Oregon Balanced Menus: A Collection of Regional Hospital Recipes
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The Oregon Healthy Food in Health Care Project Presents: Oregon Balanced Menus: A Collection of Regional Hospital Recipes Oregon Physicians for Social Responsibility 812 SW Washington Street, Suite 1050, Portland, OR 97205 503.274.2720 www.oregonpsr.org Fax 503.222.5348
Table of Contents Oregon Balanced Menus: A Collection of Regional Hospital Recipes …………………..………..… ii Sustainable Sourcing: Third-Party Certified Eco-Labels, USDA Approved Label Claims …... iii Recipes Roasted Red Pepper, Pear, Walnut and Gorgonzola Pizza ..………………………………… 1 Pumpkin Chili ………………………………………………………………...………………………………….. 2 Pasta Primavera Alfredo …………………………………………………………………………………... 3-4 Chili Relleno Casserole ..……………………………………………………………………………….…… 4-5 Eggplant Parmesan ..…………………………………………………………….…………………..…….….. 6 Basic Tomato Sauce (to be used in Eggplant Parmesan recipe) ………..…………….….. 7 Mac & Cheese - Not Your Kids ..…………………………………………………………..…….……….. 8 Cheddar Cheese Sauce (to be used in Mac & Cheese recipe) ………………..……...……. 9 Wild Mushroom Polenta ..………………………………………………………………………………... 10 Spicy Marinara Sauce (to be used in Wild Mushroom Polenta recipe) ……………... 11 Stuffed Acorn Squash ..………………………………………………………….…………………….. 11-12 Artichoke Quiche ..…………………………………………………………………………………..……….. 13 Southwest Quinoa Casserole ………………………………...…………………………….………….. 14 Grilled Chicken with Quinoa Pilaf and Summer Vegetables ..…………….………... 15-16 Bean & Cheese Burrito ..………………………………………………………………………………. 16-17 Black Bean and Pasta Casserole ..……………………………………………………………..…. 17-18 Cheese Strata with Cheese Sauce ..…………………………………………………………………... 18 Vegan Pasta Primavera ..……………………………………………………………………………....….. 19 Black-Eyed Peas ..………………………………………………………………………….………………..... 20 Akara - Black-Eyed Pea Fritters ..…………………………………………………………………..….. 21 Iranian Stuffed Tomatoes - Dolmed-yeh Gojeh Farangi ..……………………….…….. 22-23 Jewish Stuffed Cabbage Rolls ..…………………………………………………………………..... 23-24 Tanzanian Beans with Coconut, Cilantro, and Coriander ..………………………………... 26 Glossary of Sustainability Terms ..………………………………………………………………………………... 27 Facility Profiles ..…………………………………………………………………………………………………………... 28 Acknowledgements ..………………………………………………………………………………..…….. Back Cover i
Oregon Balanced Menus: A Collection of Regional Hospital Recipes Oregon Physicians for Social Responsibility’s Healthy Food in Health Care Project (HFHC) works to employ market-based forces to increase demand for sustainably produced foods, im- prove hospital food quality, educate the public, and bolster the local economy. The principal goal of the project is to leverage the significant purchasing power and influence of hospitals to support regional markets for fresh, sustainable food, and to model healthy food choices to the public. On September 24th, 2010 the HFHC Project presented an educational roundtable - Balanced Menus: Serving Healthy Sustainable Meals, Mitigating Climate Change, and Reducing Cost. The Balanced Menus Project (http://noharm.org/us_canada/issues/food/balanced_menus/) is a climate change mitigation strategy. This systematic approach aims to reduce the amount of meat protein in hospital food and offers a strategic pathway to serving the healthiest, most sustainably produced meat available in a cost neutral manner. By reducing meat procurement, hospitals can use cost savings to serve both high quality vegetable/legume proteins as well as sustainably produced meat products. Oregon Balanced Menus: A Collection of Regional Hospital Recipes was created to support the implementation of Balanced Menus at hospitals in Oregon/SW Washington. Hospitals were asked to submit meat-free and reduced-meat recipes that could be served in institu- tional settings. Food Service Directors, Managers, Chefs, and Nutritionists all heeded the call and came up with many delicious recipes found in the following pages. Examples of how hospitals have incorporated the Balanced Menus approach into their facili- ties can be found at: http://noharm.org/us_canada/issues/food/balanced_menus/ studies.php. Thank you to all hospitals that submitted recipes and attended the September 2010 Healthy Food in Health Care Roundtable! ii
Sustainable Sourcing When using these recipes, hospitals are strongly encouraged to source local, seasonal, and sustainably produced products whenever possible. Cooking with food that has been produced without harmful chemicals, in a way that the protects the fertility of the land, and that utilizes fair labor practices promotes the health and well-being of hospital patients, staff, and visitors, the communities they reside in, and the environment. Third-Party Certified Eco-Labels General USDA Approved Label Claims iii
Roasted Red Pepper, Pear, Walnut and Gorgonzola Pizza Serving Size: 1 slice Makes: 48 Servings Measurement Ingredients 6 ea Sweet Red Bell Peppers 12 c Onion, chopped 12 ea Pears, sliced thin Submitted by 6 c Walnuts, chopped Nancy Gummer, RD, LD, CDE 9½c Mozzarella Cheese Director of Nutrition Services/Diabetes 9½c Gorgonzola Cheese Education, Good Shepherd 6 ea Rizzuto 16” Hand stretched Medical Center, Italian gourmet par-baked Hermiston, OR pizza crust Roasted Garlic Butter Balsamic Vinegar Cooking Instructions Cut peppers in half and seed. Roast in a hot oven. Peel and slice. Caramelize the onions. Brush pizza crusts with roasted garlic butter and balsamic vinegar. Layer peppers, pears, caramelized onions, walnuts and cheese on pizza crusts. Bake at 400 degrees until crust is golden brown, about 7 minutes Cut each pie into 8 pieces Page 1
Pumpkin Chili Serving Size: 1 cup each Makes: 50 servings Measurement Ingredients 3 qts Water 75 oz Crushed, Canned Tomatoes 108 oz Kidney Beans 106 oz Pumpkin cnd 3c Chopped Onion 3c Chopped Red Bell Pepper 3c Chopped Chili Peppers 3c Bulgur 2T Garlic Submitted by 3T Cumin Athena Nofziger RD,LD Clinical Dietitian ¼c Chili Powder Samaritan Lebanon Community Hospital, 2t Salt Lebanon, OR Cooking Instructions Chop all onions, peppers and chili peppers Drain and rinse the beans Put all ingredients in a large pan and bring to a boil Reduce to medium-Low heat and simmer for 35 minutes Nutritional Analysis* Calories 130 k Protein 6g Total Fat 1g Fiber 9g Saturated Fat 0g Phosphorus 102 mg Trans Fat 0g Sodium 340 mg Carbohydrates 25 g Potassium 365 mg Cholesterol 0 mg *Nutritional Analysis Conducted Using Food Processor Software Page 2
Pasta Primavera Alfredo Serving Size: 12 oz, 8 oz for catering Makes: 100 servings Ingredients Measurement Ingredients Measurement Half & Half 6 qts Carrots, baby slims 6 lbs Heavy cream 2 qts Broccoli floret’s 6 lbs Whole butter 1 lb Mushrooms, quartered 6 lbs Parmesan Cheese, shredded 8c Zucchini, green fresh 6 lbs Roux 6 oz Yellow squash 6 lbs Nutmeg ½t Green onions 4c Salt & pepper mixture 2t Slivered almonds, toasted 4c Pasta, uncooked 10 lbs Parmesan cheese, shredded 4c (tri-color Rotini or Red Parmesan cheese, 4 c (approx) Penne Pasta) shredded (add 2 tablespoons Parsley, chopped garnish paprika to color Parmesan) Cooking Instructions Alfredo Sauce: Heat half & half and heavy cream together. In heavy gage pan (thick bottom) heat roux. Add cream mixture. Bring to a slow boil, mixing until roux is smooth with cream. Add but- ter, nutmeg, and salt & pepper mix. Whip in Parmesan cheese. When well melted (it should be semi-thick), taste and adjust seasonings if needed. Hold for service. Cook pasta, 5 lbs or less at a time. Shock in cold water. Hold for service. Vegetables are cut and on a cart in the vegetable cooler. Steam broccoli florets al dente. Steam carrots al dente in ½ batches, 3 pounds or less at a time. Sauté mushrooms in clarified butter, adding salt and pepper to taste. Strain out excess juice (1/2 batches); discard excess juice. When ready for service, sauté zucchini and yellow squash together (half batches) in clarified butter al dente. Add appropriate amt of vegetables (carrots, broccoli, mushrooms, zucchini, yellow squash) the green onions and the pine nuts to Alfredo sauce & Parmesan cheese. Mix well, taste and adjust seasoning if needed. Place in 5 full shallow (2”) pans. Top with Red Parmesan cheese, shredded (on tray) and chopped parsley. Bake 10 to 15 minutes at 3500 Page 3
Nutritional Analysis Submitted by Sue Lundgren, Sacred Heart Medical Center , 12 oz svg 8 oz svg Eugene, OR Calories 380 k 253 k Total Fat 20 g 13 g Carbohydrates 35 g 23 g Protein 14 g 9g Sodium 320 mg 213 mg Potassium 453 mg 302 mg Chili Relleno Casserole Serving Size: 8 oz Makes: 48 servings Ingredients Measurement Ingredients Measurement Eggs 28 Granulated Garlic 1½T Black Pepper 1½T Flour 3c Mild Cheddar Cheese (shredded) 32 oz Half and Half 1 ¾ qt Salt & Pepper Mix 1½T 106 oz Pumpkin cnd Mild Green Chili 3c Chopped Onion (canned, drained) 8 cans-26 oz 3c Chopped Red Bell Pep- Poblano Peppers per (fresh, roasted) 10 lbs 3c Chopped Chili Peppers Sharp Cheddar cheese 3c Bulgur (shredded) 3.5 lbs 2T Garlic Provolone Cheese 3T Cumin (shredded) 3.5 lbs ¼c Chili Powder Oregano 3T 2 tsp Salt Page 4
Chili Relleno Casserole cont. Cooking Instructions Submitted by Sue Lundgren, Chop all onions, peppers and chili peppers Sacred Heart Medical Center, Drain and rinse the beans Eugene, OR Put all ingredients in a large pan and bring to a boil Reduce to medium-Low heat and simmer for 35 minutes Layering Method Roast Poblano peppers, de-skin and remove seeds. Can be done a day in advance. Mix oregano, garlic and black pepper to Provolone Cheese. Set aside till ready for use. Mix the ½ & ½, eggs and flour well add salt and pepper mix. Spray M½- 200 pans with non-stick cooking spray. Start with the green chili’s and place in pan. Using a 6oz ladle, add egg mixture to just cover. Then add the sharp cheddar cheese, 13.5 oz per layer. Next add the roasted Poblano and the egg mixture to just cover. Add the seasoned provolone next, 13.5 oz per layer. Repeat this step 2 more times with the mild chilis and once more with the roasted poblano until 5 layers of peppers, eggs and cheese is achieved. Top with the mild cheddar cheese, 8oz. 0 Bake @ 350 for 45 minutes with tented foil covering product. Once Egg is set remove foil and cook an additional 15 to 20 minutes until the top is golden brown and temperature reads 160°. Allow to set for 10-15 minutes before serving. Page 5
Eggplant Parmesan Serving Size: 3 piece portions (approx 7-8 oz) Makes: 50-60 servings Ingredients Measurement Ingredients Measurement Eggplant, fresh ½ case Fresh Shredded 18 count case Parmesan Cheese 1 ¾ lbs Egg Wash: Mozzarella Cheese 3 ¾ lbs Liquid eggs 1 qt Parsley, fresh ½ bunch Milk, 2% 1c Bread Crumbs: Yield: Yield: Seasoned crumbs 3 qts 3 m ½ 200 4 M ½ 200 Flour 1 qts 3x4/pan 3x4/pan Basic Tomato sauce 8oz svg 8oz svg (see Recipe on p. 7) 1 ¾ gal Cooking Instructions Wash and peel fresh eggplant. Then slice the eggplant on the auto slicer ¼ inch thick. Bread the sliced eggplant first in an egg wash (mixed ahead of time) and then in seasoned bread- crumbs (mixed ahead of time) and coat well. Place on a baking sheet lined with parchment paper. Fry breaded eggplant in (clean or strained fat) deep fat fryer at 360oF until golden brown on each side. Drain well on paper towels. Assemble this dish by placing a dollop (approx 1 oz) of marinara sauce in a hotel pan; on top of the sauce place 3.5oz of fried eggplant, shingled. Top with ½ tsp shredded parmesan. Top with 2 oz of Basic tomato sauce. Sprinkle with 1/2 oz shredded parmesan cheese and 1 oz shredded mozzarella cheese. Bake eggplant in 350oF oven for about 6 to 7 minutes or until cheese is well melted. Sprinkle with fresh parsley and hold for service Nutritional Analysis Submitted by Sue Lundgren, Sacred Heart Medical Center, Calories 280 k Protein 16 g Eugene, OR Total Fat 17 g Sodium 1270 mg Carbohydrates 42 g Potassium 462 mg Page 6
Basic Tomato Sauce To be used in Eggplant Parmesan, Recipe, p. 6 Serving Size: 4 oz Makes: 72 servings (2.25 gallons) Ingredients Measurement Ingredients Measurement Olive Oil ¼c Sea salt 2½T Onion, puree in robot Black pepper 1½t coupe 1 ½ lbs Sugar ¼c Garlic, fresh chopped 2 oz Basil, dry ¼c Tomato puree, canned 1 ½ - 10 lb cans Red pepper, crushed 1/8 t Vegetable stock 1 gal Parsley, fresh, flat, chopped ½c Cooking Instructions Pour olive oil in large saucepan and heat. Add pureed onions and sauté’ until transparent. Add pu- reed garlic and sauté’ to a light golden color stirring often. Add tomato puree, vegetable stock and bay leaves. Bring mixture to a simmer and cook for 2 hours, stirring often. Add tomato paste and blend well. Bring sauce back to a simmer and cook 1 hour, stirring often. Add seasonings (except parsley) and continue to simmer for half an hour. Add fresh parsley; bring sauce to a simmer for about 15 minutes. Taste and adjust seasonings. Remove from range and hold for service at 140oF. To cool sauce quickly from 140oF to 70oF in two hours and from 70oF to 40oF use the following methods: 1. Shallow container 2” deep in blast chiller. 2. Quick chilling in ice and stirring. Hold at 40oF or below until needed. Nutritional Analysis Submitted by Sue Lundgren, Sacred Heart Hospital, Eugene, OR 1.5 oz svg 4 oz svg Calories 20 k 55 k Total Fat 0g 1g Carbohydrates 4g 11 g Protein .5 g 3g Sodium 125 mg 330 mg Potassium 11 mg 30 mg Page 7
Mac & Cheese - Not Your Kids Serving Size: 12 oz Makes 40 servings Ingredients Measurement Ingredients Bread Crumb Topping Butter, whole 8 oz Seasoned bread crumbs 2 qts Edamame 2 ½ lbs Clarified butter 1c Salt & Pepper Mix 2 tsp Small Shell Pasta (dry) 6 lbs Cheddar Cheese Sauce (see Recipe on p. 9) 5 qts Cooking Instructions Heat whole butter in Sauté pan, do not brown. Add Edamame, season with salt and pepper mixture. Sauté until heated through. Cook small pasta shells in boiling salted water until tender. Drain and place in a large Stainless Steel bowl. Add Edamame and Prepared cheese sauce. Mix well. Mix bread crumbs and clarified butter and set aside. Place pasta mixture in shallow pan. Steam well covered until heated through. Top each pan with 1 qrt of seasoned bread crumbs bake until golden brown approx 5 minutes. Submitted by Sue Lundgren Sacred Heart Medical Center, Eugene, OR Page 8
Cheddar Cheese Sauce To be used in Mac & Cheese Recipe, p. 9 Makes: 1 ¼ gallons Ingredients Measurement Ingredients Measurement Clarified Butter 6 oz Sea Salt 1T Onions, Diced 6 oz Dry Mustard 2T Flour 6 oz Cayenne ½t Milk, whole 1 gal Worcestershire 1T Bay Leaf 2 each Parmesan Cheese ½ lb Nutmeg ¼t Gorgonzola ½ lb White Pepper ½t Sharp Cheddar Cheese 2 lb Cooking Instructions Place whole milk with bay leaf in appropriate pan and place in Bain Marie to heat. In a large stainless steel pan add clarified butter. When heated add onion and sweat (Do Not Brown, Use lower heat) Add flour to make a roux, Do Not Brown. Cook 6-8 minutes. Gradually, add milk blending with a whip to a smooth consistency, bring to a slow simmer. (2500) Temperature Add nutmeg, white pepper, sea salt, dry mustard, cayenne, gorgonzola and Worcestershire. Strain out onions and bay leaf. Return to low heat and add parmesan cheese and whip smooth. Add cheddar cheese and whip to a smooth consistency. Careful not to scorch bottom. Tasted and adjust seasonings if needed. Strain through a china cap. Hold for service Submitted by Sue Lundgren Sacred Heart Medical Center , Eugene, OR Page 9
Wild Mushroom Polenta Serving Size: 8 oz Makes: 48 servings Ingredients Measurement Ingredients Measurement Vegetarian Stock or Water 10 qts Porcini—reconstituted 12 oz (3 oz dry) Sea Salt 2T (chopped coarsely) Course Corn Meal (Polenta) 10 c Parmesan Cheese 1 lb Butter 6 oz (shredded) Mushrooms—Shitake 1 ½ lbs Spicy Marinara (de-stemmed, sliced and (see Recipe p. 11) 5 ½ qts pre-cooked, sprinkle with (appx 4 oz per serving) Cooking Instructions Have all ingredients pre prepped. Bring Stock or Water to a boil add Sea Salt. In a steady stream add Polenta stirring continually. Lower heat to a simmer. Cook until Polenta is tender- stirring every 4-5 minutes, more often as it thickens. Time should be 20 25 minutes. When Polenta is tender, add butter and pre-cooked Mushrooms, mix well. Stir in Parmesan Cheese and stir until all is blended. Adjust seasoning if needed. Place on oiled ½ sheet pan or baking dish to cool. (Can be eaten soft as a side dish as well.) Cut pan ¾. Cut again diagonal, grill or char broil. Top with a Sauce of Choice or by itself. Submitted by Sue Lundgren Sacred Heart Medical Center, Eugene, OR Page 10
Spicy Marinara Sauce To be used in Wild Mushroom Polenta Recipe, p. 10 Makes: 5 ½ qts Ingredients Measurement Ingredients Measurement Olive Oil 2 oz Black Pepper 1t Onions, small dice 12 oz Salt 1t Jalapeno, seeded & diced small 2 oz - approx. 3 Sugar 2t Garlic, Chopped 2 oz Parsley ½ bunch Crushed Red Pepper 1t Basil (fresh) ½ oz Marinara, 10 lb can 1 can Tomato Sauce 2 qts Cooking Instructions Submitted by Sue Lundgren Heat Olive Oil, add onions and sauté 5 minutes. Sacred Heart Medical Center, Add jalapeno’s and sauté 3 minutes. Eugene, OR Add garlic, red pepper, and black pepper, sauté another 5 minutes. Add caned marinara and simmer 1 hour. Add salt, sugar, parsley and basil and tomato sauce and continue to simmer slowly for 1 hour. Taste and adjust seasoning if necessary. Hold for service. Stuffed Acorn Squash Serving Size: 1 each acorn squash halves, 6 oz couscous mixture Makes: 64 servings Page 11
Stuffed Acorn Squash cont. Ingredients Measurement Ingredients Measurement Acorn Squash 32 ea Couscous, dry uncooked 16 c Butter, clarified 12 oz (1 cup raw = 7oz) Sage 4T Dried Cranberries 6c Fresh Thyme 2T Toasted Almonds, sliced 4c Sea Salt 2T Red Onions, diced 3 lbs Black Pepper 2T Celery, diced 2 lbs Apple Juice 4c Apples, diced 16 c (8 ea or 3-4 lbs) Vegetable Stock 12 c Cooking Instructions Wash, split, and seed acorn squash. Brush lightly with clarified butter and bake until fork tender. Remove from oven and cool. Place couscous in large stainless steel bowl. Heat apple juice and vegetable stock to boiling point. Pour over couscous and cover with aluminum foil for 15 minutes or until liquid is absorbed. While couscous is reconstituting, sauté celery and red onions in clarified butter until tender (approximately 5 minutes). Season with sea salt, pepper and sage. Add celery-onion mixture to couscous, and blend well. Add dried cranberries, thyme, diced apples, and almonds, and blend well. Taste and adjust seasonings if necessary. Lightly brush cooked squash with melted butter (whole or clarified), sprinkle lightly with salt and pepper mixture. Fill acorn squash halves with couscous mixture (approximately 4-5 oz). Drizzle butter over couscous mixture. Bake covered for 15 minutes, uncover and bake another 5 minutes. Stuffed squash should reach an internal temperature of 155°F. Hold stuffed squash at 140°F for service. Nutritional Analysis Submitted by Sue Lundgren Sacred Heart Medical Center, Calories 446 k Eugene, OR Total Fat 9.2 g Carbohydrates 87.4 g Protein 11.1 g Sodium 570 mg Potassium 945 mg Page 12
Artichoke Quiche Serving Size: 1/6 pie slice Makes: 96 servings Ingredients Measurement Ingredients Measurement Pie Shell 16 Fresh Tarragon- chopped ½ oz Artichokes, Lg chopped, Sea Salt 1T drained well 2 lb - 10 cans Black Pepper 2T Clarified Butter 16 oz Granulated Garlic 1¼T Leeks, chopped 3 lbs Whole Eggs 64 each Red Bell Pepper- Julianne 24 oz Heavy Cream 3 qts Salt and Pepper Mixture 4 lbs Nutmeg 1 tsp Provolone Cheese, shredded Parmesan Cheese, shredded Cooking Instructions Pull prepared pie shell from freezer and thaw. In clarified butter, sauté’ Leeks and Red Bell Pepper. Drain Artichokes well, chop into a large chop and place in a bowl. Add the sautéed Leeks and Peppers and salt and pepper mix to artichokes and hold. In a separate bowl mix together Fresh Tarragon, Provolone Cheese, Parmesan Cheese, Sea Salt, Black Pepper and Granulated Garlic. In a stainless steel bowl, whip the eggs, heavy cream, and nutmeg until blended well. Place 3 oz of Cheese Mixture on bottom of pie shell. Add 10.5 oz of Artichoke and Pepper Mix. Top with 3 oz of cheese mixture. Ladle egg mixture over cheese to the rim. Bake at 3000 on dry heat for 35 minutes or until set. Note: You may have to cover with foil after 25 minutes of cooking if the quiche is getting too brown on top. Hold Quiche at an internal temperature at or above 140 0 until served. Nutritional Analysis Submitted by Sue Lundgren Calories 320 k Protein 14 g Sacred Heart Medical Center, Eugene, OR Total Fat 26 g Sodium 770 mg Carbohydrates 8g Potassium 113 mg Page 13
Southwest Quinoa Casserole Serving Size: 1 cup Makes: 50 servings Ingredients Measurement Ingredients Measurement Quinoa 12.5 c Cilantro, chopped 2 1/3 c Virgin olive oil ¾c Fresh marjoram, White onion, chopped ¾c diced 2¼c Toasted pine nuts 2 1/3 c Garlic, minced ¾c Scallion, thinly sliced 3c Celery, diced 1½c Mozzarella cheese, Roasted corn, shredded 6¼c cut from cob 6¼c Cherry tomatoes, Roasted poblano 3c cut in half 4 pt pepper, diced Salt and Pepper Tempeh, lightly fried, diced 12 ½ c Cooking Instructions Cook quinoa according to package instructions. Sauté garlic, onion, celery until translucent. Add Poblano, corn and Tempeh, deglaze with vinegar. Mix in quinoa, Marjoram and cilantro, season with salt and pepper. Transfer to oven proof dish, top with cheese and bake for 20 min. @ 300 degress. Top with scallion, pine nuts and tomatoes. Submitted by David Tankersly, Executive Chef, St. Charles Medical Center, Bend, OR Page 14
Grilled Chicken w/ Quinoa Pilaf & Summer Vegetables Serving Size: 8 oz of quinoa, 3 oz of zucchini, 3 oz of chicken, Makes: 50 servings Ingredients Measurement Ingredients Measurement Black pepper ground 1c Quinoa grain, Chicken breast boneless organic uncooked 1 gal roasted meat only 9.5 lbs Sugar snap peas Coriander raw 3c blanched and julienne cut 3 lbs Corn, sweet cooked, Zucchini with skin, raw cooled and cut off cob 12.5 lbs cut lengthwise in thirds 10 lbs Cumin ground ½c Onion, spring or Red pepper, sweet raw scallion tops cleaned 3 lbs quartered and seeded 3 lbs Lime zest ½c Lime juice 1c Cooking Instructions Take 4 each, 4 inch full hotel pans and add 1 qt of quinoa to each. Add 1 qt of water, ¼ cup black pepper, ¾ cup coriander, 1/8 cup cumin, ¼ cup lime juice, and 1/8 cup lime zest to each hotel pan and insert in steamer for 10 minutes. Add your sweet corn to the quinoa mixture and continue to cook for 10 more minutes or until the Quinoa is completely cooked. Meanwhile grill your chicken breast, zucchini, green onions and bell peppers until tender and fully cooked. Store in a warm place. Once your quinoa is done take it out of the steamer, add your sugar snap peas and fluff it with a fork. This will also incorporate all of the other ingredients. At this point you are ready to assemble your plate. Take 3 each green onions, and put them in the center of the plate. Take your quinoa pilaf and mount on top of the center of the green onions. Take your chicken breast and cut it into 3rds fanning it on the right side of the pilaf. Take your 3 slices of your zucchini and place them to the left of the pilaf. Take your bell peppers and top the pilaf with them. Optional: Garnish with fresh cilantro. Page 15
Nutritional Analysis* Calories 510.35 k Protein 41.24 g Total Fat 9.68 g Fiber 18.60 g Saturated Fat 1.35 g Phosphorus 662.28 Trans Fat 0g Sodium 96.82 Carbohydrates 63.12 g Potassium 1238.75 mg Cholesterol 73.26 mg *Nutritional Analysis Conducted Us- Submitted by Chef David Pruyn, ing Nurtibase 6.0 Software Southwest Washington Medical Center, Vancouver, WA Bean and Cheese Burrito Serving Size: one each Makes: 50 servings Measurement Ingredients 50 ea Tortilla, flour 9 lbs, 6 oz Beans, refried, vegetarian 3 lbs, 2 oz Cheese, cheddar, bulk, shredded 2 lbs, 3 oz Sauce, enchilada 15 oz Onions, diced fresh 1 lb, 4 oz Tomatoes, fresh, bulk Cooking Instructions Take a flour tortilla and place the following fillings: 1 oz. vegetarian refried beans 1 oz. shredded Cheddar cheese ½ oz. finely chopped onions ½ oz. chopped tomatoes ¼ oz. enchilada sauce Roll the tortilla and place in serving pan. Refrigerate until served. Serve: Place burrito on plate and top with 1 oz. enchilada sauce. Page 16
Bean and Cheese Burrito cont. Nutritional Analysis* Calories 165 k Protein 8g Total Fat 7g Fiber 5g Saturated Fat 2g Phosphorus 15 mg Trans Fat 0g Sodium 485 mg Carbohydrates 24 g Potassium 367 mg Cholesterol 2 mg *Nutritional Analysis Conducted Using Vista Software Submitted by Deanne Carlisle, Food and Nutrition Service Director Portland Veterans Administration Medical Center, Portland, OR Black Bean and Pasta Casserole Serving Size: 13 oz Makes: 50 servings Measurement Ingredients 1 T, 2 tsp Salt, bulk 13 lbs, 2oz Beans, kidney, canned 2 lbs, 8 oz Onions, diced, fresh 7 oz, 1 T Sugar, brown 2 oz, ¼ T Spices, mustard powder 5 lbs, 10 oz Sauce, BBQ 10 lbs Pasta, macaroni seashell Cooking Instructions Cook seashells in salted water. Drain. Drain kidney beans. Finely mince onion. Mix seashells, kidney beans, onion, BBQ sauce, brown sugar, mustard and salt. Bake 20 minutes at 350 degrees. Serve hot. Page 17
Nutritional Analysis Submitted by Deanne Carlisle, Calories 165 k Protein 8g Portland Veterans Total Fat 7g Fiber 5g Administration Saturated Fat 2g Phosphorus 15 mg Medical Center Trans Fat 0g Sodium 485 mg Carbohydrates 24 g Potassium 367 mg Cholesterol 2 mg Cheese Strata w/ Cheese Sauce Serving Size: 4 ½ “ X 2” Makes: 50 servings Measurement Ingredients 7 lb, 13 oz Cheese, cheddar, bulk, shredded 2 fl oz Sauce, Worcestershire 1 gal, 1 qt Milk, low-fat 2%, bulk 8 lb, 5oz Eggs, whites, frozen 50 ea Bread, whole grain, sliced Cooking Instructions Place 12 slices of bread on the bottom of a well-greased pan; cut slices in half to fit space if necessary. Repeat for additional pans. Top bread with a layer of grated cheese; cover with another 12 slices of bread and top fi- nally with another layer of cheese. Scale 2 pounds of cheese per pan. Combine milk, eggs and Worcestershire sauce and blend. Pour batter over bread and cheese. Let set for 5 minutes. Bake at 300F for approximately 30 minutes or until well set. Cut 4 ½” X 2”. Nutritional Analysis Submitted by Deanne Carlisle, Calories 369 k Protein 29 gm Portland Veterans Total Fat 25 g Fiber 5g Administration Saturated Fat 16 g Phosphorus 459 mg Medical Center Trans Fat 0g Sodium 620 mg Carbohydrates 6g Potassium 326 mg Cholesterol 81 mg Page 18
Vegan Pasta Primavera Serving Size: 10 oz Makes: 50 servings Measurement Ingredients Measurement Ingredients 1 cup, 2 fl oz Oil, vegetable 2-1/2 t Salt, bulk 2 lbs, 8 oz Mushrooms, fresh (lb) 10 oz Thickit; or flour thickener 2 lb, 8 oz Onions, diced, fresh to preferred consistency 5 lb Zucchini, squash, fresh 1 lb, 4 oz Soymilk 7 lb, 8 oz Tomatoes, fresh, bulk 1lb, 9 oz Almonds, natural, sliced, 5 lb Carrots, fresh, thin sliced toasted 2 lb, 8 oz Peppers, green, fresh 10 lb Pasta, fettuccini 1-1/4 t Spices, garlic powder 2 qt, 1 pt Water, cold, (to cook 1-1/4 t Spices, basil, ground fettuccini pasta) 1-1/4 t Spices, oregano, ground 1-1/4 t Spices, thyme 2-1/2 t Spices, parsley, flakes, dried Cooking Instructions Mix soy milk with Thickit (or flour). Cook fettuccini in water, rinse, drain. Julienne onion, green pepper, carrots, zucchini; chop tomatoes and slice mushrooms. In steam jacketed kettle add oil and sauté onions until soft. Add the mushrooms and herbs. Add bell pep- per, carrots, zucchini, and tomatoes. Cook until pepper is tender crisp (3-5 min.). Add salt. In a separate pan, melt margarine, stir in flour. Cook for one minute. Whisk in soymilk and cook over medium heat, stirring constantly until thickened. Place pasta into casserole dish. Spread white sauce over pasta and top with vegetables/bean mix- ture. Sprinkle almonds on top and serve immediately. Submitted by Deanne Carlisle, Director Food and Nutrition Services Portland Veterans Administration Medical Center, Portland, OR Page 19
Black-Eyed Peas Serving Size: 3 oz Makes: 50 servings Measurement Ingredients 1 lb Pork, ham 2 qts Water, cold 4 oz Onions, sliced, fresh 1-1/1 t Black pepper, ground 3 qt, 1-1/2 pt Water (for beans) 5 lbs Black-eyed peas 2 oz Base, ham 8 oz Trans-fat free margarine, or vegetable oil Cooking Instructions Pick over and wash beans thoroughly. Place beans into steam jacket kettle, cover with fresh water, and soak overnight. Sauté onions and bell pepper in margarine. Add onions and bell pepper to beans and pork base. Bring to boil. Simmer until beans are tender (approx. 2 hours). Grind ham into ¼ inch pieces. Combine remaining ingredients (including 2nd listing of water), add additional water as needed. Nutritional Analysis* Submitted by Deanne Carlisle, Calories 865 k Protein 28 g Portland Veterans Total Fat 32 g Fiber 13.5 g Administration Saturated Fat 3g Phosphorus 529 mg Medical Center Trans Fat 0g Sodium 306 mg Carbohydrates 118 g Potassium 10345 mg Cholesterol 0 mg *Nutritional Analysis Conducted Using Vista Software Page 20
Akara (Black-Eyed Pea Fritters) Serving Size: 72 g (2 fritters) Makes: 50 servings Measurement Ingredients 12 ½ cups Cowpeas (blackeyes), mature seeds, raw 6 ¼ ea Onions, (medium 2½”), raw 3 1/8 t Fresh ginger root, peeled and minced Approx 2½-3 cups Vegetable oil (canola) enough to fry each batch Cooking Instructions Clean the black-eyed peas in running water. Soak them in water for at least a few hours or over- night. After soaking them, rub them together between your hands to remove the skins. Rinse to wash away the skins and any other debris. Drain them in a colander. Crush, grind, or mash the black-eyed peas into a thick paste. Add enough water to form a smooth, thick paste of batter that will cling to a spoon. Add all other ingredients (except oil). Some people allow the batter to stand for a few hours (overnight in the refrigerator); doing so improves flavor. Heat oil in a deep skillet. Beat the batter with a wire whisk or wooden spoon for a few minutes. Make fritters by scooping up a spoon full of batter and using another spoon to quickly push it into the hot oil. Deep fry the fritters until they are golden brown. Turn them frequently while frying. If the fritters fall apart in the oil, stir in a beaten egg, some cornmeal or crushed breadcrumbs (not included in analysis). Serve with African Hot Sauce or salt, as a snack, an appetizer, or a side dish (not included in analy- sis). Nutritional Analysis* Submitted by Eecole Copen, MS, Calories 164 k Protein 10 g RD, LD and Margaret Vattiat, RD, LD Total Fat 2g Fiber 5g Oregon Health & Saturated Fat 0g Phosphorus 184 mg Science University, Portland, Oregon Trans Fat 0g Sodium 153 mg Carbohydrates 27 g Potassium 511 mg Cholesterol 0 mg *Nutritional Analysis Conducted Using www.nutritiondata.com Software Page 21
Iranian Stuffed Tomatoes - Dolmed-yeh Gojeh Farangi Serving Size: one stuffed tomato (374 g) Makes: 50 servings Measurement Ingredients Measurement Ingredients 50 ea (9100g) large and firm tomatoes 1 T (18g) salt, divided (3’ diam.) ¼ c (24g) black pepper 7 lb (3175g) veggie sausage patties, ground 4 c (250g) parsley, finely 2¾ lb (1250g) long-grain or basmati rice chopped 25 ea (2750g) medium onions, finely chopped 4 c (250g) mint, finely chopped ¾ c (162g) olive or canola oil, divided 6¼ c (625g) spring onions, finely 16 oz (450g) tomato paste (w/o salt added) chopped 12 ea (528g) limes, juiced 4 c (200g) garlic chives, finely ¾ c (150g) sugar chopped Cooking Instructions Prepare tomatoes by cutting a small circle at the top and removing the contents with a small spoon taking care not to make the outer layer too thin. Use a teaspoon of salt to sprinkle inside tomatoes. Sauté onions in ¼ cup cooking oil over medium heat until golden. Add ground veggie sausage and sauté further until mixture reaches 135°F. Add ½ cup water, ½ tablespoon salt, pepper and tomato paste. Mix and cook further until water boils off. Sauté prepared herbs and vegetables in ¼ cup cooking oil over medium heat until wilted. In a separate pot, prepare rice using a 2:1 ratio of water to rice. Add ½ teaspoon of salt and rice and boil further until rice softens. Drain the water and let cool slightly. Mix prepared veggie sausage, vegetables, herbs, and rice well. Fill the tomatoes with the mix and close the tops. Spread ¼ cup oil in the bottom of a 12”x20” pan and place the tomatoes inside without stacking. Do not add any water. Bake at 300°F for 15-20 minutes, or until internal tem- perature of stuffing reaches 135°F. Page 22
Iranian Stuffed Tomatoes cont. Nutritional Analysis* Submitted by Eecole Copen, MS, Calories 279 k Protein 20 g RD, LD and Margaret Vattiat, RD, LD Total Fat 9g Fiber 7g Oregon Health & Saturated Fat 1g Phosphorus 285 mg Science University, Portland, Oregon Trans Fat 0g Sodium 589 mg Carbohydrates 32 g Potassium 902 mg Cholesterol 1 mg *Nutritional Analysis Conducted Using www.nutritiondata.com Software Jewish Stuffed Cabbage Rolls Serving Size: 2 rolls (275 g) Makes: 50 servings Measurement Ingredients 100 ea Large, whole, raw cabbage leaves 100 ea Morningstar Farm breakfast patties (made with organic soy) 12½ ea Onions, (medium, 2½”) grated 12½ ea Garlic cloves, minced 12½ t Golden raisins 6¼ c Uncooked rice, short-grain white 25 c Canned crushed tomatoes 12½ T Paprika 1½ t Salt 25 T Brown sugar Page 23
Cooking Instructions Make sure the cabbage leaves you use are free of blemishes, holes, or tears. Plunge them into boiling water for 3 minutes to soften the veins so they can be rolled up. Chop and season the patties with salt and pepper, then mix it well with the onion, gar- lic, raisins, and rice. Arrange the cabbage leaves on a flat surface. Place 2 large spoonfuls of filling in the center of each cabbage leaf. Fold the sides of the leaves to the center, then roll the cabbage leaf up toward you, to firmly enclose the stuffing. Tie the cabbage packages with strong thread. Put the remaining ingredients in a shallow pan with a lid. Bring to a boil over high heat, stirring occasionally. Arrange the cabbage packages in the pan and cover. Reduce heat and simmer at a low boil for 1 hour, or until the leaves are tender and the contents cooked. Baste the cabbage packages with the sauce every 20 minutes, and add a little water if too much liquid evaporates. Serve hot. Nutritional Analysis* Submitted by Eecole Copen, MS, Calories 388 k Protein 21 g RD, LD and Margaret Vattiat, RD, LD Total Fat 7g Fiber 8g Oregon Health & Saturated Fat 1g Phosphorus 82.5 mg Science University, Portland, Oregon Trans Fat 0g Sodium 589 mg Carbohydrates 50 g Potassium 799 mg Cholesterol 2 mg *Nutritional Analysis Conducted Using www.nutritiondata.com Software Page 24
Tanzanian Beans w/ Coconut, Cilantro, and Coriander Serving Size: 1 cup (191 g) Makes: 50 servings Measurement Ingredients ¾c Garlic, crushed 12 ea Green chili, finely chopped OR --¼ c chili powder ½ c Turmeric ¾c Cilantro leaves, chopped 3¾ lb Dried Coconut 25 c Black-eyed peas, cooked 12½ c Potatoes, parboiled and diced 5 ea Lime, juiced 1½ c Olive oil 2T Sea salt Cooking Instructions Heat oil in a pan over medium-high heat. Sizzle garlic and chili or chili powder for 30 seconds. Add cumin, coriander, turmeric, and cilantro. Cook for a few minutes, stirring to blend. Reduce heat to medium. Mix in dried coconut. Add cooked beans, potatoes, salt and lime juice. Stir all ingredients to blend. Simmer over me- dium low heat until consistency is stew-like (add water as needed). Serve with rice and steamed leafy greens. Nutritional Analysis* Submitted by Eecole Copen, MS, Calories 433 k Protein 7g RD, LD and Margaret Vattiat, RD, LD Total Fat 30 g Fiber 13 g Oregon Health & Saturated Fat 20 g Phosphorus 175 mg Science University, Portland, Oregon Trans Fat 0g Sodium 307 mg Carbohydrates 40 g Potassium 902 mg Cholesterol 0 mg *Nutritional Analysis Conducted Using www.nutritiondata.com Software Page 25
Glossary of Sustainability Terms Grass-Fed - Animal was fed a diet of grass and/or forage throughout its lifetime, with the ex- ception of milk consumed prior to weaning. Animals cannot be fed grain or grain by-products and must have continuous access to pasture during the growing season (last frost in spring to first frost in fall). GMO-Free - Products that do not contain organisms that have had their genes directly altered by inserting a gene from another species. Local - Grown and processed within a certain radius (e.g., 200 miles) of your facility. Organic – Grown without the use of synthetic fertilizers, chemicals, or sewage sludge; cannot be genetically modified; and cannot be irradiated. Organic meat and poultry must be fed only organically-grown feed (without any animal byproducts) and cannot be treated with hormones or antibiotics. Raised Without Added Hormones - No added hormones were given to the animal at any point during its life. Raised Without Antibiotics - No added hormones were given to the animal at any point during its life. Raised Without Arsenic - Raised without arsenic as an additive in feed. Seasonal - Grown and harvested within the Oregon/Southern Washington growing season. Third-Party Certified - A product that has been certified by an independent entity to meet a certain standard (e.g., Certified Organic, Food Alliance Certified, Fair Trade Certified, Marine Stewardship Council Certified, etc). For more information on eco-labels and definitions got to: http://www.greenerchoices.org/ eco-labels/ Page 27
Facility Profiles Special thanks to all the hospitals who contributed recipes. Good Shepherd Medical Center: The Nutrition Services Department at Good Shepherd Medi- cal Center, located in Hermiston, Oregon, strives to prepare appetizing, health enhancing foods made from fresh, local, organic ingredients. Samaritan Lebanon Community Hospital is a rural 25 bed hospital serving East Linn County. Recognized for a commitment to a healing environment, the hospital features a unique heal- ing garden for patients, visitors and staff. Samaritan Health Services has partnered with West- ern University to build a Medical School across the street from the hospital. Western U will seat the first class of osteopathic students at the College of Osteopathic Medicine of the Pa- cific (COMP) Northwest in Lebanon in 2011. Sacred Heart Medical Center is a 2 campus regional medical center consisting of 365 beds at Riverbend in Springfield and 100 beds at University District in Eugene. We have 125 food ser- vice employees and have 10 professional chefs on duty daily to produce patient and cafeteria menu items that include vegetarian options that have gained wide spread reputation. St. Charles Medical Center is a private, nonprofit Oregon corporation and is the largest em- ployer in Central Oregon with nearly 3,000 caregivers in Bend, Redmond and Prineville. In ad- dition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with SCHS to provide a wide range of care and service to our com- munities. Southwest Washington Medical Center: Exceptional medicine, Extraordinary care, Every per- son… In 1858, a pioneering nun, Mother Joseph, opened a hospital that would survive until this day. Although the facilities, name and technology have changed, our 150 year history as the first permanent hospital in the Northwest territories gives us the distinction as one of the west’s oldest hospitals. Southwest Washington Medical Center is the flagship provider in a network of health care services that makes up Southwest Washington Health System. As a not for profit provider, Southwest is governed and owned by the community. Named a 100 Top Hospital six times, we support 442 licensed beds. Portland Veterans Administration Medical Center is a multi-level tertiary hospital. Nutrition & Food Services provides care at two sites: The Portland, OR site serves the acute care popu- lation and the Vancouver, WA site houses the Community Living Center and drug/alcohol treatment programs. Our average census is 200 patients, with 48% on modified diets. Oregon Health & Science University (OHSU): Where healing, teaching, and discovery come to- gether. As the state's only health and research university, Oregon Health & Science University (OHSU) brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Orego- nians. In addition to serving food to patients in over 500 hospital beds, OHSU has 13 eateries and cafés serving meals to staff, students, visitors, and the public. OHSU serves over 60,000 meals every week. Page 28
The Oregon Balanced Menus Recipe Book is a local project of Health Care Without Harm’s national Healthy Food in Health Care initiative. Funding for this recipe book was made possible by the Mult- nomah County Health Department CDC Communities Putting Prevention to Work Grant.
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