Table 2 Description of intended activities and actors of each program
Case | Intended program activity | Intended implementation actor |
|---|---|---|
Program A | 1. EHR FI screening once a year during patient intake | Medical Assistant |
2. Refer FI patients a fresh produce truck during doctor’s visit with a voucher to receive free produce | Physician | |
3. Referral to local food assistance resource list during doctor’s visit | Physician | |
4. SNAP enrollment right after doctor’s visit | Social Worker | |
5. Phone call reminder to voucher recipients one to two weeks prior to the day of food distribution | Social Worker | |
6. Food distribution once every two months through a fresh produce truck parked outside clinic | Social Worker in collaboration with food partner | |
7. Evaluation by collecting food truck participation rates through voucher redemption | Social Worker | |
Program B | 1. Screening during collection of patient vitals during routine doctor’s visit; positive screen flagged in the EHR | Nurse or Medical Assistant |
2. Referral to local food assistance resource list during doctor’s visit | Physician | |
3. Referral to produce prescription program | Physician | |
4. Call FI to enroll in the produce prescription program | Program Manager | |
5. The Produce Prescription Program was held weekly during a two-hour window, one evening per week that included nutrition education classes | Program Manager | |
6. SNAP eligible patients could enroll in SNAP using an electronic tablet provided by the clinic | Program Manager | |
7. A weekly patient satisfaction survey distributed to patients after program participation. Questions asked about food preferences, cooking and nutrition lessons. Every fifth session clinical staff distributed a survey to measure change in FI status or improvements in dietary behavior due to program participation. | Program Manager |