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Identify a decision-maker
A hospital's food service can be self-operated or contracted out to a food service management company – it is important to determine this to understand who makes decisions about budget and operations. Hospital community benefit program directors or leads are important allies to work with to address community food needs.
Self-operated food service
The food and nutrition services director (or similar title) is managing the food service budget and operations and makes decisions within the budget and other parameters set by leadership. (Note that there may be divergent entities for patient and cafeteria). The executive chef is often an important decision-maker for menus and procurement. Purchasing will either be managed within the department or in cooperation with the procurement and supply chain department. Budgets and financial targets are most often set by the chief financial officer (or similar title), and for changes with budget implications, these positions are important allies.
Contracted out food service
There will still be a food and nutrition services director (or similar title), however they may have less local control of menus, purchasing, and operations, as these may be standardized across company operations. The executive chef is often an important decision-maker for menus and procurement. Hospital decision-making on contracted operations lies with the chief financial officer and contracts departments.
Community benefit
Nonprofit hospitals are required to provide community benefit programs to maintain their tax-exempt status. To identify the community benefit lead at your facility, a good first step is to obtain your hospital’s community health needs assessment (CHNA), implementation strategy, or report. While some hospitals have an established community benefit department, it is fairly common for community benefit functions to be incorporated into other areas of the hospital. See our guidance for identifying your community benefit lead.
Identify stakeholders and allies to create a vision
After determining who the decision-makers are, focus on enlisting allies. A listening tour is a great way to identify stakeholders or champions who can help create a vision or steer the direction of which values align with organizational priorities. Many hospitals in our network have taken the following steps to identify the right people and build ownership in the direction of the work.
Build relationships
Reach out and share your interest in supporting their work and what drives that interest – health of your patients, your membership in the green team, or your work with local food system partners. Get a meeting to discuss the following.
Understand priorities & history
Ask about policies or priorities they have developed involving sustainability or environmental issues, local economic impacts, community health, or other related areas. Find out how they came to focus on these issues and what progress they have made.
Identify opportunities
Ask about areas where they need champions or support to achieve their goals. Are there any that align with your particular interests and leverage points? Share efforts you would like to see undertaken, how they would address the issues you see, and how you can help.
Focus on developing urgency by identifying initiatives that align with organizational goals or priorities
Align with other initiatives that are already prioritized and people who are working on them. Health care institutions can invest in food solutions to achieve sustainability, staff and community health and well-being, and business outcomes.