Emergency Preparedness at Twin Cities Metro Food Service Establishments: An Outreach and Benchmark Survey February 2008 Research Conducted for Twin Cities Metro Advanced Practice Center (APC) for emergency preparedness and response A partnership of Hennepin County, Ramsey County and the City of Minneapolis Confidential | VasheResearch.com VASHÉ Research Presentation Outline ● ● ● ● • Background and Objectives Executive Summary Trends: Benchmark Against Baseline Methods Results Conclusions and Recommendations <Presentation Title> | Confidential to <Company> 1 VASHÉ Research Background and Objectives Survey commissioned to assess the state of emergency preparedness and response at licensed food facilities in the Metro area. Funded by the NACCHO Advanced Practice Centers Grant Objectives: • Assess food establishments’ emergency preparedness in the Metro area. • Compare performance and identify progress and deficiencies from the baseline study (2005). • Understand and evaluate respondents’ incorporation and implementation of the Emergency Handbook for Food Managers and other aids. • Establish and evaluate effective means of emergency information dissemination to food establishment managers. <Presentation Title> | Confidential to <Company> 2 VASHÉ Research Presentation Outline ● ● ● ● • Background and Objectives Executive Summary Trends: Benchmark Against Baseline Methods Results Conclusions and Recommendations <Presentation Title> | Confidential to <Company> 3 VASHÉ Research Executive Summary Emergency Preparedness And Reporting Processes (Establishment Government) Two-thirds of restaurants and grocery stores claim to have an emergency plan in place. This is an increase of 16% from 2005. In case of an emergency such extensive flooding, managers are most likely to contact local officials and their management/owner. In case of water contamination, over half of establishments would notify a governmental official. Half of the establishments would shut down and get advice from the local government. Practically all food establishments claim to have their lists of suppliers readily available (99%) About 4 out of 5 establishments claim to have their back/loading doors locked all or almost all the time. An 8% increase from 2005. Almost all establishments claim to inspect their food deliveries for evidence of tampering. As in 2005, the primary focus for inspection is not security, but inventory control… Less than two-thirds of establishments admit to have never had a fire drill. Only 1 in 4 establishments had a fire drill within the last 12 months. There is a slight increase (3%) from 2005. <Presentation Title> | Confidential to <Company> 4 VASHÉ Research Executive Summary Emergency Alert Network (Government Establishment) Almost all managers (86%) are at least initially supportive of a self-inspection initiative. Half of establishments indicate that they already perform a self-inspection, generally as a function of inventory control. These inspections are generally done at the multiple location/franchise level. Small business lags in self-inspection, on average doing 10% less than multiple location businesses. Nearly half of the managers spoken to say they have an evacuation or shelter-in-place plan. Most respondents don’t receive a premium reduction on their insurance for food security self-inspections. Those that do are generally chain or multiple store businesses. <Presentation Title> | Confidential to <Company> 5 VASHÉ Research Executive Summary Emergency Preparedness Training Three quarters of establishments provide emergency training to their new hires. Up 3% from 2005. In half of all cases, this training lasts less than 30 minutes. Training is provided primarily on the job. In approximately two-thirds of the time, this training lasts less than 1 hour. Training is provided mostly on the job, by supervisor/co-worker. A majority of respondents indicate they’ve seen emergency preparedness materials developed by Twin Cities organizations. As with the study in 2005, almost all establishments want training materials in English, 42% of respondents would also like to have such materials in Spanish, as in 2005, other languages, such as Arabic, Chinese and Hmong are still needed. About half say that material is the Emergency Handbook for Food managers. There are a number of “second-tier” languages, Chinese, Arabic, Hmong and Somali, that could be prioritized. Most (88%) respondents feel they have sufficient tools to report illness as required in the food code. The most common tool used for reporting employee illness is an employee illness log (63%). One in four indicate use of the Illness Log from the Emergency Handbook for Food Managers. One in four indicate they don’t use anything. <Presentation Title> | Confidential to <Company> 6 VASHÉ Research Executive Summary Differences By Segment By geography: Ramsey County / St. Paul / Hennepin County / Minneapolis • • • Similar response patterns across all geographies. While data displays some statistically significant differences, there is not much basis for differentiating managerial/decision-making approaches by geography. Displayed differences most likely due to the four geographies’ different food establishment demographic profiles. Two-thirds of respondents say there is an emergency plan that describes how their business will respond to emergencies. By risk level: High versus Medium • • High-risk businesses primarily train their employees on the job. While overall adoption rate of the Emergency Handbook utilization is low in relation to other materials, it is used at a higher rate with high-risk businesses. <Presentation Title> | Confidential to <Company> 7 VASHÉ Research Executive Summary Differences By Segment (continued) By establishment type: Restaurants versus Grocery Stores • • • Twice as many restaurants would like training materials in Spanish and Chinese, as compared to grocery stores; grocery stores have higher need for training materials in Arabic and Somali. Grocery stores cause stronger food safety concerns, as they are much more likely to have numerous suppliers, keep their kitchen/loading doors unlocked, provide less than 30 min of emergency training for new hires, and ignore the need for regular fire drills. Restaurants are more likely to use classroom settings for emergency training of new employees, and show much more interest in onsite training by Health Department. By business size/type (number of locations, privately owned/franchise/chain) • • • • Multiple-location, multi-store chains are twice as likely to need training materials in Spanish than single-location, non-franchised businesses. Training materials in Chinese are most needed at single-location, non-franchised food establishments. Single-location, non-franchised businesses (which account for 56% of all food establishments in Metro area) present a stronger food safety concern, as they are much more likely to provide no or less than 30 minutes of emergency training for new hires, and ignore the need for regular fire drills. Large chains have increased since 2005. <Presentation Title> | Confidential to <Company> 8 VASHÉ Research Presentation Outline ● ● ● ● Background and Objectives Executive Summary Methods Trends: Benchmark Against Baseline Results ● Twin Cities Metro Area Total ● Results by quota groups/cross-tabs ● Geography view (by County/City) ● Risk Category view (High versus Medium risk) ● Establishment Type view (Restaurants versus Groceries) ● Ownership type/Number of locations (Chain/Non-chain, Single/Multiple locations) • Conclusions and Recommendations <Presentation Title> | Confidential to <Company> 9 VASHÉ Research Methods Phone survey conducted in May 2007 Questionnaire developed by collaborative effort between Metro Team and Vashé Research, using questions posed in 2005 and added questions in 2007. Survey’s population/universe defined as all food establishments in the Metro area, based on record lists provided by local governments. Responses collected for each of the following quota groups: • Four geographic areas: Ramsey County (other than City of St. Paul), City of St. Paul, Hennepin County (other than City of Minneapolis), City of Minneapolis • Risk categorization: High versus Medium risk level • Type of food establishment: Restaurants versus Grocery Stores <Presentation Title> | Confidential to <Company> 10 VASHÉ Research Methods All respondents qualified as in charge of food management and knowledgeable about their establishment’s emergency preparedness. To increase response rate and reduce non-response bias, all surveyed managers were assured of confidentiality of their individual responses. Results reported in aggregate only, no data linked to individual respondents In addition to Metro-wide data, results shown in four different “views,” according to quota groups (Geography view, Risk Category view, Establishment Type view) and Ownership type/Number of locations (Question 1). Assessment of Trends and Benchmark measures against 2005 baseline survey. <Presentation Title> | Confidential to <Company> 11 VASHÉ Research Presentation Outline ● ● ● ● Background and Objectives Executive Summary Methods Trends: Benchmark Against Baseline Results ● Twin Cities Metro Area Total ● Results by quota groups/cross-tabs ● Geography view (by County/City) ● Risk Category view (High versus Medium risk) ● Establishment Type view (Restaurants versus Groceries) ● Ownership type/Number of locations (Chain/Non-chain, Single/Multiple locations) • Conclusions and Recommendations <Presentation Title> | Confidential to <Company> 12 VASHÉ Research Trends: Benchmark Against Baseline Q1. Which one of the following categories best describes your business? n=436 A single (one) food establishment 2 or more food establishments but NOT franchise 2007 70% 10% 2005 72% 11% 2 or more food establishments AND franchise/large corporation 20% 17% Q3. If training materials were supplied to you by your local health agency, what languages should they be in so that your employees can understand the training? n=436 2007 2005 English Spanish 99% 95% Arabic Chinese Hmong Somali Vietnamese Oromo Laotian 42% 7% 4% 5% 5% 3% 2% 1% 42% 7% 5% 4% 4% 3% 1% 1% Q3a. Have you seen any of the following food safety/preparedness materials developed by the Twin Cities’ local agencies? n=358 Emergency Handbook for Food Managers Food Safety Self-Inspection List Food Safety & Security Self-Audit Tool Other 48% 22% 17% 3% 2007 Q3D. Have you had an emergency situation, such as flooding, storm damage, power outage, fire or food tampering, etc. at your establishment within the past 2 years? n=436 2007 Yes No 32% 68% Q3E. Which of the following guidance materials did you follow, to keep food safe and to recover safely from the emergency? n=436 Emergency Handbook for Food Managers Food Security SelfInspection Checklist Food Safety & Security Self-Audit Tool Other None 19% 4% 2% 23% 52% 2007 Q4a. If an emergency such as an illness outbreak occurred, would you be able to immediately provide a list of your food suppliers to local officials? n=436 Yes No 2007 99% 1% 2005 99% 1% <Presentation Title> | Confidential to <Company> 13 VASHÉ Research Trends: Benchmark Against Baseline Q4b. How many food suppliers do you currently have? n=433 1 to 5 2007 70% 2005 74% 6 to 10 20% 17% More than 10 10% 9% Q5A. If food tampering or other biological or chemical contamination of food occurs, often the best indicator of such an emergency is when an employee feels ill. Do you feel you have sufficient tools for recording and reporting employee illness? n=436 2007 Yes No 88% 12% Q5B. Which tools are you using for making decisions on, recording and reporting employee illness? n=384 2007 Employee Illness Log Emergency Handbook for Food Mangers 63% 24% Call the City or County or State MDH Employee Illness Decision Tree & Poster for Employees None 16% 14% 24% Q6. If you were notified that the drinking water supply (tap water) at your establishment was contaminated, what would you do? n=436 2007 2005 Shut down operations 57% 49% Call the City or County or State 53% 40% Use bottled water 31% 22% Call management / boss / owner Stop using/ serving water, ice, coffee 7% 4% 6% 6% Q7. How often do you and your employees keep back doors into the kitchen area and loading dock doors locked when not in use? n=436 Always 2007 75% 2005 70% Almost always 10% 7% Most of the time Some of the time Almost never Never 9% 4% 2% — 11% 5% 4% 2% <Presentation Title> | Confidential to <Company> 14 VASHÉ Research Trends: Benchmark Against Baseline Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have been made? For example, checking for opened or unexplained packages, liquid or powder residue on packaging, returning suspicious or opened packages to supplier, etc.? Always Almost always Most of the time Some of the time Almost never Never 2007 89% 6% 2% 1% 1% — 2005 88% 8% 2% 0% 1% 1% n=436 Q8A. Do you self-inspect to evaluate and improve food safety and food security (e.g., using a Food Safety and Food Security Self-Inspection Checklist)? n=436 2007 Yes No 54% 46% Q8B. Do you receive a premium reduction from your property insurer for food security self inspection? n=436 Yes No 2007 3% 97% Q8C. How often do you self-inspect to evaluate and improve food safety and food security, for example, using a Food Safety and Food Security Self-Inspection Checklist? n=436 2007 Daily Weekly Monthly Almost Never Only when the inspector comes Other 1% 59% 30% 1% 6% 3% Q8D. If the time commitment were reasonable, would you support and participate in a self-inspection initiative to reduce the total number of people getting sick with foodborne illnesses? n=436 2007 Yes Initially supportive Initially negative No 49% 37% 7% 6% Within the past year More than a year Never 3% 9% 60% 3% 11% 61% Q9. When was the last time you had a fire drill? n=436 2007 2005 Within the past 6 months 28% 25% <Presentation Title> | Confidential to <Company> 15 VASHÉ Research Trends: Benchmark Against Baseline Q9A. Do you have an evacuation or shelter-in-place plan for workers and customers in the event of an emergency such as a tornado, fire or chemical incident? n=436 2007 Yes No 48% 52% Q9B. Are you using the Emergency Readiness for Food Workers Photo Lessons included in the Emergency Handbook for Food Managers or other emergency training lessons to train your staff on what to do in an emergency? n=436 2007 Yes No 26% 74% Q9C. What exactly are the materials that you are using? n=113 Emergency Handbook for Food Managers Other 85% 15% 2007 Q10. Are newly hired employees trained on what to do in an emergency? n=436 Yes No 2007 78% 22% 2005 75% 25% Q10B. Please describe the type of training. n=340 2007 2005 On the job 50% 60% Classroom training 24% 18% Video 16% 12% Emergency Handbook CD or DVD Web-based Other 10% 6% 1% 1% — 3% 0% 1% <Presentation Title> | Confidential to <Company> 16 VASHÉ Research Trends: Benchmark Against Baseline Q10C. Now please describe the length of this training. Less than 30 minutes 30 minutes to 1 hour 1 to 2 hours 2 to 4 hours 4 to 8 hours More than 8 hours 2007 41% 20% 16% 11% 5% 6% 2005 49% 15% 12% 13% 6% 5% n=340 Q11A. Do you have an emergency plan for your establishment that describes how your business will respond to various emergencies? n=436 2007 2005 Yes 64% 46% No 36% 54% <Presentation Title> | Confidential to <Company> 17 VASHÉ Research Presentation Outline ● ● ● ● Background and Objectives Executive Summary Methods Trends: Benchmark Against Baseline Results Twin Cities Metro Area Total ● Results by quota groups/cross-tabs ● ● ● ● Geography view (by County/City) Risk Category view (High versus Medium risk) Establishment Type view (Restaurants versus Groceries) Ownership type/Number of locations (Chain/Non-chain, Single/Multiple locations) • Conclusions and Recommendations <Presentation Title> | Confidential to <Company> 18 VASHÉ Research Twin Cities Metro Area Total Overall Risk category High risk: Grocery 16% The majority of establishments (65%) are high and medium risk restaurants. Medium risk: Restaurant 21% Medium risk: Grocery 19% High risk: Restaurant 44% S2. Risk Category of establishment (this information is found with the establishment info.) <Presentation Title> | Confidential to <Company> 19 VASHÉ Research Twin Cities Metro Area Total Business category n=436 A single (one) food establishment, and NOT a franchise of a large corporation or part of a chain 2 or more food establishments but NOT a franchise of a large corporation 2 or more food establishments AND a franchise or a large corporation 70% of respondents are from single food establishments, neither part of a large corporation or food chain. 70% 10% 20% Q1. Which one of the following categories best describes your business? Base: Total respondents. <Presentation Title> | Confidential to <Company> 20 VASHÉ Research Language Twin Cities Metro Area Total English language is requested as the language most often needed for training materials. There has been no net change in the need for Spanish since 2005, is continues to be the second top-tier language at 42%. % change from 2005 Language 99% English 42% Spanish Arabic 4% 0% 7% 0% Chinese 4% 1% Hmong 5% 1% Somali 5% 1% Vietnamese 3% Oromo 2% Laotian 1% Other 1% 0% Oromo Laotian Other 1% 0% 0 Q3. If training materials were supplied to you by your local health agency, what languages should they be in so that your employees can understand the training? Base: Total respondents. <Presentation Title> | Confidential to <Company> 21 VASHÉ Research County/City View (Food Safety Materials) Twin Cities Metro Area Total A majority of respondents indicate they’ve seen food safety/preparedness materials developed by Twin Cities organizations. The most recognized food safety material is the Emergency Handbook for Food Managers. Seen Food Safety/Preparedness Materials Developed by TC Local Agencies Total n=436 St. Paul n=101 Ramsey County n=57 Yes 82% Yes 83% Yes 89% Hennepin n=62 Yes 85% Minneapolis n=216 Yes 89% Has a Copy of in Establishment n=358 Emergency Handbook for Food Managers Food Security Self Inspection Checklist Food Safety & Security Self-Audit tool Other n=50 48% 22% 17% n=82 40% 25% 25% n=53 n=192 50% 12% 20% 48% 23% 15% 50% 26% 13% Q3a. Have you seen any of the following food safety/preparedness materials developed by the Twin Cities’ local agencies? Q3b. Do you have a copy of [name the item] in your food establishment? Base: Total respondents. <Presentation Title> | Confidential to <Company> 22 VASHÉ Research County/City View (Food Safety Materials on hand) Twin Cities Metro Area Total The majority of respondents indicate they have food safety/preparedness documents of some kind in their food establishments. Total n=436 No 19% Yes 81% St. Paul n=101 Ramsey County n=57 Yes 81% Yes 78% Hennepin n=62 Yes 84% Minneapolis n=216 Yes 83% Q3b. Do you have a copy of [name the item] in your food establishment? Base: Total respondents. <Presentation Title> | Confidential to <Company> 23 VASHÉ Research County/City View (Safety Document Language(s)) Twin Cities Metro Area Total Most of these safety/preparedness documents are in English, with another 23% in Spanish. Language of Safety Documents 95% English 23% Spanish Chinese 1% Hmong 1% Arabic 1% Somali 1% Vietnamese 1% Oromo 1% Q3C. In what language(s) is/are the (and safety document)? <Presentation Title> | Confidential to <Company> 24 VASHÉ Research 34% have indicated that they have experienced an emergency situation in the past two years. Experienced Emergency Situation In The Last Two Years Yes 34% No 66% St. Paul n=101 Ramsey County n=57 Yes 26% Hennepin n=62 Yes 41% No 59% Yes 27% Minneapolis n=216 Yes 36% Q3D. Have you had an emergency situation, such as flooding, storm damage, power outage, fire or food tampering, etc. at your establishment within the past 2 years? Base: Total respondents. <Presentation Title> | Confidential to <Company> 25 VASHÉ Research Over half of the respondents indicate that they did not use any guidance materials during their emergency, and additional 23% cited other (phone book, contact info for refrigeration, etc.) guidance materials used. Guidance Materials Used During Emergency Other, 23% None, 52% Emergency Handbook for Food Managers, 19% Food Security Self Inspection Checklist, 4% Food Safety & Security SelfAudit Tool, 2% Q3E. Which of the following guidance materials did you follow, to keep food safe and to recover safely from the emergency? <Presentation Title> | Confidential to <Company> 26 VASHÉ Research Number of Food Suppliers Twin Cities Metro Area Total Less than 1% of respondents indicated they couldn’t readily supply a list of food suppliers (same in 2005). Just under three quarters of food establishments have between 1 and 5 suppliers only. Ability to provide list of food suppliers n=436 No 1% (∆) Number of food suppliers % change from 2005 n=433 70% 1 to 5 6 to 10 More than 10 Yes 99% 20% 10% -4% 3% 1% Q4a. If an emergency such as an illness outbreak occurred, would you be able to immediately provide a list of your food suppliers to local officials? Q4b. How many food suppliers do you currently have? Base: Total respondents. <Presentation Title> | Confidential to <Company> 27 VASHÉ Research 89% feel they have enough tools to record and report employee illness. Confident That S/He Has Enough Tools To Record and Report Illness n=436 No, 11% Yes, 89% Q5A. If food tampering or other biological or chemical contamination of food occurs, often the best indicator of such an emergency is when an employee feels ill. Do you feel you have sufficient tools for recording and reporting employee illness? Base: Total respondents. <Presentation Title> | Confidential to <Company> 28 VASHÉ Research The most common tool cited for reporting employee illness is an employee illness log / Employee Illness Log in Emergency Handbook for Food Managers (87%). Tools Used To Record and Report Employee Illness n=384 63% Employee Illness Log Employee Illness Log in Emergency Handbook for Food Managers Call the City or County or State Health Department MN Dept of Health (MDH) Employee Illness Decision Tree & Poster for employees None 24% 16% 14% 24% Q5B. Which tools are you using for making decisions on, recording and reporting employee illness? <Presentation Title> | Confidential to <Company> 29 VASHÉ Research Reaction to Water Contamination Twin Cities Metro Area Total In the event of water supply contamination, over half of the establishments would shut down operations, up 8% from 2005. Additionally 53%, up 13% from 2005, would also contact government authorities. Over half of food managers would also notify City, County or State officials, up 13% from 2005. What respondent would do if notified that water was contaminated n=436 Shut down operations 57% 53% Call the City/County/State Use bottled water for customer drinking water Call Corporate / senior management Stop using/ serving water, ice, coffee 31% 7% 4% Post signs 1% Other 1% Q6. If you were notified that the drinking water supply (tap water) at your establishment was contaminated, what would you do? Base: Total respondents. <Presentation Title> | Confidential to <Company> 30 VASHÉ Research Security—Establishment The majority of the time (94%) respondents back door/kitchen area doors are locked when not in use: An increase of 8% from 2005. Inspection of deliveries is common, 9 out of 10 times, to check for tampering, up 1% from 2005. However, it is not clear that there is differentiation between inventory control and a safety inspection. 8% Kitchen area and loading dock doors locked when not in use 75% 9% 10% Almost never From 2005 Some of the time Most of the time Almost always Frequency of inspection food deliveries to ensure no tampering or unexplained additions have been made 0% Always 89% 6% 20% 40% 60% 80% 100% Q7. How often do you and your employees keep back doors into the kitchen area and loading dock doors locked when not in use? Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have been made? For example, checking for opened or unexplained packages, liquid or powder residue on packaging, returning suspicious or opened packages to supplier, etc.? <Presentation Title> | Confidential to <Company> 31 VASHÉ Research County/City View (Security—Insurance) Twin Cities Metro Area Total—Frequency of Self-Inspection The majority of respondents don’t receive a premium reduction on their insurance for food security self-inspections. Those who do are large, multi-state, multi-chain stores. Premium reduction on insurance? 3% Yes No 97% St. Paul n=101 Ramsey County n=57 Yes 2% Yes 3% Hennepin n=62 No 97% Yes 3% Minneapolis n=216 Yes 2% Q8B. Do you receive a premium reduction from your property insurer for food security self inspection? Base: Total respondents. <Presentation Title> | Confidential to <Company> 32 VASHÉ Research County/City View (Security—Self Inspection) Twin Cities Metro Area Total—Self-Inspection On average, half of the respondents indicate they conduct a food safety and security self-inspection. Self-Inspection done in business St. Paul n=101 Ramsey County n=57 Yes 40% Yes 58% Hennepin n=62 No 42% Yes 66% Minneapolis n=216 Yes 53% Q8A. Do you self-inspect to evaluate and improve food safety and food security (e.g., using a Food Safety and Food Security Self-Inspection Checklist)? Base: Total respondents. <Presentation Title> | Confidential to <Company> 33 VASHÉ Research Total (Security—Self Inspection) Twin Cities Metro Area Total—Self-Inspection 59% report they self-inspect weekly. Nine out of ten inspect at least monthly. Notably there is a fair percentage who only inspect when the inspector comes. Frequency of Self-Inspection Daily 1% 59% Weekly 30% Monthly Almost Never Only when inspector comes Other 1% 6% 3% Q8C. How often do you self-inspect to evaluate and improve food safety and food security, for example, using a Food Safety and Food Security Self-Inspection Checklist? <Presentation Title> | Confidential to <Company> 34 VASHÉ Research Total (Security—Self Inspection) Twin Cities Metro Area Total—Self-Inspection 86% say they would be willing to participate, or are supportive of, a self-inspection initiative. Willingness to Participate In A Self-Inspection 49% Yes Initially supportive, but need more information 37% Initially negative, but need more information 7% No 6% Q8D. If the time commitment were reasonable, would you support and participate in a self-inspection initiative to reduce the total number of people getting sick with foodborne illnesses? Base: Total respondents. <Presentation Title> | Confidential to <Company> 35 VASHÉ Research Emergency Plan Twin Cities Metro Area Total Nearly two-thirds of respondents say there is an emergency plan that describes how their business will respond to emergencies. Establishment Has Emergency Plan 18% Yes 64% No 36% From 2005 St. Paul n=101 Ramsey County n=57 Yes 67% Yes 61% Hennepin n=62 No 39% Yes 69% Minneapolis n=216 Yes 58% Q11A. Do you have an emergency plan for your establishment that describes how your business will respond to various emergencies? <Presentation Title> | Confidential to <Company> 36 VASHÉ Research Fire Drill Frequency Twin Cities Metro Area Total Most establishments report never having a fire drill in their establishment. Frequency of Fire Drills Over one-fourth of establishments do have fire drills. 28% There is a slight increase from 2005 in the segment of respondents that indicate they have conducted a fire drill in the past year. Within the past 6 months Within the past year 9% More than a year 4% 60% Never From 2005 n=436 Q9. When was the last time you had a fire drill? Base: Total respondents. <Presentation Title> | Confidential to <Company> 37 VASHÉ Research Twin Cities Metro Area Total (Shelter-In-Place) 48% of the respondents indicate they have an evacuation or shelter-in-place plan. Establishment has an evacuation or shelter-in-place plan Yes, 48% No, 52% n=436 Q9A. Do you have an evacuation or shelter-inplace plan for workers and customers in the event of an emergency such as a tornado, fire or chemical incident? <Presentation Title> | Confidential to <Company> 38 VASHÉ Research Emergency Readiness for Food Workers Photo Lessons Total About a quarter indicate they are using the Emergency Readiness for Food Workers Photo Lessons to train their staff (26%). Using the Emergency Readiness for Food Workers Photo Lessons n=436 Q9B. Are you using the Emergency Readiness for Food Workers Photo Lessons included in the Emergency Handbook for Food Managers or other emergency training lessons to train your staff on what to do in an emergency? <Presentation Title> | Confidential to <Company> 39 VASHÉ Research Utilization of Emergency Handbook for Food Managers Total 15% who say they have the Emergency Handbook for Food Managers say they use it for training their staff. Respondents say they use materials like ServSafe and internal company procedures, as well as on-the-job training for their new hires. Materials Being Used Emergency Handbook for Food Managers, 15% Other, 85% n=113 Q9C. What exactly are the materials that you are using? <Presentation Title> | Confidential to <Company> 40 VASHÉ Research Overall (Emergency Training) Twin Cities Metro Area Total Three quarters of establishments provide emergency training to their new hires. In half of all cases, this training lasts less than 30 minutes, down 8% from 2005. Training is provided primarily on the job. New hires trained? n=436 Yes 78% Training type n=340 50% On the job 24% Classroom training 16% Video 10% Emergency Handbook CD or DVD Web-based 6% 1% 1% Other Training length n=340 Less than 30 minutes 41% 30 minutes to 1 hour 3% 20% 1 to 2 hours 16% 11% 2 to 4 hours From 2005 4 to 8 hours More than 8 hours No 22% 5% 6% Q10. Are newly hired employees trained on what to do in an emergency? Q10B. Please describe the type of this training. Q10C. Now please describe the length of this training. Base: Total respondents. <Presentation Title> | Confidential to <Company> 41 VASHÉ Research Presentation Outline ● ● ● ● Background and Objectives Executive Summary Methods Trends: Benchmark Against Baseline Results ● Twin Cities Metro Area Total Results by quota groups/cross-tabs ● ● ● ● Geography view (by County/City) Risk Category view (High versus Medium risk) Establishment Type view (Restaurants versus Groceries) Ownership type/Number of locations (Chain/Non-chain, Single/Multiple locations) • Conclusions and Recommendations <Presentation Title> | Confidential to <Company> 42 VASHÉ Research Food Business Demographics Twin Cities Metro Area Total Restaurant As in 2005, Hennepin County has a higher share of restaurants and high-risk food establishments (correlated attributes). High risk Medium Risk Medium / High Risk Grocery High Risk 66% 44% Medium Risk 34% 56% Total Ramsey St. Paul Hennepin n=436 n=57 n=101 n=62 Minneapolis N=216 37% 49% 39% 40% 31% 60% 51% 69% 61% 63% 22% Grocery/ Restaurant 71% 35% 65% 31% 69% 31% 69% 29% Restaurant Grocery 78% <Presentation Title> | Confidential to <Company> 43 VASHÉ Research County/City View (Business Type Ownership) Twin Cities Metro Area Total Minneapolis and St. Paul have a higher share of single food establishments, while the counties have a higher share of franchises and establishment that are owned by large corporations. Total Ramsey n=57 n=436 A single (one) food establishment, and NOT a franchise of a large corporation or part of a chain 2 or more food establishments but NOT a franchise of a large corporation 2 or more food establishments AND a franchise of a large corporation 70% 10% 20% St. Paul n=101 47% n=62 81% 42% 11% Hennepin 8% 11% Minneapolis n=216 77% 45% 11% 44% 9% 14% Q1. Which one of the following categories best describes your business? Base: Total respondents. <Presentation Title> | Confidential to <Company> 44 VASHÉ Research Risk/Establishment View (Business Type Ownership) Twin Cities Metro Area Total Single food establishments have the highest share in both risk categories. Privately owned restaurants are the most common establishment type. Franchises and food establishments of large corporations are most commonly grocery stores. Establishment type Risk A single (one) food establishment, and NOT a franchise of a large corporation or part of a chain 2 or more food establishments but NOT a franchise of a large corporation 2 or more food establishments AND a franchise of a large corporation High Medium Restaurant Grocery n=260 n=176 n=285 n=151 10% 16% 77% 71% 74% 12% 17% 13% 10% 65% 14% 21% Q1. Which one of the following categories best describes your business? Base: Total respondents. <Presentation Title> | Confidential to <Company> 45 VASHÉ Research County/City View (Language) Twin Cities Metro Area Total Spanish continues to be the second language of choice metro-wide. As found in the previous wave, Arabic, Chinese and Hmong are languages needed in different areas of the metro. Arabic is more common in Minneapolis and St. Paul than in the counties. Chinese is predominant in Minneapolis and Hennepin County. Hmong is predominant in St. Paul and Ramsey County. Somali is predominant in Minneapolis Languages Total Ramsey St. Paul Hennepin Minneapolis n=436 n=57 n=101 n=62 n=216 English 99% Spanish Arabic 98% 42% 40% 7% Chinese 4% Hmong 5% Somali 5% Vietnamese 3% 2% 98% 43% 3% 1% Or o mo La ot i a n 1% Laotian Lao t ian 0% Lao t ian Ot h e r 1% Other Ot her 1% Ot her 3% 0% 7% 2% 5% 2% 6% 8% 2% 6% 9% 10% 9% 2% 45% 1% 4% 8% 99% 28% 8% Or o mo Or o m o Oromo 97% 3% 2% 2% Or o mo 1% Or o m o 1% Lao t ian 1% La ot i a n 1% 0% Ot her 0% Ot h e r 0% Q3. If training materials were supplied to you by your local health agency, what languages should they be in so that your employees can understand the training? Base: Total respondents. <Presentation Title> | Confidential to <Company> 46 VASHÉ Research Risk/Establishment View (Language) Twin Cities Metro Area Total Spanish language continues to be the second language choice across all segments, with a slightly increased need in restaurants (from 2005) and high risk establishments. Chinese and Hmong rank high as second tier languages in the high risk and restaurant categories. Languages Establishment type Risk High Medium Restaurant Grocery n=174 n=205 n=196 n=183 English 94% Spanish Arabic Chinese Hmong 96% 98% 33% 54% 49% 8% 7% 7% 3% 6% 2% 4% 3% Vietnamese 3% 5% 4% Oromo Or o m o 1% Or o mo 1% Or o mo Laotian La ot i a n 0% Lao t ian 1% Lao t ian Ot her 0% Ot her 0% 12% 11% Somali Other Ot h e r 29% 5% 2% 11% 92% 2% 3% 4% 7% 2% Or o m o 2% 0% La ot i a n 0% 0% Ot h e r 0% Q3. If training materials were supplied to you by your local health agency, what languages should they be in so that your employees can understand the training? Base: Total respondents. <Presentation Title> | Confidential to <Company> 47 VASHÉ Research Ownership View (Language) Twin Cities Metro Area Total Again, second language choice is Spanish, with a need that is even across all channels. Arabic, Chinese, Hmong and Somali are second-tier languages that are needed by single food establishments and chains with more than two locations. Chinese ranks highest in single food establishments. Languages Single food establishment More than 2 locations, not a chain More than 2 locations, chain n=244 n=49 n=143 English 96% Spanish 41% 100% 100% 47% 44% Chinese 7% 3% 4% Arabic 7% 5% 3% Hmong 5% Somali 5% 4% 3% Vietnamese 3% 2% 6% Or o m o Oromo 0% La ot i a n Laotian 2% Ot h e r 0% Other 0% Or o mo 2% 6% Or o mo 3% Lao t ian 0% Lao t ian 0% Ot her 0% Ot her 0% Q3. If training materials were supplied to you by your local health agency, what languages should they be in so that your employees can understand the training? Base: Total respondents. <Presentation Title> | Confidential to <Company> 48 VASHÉ Research County/City View (Number of Food Suppliers) Twin Cities Metro Area Total While the overall distribution is similar across all geographic areas, food establishments in Hennepin County are more likely to have a higher number of suppliers. Likely because an increased number of grocery stores. Ability to provide list of food suppliers St. Paul n=101 Ramsey County n=57 Yes 100% Yes 100% Hennepin n=62 No 0% Yes 99% Minneapolis n=216 No 1% Yes 100% Number of food suppliers n=57 More than 10 21% 14% n=62 n=216 66% 65% 1 to 5 6 to 10 n=101 18% 16% 71% 65% 29% 6% 18% 8% Q4a. If an emergency such as an illness outbreak occurred, would you be able to immediately provide a list of your food suppliers to local officials? Q4b. How many food suppliers do you currently have? Base: Total respondents. <Presentation Title> | Confidential to <Company> 49 VASHÉ Research Risk/Establishment View (Number of Food Suppliers) Twin Cities Metro Area Total Grocery stores tend to have more food suppliers. Ability to provide list of food suppliers Establishment type Risk High n=260 Yes 99% Restaurant n=285 Medium n=176 No 1% Yes 100% Yes 99% No 0% Grocery n=151 No 1% Yes 100% No 0% Number of food suppliers n=260 1 to 5 6 to 10 More than 10 n=176 70% 19% 11% n=285 n=151 70% 21% 9% 54% 76% 17% 7% 23% 23% Q4a. If an emergency such as an illness outbreak occurred, would you be able to immediately provide a list of your food suppliers to local officials? Q4b. How many food suppliers do you currently have? Base: Total respondents. <Presentation Title> | Confidential to <Company> 50 VASHÉ Research Ownership View (Number of Food Suppliers) Twin Cities Metro Area Total Companies that are single food establishments or more than 2 locations, non-chain, are more likely to have a very limited number of suppliers; a lot of them report having only one or two. Ability to provide list of food suppliers More than 2 locations not a chain Single food establishment n=244 Yes 99% n=49 No 1% Yes 100% n=143 No 0% Number of food suppliers n=244 1 to 5 6 to 10 More than 10 n=49 9% Yes 100% No 0% n=143 71% 73% 18% More than 2 locations, chain 10% 18% 59% 24% 17% Q4a. If an emergency such as an illness outbreak occurred, would you be able to immediately provide a list of your food suppliers to local officials? Q4b. How many food suppliers do you currently have? Base: Total respondents. <Presentation Title> | Confidential to <Company> 51 VASHÉ Research County/City View (Tools for Illness Reporting) Twin Cities Metro Area Total The most commonly used tool for reporting illness is the Employee Illness Log. In each geographic category except St. Paul “None” is cited a quarter of the time. Has Tools for Illness Reporting St. Paul n=101 Ramsey County n=57 Yes 86% Hennepin n=62 Yes 86% Minneapolis n=216 Yes 91% Yes 94% No 14% Tools used n=57 MDH Employee Illness Tree and poster n=101 21% Employee Illness Log 61% Illness Log in Emergency Handbook for Food Managers Call City/County/State HD None 13% 28% 5% n=216 16% 11% 67% 21% 15% 28% n=62 16% 58% 15% 63% 27% 19% 26% 18% 26% Q5A. If food tampering or other biological or chemical contamination of food occurs, often the best indicator of such an emergency is when an employee feels ill. Do you feel you have sufficient tools for recording and reporting employee illness? Base: Total respondents. <Presentation Title> | Confidential to <Company> 52 VASHÉ Research Risk/Establishment View (Tools for Illness Reporting) Twin Cities Metro Area Total Again, the Employee Illness Log is the primary tool used to report illness. One in four use the Emergency Handbook, while another quarter indicate they have “None.” Tools for Illness Reporting Establishment type Risk High n=260 Yes 88% Yes 92% Tools used Emergency Handbook for Food Managers n=162 13% 14% Call City/County/State HD None 62% 24% 16% 26% Yes 85% No 8% n=229 Employee Illness Log Grocery n=151 Yes 92% No 12% MDH Employee Illness Tree and poster Restaurant n=285 Medium n=176 No 8% n=262 24% 15% 20% n=128 12% 65% No 15% 17% 61% 24% 17% 25% 66% 25% 14% 23% Q5A. If food tampering or other biological or chemical contamination of food occurs, often the best indicator of such an emergency is when an employee feels ill. Do you feel you have sufficient tools for recording and reporting employee illness? Base: Total respondents. <Presentation Title> | Confidential to <Company> 53 VASHÉ Research Ownership View (Tools for Illness Reporting) Twin Cities Metro Area Total Employee Illness log is the most commonly used. The Emergency Handbook for Food Managers is used 25% of the time. Tools for Illness Reporting Single food establishment More than 2 locations not a chain n=244 n=49 No 9% Yes 91% Tools used MDH Employee Illness Tree and poster Emergency Handbook for Food Managers Call City/County/State HD None Yes 92% n=162 13% 10% 58% 25% 15% 24% n=143 No 8% n=229 Employee Illness Log More than 2 locations, chain Yes 87% No 13% n=262 15% 63% 22% 12% 20% 58% 24% 18% 25% Q5A. If food tampering or other biological or chemical contamination of food occurs, often the best indicator of such an emergency is when an employee feels ill. Do you feel you have sufficient tools for recording and reporting employee illness? Base: Total respondents. <Presentation Title> | Confidential to <Company> 54 VASHÉ Research County/City View (Water Contamination) Twin Cities Metro Area Total Over half of establishments would shut down and call the City, County or State in the event of water contamination. Preferred way to respond to water contamination alert Total Ramsey St. Paul Hennepin Minneapolis n=436 n=57 n=101 n=62 n=216 Shut down operations 54% 57% Call the City/ County/State 46% 53% Use bottled water Call Corporate / senior management 5% Boil water 4% Stop using/ serving water, ice, coffee 3% 46% 32% 31% 7% 2% 7% 55% 53% 6% 1% 56% 58% 40% 4% 59% 25% 34% 8% 2% 8% 5% 3% 3% Q6. If you were notified that the drinking water supply (tap water) at your establishment was contaminated, what would you do? Base: Total respondents. <Presentation Title> | Confidential to <Company> 55 VASHÉ Research Risk/Establishment View (Water Contamination) Twin Cities Metro Area Total Over half of establishments would shut down and call the City, County or State in the event of water contamination. Action taken if notified that water was contaminated Establishment type Risk High n=260 Shut down operations 6% 8% 54% 48% 55% 33% 29% 28% 32% Grocery n=151 58% 53% 53% Use bottled water for customer drinking water Restaurant n=285 53% 59% Call the City or County or State Call Corporate / senior management Medium n=176 11% 12% Stop using/ serving water, ice, coffee 1% 2% 2% 1% Other 2% 1% 2% 2% Q6. If you were notified that the drinking water supply (tap water) at your establishment was contaminated, what would you do? Base: Total respondents. <Presentation Title> | Confidential to <Company> 56 VASHÉ Research Ownership View (Water Contamination) Twin Cities Metro Area Total Over half of establishments would shut down and call the City, County or State in the event of water contamination. Action taken if notified that water was contaminated Single food establishment High n=244 Shut down operations Medium n=49 53% 29% 35% 31% 7% 57% 49% 53% Use bottled water for customer drinking water Restaurant n=143 51% 58% Call the City or County or State Call Corporate / senior management More than 2 More than 2 locations not a chain locations, chain 7% 11% Stop using/ serving water, ice, coffee 2% 2% 2% Other 2% 1% 2% Q6. If you were notified that the drinking water supply (tap water) at your establishment was contaminated, what would you do? Base: Total respondents. <Presentation Title> | Confidential to <Company> 57 VASHÉ Research County/City View (Security—Establishment) Twin Cities Metro Area Total 3 out of 4 respondents keep back doors locked when not in use. Over 95% of the time the response is at a minimum “Most of the time.” Frequency of back doors/loading doors locked Total n=436 Always Almost always Most of the time Ramsey St. Paul Hennepin Minneapolis n=57 n=101 n=62 n=91 74% 75% 11% 9% 9% 9% 74% 77% 73% 13% 9% 10% 9% 8% 11% Some of the time 4% Or o mo 7% Or o mo 3% O ro m o 2% Or o m o Almost never 2% Lao t ian 2% Lao t ian 2% La o t ia n 3% La ot i a n 4% 2% Q7. How often do you and your employees keep back doors into the kitchen area and loading dock doors locked when not in use? Base: Total respondents. <Presentation Title> | Confidential to <Company> 58 VASHÉ Research Risk/Establishment View (Security—Establishment) Twin Cities Metro Area Total 3 out of 4 respondents keep back doors locked when not in use. Over 95% of the time the response is at a minimum “Most of the time.” Action taken if notified that water was contaminated Establishment type Risk High n=260 Always Medium n=176 Almost always 12% 7% Most of the time 10% 8% 3% Almost never 2% 6% 3% Grocery n=151 72% 76% 76% 74% Some of the time Restaurant n=285 11% 8% 9% 11% 4% 5% 2% 3% Q7. How often do you and your employees keep back doors into the kitchen area and loading dock doors locked when not in use? Base: Total respondents. <Presentation Title> | Confidential to <Company> 59 VASHÉ Research Ownership View (Security—Establishment) Twin Cities Metro Area Total 3 out of 4 respondents keep back doors locked when not in use. Over 95% of the time the response is at a minimum “Most of the time.” Frequency of Checking Deliveries Single food establishment n=244 Always Almost always Most of the time More than 2 locations not a chain n=49 10% Some of the time 3% Almost never 2% n=143 78% 79% 6% More than 2 locations, chain 66% 19% 6% 10% 4% 2% 7% 5% 3% Q7. How often do you and your employees keep back doors into the kitchen area and loading dock doors locked when not in use? Base: Total respondents. <Presentation Title> | Confidential to <Company> 60 VASHÉ Research County/City View (Security—Inspection) Twin Cities Metro Area Total A high rate of establishments check their deliveries: Nearly 9 out of 10. Although “tampering” is stated directly to the respondent, my opinion is that the priority in checking deliveries is primarily a function of inventory control, not emergency preparedness. Frequency of Checking Deliveries Total n=436 Always Almost always Ramsey St. Paul Hennepin Minneapolis n=57 n=101 n=62 n=91 90% 89% 10% 6% Most of the time 2% Some of the time 1% Almost never 1% 0% Or o mo Lao t ian 0% 0% 95% 86% 5% 2% 5% 0% 90% 6% 2% Or o mo 2% Or o mo 2% Or o m o 1% Lao t ian 2% Lao t ian 2% La ot i a n 1% Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have been made? For example, checking for opened or unexplained packages, liquid or powder residue on packaging, returning suspicious or opened packages to supplier, etc.? Base: Total respondents. <Presentation Title> | Confidential to <Company> 61 VASHÉ Research Risk/Establishment View (Security—Inspection) Twin Cities Metro Area Total A high rate of establishments check their deliveries: Greater than 9 out of 10. Large corporations and groceries often have a specific position responsible for receiving shipments. Frequency of Checking Deliveries Establishment type Risk High n=260 Always Medium n=176 91% Almost always 5% Most of the time 3% Restaurant n=285 90% 88% 7% Grocery n=151 5% 89% 7% 2% 2% 2% Some of the time 1% 2% 2% 1% Almost never 1% 1% 1% 1% Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have been made? For example, checking for opened or unexplained packages, liquid or powder residue on packaging, returning suspicious or opened packages to supplier, etc.? Base: Total respondents. <Presentation Title> | Confidential to <Company> 62 VASHÉ Research Ownership View (Security—Inspection) Twin Cities Metro Area Total A high rate of establishments check their deliveries: Nearly 9 out of 10. Although “tampering” is stated directly to the respondent, my opinion is that the priority in checking deliveries is primarily a function of inventory control, not emergency preparedness. Frequency of Checking Deliveries Single food establishment n=244 Always More than 2 More than 2 Locations, not a chain locations, chain n=143 n=49 90% 90% Almost always 5% Most of the time 3% 0% Some of the time 2% 0% Almost never 0% 6% 4% 90% 8% 2% 1% 0% Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have been made? For example, checking for opened or unexplained packages, liquid or powder residue on packaging, returning suspicious or opened packages to supplier, etc.? Base: Total respondents. <Presentation Title> | Confidential to <Company> 63 VASHÉ Research County/City View (Security—Self Inspection) Twin Cities Metro Area Total—Frequency of Self-Inspection Over half of respondents self-inspect on a weekly basis. Daily inspections using food safety material is rarely done. The low numbers in this category perhaps indicate that the people who are receiving shipments are not evaluating how to improve the food safety and security aspect of the delivery. Frequency of Self-Inspection Total n=436 Daily Only when inspector comes Other Hennepin Minneapolis n=57 n=101 n=62 n=91 0% 2% 6% 3% 0% 5% 0% 31% 37% Or o mo 2% O ro m o Lao t ian 3% La o t ia n 0 62% 52% 53% 25% 30% 1% 0% 68% 59% Monthly Almost never St. Paul 2% 1% Weekly Ramsey 0% Or o m o 15% 2% 29% La ot i a n 1% 5% 1% Q8C. How often do you self-inspect to evaluate and improve food safety and food security, for example, using a Food Safety and Food Security Self-Inspection Checklist? Base: Total respondents. <Presentation Title> | Confidential to <Company> 64 VASHÉ Research Risk/Establishment View (Security—Self Inspection) Frequency of Self-inspection Again, self-inspections are more commonly done on a weekly or monthly basis. Daily inspections using food safety material is rarely done. The low numbers in this category perhaps indicate that the people who are receiving shipments are not evaluating how to improve the food safety and security aspect of the delivery. Frequency of Self-Inspection Establishment type Risk High n=260 Daily 0% 1% 32% 29% 31% 2% 60% 58% 55% 30% Grocery n=151 1% 62% Monthly Restaurant n=285 1% 1% Weekly Almost never Medium n=176 0% Only when inspector comes 5% 6% 7% Other 2% 4% 4% 2% 4% 0% Q8C. How often do you self-inspect to evaluate and improve food safety and food security, for example, using a Food Safety and Food Security Self-Inspection Checklist? Base: Total respondents. <Presentation Title> | Confidential to <Company> 65 VASHÉ Research Ownership View (Security—Self Inspection) Twin Cities Metro Area Total The majority of establishments inspect on a weekly and monthly basis. Daily inspections using food safety material is rarely done. The low numbers in this category perhaps indicate that the people who are receiving shipments are not evaluating how to improve the food safety and security aspect of the delivery. Frequency of Self-Inspection Single food establishment n=244 Daily Almost never Only when inspector comes 5% Other 3% 55% 69% 32% 22% 31% 1% n=143 1% 0% 41% Monthly More than 2 locations, chain n=49 0% Weekly More than 2 locations not a chain 0% 7% 3% 1% 7% 1% Q8C. How often do you self-inspect to evaluate and improve food safety and food security, for example, using a Food Safety and Food Security Self-Inspection Checklist? Base: Total respondents. <Presentation Title> | Confidential to <Company> 66 VASHÉ Research County/City View (Self-Inspection Initiative) Twin Cities Metro Area Total A majority, 8 in 10, in all geographies, are open to a self-inspection initiative. Supports a Self-Inspection Initiative Total n=436 Yes Some of the time St. Paul Hennepin Minneapolis n=57 n=101 n=62 n=91 60% 50% Initially supportive, but need more information Initially negative, but need more information Ramsey 33% 37% 7% Or o m o 4% 7% 34% 11% 9% Or o mo O ro m o 54% 36% 49% 4% 6% 50% 36% 3% 6% Or o m o 7% Q8D. If the time commitment were reasonable, would you support and participate in a self-inspection initiative to reduce the total number of people getting sick with foodborne illnesses? Base: Total respondents. <Presentation Title> | Confidential to <Company> 67 VASHÉ Research Risk/Establishment View (Self-Inspection Initiative) Twin Cities Metro Area Total Most are open to a self-inspection initiative. Supports a Self-Inspection Initiative Establishment type Risk High n=260 Yes Medium n=176 56% 34% 39% 38% 37% Grocery n=151 47% 47% 51% Initially supportive, but need more information Restaurant n=285 Initially negative, but need more information 7% 7% 11% 5% Some of the time 5% 8% 8% 5% Q8D. If the time commitment were reasonable, would you support and participate in a self-inspection initiative to reduce the total number of people getting sick with foodborne illnesses? Base: Total respondents. <Presentation Title> | Confidential to <Company> 68 VASHÉ Research Ownership View (Self-Inspection Initiative) Twin Cities Metro Area Total The majority of establishments are open to a self-inspection initiative. Supports a Self-Inspection Initiative Single food establishment n=244 Yes More than 2 locations not a chain n=49 48% Initially supportive, but need more information 8% Some of the time 6% n=143 51% 53% 38% Initially negative, but need more information More than 2 locations, chain 38% 35% 6% 6% 5% 6% Q8D. If the time commitment were reasonable, would you support and participate in a self-inspection initiative to reduce the total number of people getting sick with foodborne illnesses? Base: Total respondents. <Presentation Title> | Confidential to <Company> 69 VASHÉ Research County/City View (Emergency Plan / Contacts) Twin Cities Metro Area Total In the event of extensive flooding, all geographies report they would first contact their boss followed by contacting their local health department. Total Ramsey n=436 Has emergency plan St. Paul n=57 67% Hennepin n=101 67% n=62 Minneapolis n=216 68% 69% 63% Called first: Corporate/Senior Mgmt./Boss Local health dept. 44% 51% 44% 35% 33% 34% 31% Utility company 7% 4% State duty officer 7% 4% 5% 10% 911 4% 4% 7% Other 5% 4% 4% 44% 36% 3% 15% 3% 10% 33% 8% 6% 3% 6% Q11a. Do you have an emergency plan for your establishment that describes how your business will respond to various emergencies? Q11b. If you had an emergency at your food establishment today, such as extensive flooding, who would you call first for help? Base: Total respondents. <Presentation Title> | Confidential to <Company> 70 VASHÉ Research Ownership Type View (Emergency Plan / Contacts) Twin Cities Metro Area Total Single food establishments are least likely to have an emergency plan in their establishment. In the event of extensive flooding, primarily the local health department, followed by their boss or management, would be contacted first. Single food establishment n=244 More than 2 More than 2 locations not a chain locations, chain n=143 n=49 Has emergency plan 82% 82% 54% Called first: Corporate/Senior Mgmt./Boss 45% Local health dept. 46% 33% 34% 32% 33% Utility company 5% State duty officer 6% 6% 911 5% 4% 2% Other 6% 6% 5% 18% 8% 8% Q11a. Do you have an emergency plan for your establishment that describes how your business will respond to various emergencies? Q11b. If you had an emergency at your food establishment today, such as extensive flooding, who would you call first for help? Base: Total respondents. <Presentation Title> | Confidential to <Company> 71 VASHÉ Research County/City View (Fire Drills) Twin Cities Metro Area Total Ramsey County has the largest share of respondents that have fire drills (35%). As with the 2005 study, one possible explanation may be because it contains a larger number of day care centers. Frequency of Fire Drills 28% 35% 25% 18% 9% 27% 11% 9% 60% Total n=436 72% 51% n=57 Within the past year More than a year 67% Ramsey Within the past 6 months St. Paul n=101 Hennepin n=62 Never 58% Minneapolis n=216 Q9. When was the last time you had a fire drill? Base: Total respondents. <Presentation Title> | Confidential to <Company> 72 VASHÉ Research Risk/Establishment View (Fire Drills) 2007 Twin Cities Metro Area Total There is generally an even distribution in regard to the number of respondents that have had fire drills in respect to risk and establishment type. Frequency of Fire Drills 27% 28% 28% 26% 9% 9% Within the past 6 months 10% Within the past year More than a year 60% 59% High Medium n=260 n=176 60% Restaurant n=285 60% Never Grocery n=151 Q9. When was the last time you had a fire drill? Base: Total respondents. <Presentation Title> | Confidential to <Company> 73 VASHÉ Research Ownership View (Fire Drills) 2007 Twin Cities Metro Area Total Again, even distribution in the ownership view. Frequency of Fire Drills 26% 27% 30% Within the past 6 months 10% 8% Within the past year More than a year Never 60% 61% 59% Single food establishment More than 2 locations non-chain More than 2 locations, chain n=244 n=49 n=143 Q9. When was the last time you had a fire drill? Base: Total respondents. <Presentation Title> | Confidential to <Company> 74 VASHÉ Research Overall View (Shelter-In-Place Plan) Twin Cities Metro Area Total In most cases, about half of the respondents Has evacuation or shelter-in-place plan indicate they have St. Paul Hennepin Ramsey County a shelter-in-place n=62 n=101 n=57 plan for workers Yes No and customers. Yes 45% 47% Yes 49% 53% This is less likely in single food Restaurant High Medium establishments n=285 n=176 n=260 and more likely in Yes grocery stores. No 43% Yes 52% 48% Single food establishment No 57% More than 2 locations not a chain n=244 Yes 40% Yes 53% Yes 65% No 55% Yes 47% Grocery n=151 No 47% Yes 62% No 38% More than 2 locations, chain n=49 No 60% Minneapolis n=216 n=143 No 35% Yes 58% No 42% Q9A. Do you have an evacuation or shelter-in-place plan for workers and customers in the event of an emergency such as a tornado, fire or chemical incident? Base: Total respondents. <Presentation Title> | Confidential to <Company> 75 VASHÉ Research Emergency Readiness for Food Workers Photo Lessons All Geographies, Risk and Ownership More restaurants and high risk establishments report using the ER for Food Workers in the EH for Food Managers than other categories. Hennepin County and Minneapolis are more likely to use the handbook for emergencies. Uses Emergency Readiness for Food Workers Photo Lessons St. Paul n=101 Ramsey County n=57 Yes 23% Yes 32% Yes 31% No 68% n=244 No 78% Yes 16% No 84% More than 2 locations not a chain n=49 Yes 33% Minneapolis n=216 No 69% Yes 29% Restaurant n=285 Medium n=176 Single food establishment Yes 22% No 81% Yes 19% High n=260 Hennepin n=62 No 67% Yes 31% Grocery n=151 No 69% Yes 19% No 81% More than 2 locations, chain n=143 Yes 30% No 70% Q9B. Are you using the Emergency Readiness for Food Workers Photo Lessons included in the Emergency Handbook for Food Managers or other emergency training lessons to train your staff on what to do in an emergency? Base: Total respondents. <Presentation Title> | Confidential to <Company> 76 VASHÉ Research Materials Used All Geographies, Risk and Ownership High-risk, restaurant and more than 2 locations, non chain, along with Minneapolis are the highest users of the Emergency Handbook for Food Managers. Overall adoption rate of the Emergency Handbook is low compared to other materials. Many cite materials such as internal resources or ServSafe for training. Lowest adoption rate occurs with Grocery stores and Ramsey County. Utilization of Emergency Handbook for Food Managers St. Paul n=101 Ramsey County n=57 Yes 9% Yes 11% High n=260 Yes 19% No 89% No 81% Yes 10% Yes 20% Restaurant n=285 No 90% Grocery n=151 No 80% Yes 20% Yes 7% No 93% More than 2 More than 2 Locations, not a chain locations, chain n=244 n=49 No 86% Minneapolis n=216 No 87% Yes 13% Medium n=176 Single food establishment Yes 14% Hennepin n=62 Yes 20% n=143 No 80% Yes 16% No 84% Q9C. What exactly are the materials that you are using? Base: Total respondents. <Presentation Title> | Confidential to <Company> 77 VASHÉ Research County/City View (Emergency Training) Twin Cities Metro Area Total New hires are trained around the same rate: Slightly higher than 3 of 4 times. Hennepin County shows the highest rate while Minneapolis shows the lowest. On the job training is the most common method of training. Classroom training occurs frequently Total Ramsey n=436 New hires trained Training type 78% 10% Video CD or DVD Web based Other 4% 9% 16% 5% n=71 5% 24% 3% 0% 1% 1% 22% 7% 2% 0% 64% 6% 17% 1% 75% 34% 4% 0% 6% 1% Minneapolis n=91 83% 35% 24% 16% n=62 n=52 n=81 56% 24% Hennepin 80% n=44 50% Classroom training n=101 77% n=340 On the job Emergency Handbook St. Paul n=57 16% 7% 1% 0% 0% Training length: Less than 30 minutes 30 minutes to 1 hour 1 to 2 hours 2 to 4 hours 41% 30% 41% 20% 18% 16% 4 to 8 hours 5% 0% 7% More than 8 hours 6% 5% 11% 35% 37% 23% 6% 16% 17% 19% 10% 5% 44% 19% 15% 6% 10% 19% 12% 4% 4% Q10. Are newly hired employees trained on what to do in an emergency? Q10B. Please describe the type of this training. Q10C. Now please describe the length of this training Base: Total respondents. <Presentation Title> | Confidential to <Company> 78 VASHÉ Research Ownership View (Emergency Training) Twin Cities Metro Area Total New hires are trained the most with chain and franchised businesses On the job and classroom training occurs most frequent across all ownership types. Single food establishment n=244 77% New hires trained Training type, n=305 Emergency Handbook CD or DVD Web based Other n=34 n=143 35% 8% 8% 81% n=68 49% Classroom training Video n=49 More than 2 locations, chain 69% n=188 On the job More than 2 locations non-chain 50% 3% 16% 14% 32% 10% 9% 7% 32% 4% 0% 1% 1% 1% 2% 0% 6% Training length: Less than 30 minutes 30 minutes to 1 hour 1 to 2 hours 25% 60% 15% 13% 7% 2 to 4 hours 4 to 8 hours 3% More than 8 hours 2% 19% 18% 18% 17% 19% 2% 35% 19% 11% 12% 5% Q10. Are newly hired employees trained on what to do in an emergency? Q10B. Please describe the type of this training. Q10C. Now please describe the length of this training Base: Total respondents. <Presentation Title> | Confidential to <Company> 79 VASHÉ Research Presentation Outline ● ● ● ● ● ● Background and Objectives Executive Summary Methods Trends: Benchmark Against Baseline Results Conclusions and Recommendations <Presentation Title> | Confidential to <Company> 80 VASHÉ Research Conclusions and Recommendations Promote training and resources via local health inspectors with an emphasis placed on high-risk restaurants. Encourage utilization of the Emergency Handbook for Food Managers for training and emergencies. Place emphasis on the different components that make up the Emergency Handbook for Food Managers. The majority of establishments see the value in the internal evaluation of food safety systems. Work in the area with establishments via local health inspectors. Consider conducting a qualitative study (focus groups or in-depth interviews) with owners and managers of multi-cultural food establishments, to gain a deeper understanding of their needs and preferences for services in languages other than English such as notification, information, training, etc. <Presentation Title> | Confidential to <Company> 81 VASHÉ Research Conclusions and Recommendations Prioritize development of language materials: 1) English; 2) Spanish; 3) Arabic and Chinese. • Secure collaboration with multiple-location food companies in developing training seminars and other materials in Spanish. Food security topics should be delivered through existing food safety channels, delivered by printed materials, onsite evaluations and training. • Emphasis should be on topics such as self-inspection. <Presentation Title> | Confidential to <Company> 82 VASHÉ Research Weighting Scheme Twin Cities Metro Area Total Geography Establishment Risk St. Paul Ramsey High risk Restaurants Minneapolis Hennepin Medium Risk Grocery 25% 54% 48% 26% Unweighted 24% 52% 46% 25% 15% 50% 47% 77% Weighted 22% 53% 23% 13% <Presentation Title> | Confidential to <Company> 83 VASHÉ Research CONTACTS Hennepin County, Susan Palchik 612-543-5205, susan.palchick@co.hennepin.mn.us Ramsey County, Zack Hansen 651-266-1177, zack.hansen@co.ramsey.mn.us City of Minneapolis, Curt Fernandez 612-673-2175, Curt.Fernandez@ci.minneapolis.mn.us Confidential | VasheResearch.com <Presentation Title> | Confidential to <Company> 84 VASHÉ Research Preparedness at Food Service Conclusions and Recommendations Promote training and resources via local health inspectors with an emphasis placed on high-risk restaurants. Encourage utilization of the Emergency Handbook for Food Managers for training and emergencies. Place emphasis on the different components that make up the Emergency Handbook for Food Managers. The majority of establishments see the value in the internal evaluation of food safety systems. Work in the area with establishments via local health inspectors. Consider conducting a qualitative study (focus groups or in-depth interviews) with owners and managers of multi-cultural food establishments, to gain a deeper understanding of their needs and preferences for services in languages other than English such as notification, information, training, etc. <Presentation Title> | Confidential to <Company> 85 VASHÉ Research Preparedness at Food Service Conclusions and Recommendations Prioritize development of language materials: 1) English; 2) Spanish; 3) Arabic and Chinese. • Secure collaboration with multiple-location food companies in developing training seminars and other materials in Spanish. Food security topics should be delivered through existing food safety channels, delivered by printed materials, onsite evaluations and training. • Emphasis should be on topics such as self-inspection. <Presentation Title> | Confidential to <Company> 86 VASHÉ Research Preparedness at Food Service (Vashé Research, 2007 vs. 2005) 34% of Twin Cities Metro FMs said they’d had an emergency situation within past 2 years (e.g. flooding, storm damage, power outage, fire or food tampering). 64% said they have an emergency plan, up from 46%. 48% said they have an exit plan. 31% said they’d had a fire drill in past year, up from 28%; 60% never have had a drill. <Presentation Title> | Confidential to <Company> 87 VASHÉ Research Preparedness—Continued 53% claimed they would call local or state PH in an emergency, up from 40%. 99% said they are able to immediately provide a list of their food suppliers in event of an illness outbreak, as in 2005. 78% said they are training new hires on what to do in an emergency, up 3% from 2005. 50% training on the job is down from 60% in 2005. Classroom & other forms of training are on the rise 41% of training lasts a half hour or less, vs. 49% in 2005. <Presentation Title> | Confidential to <Company> 88 VASHÉ Research Preparedness Tools (Vashé, 2007) Metro FMs said they had seen the following resources: ‒ 48% Emergency Handbook for Food Managers (pub Fall 2005) ‒ 22% Food Security Self Inspection Checklist (pub Fall 2005) ‒ 17% Food Safety & Security Self Audit Checklist (out Nov 2006) Of the 34% who had experienced an emergency in past 2 years, use of APC guidance was: ‒ 19% Emergency Handbook ‒ 6% Food Safety & Security Checklists ‒ 52% no guidance used 22% said they use the Emergency Handbook Photo Lessons to train staff, and 4% more use other training lessons ‒ Corporate, ServSafe… <Presentation Title> | Confidential to <Company> 89 VASHÉ Research Food Security (Vashé, 2007 v 2005) 54% said they self inspect for food safety and food security, and 89% of these self-inspect either weekly or monthly. 85% said they lock back doors and loading docks always or almost always, up 8% from 2005. 89% said they inspect food deliveries to ensure no tampering, however the surveyor suspects that as in 2005 most inspect for inventory control and theft rather than for tampering. 88% feel they have sufficient tools for reporting employee illnesses as an early warning of tampering. <Presentation Title> | Confidential to <Company> 90 VASHÉ Research Food Security—Continued 99% said they could provide their supplier list immediately if an illness outbreak as in 2005, even with the number of food suppliers on the increase. A small percent claim to receive a premium reduction from their property insurer for food security self-inspection. ‒ Surveyor notes that actual percent is soft because many respondents were not in charge of insurances. <Presentation Title> | Confidential to <Company> 91 VASHÉ Research Self Inspection (Vashé, 2007) 54% said they self inspect for food safety and food security. 89% of those who do, self inspect either weekly or monthly. 86% support or initially support a self-inspection initiative. <Presentation Title> | Confidential to <Company> 92 VASHÉ Research Twin Cities Metro Food Service Demographics (Vashé, 2007) 70% are single facility, small businesses, comparable to 2005 although chains are increasing. The top 5 translation language needs for training staff remain the same as in 2005: ‒ ‒ ‒ ‒ ‒ Spanish at 42%, higher in Minneapolis & St. Paul. Arabic 7%, higher in Minneapolis & St. Paul. Hmong 5%, highest outside of Minneapolis. Somali 5%, higher in Minneapolis. Chinese 4%. Emerging: Vietnamese, Oromo and Lao <Presentation Title> | Confidential to <Company> 93 VASHÉ Research References Emergency Preparedness at Twin Cities Metro Retail Food Establishments: An Outreach and Baseline Survey. ‒ Vashé Research for Twin Cities Metro APC, April 2005, a phone survey of food managers, n=379, universe=4,181. Emergency Preparedness at Twin Cities Metro Food Service Establishments: An Outreach and Benchmark Survey. ‒ Vashé Research for Twin Cities Metro APC, Oct. 2007, a phone survey of food managers, n=436, universe=4,568. <Presentation Title> | Confidential to <Company> 94 VASHÉ Research Twin Cities Metro APC The Twin Cities Metro Advanced Practice Center (APC) is a Minnesota partnership of Hennepin County, St. Paul-Ramsey County and the City of Minneapolis. It is one of eight centers nationally funded by the National Association of County and City Health Officials (NACCHO) in collaboration with CDC to strengthen public health emergency preparedness. Since 2004, this center has developed environmental health emergency preparedness resources for workforce training & response, government and regulated businesses, and a multicultural general public. All products are available at www.NACCHO.org/Publications. HENNEPIN COUNTY ST. PAUL-RAMSEY COUNTY Susan Palchick, EH Manager Zach Hansen, EH Director Susan.Palchick@co.hennepin.mn.us Zack.Hansen@co.ramsey.mn.us Brian Golob, Sr. Environmentalist Cheryl Armstrong, Program Analyst Brian.Golob@co.hennepin.mn.us Cheryl.Armstrong@co.ramsey.mn.us CITY OF MINNEAPOLIS Curt Fernandez, Food Safety Manager Curt.Fernandez@ci.minnapolis.mn.us Tim Jenkins, Food Safety Supervisor Tim.Jenkins@ci.minneapolis.mn.us Susan Kulstad, Contractor Susan.Kulstad@ci.minnapolis.mn.us <Presentation Title> | Confidential to <Company> 95