VA SPONSORED AP4? |
AFFILIATED DIETETIC TECH? |
SPECIALIZED MEDICAL PROGRAMS |
PRIMARY DELIVERY SYSTEM |
BEDSIDE TRAY |
CAFETERIA |
DINING ROOM TRAY |
REGION # |
OUTPATIENTS VISIT HOSP |
NUMBER OF SATELLITES |
SATELLITE LOC |
TOTAL MEALS SERVED |
TOTAL DAILY FTEE |
CLINICAL FTEE |
ADMINISTRATIVE FTEE |
MULTI DIVISION FACILITY? |
SUPPORT STAFF FTEE |
SUPERVISORY FTEE |
MODIFIED DIET SNAPSHOT DATE |
UNS/INT HOURS |
TOTAL COST PER DIEM |
DIETETIC EQUIPMENT |
TOTAL CMR EQUIPMENT INV COST |
RPM CLASSIFICATION |
NUTRITIVE ANALYSIS DATE |
CALORIES |
% CHO |
% PRO |
% FAT |
MG CHOL |
MG NA |
STAFF CERT DIAB ED (CDE) |
STAFF CERT IN NUTR SUPP |
STAFF REG CLIN DIE TECH |
COMPLEXITY LEVEL |
STAFF W/CLIN PRIVILEGES |
DO YOU USE COOK CHILL FOODS? |
SELECT 1 OR 2 |
FUNDED NUTRITION RESEARCH? |
ASSIGNED CLINICAL FTEE |
UNFUNDED NUTRITION RESEARCH? |
AREAS OF RESEARCH |
ASSIGNED TOTAL CLINICAL FTEE |
OLD SURVEY - APPETIZING |
OLD SURVEY - TASTE |
VA SPON DIETETIC INTERNSHIP |
OLD SURVEY - TEMPERATURE |
OLD SURVEY - VARIETY |
OLD SURVEY - CLEANLINESS |
OLD SURVEY - COURTEOUS |
OLD SURVEY - TIME |
OLD SURVEY - INFO |
OLD SURVEY - OVERALL |
AFFILIATED AP4? |
APPETIZING |
FOODS PREFERRED |
HOT ENOUGH |
COLD ENOUGH |
COURTEOUS |
PREFERENCES DISCUSSED |
TIMELINESS |
ENOUGH TIME |
NUTRITIONAL INFO |
OVERALL |
AFFILIATED DIETETIC INTERN? |
AFFILIATED CUP? |