4. SAMPLE #1
CLIENT: Red Heat Tavern
DELIVERABLE: Restaurant Menu
Note: Working with the art director, I revamped the menu
for this high-end gastropub, including renaming dishes,
streamlining ingredients, creating new sections and headers,
and re-organizing the order of items to increase sales.
5. FUELED BY
PASSION
GREAT food. gREAT PEOPLE.
gREAT times.
redheattavern.com
Red Heat Tavern caters to groups large and small.
Whether you’re planning a corporate outing, office
party, or family gathering, let us bring our backyard
BBQ to you!
Enjoy Josper-inspired main entrees and home-style
side dishes served fresh at your location.
Please contact us to plan your next function. We
offer onsite catering, party platters and box lunches
that can be customized to suit any occasion and the
dietary needs of your guests.
Ask your server for our Catering Menu. Visit us at
RedHeatTavern.com/Catering.
WILMINGTON
300 Lowell Street, Wilmington, MA
(978) 447-5669
BEDFORD
152 Great Road, Bedford, MA
(781) 538-4330
Bringing
the Heat
To your home
or work!
TAVERN
It’s All About The Heat.
At Red Heat Tavern, our passion for great food is
fueled by fire, flavor, and friends. We treat every dish
as a labor of love.
Our unique Josper oven is the heart and soul of our
kitchen. It combines a charcoal grill and barbecue pit
to create bold flavors that pair perfectly with our
craft beers and inventive cocktails.
So enjoy the taste of outdoor grilling all year round.
Something special’s always cooking in our backyard
no matter what the weather!
Roasted Brussels Sprouts w/ Bacon
6.95
Jumbo Tater Tots
5.95
Sweet Potato Fries v
5.95
French Fries v
4.95
Onion Strings v
4.95
Garlicky Mashed Potatoes v
4.95
Bottled Still & Sparkling Water
Acqua Panna, San Pellegrino
3.50
Iced Tea
Classic, honey mango,
peach, cherry
3.50
Five Cheese Mac & Cheese v
6.95
Coleslaw v
4.95
Cilantro Rice v
4.95
Potato Chips v
3.95
Green Beans v
4.95
Lemon Rice v
4.95
Cornbread v
3.95
Hand-Pressed Lemonade
Classic, strawberry, half & half
3.50
wildfire sides
ZERO PROOF COCKTAILS
6. FIRESTARTERS BETWEEN BREADmains
MESQUITE SMOKED WINGS
Coal-fired, mesquite-marinated chicken
wings two ways:
Buffalo-style w/ smoked blue cheese
dressing
Sweet Thai-style w/ sriracha aioli
11.95 (19.95 double order)
RHT NACHOS
House-fried Mayan white corn, Roma
tomatoes, cherry peppers, grilled corn &
black bean salsa, Colby & Jack cheeses,
RHT sour cream
11.95 (add chicken or beef 3)
Korean Fried Ribs
All-natural slow-cooked pork ribs braised
in Harpoon cider, fried crisp w/ Korean-style
BBQ sauce, toasted sesame seeds
10.95
Mexican Street Corn v
Josper-grilled corn on the cob rubbed
w/ ancho mayo, Cotija cheese, mesquite
seasoning, cilantro, charred lime
7.95
Rib & Wing Combo
All-natural, slow-cooked crispy pork ribs
tossed in our Korean BBQ sauce along side our
mesquite-smoked wings served Buffalo-style
w/ smoked blue cheese dressing
18.95
Angus Chili
Certified Angus Beef® simmered w/ red beans
& smoked spices, Colby & Jack cheeses, RHT
sour cream, Creole chips
6.95
Rhode Island-Style Calamari
Locally sourced crispy calamari w/ fried
cherry peppers, pickled red onions,
sriracha aioli
11.95
Harissa Hummus Plate v
Flavors of roasted pepper & garlic,
Josper-grilled pita, roasted cauliflower,
red peppers, cucumbers
9.95
Roasted Cauliflower Spinach Dip v
Flame-roasted cauliflower heated
w/ spinach & four cheeses in a cast iron
skillet, red peppers, tortilla chips
10.95
Fried Pickles v
House-made crispy bread & butter
pickles, sriracha aioli
6.95
Soft Pretzels & Beer Cheese v
Oven-warm pretzels w/ a 5-cheese
beer sauce
8.95
Creole Potato Chips
House-fried chips, caramelized onions
& bacon dip
6.95
Jumbo Tater Tots
Hand-made, jumbo tater tots stuffed
w/ applewood-smoked bacon, smoked Gouda,
Provolone & American Grana cheeses, smoked
tomato ketchup, beer cheese
8.95
Skillet Cornbread v
Skillet baked, served warm, ancho honey butter
3.95
Big Greek Salad w/ Turkey Tips
Josper-roasted turkey tips marinated in house,
Narragansett feta cheese, smoked balsamic
olives, roasted chickpeas, grape tomatoes,
red onions, cucumbers, Greek dressing,
Josper-grilled pita
14.95 (double your turkey 5.95)
Honey Mustard Chicken Salad
Crispy fried chicken, applewood-smoked bacon,
Colby & Jack cheeses, grape tomatoes, red
onions, cucumbers, scallions, honey mustard
dressing
13.95
Thai Salad v
Chopped Romaine, Thai basil, red peppers,
edamame, red & green cabbage, shredded
carrot, and cucumbers topped w/ house-fried
noodles, cilantro lime peanut dressing
13.95 w/ chicken 15.95 w/ salmon
BIG GREENS
Little GREENS
Steakhouse Salad*
Coal-fired beef steak tips cut & marinated
in house, applewood-smoked bacon, Creole
potato chips, roasted red peppers, grape
tomatoes, red onions, cucumbers, house-
made croutons & smoked blue cheese
dressing, drizzled w/ sriracha aioli
15.95 (double your steak 5.95)
Smoked Turkey Cobb Salad
House-smoked honey turkey, applewood
-smoked bacon, Wisconsin blue cheese
crumbles, hard-boiled egg, grape tomatoes,
red onions, cucumbers, house-made
croutons, lemon vinaigrette
13.95
Mesquite Chicken Caesar Salad
Mesquite-grilled chicken, crisp royal hearts
of Romaine, American Grana cheese, house-
made croutons, creamy garlic dressing
12.95
RHT proudly supports & serves locally grown produce
when available. All greens can be made vegetarian.
Your choice of French Fries, Onion Strings, Coleslaw, Creole Potato Chips
ADD: Sweet Potato Fries (.95) Garlic & Herb Parmesan Fries (.95) Mac & Cheese (.95)
Gluten-Free Buns Available
The Big Blue*
Mesquite rub, applewood-smoked bacon,
blue cheese crumbles, fire-roasted red
peppers, malt vinegar & garlic aioli
on a toasted bun
13.95
The Dive*
Fried German bologna, Angus chili,
smoked Gouda, scallion cream cheese
on a toasted bun
13.95
The Ultimate Cure*
BIG relief for the day after: Certified
Angus Beef® patty, topped with buttermilk
fried chicken, fried egg sunny-side up,
applewood-smoked bacon, American
cheese, horseradish mayo on thick,
golden sourdough, served with a side of
Southern-style white gravy
16.95
The Commonwealth Wrap
Tender house-smoked beef, Roma
tomatoes, red peppers, spinach, scallion
cream cheese, served chilled in a whole
wheat wrap
12.95
Not-Your-Ma’s Meatloaf
Chef Alan’s signature fire-roasted
meatloaf, Provolone & Cheddar cheeses,
arugula, tomato, ancho mayo on thick,
golden sourdough
13.95
The Sweet & Smokey
Mesquite-grilled chicken, applewood-
smoked bacon, Provolone cheese,
arugula, tomato, honey mustard on a
toasted bun
12.95
Turkey Wrapsody
Honey-roasted house-smoked turkey,
applewood-smoked bacon, Colby &
Jack cheeses, Romaine lettuce, diced
tomatoes, red onions, black pepper ranch
in a whole wheat wrap
12.95
OUR BURGERS ARE ALL
HALF-POUND CERTIFIED
ANGUS BEEF®
The Classic*
American cheese, lettuce, tomato
on a toasted bun
12.95 (add bacon 1.45)
The BBQ*
Applewood-smoked bacon, Vermont
cheddar, onion strings, honey BBQ
sauce on a toasted bun
13.95
The Farmhouse*
Fried egg sunny-side up, applewood-smoked
bacon, American cheese, bacon horseradish
mayo on thick, golden sourdough
14.95
The Portabella v
Marinated and grilled portabello mushroom,
roasted red peppers, beefsteak tomato,
smoked Gouda, Harissa hummus, red onion,
arugula on a toasted bun
12.95
The Smokehouse
All-natural pork smoked for 12 hours, bread
& butter fried pickles, Granny Smith apple
coleslaw, chipotle BBQ sauce on grilled
ciabatta
13.95
The Hot Chix
Buttermilk fried chicken, RHT Buffalo sauce,
carrot-celery slaw, red onions, lettuce,
tomato, smoked blue cheese dressing on
grilled ciabatta
12.95
The Rachel
House-smoked honey turkey, Swiss cheese,
coleslaw, house-made Russian dressing on
marble rye
13.95
Classic Reuben
Certified Angus Corned Beef®, Swiss cheese,
sauerkraut, house-made Russian dressing on
marble rye
13.95
Greek Salad 6.95 v House Salad 4.95 v Caesar Salad 4.95 v
All Items Can Be Prepared Gluten-Free.
Before placing your order, please inform your server if anyone in your party
has a food allergy.
*These menu items may be served raw or under-cooked. Consuming raw or under-cooked
meat, shellfish, eggs or poultry may result in food-borne illness, especially if you have
certain medical conditions.
Teriyaki Chicken
Glazed chicken breast, lemon grass
jasmine rice, steamed spinach,
pineapple salsa
14.95
Mediterranean Rice Bowl v
Jasmine rice & fresh spinach tossed in
Greek dressing w/ coal-fired portabello
mushrooms, mesquite-grilled tomatoes,
charred red peppers, Harissa chickpeas,
balsamic smoked olives, Narragansett feta
13.95 (Add chicken 3.95)
JOSPER-FIRED TURKEY TIPS
Coal-roasted turkey tips cut &
marinated in house, Mexican street
corn, cilantro rice, ancho cream
17.95 (add RHT mushrooms, onions
& peppers 1.95)
PULLED PORK MAC & CHEESE
Cavatappi pasta, five cheeses, tender
chunks of smoked all-natural pork,
chipotle BBQ sauce, topped w/ crisp
onion strings
15.95
Baja Fish Tacos
Delicately fried fresh haddock in soft
corn tortillas w/ Cotija cheese, pineapple
salsa, pico de gallo, sriracha aioli, side
of cilantro rice
14.95
New England Fish Fry
Lightly battered day-boat haddock,
fries, crisp onion strings, fried pickles,
coleslaw, tartar sauce
17.95
Chateau Steak*
Coal-fired Certified Angus Beef®
w/ house-made steak sauce, charred
Brussels sprouts w/ bacon, jumbo
tater tots
19.95 (add RHT mushrooms, onions &
peppers 1.95)
MAKE IT A COMBO
Add our signature BBQ ribs to any entrée
8.95
Josper Steak Tips*
Coal-fired tips of beef cut & marinated in
house, Chimichurri sauce, garlic & herb
Parmesan fries
19.95 (add RHT mushrooms, onions &
peppers 1.95)
Kettle Chip Atlantic Haddock
Fresh baked haddock w/ kettle chip
crust, sun-dried tomato beurre blanc,
jasmine rice, steamed spinach
16.95
FIRE-ROASTED MEATLOAF
Marcho Farms beef, pork & veal stuffed
w/ smoked cheddar, topped w/ house-made
smoked ketchup, BBQ brown gravy & crisp
onion strings, garlic mashed
potatoes, steamed green beans
17.95
CHEF ALAN’S SIGNATURE RIBS
All-natural fall-off-the-bone pork ribs
slow-cooked w/ Harpoon cider, finished
w/ a chipotle BBQ glaze, fries, coleslaw
18.95
Salmon Soba*
Bay of Fundy Salmon Josper-fired w/ a
teriyaki glaze, chilled buckwheat noodles
tossed w/ red peppers, edamame & Thai
peanut dressing
17.95
Mexican Stuffed Peppers v
Josper-charred bell peppers stuffed
w/ cilantro rice, roasted corn & black bean
salsa, topped w/ Cotija cheese, mesquite
seasoning & RHT sour cream, paired w/
lightly dressed arugula & pineapple salsa
13.95
Veggie Mac & Cheese v
Cavatappi pasta, five cheeses, roasted red
peppers, charred tomatoes, arugula &
sun-dried tomato beurre blanc, topped
w/ skillet cornbread crumble
12.95
Southern Fried Chicken
Tender chicken brined in buttermilk,
rosemary & thyme, green beans, garlic
mashed potatoes, hearty white gravy
15.95
Prepared In Our Unique Josper Oven v Available Vegetarian
v
7. SAMPLE #2
CLIENT: Foodscape Group
DELIVERABLE: Strategy Deck for Marketing Mazola Corn Oil
Note: Mazola wanted to take advantage of some recent
studies indicating that corn oil reduces LDL and total
cholesterol than olive oil. I worked for the Foodscape Group
to put together this PowerPoint deck to pitch potential
marketing ideas, which were eventually adopted by Mazola
to create a marketing infographic.
8. Mazola Corn Oil:
Set a Healthier Table
Recent study indicates corn oil reduces LDL,
non-HDL and total cholesterol levels more than olive oil.
9. Objective & Key Messages
OBJECTIVE
To inform members of
the health media about a
new study indicating
that corn oil may reduce
LDL, non-HDL and total
cholesterol levels better
than olive oil.
KEY MESSAGES
Corn oil is rich in
heart healthy
polyunsaturated fats.
Corn oil may lower LDL, non-
HDL, and total cholesterol
more than olive oil.
Corn oil is a versatile cooking
fat.
Corn oil can be part of a
balanced diet.
10. Graphic Treatment
! Colors adapted
from Mazola
brand palette
(yellow, green
red)
! Relevant clip art
(see assorted
examples
throughout)
11. PUFA: A Heart Healthy Fat
! Replacing saturated fats (e.g., butter,
palm oil, coconut oil) with a
polyunsaturated fat (PUFA) (e.g.,
corn oil) has been associated with
reduced risk of coronary heart
disease (CHD).
! Corn oil contains the highest
naturally occurring phytosterol
levels of the refined vegetable oils.
Plant sterols may prevent
cholesterol absorption.
! Omega-6 fatty acids found in foods
like corn oil are essential to the diet,
and may improve heart health by
lowering LDL cholesterol.
! Corn oil contains vitamin E, an
antioxidant that may help prevent
plaque buildup in the arteries.
Rachel:
Molly is
questioning if
we need to list
out references
for the health
media
audience.
12. Corn Oil
vs
Olive Oil
! A recent study indicates that
corn oil has certain health
benefits superior to olive oil.1
! When included in a weight
maintenance diet, corn oil
significantly reduced levels of
total cholesterol, LDL, and
non-HDL cholesterol
compared to olive oil. .1
! Olive oil has a higher level of
saturated fat than corn oil.
! Corn oil has a higher smoke
point (325-375 degrees F) than
olive oil (400-450 degrees F).
At temperatures above the
smoke point, the nutritional
value and flavors of oil are
degraded.
1 Maki K, Lawless A, Kelley K, Kaden v, Geiger C, Dicklin M. Corn oil improves
the plasma lipoprotein lipid profile compared with extra-virgin olive oil
consumption in men and women with elevated cholesterol: Results from a
randomized feeding trial. J Clin Lipidol. Article in press
13. Fatty Acid Profile
of Dietary Fats
All dietary fats contain a combination of several fatty acids. For example, corn oil
contains not only linoleic acid (a PUFA), but oleic acid, the monosaturated fat
contained in olive oil. Note that olive oil has more saturated fat than corn oil.
14. Corn Oil in the Kitchen
! The relatively high smoke
point of corn oil makes it an
excellent choice for sautéing,
grilling, and deep frying.
! Corn oil’s uniform color and
stability are good for baking.
! Corn oil’s neutral taste is well
suited for salad dressings and
dishes with strong flavors.
! Corn oil can replace other oils
in many recipes.
15. Corn Oil in the Diet
! According to USDA, a well
balanced diet has 20-35 percent
of daily energy intake from fat.
! Fat is necessary for vitamin
absorption, protection of
organs, energy storage, and
immunity.
! The key dietary principle for
fat is moderation, not
deprivation.
! Corn oil is easy to incorporate
into a balanced diet. Fats can
also help increase satiety and
prevent over-eating.
Molly, the information
about satiety (bullet 4)
came from a textbook
discussion about the
benefits of fat (same for
bullet 2). I figured they
were general
knowledge. I replaced
“corn oil” with “fats” in
bullet 4 to make the
statement generic.
23. SAMPLE #3
CLIENT: Mass Farmers Markets
DELIVERABLE: Monthly Consumer Newsletter
Note: For the “Farm Fresh” monthly newsletter, I researched
and wrote the primary content, including an article about
seasonal produce followed by recipes and photos.
24. May
2016
Fresh From The Farm
Mass Farmers Markets Monthly Newsletter
for Farmers Market Shoppers
In This Issue
-Seasons Greeting
-Blues Concert Fundraiser
-FunFacts
-Asparagus: Simply Spring!
-Parmesan Roasted Asperagus
Unjust amendment
harms farmers markets!
Have you heard the news from the State
Senate? On May 5th, they voted to pass a
comprehensive bill intended to support
local farmers! We like most of the bill, but
there is one amendment that will not
support farmers or farmers markets; the
bill would ban the use of disposable plas@c
bags just at farmers markets, across the
en@re state.
Only 27 towns have implemented a
plas@c bag ban. If the bill passed by the
senate, that includes the "plas@c bag
ban" amendment, is passed by the
House, farmers and farmers markets in
324 ci@es and towns without a plas@c
bag ban will struggle to comply.
Why? Because grocery stores and retail
establishments will not be subject to the
same law. We believe this is an unjust
burden for farmers and farmers markets
and that when it comes to bags, all
businesses must be treated equally.
Please call or email your state
representaEves today and ask them
not to adopt the amendment banning
Greeting Farmers Market Fans,
What a difference a year makes! Although we did have snow in April
this year, it was nice to know it would melt in a couple of days. The
strange fluctua@on of our winter weather is biPersweet; while it
seemed milder than most winters around here, the deep freeze that
occurred on February 14th took a toll on the peach trees across the
state. Leading up to the 14th, the temps were warm and the buds on
the trees began to soVen up and open a bit. As a result, the Valen@ne's
Day freeze killed the buds that would've been the beloved peaches we
would have enjoyed in August.
The good news is that the early season crops like asparagus, spring
peas, and strawberries are doing very well. Farmers markets are
beginning to open across the state. Market managers have been
working very hard over the last few months lining up farmers and
vendors, registering to offer SNAP sales, and ensuring that all municipal
permits and licenses are in place by opening day. The behind the
scenes work of a farmers market some@mes seems to be never ending.
But the reward is being at the market, seeing the reunion of shoppers
and farmers, no@cing the diversity of shoppers, hearing the laughter of
kids, and knowing that all of that hard work is contribu@ng to economic
development of both the farmers and the surrounding community. And
also knowing that the likely hood of bePer health outcomes for the
shoppers is high.
Despite the forecast of a poor peach season this year, there are many
rewards for which to look forward. Make sure to visit your favorite
farmers market every week, and try to bring a friend or neighbor and
turn them on to the fresh, local, and tasty fruits, vegetable, cheese,
meat, baked goods, and more, that you know so well!
Sincerely, Martha Sweet
Remember, you can find out about where and when farmers markets
are opening near you by visiting our website; you can filter the
list by area in the state, name of city or town, or by day of the week.
25. plas@c bags at farmers markets in
MassachusePs.
Thank You!
DONATE
Start your Amazon
shopping here and
support MFM at the
same time!
Make a Donation
Mass Farmers Markets(MFM) is
a public, non-profit, charitable
service organization dedicated to
the needs of farmers, consumers
and communities. We operate
weekly Farmers' Markets in many
local neighborhoods and we
provide support for over 250
farmers' markets state-wide. Read
our 2015 Annual Report
To make a tax-deductible donation, please click here.
To volunteer, please e-mail Martha
May
Crops
There are numerous varieties of produce grown in
Massachusetts and several unusual options can only be
found at farmers' markets. Silver Queen sweet corn,
pumpkin blossoms and Paula Red apples are just a few
that come to mind. To list them all would be difficult, but in
general, here are some of the fresh pickings you'll find this
May:
Apricots
Apples (Storage)
Arugula
Asparagus
Bedding plants
Beets
Bok Choy
Blues for Greens
9th Annual
Blues AJer Hours
Memorial Concert
to raise funds for
Mass Farmers Markets
Saturday, June 4 7:30pm
REGENT THEATRE
7 Medford St., Arlington
MassachuseUs
Featuring:
Luther "Guitar Jr." Johnson
Sugar Ray and the Bluetones
Toni Lynn Washington
Special guest Joe Beard
(former friend and neighbor of legendary Son House)
Babe Pino
BarreU Anderson
Peter 'Hi-Fi' Ward
This is the 9th Annual Tribute
honoring radio host,
the late MAI CRAMER.
Don't miss it. Last year's show sold out.
Tickets $26 in advance; $28 day of show.
For info visit regenUheatre.com or (781) 646-4849.
Back to Top
Fun Facts:
According to the MassachusePs Department of Agricultural Resources,
Massachuse(s has:
-7,755 farms,
-which employ nearly 28,000 workers
-and produce $492 million in agricultural products annually
Back to Top
ASPARAGUS: SIMPLY
SPRING! by James Moran
It's no wonder that asparagus has been a prized delicacy since
ancient times. Rarely is a vegetable so delicious and yet so
simple to prepare. Spring is the peak season for flavor and
freshness, so be sure this May to pick up a bunch or two at your
26. Broccoli
Broccoli Rabe
Cabbage
Callaloo (Amaranth)
Carrots
Cauliflower
Chard
Cherries
Cucumbers (Greenhouse)
Endive
Escarole
Garlic Scapes
Greens
Green Onions (Scallions)
Herbs, potted and cut
Kohlrabi
Lettuce
Mesclun
Mushrooms
Onions
Peas
Potted plants
Radishes
Raspberries(Greenhouse)
Rhubarb
Spinach
Strawberries
Tatsoi
Tomatoes (Greenhouse)
Vegetable Seedlings
Yellow Squash
Zucchini
And of course,
Pasta
Bakery products
Jams, Jellies, Preserves
Honey
Maple Syrup
Ice Cream
Fermented Foods
Cheeses
Eggs
Pork
Beef
Chicken
Lamb
Smoked Fish
Fresh Fin Fish
Mustard and Sauces
Shell Fish
Locally produced Wine
Gluten Free bakery products
Roasted Nuts
Knife Sharpening
local farmers market.
What To Look For
Don't let supermarket
asparagus fool you.
Uniformity is not a sign
of quality. It's quite
normal if you see stalks
of different lengths,
thicknesses, and even
various colors in the
same bin. Just be
aware that there is a
difference in taste and price for white asparagus. If you're buying
green, purplish tips are a sign of freshness. Avoid wilted stalks
whose buds have opened, and especially smashed tips, which
will spoil quickly.
Tips for Storing
Don't wash the stalks before using them. Wet asparagus wilts
much faster than dry. Wrap the entire bunch in a damp paper
towel, seal in a plastic bag, and store in the refrigerator. It should
stay crisp for several days. If it gets a bit limp, you can restore its
crispness by standing the bunch upright in a bowl of water in the
refrigerator for about a half hour.
Tips for Preparing
Washing asparagus is easy: just submerge in cold water, rinse
and pat dry. The lower, white part of each stalk is typically woody
and tasteless. Bend the stalk and snap it at the border where the
white begins to turn green. If the stalk is very thick, consider
peeling it as well. You can use the discarded stalks and peels for
soup stock.
Cooking and Serving
Asparagus is simple to cook-and unless you want to serve it with
Hollandaise-requires little effort to season. Boiling is always an
option, but has its drawbacks: the vegetable's many nutrients
(such as folate, important during pregnancy) leach out into the
cooking water; the stalks often get mushy; and the color typically
turns drab olive-green. Better to steam asparagus if time is an
issue-you have more control over texture, and stalks turn a
beautiful bright green. Also don't forget grilling or broiling (drizzle
first with extra virgin olive oil), which concentrates flavor and
brings out the vegetable's
natural sweetness.
No matter how you cook asparagus, it is quite tasty served simply
drizzled with olive oil or melted butter and seasoned with salt and
pepper. Even so, the strong taste of asparagus can stand up to
more potent flavorings, such as garlic, lemon, and cheese (see
recipe below for a good example). Narrow asparagus stalks can
also be thinly sliced and eaten raw as crudités or tossed in a
salad with other complementary spring vegetables such as peas,
fava beans, artichokes, and sorrel.
27. MFM
Member
Market
MFM Member Markets'
Community News and Events
The Mattapan Food and Fitness Coalition
Vigorous Youth invites you to the 6th
Annual Mattapan on Wheels Bike-a-thon
Back to Top
Business Incubator Info Session
Tuesday May 10 6pm 196 Quincy Street
Dorchester MA
www.commonwealthkitchen.org
Back to Top
One Final Reminder
Don't be surprised by an
unusual odor the next
morning when you empty
your bladder. It's completely
normal, and actually a good
sign of healthy kidney
function!
Back to Top
Parmesan Roasted Asparagus
Total Preparation Time: 25 minutes
Ingredients:
1 bunch asparagus spears, trimmed
3 tablespoons olive oil
1 1/2 tablespoons grated Parmesan cheese
1 clove garlic, minced
1/2 teaspoon sea salt
1/2 teaspoon ground black pepper
1 tablespoon lemon juice
Directions:
Preheat an oven to 425 degrees F.
Place the asparagus into a mixing bow. Drizzle with olive oil
and toss.
Arrange the asparagus onto a baking sheet in a single
layer.
Sprinkle with Parmesan cheese, garlic, salt, and pepper.
Bake until just tender, 12 to 15 minutes depending on
thickness.
29. June
2015
Fresh From The Farm
Mass Farmers Markets Monthly Newsletter
for Farmers Market Shoppers
In This Issue
-Strawberry Fields Forever
-What to look for in a Strawberry
-Strawberry Syrup Recipe
-Fun Facts from Northeast Harvest
-MFM Member Market news and events
-Do You Know What MFM Is?
We reached our goal!
The RMV has informed us
that these plates will be on
the road in July!.
If you are interested,
sign up today!
As soon as the plates are available
at the registry we will notify you.
DONATE
Shop on Amazon Smiles and
support farmers markets
Make a Donation
Hello June!
This is the month when we can expect some of the greatest treasures
grown in New England; Strawberries! Although I am not a fruit eater,
generally speaking, I love strawberries. But when I was a kid, I did not,
because it seemed I always got the sour one, which was not pleasing to
me. However, in the late 90's when I finally had regular access to the
delicious berries grown in MassachuseLs, I changed my tune. I can't get
enough of them..during the very short season we are in right now. But
it wasn't unMl I traveled to AusMn Texas a few years ago and was very
excited to enjoy some strawberries from the Farmers Market there,
that I really understood what a sweet treat we have here. I was
surprised that the Texas strawberries were not at all like the New
England strawberries I had been envisioning! They were very firm and
not juicy or ripe. I was disappointed. When I returned to MassachuseLs
I asked our ExecuMve Director Jeff Cole (and strawberry farmer) why
there was such a difference in the Texan strawberries. Jeff readily
explained that the strawberries on the western side of the country are
picked before they are ripe because the majority of them will be
shipped to grocery stores in faraway places. If they waited to pick them
when ripened, the west coast berries would arrive to their desMnaMon
in bad condiMon. Needless to say, I am very psyched for this coming
strawberry season; we are expecMng a bumper crop..so don't wait to
get yours.
I love making plain scones to use as my Strawberry Shortcake biscuits:
Ma's Strawberry Shortcake Biscuits Recipe
Enjoy this short season,
Martha Sweet
What To Look For
Size is not proporMonal to flavor. Huge berries are impressively eye
catching, but generally not as sweet as smaller berries. Large
strawberries are someMmes hollow in the middle, too, so medium-size
30. MFM
Mass Farmers Markets(MFM) is
a public, non-profit, charitable service
organization dedicated to the needs of farmers,
consumers and communities. We hold weekly
Farmers' Markets in many local neighborhoods
and provide support for over 250 farmers'
markets state-wide.
To make a tax-deductible
donation, please click here.
To volunteer, please e-mail Martha
June
Crops
There are numerous varieties of produce grown
in Massachusetts and several unusual options
can only be found at farmers' markets. Silver
Queen sweet corn, pumpkin blossoms and
Paula Red apples are just a few that come
to mind. To list them all would be difficult, but in
general, here are some of the fresh pickings
you'll find this June:
Apples (Storage)
Arugula
Asparagus
Beans
fava
purple
shell
snap
wax
Bedding plants
Beets
Bok Choy
Broccoli
Broccoli Rabe
Callaloo (Amaranth)
Carrots
Cauliflower
Cherries
Cucumbers
Armenian
pickle
table
Eggplant
Fennel
Garlic, fresh
Garlic Scapes
Greens
endive
is your best bet. Since harvested strawberries
do not mature over Mme, they must be picked
at peak ripeness. Pale berries with yellow
around the stem are immature-avoid them. On
the other hand, berries that have brown stems
or dark red spots are over-ripe. Instead, look
for bright red, firm, fragrant berries with fresh
green stems.
Tips for Storing
Strawberries do not keep more than a few days
even when chilled. To best preserve their
freshness, store them in the refrigerator whole
and unwashed in a plasMc bag unMl ready for
use. Removing their leafy caps or slicing them
beforehand will result in a significant reducMon
of their Vitamin C. If they are sold packaged,
inspect for moldy berries, which must be
removed to prevent the mold from spreading.
Tips for Preparing
Rinse strawberries thoroughly under cool running water and "hull"
them by removing the stem, leafy cap, and
white core. A serrated grapefruit spoon
comes in handy for this operaMon. Another
ingenious method is to push a plasMc straw
through the boLom of the berry and up
through the leafy stem. Once trimmed, the
berries are ready to be served whole, sliced,
or crushed.
Freezing and Canning
Freezing and canning strawberries in bulk at peak season are the best
ways to preserve their taste, if not their texture. As we all know,
strawberries make wonderful jams and jellies. What you may not know
is that heaMng them with sugar can turn
them brown, so adding lemon juice will
maintain their bright red color. And since
strawberries are naturally low in pecMn,
you'll need to supplement them either with
prepared pecMn or another pecMn-rich
fruit.
When frozen berries thaw, they will
ALWAYS be so_. For this reason, whether you freeze the berries
whole, sliced, or crushed, it makes sense first to macerate them:
toss them in a bowl with sugar and let them them sit for a bit unMl
the fruit so_ens and its sweet juices are extracted. Then store in
the freezer in airMght containers clearly dated. They should last for
10-12 months.
Strawberry Syrup (Take that, Maple!)
Okay, if you're like me, you don't have the Mme or storage space to
31. escarole
frisee
cabbage
collards
chickory
chard
kale
lettuce (head and loose)
mesclun
mustard
nettle
radicchio
red cabbage
spinach
pea tendrils
squash blossoms
tatsoi
watercress
Green Onions (Scallions)
Herbs, potted and cut
Kohlrabi
Mushrooms
Onions
Peas
Potted plants
Ramps
Radishes
Raspberries(Greenhouse)
Rhubarb
Spinach
Strawberries
Tomatoes (Greenhouse)
Vegetable Seedlings
Yellow Squash
Zucchini
And of course,
Bakery products
Jams, Jellies, Preserves
Honey
Maple Syrup
Cheeses
Eggs
Pork
Beef
Chicken
Lamb
Fresh Fin Fish
Mustard and Sauces
Shell Fish
Locally produced Wine
Gluten Free bakery products
Roasted Nuts
Knife Sharpening
freeze or can strawberries in bulk. So what do you
do with all those strawberries sicng in the fridge
that you don't want to go to waste? Quite simply,
make them into strawberry syrup! Much faster
and easier than jams or jellies, this delectable
strawberry product has many uses. It can be
poured over pancakes or waffles, add fruity
goodness to plain yogurt and vanilla ice ream, and
even flavor milk! See the quick recipe below.
Back to Top
Strawberry Syrup Recipe
Ingredients
1 pound strawberries, hulled,
quartered
¾ cup sugar
1½ teaspoons vanilla extract
Preparation
Bring strawberries, sugar, and ¼ cup water to a boil over
medium heat, then reduce heat and simmer, skimming
occasionally, until strawberries are soft and fragrant, about
10 minutes
Remove from heat and add vanilla
Let cool completely, at least 1 hour
Strain strawberry mixture through a fine-mesh sieve into a
small bowl, pressing strawberries to extract as much juice
as possible
Discard solids and chill syrup at least 1 hour
Recipe thanks to Bon Appetite
Fun Facts in Honor of National Dairy Month:
A cow produces an average of 6.3 gallons of milk daily
Which equals 350,000 glasses of milk in a lifetime.
Farmers measure milk in pounds, not
gallons
Cows have an acute sense of smell, and
can smell something up to 6 miles away
Back to Top
MFM Member Markets'
Community News and Events
Visit the West Stockbridge Farmers Market
The West Stockbridge Farmers Market is open Thursdays, rain or shine,
33. SAMPLE #1
CLIENT: Haemonetics
DELIVERABLE: Product Portfolio Brochure
FUNCTION: Primary Sales Tool
Note: I acted as lead writer on the complete overhaul
of this brochure, working directly with the art director.
34.
35. Perioperative cardiovascular blood management:
What’s at stake?
You know how important it is to manage your blood resources effectively and efficiently to improve patient outcomes and decrease
costs.
But are you certain your current practices are the best they can be? Do you know for sure:
How much blood you use and where?
What strategies you can use to decrease costs and blood usage and improve patient outcomes?
What your blood usage actually costs you?
In the uncertain world of blood management, choosing the optimum treatment options is critical.
That’s where we can help.
We’re Haemonetics…the only blood management company that offers integrated solutions across the entire perioperative
cardiovascular care continuum.
In the world of blood management, where the treatment options are numerous but the right ones aren’t clear, you need a partner
to help you connect the dots from the operating room to the critical care unit.
Through a combination of capabilities, including hemostasis analysis, intra- and postoperative autotransfusion, and premium
surgical suction, we can provide a comprehensive blood management system that will help you improve patient outcomes and
decrease costs—right where it counts.
36. Allogeneic transfusions: know the risks and costs
What are the risks?
Although allogeneic blood transfusions save lives, they also pose
real risks, from hemolytic reactions to immunosuppression.1
Consider these published findings:
Patients transfused with allogeneic blood are more likely to
experience fluid overload and extended length of stay.2
The risk of transfusion-related immunomodulation (TRIM) increases
with the number of units transfused,3
which can result in increased
bacterial and fungal infections and mortality.4
Allogeneic transfusion is associated with a 70% increase in mortality
in CABG patients.5
What are the costs?
The costs associated with allogeneic blood are well
documented:
Banked blood is more expensive, at
more than $1,400 per unit.6
It costs approximately $18,000 to treat
each serious infection event resulting
from allogeneic transfusion.2
When allogeneic blood transfusions
decrease, length of stay can be reduced
at an estimated, minimum savings of
$1,2000 per day.5
The bottom line: the more allogeneic blood you
give a patient, the greater the risk of infection and other
complications that increase length of stay, mortality7
—and costs.
Despiteasafebloodsupply,risksstillexist
Risks Outcome
Hemolytic reactions 3
10% mortality
Transfusion Related Acute Lung Injury
(TRALI)
10–20% mortality
Circulatory overload Increase in length of stay
Immunomodulation 2 Increase risk of infections
Increase in length of stay
Next blood-borne virus Unknown
Themoreallogeneicblood,thegreaterriskofinfection
0
2
4
6
8
10
12
14
16
18
1 2 3 4
Severe Infection
Mediastinitis
Pneumonia
Sepsis
Dose-Response for Transfusion and Infection
in Cardiac Surgery
Leal-Novaletal.Chest2001;119:1461
n=738
Allogeneic Units Transfused
InfectionRate%
37. Cardiovascular Perioperative Autotransfusion:
The Core of Every Quality Blood Management Program
The goal of every blood management program should be to avoid allogeneic transfusions, especially when better options exist.
From the first incision to the removal of wound drains, Haemonetics’ perioperative autotransfusion systems help you avoid
unnecessary allogeneic transfusions and provide the best chance for recovery without complications.
How? By returning to patients the highest quality blood available—their own.
Allogeneic
Blood Transfusion
Intraoperative
Cell Saver®5+ System
Postoperative
cardioPAT® System
Avoidance of unnecessary allogeneic
transfusion
No Yes Yes
Types of procedures used
Intra-andpostoperative
cardiovascular surgery
Cardiovascular surgeries
and other high blood loss
procedures
Cardiovascular postop:
CCU, ICU
Hematocrit 50–60% 50–60% 70–80%
Red blood cell recovery N/A 95.8%1
76.5–92.2%1
Albumin Present 97.3%removal1
97.1–99.9%removal1
Free hemoglobin Present 95.7–99.8% removal1
93.4–99.5% removal1
Heparin N/A 97.8%removal1
96.8–100% removal1
Increase risk of severe infection in cardiac
surgery
Infection rate2
1 unit – >3%
2 units – 4%
3 units – 6%
4 units – 16%
Eliminates risk of infection and complications
associated with allogeneic blood
Cost
$1,400 per unit
fully burdened3
Potential cost savings by eliminating
unnecessary allogeneic transfusions and the
associated risks of infection and immunosuppression
38. cardioPAT®: Extending the reach of cardiovascular autotransfusion
Evidence suggests that the majority of blood loss resulting from cardiovascular surgeries occurs after surgery.8,9
Haemonetics’ cardioPAT® Cardiovascular Perioperative Autotransfusion System collects, washes, and returns patients’ blood in the
postoperative setting. By consistently delivering fresh RBCs with 70-80% hematocrit, it ensures that your patients have zero chance
of immunosuppression.
The cardioPAT QuickConnect Reservoir supports a cost-effective, “collect first” approach by allowing you to simply recover
shed blood when you’re not sure how much the patient will bleed. With the ability to attach to the processing set at any time,
QuickConnect is your safety net, letting you return the highest quality blood only to patients who need it and collect blood cost-
effectively for those who don’t.
The Technologies That Make the cardioPAT System the Preferred Choice
Separation technology Dynamic Disk® consistently delivers 70–80% hematocrit
Reservoir QuickConnect reservoir supports “collect first” approach
Partial collection and return
Processes up to 2 liters per hour and as little as
5 milliliters of RBCs
Safety alerts LCD display provides operational and safety alerts
Suction Onboard suction with SmartSuction Harmony System
RBC bags with integrated microaggregate filter Optional 40-micron RBC filter bag eliminates inconvenience of docking stand-alone filter
Battery Rechargeable battery facilitates blood collection and data storage during patient transport
39. Cell Saver®5+: The Standard of Care for Intra-Operative Autotransfusion
Since 1972 Haemonetics has been the industry leader and standard of care in intraoperative cell salvage.
The Cell Saver®5+ Autologous Blood Recovery System is designed for surgeries such as CABG, valve replacement, trauma, transplant,
and other procedures during which medium- to high-volume risk occurs.
With the ability to deliver 50-60% hematocrit and to remove nearly all traces of undesirable components such as free hemoglobin,
the Cell Saver System is a critical tool to help avoid allogeneic transfusions.
Patient Transfers to Cardiac Care Unit Cardiac
Care Unit
Operating
Room
Cell Saver System
collects, washes,
and reinfuses blood
intraoperatively
cardioPAT System
collects, washes,
and reinfuses blood
postoperatively
The Technologies That Make the Cell Saver 5+ System the Preferred Choice
Separation technology Latham bowl (invented by Haemonetics)
Multiple bowl sizes 70 mL, 125 mL, 225 mL
Platelet sequestration Yes
Partial bowl collection and reinfusion
FDA approval to wash a partially-filled bowl allows you to reinfuse as many RBCs as
possible
Effluent line sensor
Effluent is continually monitored to ensure RBCs are thoroughly washed and
undesirable components removed
Suction Onboard suction with SmartSuction Harmony System
RBC bags with integrated
microaggregate filter
Optional 40-micron RBC filter bag eliminates inconvenience of docking stand-alone
filter
Medium to high-speed processing 3–7 minute cycle time; in emergent situations can process up to 800 mL per minute
40. SmartSuction Harmony®: Premium Surgical Suction
When a SmartSuction® Harmony Autoregulating Suction
device is used with the Cell Saver 5+ System, an increase in
the number of viable red blood cells may be reinfused to
patients by significantly reducing hemolysis.10
Our patented technology and disposables work together to
provide gentler suction and excellent visualization, helping
to protect the viability of RBCs and intact tissue during fluid
aspiration.
With a maximum force of 150 mmHg, SmartSuction devices
autoregulate the aspiration of the surgical field by sensing
increases or decreases in the fluid flow, then adjust to an
appropriate level.
Providing consistent and reliable performance, SmartSuction
Harmony avoids the inconsistencies and insufficiencies
of wall suction, which may be caused by a kinked tube,
inaccurate calibrations, or multiple operating rooms relying
on a singular suction source.
0.14
0.32
1.45
2.85
0.0
0.5
1.0
1.5
2.0
2.5
3.0
150 mmHg 300 mmHg
Vacuum Pressure
%Hemolysis
Pooled Skimming
Gregoretti et al. Transfusion 1996;36:57-60
Gregorettietalshowedthathemolysisisassociatedwithhigher
suctionforces.Hemolysisisevengreaterwhenairmixeswithblood.
SmartSuction Harmony is an important
blood management tool to help avoid
unnecessary allogeneic transfusions:
Device automatically adjusts
suction force when air is detected
Protects RBC viability by setting a
maximum suction force
Provides consistent and reliable
suction
Clears visual field rapidly
41. Traditional Coagulation Testing: Proven, but Limited
The ability to recognize systemic bleeding is critical to effective blood management. Effective hemostasis and treatment require
that physicians have the most complete information to make medical decisions about how to best maintain a patient’s coagulation
equilibrium.
Routine coagulation tests may be used as a starting place when investigating the cause of bleeding, as they indicate the time of
fibrin information through the intrinsic and extrinsic pathways of the coagulation cascade.
Although these standard tests, such as PT, PTT, and platelet count, have a limited capacity to reveal a patient’s risk for bleeding, they
don’t reveal the patient’s risk for thrombosis. Nor do standard tests provide specific data about clot quality or stability.
TEG®5000:TheStandardofCareinHemostasisManagement
Haemonetics’ TEG®5000 Thrombelastograph Hemostasis Analyzer can help predict a patient’s risk of bleeding and thrombotic
complications, improving your ability to:
Plan the appropriate course of action.
Avoid unnecessary allogeneic transfusions.
Support better clinical outcomes.
Lower hospital costs through fewer transfusion-related adverse effects and shorter ICU and hospital stays.
The power of the TEG System is that is provides a more complete picture of the patient’s hemostasis and reveals the nature of the
patient’s coagulopathy—such as whether the patient is hemorrhagic, hypercoagulable, or fibrinolytic.
The TEG System helps you understand the patient’s risk and deliver more targeted treatment by revealing:
Rate of clot formation
Strength and stability of clot
Effect of platelet, coagulation
factor, and cellular interactions
Maximum platelet function
Risk of hemorrhage and
thrombosis, and identification
of fibrinolysis
If a patient has been inhibited
too much or too little
Coagulation
Enzymatic
(R)
Platelets
(MA)
Fibrinolysis
Fibrinogen
(K, α)
Thrombolysins
(Ly30, EPL)
Clotstrength
Plateletfunction
Clotstability
Clotbreakdown
ClotkineticsClottingtime
CoagulationFactors
TheTEGSystemprovidesvisualrepresentationofyourpatient’shemostasis
42. Added Value: Understanding Platelet Inhibition with
PlateletMapping® Assay
Traditional hemostasis analysis typically measures only platelet count, while failing to indicate platelet function—that is, how many
of the patient’s platelets will actively produce clotting.
Without accurate information to help you make decisions about facilitating or inhibiting platelet function, you may therefore rely
upon blind protocols, such as universally requiring that patients come off Plavix® or aspirin before surgery to minimize the risk of
bleeding.
Without a true understanding of the patient’s actual, individual baseline function, such protocols raise urgent medical concerns:
How do you know if 50% inhibition falls in the normal range for patients whose baseline platelet function is more than 50% above
or below normal?
If you interrupt their anti-platelet medication, at what risk are you putting patients already disposed to thrombotic or hemorrhagic
events—not only during surgery, but in the days before?
What are the costs of patient care associated with unforeseen clotting or bleeding brought on by administering too much or to little
medication?
To help you avoid these issues for those patients at risk, the TEG PlateletMapping Assay measures platelet function and tells you the
level of inhibition as it relates to baseline function, providing insight into the patient’s relative thrombotic or hemorrhagic risk. With
this information available, you can make more confident decisions about treatment.
Total platelet
function
(baseline)
Net platelet
function
50%
TEG®
MA
Net
MA
Patient A Patient B
Hypercoagulable
Hypocoagulable
Normal
50%
50%
Patient C
TEG Plateletmapping for
Patient A shows that he is
still at risk for clotting,
even though he has been
inhibited 50%.
TEG Plateletmapping for
Patient B shows that his
platelet function is
normal after having been
inhibited 50%.
TEG Plateletmapping for
Patient C shows that he is
now at risk for bleeding
after having been
inhibited 50%.
43. Integrated Solutions, Real Results
An Evidence-Based Decision for Blood Management: Autotransfusion
The clinical and economic benefits of autotransfusion are compelling. In a recent study of CABG patients, Oakwood Hospital and
Baptist Hospital found that allogeneic transfusion could be reduced, respectively, 71 % (from 3.7 units to 1.0 unit) and 57% (from 2.3
units to 1.0 unit) with the cardioPAT system.12
Improving Patient Outcomes: Hemostasis Management
Adding the TEG 5000 to your hemostasis management can help improve patient outcomes and may decrease healthcare costs.
Given that a TEG analysis can aid the prediction of a surgical bleed greater than 95% of the time,13
you can more appropriately
decide whether to re-explore or administer component therapy.
Hospitals can realize cost savings based
simply on the reduction of unnecessary
blood component transfusions. And since
allogeneic transfusions are associated
with greater infection rates, greater
complication risks, and longer lengths of
stay,4,14
actual savings may be even more
significant.
Before TEG
After TEG
$26,775
$15,750
$65,865
$27,456
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
TransfusedProductCost:30patientsbeforeTEG®monitoringvs.30patientsafterTEGmonitoring.
Dataobtainedfroma710-bedhospitalinthesouthwesternUnitedStates.
Reducedby
41%
Reducedby
58%
Packed Red
Cells
$4,872
$966
Reducedby
80%
Fresh Frozen
Plasma
$31,498
$10,100
Reducedby
68%
Single Donor
Platelets
$2,720
$640
Reducedby
76%
Cryoprecipitate Total
58%Total Cost Reduction after TEG® Implementation
Transfusiondata—cardioPATSystemusedonselected“high-risk”patients1
Postoperative Study Group Postoperative Control Group
Institution
cardioPAT
Procedures
Avg. mL of
cardioPAT
(70–80% Hct) RBC
MeanAllogeneic
RBC Units
Transfused
Comparison
Group
%
Transfused
Mean Allogeneic
Units Transfused
Baptist Hospital 150 200 mL 1.0 Previous 1 year 63% 2.3
Oakwood Hospital 55 280 mL 1.0 Previous 6 months 51% 3.7
44. Endnotes
1
Davenport, JR in Transfusion Reactions (3rd edition), ed. Popovsky, M; pp 1-56, AABB Press, Bethesda, MD 2007
2
Clark et al. J Arthroplasty 2006 Jan;21(1):23-35
3
Carson et al. Transfusion 1999;39:694-700
4
Leal-Noval et al. Chest 2001;119:1461-1468
5
Engoren et al. Chest 2002;122:1309-15.
6
Shander A et al. Best Practice & Research Clinical Anesthesiology 21: pp 271-289; 2007
7
Vincent et al. JAMA 2002 Sep 25;288)12):1499-507
8
Dalrymple-Hay et al. Cardiovasc Surg. 2001 Apr;9(2): 184-7
9
Murphy et al. Ann Thorac Surg. 2004 May;77(5):1553-9
10
Elkin KR, Yazer M, Kameneva M, Waters J. Transfusion 2007:47(11)20A-21A
11
Gregoretti et al. Transfusion 1996;36:57-60
12
Fanelli, P. Transfusion 2007: 47(11):15A-16A.
13
Johansson PI. ISBT Science Series (2007);2:159-167
14
Shapiro et al. J Trauma. 2003 Aug;55(2):269-73;discussion 273-4
45. SAMPLE #2
CLIENT: Haemonetics
DELIVERABLE: IMPACT Program Brochure
FUNCTION: Customer Assessment Tool
Note: I acted as lead writer on all
messaging for the launch this program.
47. We’re Haemonetics®
. As THE blood management company, we offer the expertise to help you assess
the effectiveness of your current blood management program.
Based on an analysis of your practice, we can show you how avoiding unnecessary transfusions of
stored blood may improve patient outcomes and decrease costs.
Solutions that work. Real results. Let us prove it.
Haemonetics autotransfusion systems process and wash a patient’s own shed blood to provide
the highest quality blood product available.Our hemostasis management systems give a complete
picture of a patient’s clotting abilities in real time, enabling smart decisions about what blood
products to use. Together, these systems help provide optimum clinical and economic value
throughout the perioperative care continuum in orthopedic, cardiovascular, and critical care settings.
Working from an assessment of your unique blood management needs, we will create a customized
solution that combines the right technologies and services to make changes that are best for your
practice.
You know how important it is to manage your blood resources effectively and efficiently to
improve patient outcomes and decrease costs.
But are you certain your current practices are the best they can be? Do you know for sure:
How much blood you use and where?
What strategies you can use to decrease costs and blood usage and improve patient outcomes?
What your blood usage actually costs you?
These are urgent questions. Clinical studies have found, for example, that:
The risk of complications and hospital length of stay increase with the number of„
allogeneic transfusions.1
Allogeneic transfusions can increase the risk of infection at an estimated cost of„
$18,000 per event.2
Preoperative Autologous Donations (PAD) can necessitate anemia-related transfusions„
after surgery.3
In the uncertain world of blood management, choosing the optimum treatment options is critical.
1
Vincent et al, JAMA 2002;288(12); Shapiro et al, J Trauma 2003;55
2
Carson et al. Transfusion 1999;39:694-700
3
Kanter et al. Transfusion 1995;35 (Suppl):265
Your blood management program:
what’s at stake?
That’s where we can help.
THE Blood Management Company
48. Step 4: Program Evaluation
Once you have had the opportunity to review
our baseline analysis and proposed solution,
your Haemonetics representative will work
with you to launch the “trial phase” of the
IMPACT Program.
Program Evaluation offers a structured,
repeatable process to measure the success
of your new blood management program
prior to its full implementation.
Upfront Agreement: Haemonetics will partner
with you to establish a mutual agreement
regarding number and type of procedures,
data collection protocols, policies and
procedures, as well as criteria to measure
success.
Evaluation Tool Kit: Haemonetics will provide the necessary tools and training to conduct a successful evaluation:
Data collection sheet„
Evaluation protocol„
Sample policies„
IMPACT Report: Upon completion of the evaluation, Haemonetics will provide an IMPACT Report comparing:
Your previous baseline assessment„
Our proposed savings and targeted clinical outcomes„
Your actual savings and clinical outcomes during the trial phase„
Step 5: Program Implementation
Haemonetics will establish and implement the
solution, identify training needs, and put a
program in place that maximizes value.
6-Month Checkup: To ensure that your new
blood management program is self-sustaining
and meeting its targeted outcomes, we will follow
up with a 6-Month Checkup.
IMPACT is a 5-step program designed to assess your current blood management methods, recommend
solutions that will help improve patient outcomes and decrease costs, and demonstrate success through a
structured evaluation process.
Step 1: Data Collection
Working together, you and a Haemonetics
representative will collect key data from your
practice concerning procedures, blood use and
costs per unit. The data will include:
Number of procedures„
Number of blood units used„
Number of patients receiving units„
Cost of blood„
Step 2: Baseline Analysis
Upon agreement that the data collected
accurately reflects your current practice,
Haemonetics will conduct an assessment and
deliver a Baseline Report.
The Baseline Report will provide graphic
representations of your current blood use and
associated costs.
Step 3: Program Recommendations
Included in your Baseline Report,
if appropriate, Haemonetics will
propose an effective and efficient
solution that includes technologies,
information, and services that
measure progress toward clinical
outcomes and cost savings.
Cost of Blood Per Procedure
Blood Management Components
Avg
Units
Avg Cost/
unit1
Total
TOTAL COST OF BLOOD COMPONENTS
Packed RBC (fully burdened)„ 1.0 x 416 = $416
PAD (fully burdened)„ 1.0 x 491 = $491
TOTAL COST OF DEVICES/DISPOSABLES
Post-op unwashed drain disposable 1.0 x 175 = $175
Average blood management cost per procedure $1,082
Annual number of procedures x 300
TOTAL CURRENT ANNUAL DIRECT COST $324,600
Our analysis goes beyond the cost of acquisition to include labor, preparation,
and storage costs.
Annual Blood Use
Blood
Component
Total #
transfused
units
Average #
transfused
units (all
patients)
Percent
patients
transfused
Average #
units (per
transfused
patient)
Packed RBC 291 1.0 30% 3.1
PAD 306 1.0 50% 2.0
Our analysis helps you focus on key dose-response relationships, always
keeping in mind that every unit of allogeneic blood reduced corresponds to a
decrease in risks and costs.
Per Procedure Costs After Implementation of Solution
Changes Units
Cost/
unit1
Total
TOTAL COST OF BLOOD COMPONENTS
Packed RBC (fully burdened) Decreased 0.5 x 416 = $208
PAD (fully burdened) Decreased 0.2 x 491 = $98
TOTAL COST OF DEVICES/DISPOSABLES
Peri-op autotransfusion disposable Implement 1.0 x 239 = $239
Post-op unwashed drain
disposable
Eliminate 0.0 x 175 = $0
Average blood management cost per procedure $545
Annual number of procedures x 300
NEW TOTAL ANNUAL DIRECT COST $163,500
Our analysis calculates per procedure costs and your potential savings after
implementation of the Haemonetics solution.
A Multimodality Approach in the Orthopedic Service Line
SOLUTION
Implement washed perioperative autotransfusion program (OrthoPAT®) and hemostasis management (TEG®5000) in the
Orthopedic Service Line
JUSTIFICATION
291 units of allogeneic RBCs and 306 units of autologous RBCs are transfused in the Orthopedic Service Line„
50% of the patients within the Orthopedic Service Line are exposed to stored blood (allogeneic, autologous or both)„
TARGETED OUTCOMES
Reduce allogeneic RBCs by 50%„
Reduce autologous RBCs by 80% (assuming 50% discard rate)„
The recommended solution is selected to help improve your baseline results, is backed by evidence-
based justification, and proposes targeted clinical outcomes.
Potential Savings After Implementation of Solution
ANNUAL DIRECT COSTS
Current annual direct costs„ $324,600
Potential annual direct costs„ - $163,500
Potential Annual Direct Savings„ $161,100
POTENTIAL IMPROVEMENTS IN ASSOCIATED
COMPLICATIONS
Potential infection risk reduction savings (3 patients x $18,000)„
x 50%
$27,000
Potential LOS savings (0.8 days × $1200 /day × 45) × 50%„ + $21,600
Potential improvement in associated complications savings*„ = $48,600
POTENTIAL DIRECT & INDIRECT COST SAVINGS $209,700
“Direct Savings” refers to actual savings that can be tracked.
“Indirect Savings” refers to estimated savings that are not easily quantified
because clinical outcomes are more difficult to track.
IMPACT Program:
A Step-by-Step Approach to Blood Management
THE Blood Management Company
49. Haemonetics Perioperative Autotransfusion Systems
cardioPAT®
Cardiovascular Perioperative Autotransfusion System
OrthoPAT®
Orthopedic Perioperative Autotransfusion System
Haemonetics PAT solutions collect, wash, and return the patient’s
blood during and after surgery, giving them the best chance at
avoiding unnecessary transfusions and related risks of infection.
Haemonetics solutions include technologies,
information, and services that measure progress toward
targeted clinical outcomes and cost savings. Your
Haemonetics representative will follow up the Baseline
Report with a full presentation of our solution.
Haemonetics Technology Solutions
TEG®
5000 Hemostasis Analyzer System provides a more
complete picture of a patient’s hemostasis, facilitates your
understanding of hemorrhagic and thrombotic risk, and helps
you deliver a more targeted treatment.
Cell Saver®
5+ Autologous Blood Recovery System
provides perioperative cell salvage, removes nearly all traces
of undesirable components, and helps avoid unnecessary
allogeneic transfusions.
SmartSuction Harmony®
Autoregulating Suction
is a dedicated and portable vacuum source that
provides gentler suction and excellent visualization,
avoids the performance inconsistencies of wall
suction, and helps decrease unnecessary allogeneic
transfusions.
Case Study
THE Blood Management Company
Washington Center for Joint Replacement
Eliminates PAD
The Challenge
The Washington Center for Joint Replacement in Fremont, California, had increasing
concerns about the cost of preoperative autologous donation (PAD) and the risks of
infection that allogeneic blood posed to patients. How could the hospital alleviate costs
and address these concerns?
The Solution
Haemonetics introduced the OrthoPAT® Orthopedic Perioperative Autotransfusion
System into their blood management program. By salvaging and reinfusing the patient’s
own blood—the safest choice—the hospital was able to return fresh, washed PRBCs to
the patient both during and after surgery.
The Results
For routine orthopedic procedures, the Washington Center for Joint Replacement
eliminated PAD and reduced their reliance on allogeneic transfusions. These outcomes
reduced expenses, eliminated inconvenient, multiple visits and reduced patients’
possible exposure to infectious diseases associated with allogeneic blood.
50. SAMPLE #3
CLIENT: Haemonetics
DELIVERABLE: TEG500 Product Brochure
FUNCTION: Sales Tool
Note: This is a sample of many product
brochures I created working with the Art Director.
53. A new standard of care
you deliver more targeted treatment. The TEG System facilitates your understanding of hemorrhagic or thrombotic
risk by revealing:
Rate of clot formation
Strength and stability of clot
Effect of platelet, coagulation factor, and cellular interactions
Maximum platelet function
Risk of hemorrhage and thrombosis, and identification of fibrinolysis
The process is simple:
Sample cup rotates
Clot begins to form and bind the cup and pin
Coagulation
Enzymatic
(R)
Platelets
(MA)
Fibrinolysis
Fibrinogen
(K, α)
Thrombolysins
(Ly30, EPL)
Clotstrength
Plateletfunction
Clotstability
Clotbreakdown
ClotkineticsClottingtime
CoagulationFactors
TheTEGSystemprovidesvisualrepresentationofyourpatient’shemostasis
54. Added Value—Understanding platelet inhibition through the
PlateletMapping® Assay
the right treatment for every patient.
medical concerns:
If you interrupt their anti-platelet medication, at what risk are you putting patients already disposed to
thrombotic or hemorrhagic events—not only during surgery, but in the days before?*[do we have study
documenting this?]
What are the costs of patient care associated with unforeseen clotting or bleeding brought on by administering
too much or to little medication?*[do we have study documenting this?]
How do you know if 50% inhibition actually reduces a patient’s platelet function so that clotting occurs in the
normal range?
To help you make the most accurate treatment decisions, the TEG PlateletMapping Assay measures platelet
function and tells you the level of inhibition as it relates to the patient’s baseline function, providing insight into
the patient’s relative thrombotic or hemorrhagic risk.
Total platelet
function
(baseline)
Net platelet
function
50%
TEG®
MA
Net
MA
Patient A Patient B
Hypercoagulable
Hypocoagulable
Normal
50%
50%
Patient C
TEG Plateletmapping for
Patient A shows that he is
still at risk for clotting,
even though he has been
inhibited 50%.
TEG Plateletmapping for
Patient B shows that his
platelet function is
normal after having been
inhibited 50%.
TEG Plateletmapping for
Patient C shows that he is
now at risk for bleeding
after having been
inhibited 50%.
55. Improving patient outcomes
outcomes and may decrease healthcare costs.
understanding of patients’ hemostasis, unnecessary allogeneic transfusions could be avoided.
you can more
Hospitals can realize cost savings based simply on the reduction of unnecessary blood component transfusions.*[do
we have study documenting this?]
greater complication risks, and longer lengths of stay, actual savings may be even more significant.*[do we have
study documenting this?]
Before TEG
After TEG
$26,775
$15,750
$65,865
$27,456
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
TransfusedProductCost:30patientsbeforeTEG®monitoringvs.30patientsafterTEGmonitoring.
Dataobtainedfroma710-bedhospitalinthesouthwesternUnitedStates.
Reducedby
41%
Reducedby
58%
Packed Red
Cells
$4,872
$966
Reducedby
80%
Fresh Frozen
Plasma
$31,498
$10,100
Reducedby
68%
Single Donor
Platelets
$2,720
$640
Reducedby
76%
Cryoprecipitate Total
58%Total Cost Reduction after TEG® Implementation
1
JohanssonPI.ISBTScienceSeries(2007);2;159-167
2
Leal-Novaletal.Chest2001;119:1461-1468
3
Shapiroetal.JTrauma.2003Aug;55(2):269-73;discussion273-4
56. TEG®5000 Technical Specifications
Device Specifications
Two (2) independent measuring channels per analyzer, up to eight (8) channels per
computer
Cables included; software sold separately
Cup drive — Line-synchronized, with synchronous motor
Temperature control — Individual temperature control for each channel
Measuring technique — Shear elasticity of a coagulating sample, determined by
motion of the pin
Transducer — Electrical-mechanicaltransducerofmovementoftorsionwireconnectedtothesuspendedpin
Sample volume — 360 μL
Power — External power supply, CSA listed
120V model @ 60 Hz
220V model @ 50 Hz
Initial warm-up time — Less than five (5) minutes to warm sample
Operating position — Setting verified with spirit level
Dimensions — 11.4 in. × 8.6 in. × 7.0 in. (29 cm × 22 cm × 18 cm)
Weight — 12 lbs (5.4 kg)
Computer Hardware/Software Requirements
Computer required for TEG system operation to be obtained from your
Supported configurations
A. TEG enabled version (e.g., Laboratory)
1.6 GHz Pentium 4 processor or higher
1 GB RAM or higher
10 GB hard drive
Available COM port (RS232 9-pin serial port)
SVGA video adapter running 24-bit color settings in Windows
CD-ROM drive for installation; recommend CD-RW instead for backup and data transfer
Network adapter, if network access required
Windows 2000 Professional – SP4 or higher
Windows XP Professional – SP2 or higher
Windows-compatible printer, if hard copy is required
Uninterruptible power supply (UPS)
Optional: Touch screen interface (requires either additional COM port or USB port)
Bar code scanner for patient ID and operator ID information (requires additional COM port)
TCP/IP connection required if LIS interface is anticipated
B. TEG remote version (e.g., OR, ICU/CCU, ER, etc.)
To install and use TAS on a TEG remote version, all of the above is needed except for having an available com port and UPS
57. Formoreinformationortoplaceanorder,call(800)225-5297orfaxto(800)860-1512
Description List Number Quantity
TEG® 5000 Hemostasis Analyzer 5000 1
Installation Kit 2501 1
Up to four (4) TEG Analyzers can be attached to a single installation kit. Includes analog-to-digital converter, cables,
software, clinical aid booklet, laminated decision tree, and user’s manual
Analytical Software, Remote Version 2502R 1
For remote network viewing of live or stored data/signature graphics, interpretation assistance, and reporting, along with
many other features. Includes user’s manual
Kaolin 6300 25 vials
A standardized reagent that activates the blood sample through the intrinsic pathway for clot activation
PlateletMapping® Assay, ADP & AA 07-014 1 test
Reagents to measure platelet inhibition and total platelet function. Aids in antiplatelet therapy decisions for adenosine
diphosphate, arachidonic acid, and glycoprotein IIb/IIIa inhibitors
PlateletMapping® Assay, ADP 07-015 1 test
Reagents to measure platelet inhibition and total platelet function. Aids in antiplatelet therapy decisions for adenosine
diphosphate and glycoprotein IIb/IIIa inhibitors
PlateletMapping® Assay, AA 07-016 1 test
Reagents to measure platelet inhibition and total platelet function. Aids in antiplatelet therapy decisions for arachidonic acid
and glycoprotein IIb/IIIa inhibitors
Level I Control 8001 12 vials
Whole blood coagulation control formulated to produce normal results
Level II Control 8002 12 vials
Whole blood coagulation control formulated to produce abnormal results
RapidTEG™ Reagent 07-032 14 tests
Blood modifier that accelerates the clotting process. Produces TEG ACT
Functional Fibrinogen Test 07-034 15 tests
Reagent used to measure the functional fibrinogen contribution to clot strength. Produces TEG parameter results and
estimated fibrinogen level (FLEV)
Disposable Cups and Pins 6211 20 sets
Disposable Cups and Pins with Heparinase 6212 20 sets
Each cup contains enough Heparinase I to reverse 6 International Units of heparin
Calcium Chloride 7003 1 vial
Each vial contains 5 mL of 0.2M calcium chloride solution
User’s Manual 2105 1
Site Administrator’s Guide 06-520 1
PlateletMapping® Guide 06-504 1
Dimensions 11.4 in. × 8.6 in. × 7.0 in. (29 cm × 22 cm × 18 cm)
Weight 12 lbs (5.4 kg)
Voltage and Operating Frequency 120 VAC @ 60 Hz
230 VAC @ 50 Hz
Ordering
Information
Device
Information
