SPECIAL POPULATIONS: FOOD INSECURITY. August 4 th, p.m. PST

Transcription

1 SPECIAL POPULATIONS: FOOD INSECURITY August 4 th, p.m. PST

2 AGENDA Topic Webinar overview & introduction to the topic Screening for Food Insecurity at Oregon CHCs Speaker Alicia Atalla-Mei, OPCA Lynn Knox, Oregon Food Bank Addressing Food Insecurity at Multnomah County Health Department Q&A Sylvia Ness, Multnomah County Health Department All Close

3 WHY A FOCUS ON FOOD INSECURITY? Assessing & impacting Social Determinants of Health Direct impact on clinical health outcomes CHC Interest in focusing on food insecurity Food Insecurity Screening possible future CCO metric

4 FOOD INSECURITY IN OREGON: WHAT DOES THE DATA TELL US? 2013 Data shows that 15.8% of Oregon is food insecure 66% of individuals age 60 and older who are eligible for SNAP benefits are not receiving them 50% of Oregon children qualify for free or reduced lunch

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6 FOOD INSECURITY SCREENING IN HEALTH CARE SETTINGS Pain Free Implementation with Free Tools, Flexible Options, Training & Support! Join the approximately 200 Oregon clinics and others across the country, that have paved the way

7 IMPACT OF HEALTH CARE PROVIDERS Providers uniquely positioned to address hunger in practice with increase in low-income people in clinics New metrics prioritize health outcomes for diet-related diseases Oregon CHC survey: 80% of OR providers support screening Barriers are time & lack of resource info

8 TOOLS FOR PROVIDERS OHSU Doernbecher s Clinic Pilot Two validated questions 1 page EHR compatible local food and nutrition handout Workflow options/examples Children s care algorithm Standard ICD codes CME course at

9 FLEXIBLE IMPLEMENTATION 1. Basic: Add questions in writing to check -in process then provide food insecure patients with resource handout 2. Supported: All of above, plus resource review with patients by clinic staff or other trained persons who may also assist with resource access 3. Integrated: questions added to comprehensive health assessment with resource information & clinic staff follow-up Two question written screening Provider visit Resources provided & reviewed Better diet, improved outcomes

10 ON-GOING SUPPORT & COMMUNITY OF PRACTICE Free tools, TA & training make it relatively easy Different in each setting, OFB shares best practices & links clinics to greater food and nutrition education resources Almost 200 Oregon & S. Washington clinics currently implementing

11 FOOD INSECURITY SCREENING VETERANS Wallace Medical Concern: Screen in writing at check-in, handout review by Vista or CHW Providence Milwaukie & East Portland Family Clinics: MA gives screen in writing in exam room, provider gives handout & offer of apt. with services navigator Hood River Health Dept: MA gives screen in writing in exam room, handout reviewed by either provider or CHW Saint Alphonsus Hospital/Ontario: (ER & Discharge Planning Units) Screen in writing at check-in, handout review by Care Coordinator

12 POTENTIAL CLINIC-BASED FOOD AND NUTRITION PROGRAMS WITH COMMUNITY PARTNERS Cooking & smart shopping classes Gardening classes & assistance On-site produce distributions Development of a Veggie Rx program

13 CONTACT Questions, ideas, problems? Lynn Knox Oregon Food Bank

14 [Healthy] Food = Health LESSONS LEARNED Multnomah County Health Department Integrated Clinical Services Sylvia Ness, MPH Health Promotion Coordinator

15 WHY IS MCHD FOCUSING ON ACCESS TO AND PREPARATION OF FRESH VEGETABLES? A lot of people in our communities aren t eating [well] Often don t have access to fresh vegetables Shopping for and preparing healthy meals is a skill set

16 WHAT ARE WE DOING NOW? Hosting a CSA pick-up site at 1 health center Offering Cooking Matters Cooking demonstrations at 1 health center Vegetable gardens at 4 health centers Hosted Seed to Supper Class Grocery Store Tours

17 CSA PARTNERSHIPS FOR HEALTH A box of farm fresh vegetables for 23 weeks Sliding fee scales, $5 to $20 Enough veggies for 2 to 3 people each week Weekly newsletter with recipes and member stories Free cooking and nutrition classes Share recipes and meet new friends

18 PARTNERING WITH OREGON FOOD BANK TO DELIVER COOKING MATTERS Cooking Matters helps us work with our clients to: teach skills involved in making healthy eating choices work on shopping healthy on a budget practice making recipes from scratch offer people a healthy environment to try new ways of eating and being around people socially who are also trying to make changes for themselves

19 BRYAN S STORY At first I couldn t even cook an egg, but the class helped me learn how I can eat nutritiously and cost efficiently. If you know how to cook you can actually make food go a long ways.

20 WHAT S CHALLENGING? Planning this work takes a lot of coordination and time Member recruitment Funding sliding scale subsidy Getting staff on board

21 WHAT S PROMISING? Clients are: excited about their vegetables eating and liking new vegetables telling us they d never be able to afford this without this program involving their partners, children and grandchildren learning budgeting tips for shopping cooking and eating together! sharing their own stories and recipes making new support networks through their participation

22 FUTURE VISION All of our health centers connect clients with fresh, affordable produce All of our health centers offer skill building on making healthy affordable food choices Insurance companies/community benefactors support this work financially Health Centers function as places of wellness

23 Sylvia Ness Multnomah County Public Health Dept