Part 3, Chapter 5:  Manual Exhibit 3-5-B

1. Activities, Accomplishments

   1. Instruction/Implementation Training

   2. Development

   3. Evaluation

   4. Identification, Coordination Resources/Liaison with IHS Area Staff and Others

   5. Budget Update

   6. Other

2. Professional Development

3. Leave Taken

4. Future Plans/Action plan for next two months

5. Opportunities to improve

6. Statistical Report

Through consultation, program review, site visits, telephone calls, staff meetings, and reports submitted by Service Unit staff, the Area office and Headquarters staff are kept aware of programs and services provided by dietitians and nutritionists in the service units and tribal Programs. Services are monitored through these methods of communication and directed toward meeting established standards, guidelines, and regulations. There is frequent contact with each service unit dietitian and nutritionist.

STANDARD AND GUIDELINES

Part 3 - Professional Services, Chapter 5, Nutrition and Dietetics; 1996, IHS Manual

IHS Manual Circular No. 90-4, Clearance of Publications on Dietary Guidance, May 9, 1990.

Area Office General Administration:

Subsistence Policy and Procedures
Subsistence Cost and Nutritional Reporting
Nutritional Cost Accounting

Accreditation Manual for Hospitals:

Joint Commission on Accreditation of Healthcare
Organizations (Current edition)

State Licensing Regulations for Health Care Facilities

Recording Nutritional Information in Medical Records American Hospital Association (Current edition)

Foodservice Manual for Health Care Institutions American Hospital Association (Current edition)

IHS - approved Diet Manual

Food Code 1993, U.S. Department of Health and Human Services, Public Health Service, Food and Drug Administration, Washington, D.C. 20204.

A Practitioner's Guide to Implementation The American Dietetic Association 1986

Manual of Clinical Dietetics The American Dietetic Association l988

Nutrition and Diagnosis-Related Care, Escott-Stump, (Third edition), 1992

OSHSA Reference for Food service Administrators

National Sanitation Foundation Standards (Current edition)

Recommended Dietary Allowances, Food and Nutrition Board, National Research Council, National Academy of Sciences (Current edition)

Code of Ethics for Profession of Dietetics The American Dietetic Association 1988

Guide to Quality Assurance in Ambulatory Nutrition Care The American Dietetic Association 1983

Handbook of Clinical Dietetics (Second edition) The American Dietetic Association 1981

Nutrition Care in Nursing Facilities The American Dietetic Association 1987

Role Delineation for Registered Dietitians and Entry-Level Dietetic Technicians The American Dietetic Association 1989

A New Look at the Profession of Dietetics The American Dietetic Association 1985

Patient Care Audit--A Quality Assurance Procedure Manual for Dietitians The American Dietetic Association 1986

Position Papers - The American Dietetic Association (see current ADA catalog)

Reimbursement and Insurance Coverage for Nutrition Services The American Dietetic Association 1991

Effectiveness and Cost Effectiveness of Nutrition Care:  A Critical Analysis with Recommendations The American Dietetic Association 1991

Cost Benefits of Nutrition Services: A Literature Review The American Dietetic Association 1989

Nutrition Services Payment Systems: Guidelines for Implementation The American Dietetic Association 1985

Productivity Management for Nutrition Care Systems The American Dietetic Association 1986

The Surgeon General's Report on Nutrition and Health HHS. 1988

Healthy People 2000: National Health Promotion and Disease Prevention Objectives HHS 1990

Guide to Clinical Preventive Services U.S. Preventive Services Task Force 1989

Personnel in Public Health Nutrition for the 1990s--A Comprehensive Guide, The Public Health Foundation 1991

Guide for Developing Nutrition Services in Community Health Programs BCHS/PHS/DHEW 1978

Nutrition Intervention in Chronic Disease--A Guide to Effective Programs CDC/HHS 1991

Growth Charts, National Center for Health Statistics, PHS 1989

WIC Regulations (current)

Celebrating Diversity: Approaching Families Through Their Food HHS/USDA 1994

Cross Cultural Counseling: A Guide for Nutrition and Health Counselors HHS/USDA 1986/1990

Nutrition Education for Native Americans: A Guide for Nutrition Educators HHS/USDA 1984