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Healthcare

Food Bank Mobile Pantry and Clinic Food Prescription logic model

In eleven rural and peri-urban census tracts, 1 in 6 households screen positive for food insecurity and the nearest full-service grocery store is more than 10 miles away. Partner clinics screen patients for hunger but have nowhere to send them the same week.

Inputs

  • One refrigerated mobile pantry truck and a 0.5 FTE CDL driver
  • Produce and protein from regional growers and the food bank's donated inventory
  • Referral agreements with 4 primary care clinics that use the Hunger Vital Sign screen
  • Client intake software that records visits without collecting more data than eligibility requires

Activities

  • Run 24 scheduled mobile pantry stops each month at clinics, schools and churches
  • Accept clinic food prescriptions and reserve produce boxes for referred patients
  • Offer SNAP application help at every stop
  • Rotate a dietitian to monthly stops for cooking demonstrations tied to chronic disease diets

Outputs

  • 288 mobile pantry distributions per year
  • 1.1 million pounds of food distributed per year, at least 45% fresh produce
  • 2,400 unduplicated households served per year
  • 620 clinic food prescriptions filled
  • 380 SNAP applications submitted with staff assistance

Short-term outcomes

  • Referred patients receive food within 7 days of a positive screen
  • Households report fewer skipped meals at 3-month follow-up

Intermediate outcomes

  • Share of repeat households screening positive for food insecurity falls by 20% after 12 months
  • SNAP enrollment among served households rises measurably

Long-term impact

  • Improved chronic disease control among food-prescription patients
  • Clinics and health plans co-fund the food prescription as a sustained service

Indicators and data sources

IndicatorSourceFrequency
Pounds distributed and percent fresh produceFood bank warehouse management systemMonthly
Unduplicated households servedClient intake system (for example Link2Feed or Oasis Insight)Monthly
Food insecurity screening resultHunger Vital Sign 2-item screen in partner clinic EHRsQuarterly
SNAP applications submitted and approvedFood bank SNAP outreach log and state agency confirmationsQuarterly

Assumptions

  • Partner clinics keep screening and referring at current volumes
  • Donated and purchased food supply holds steady as federal commodity allocations change

Programs this model suits

  • USDA Emergency Food Assistance Program (TEFAP) storage and distribution funds via the state agency
  • Feeding America network capacity and fresh produce grants
  • Community foundation basic needs and health system community benefit grants

$ elixir trial --days 14

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