SPEAKING WITH ONE VOICE ON FOOD AND HEALTH: The Massachusetts Food is Medicine State Plan Sarah Downer, JD Associate Director Center for Health Law & Policy Innovation
Center for Health Law and Policy Innovation 2
S TATE P LAN O BJECTIVES The MA Food is Medicine State Plan: 1. Uses publicly available data to assess the distribution of need for Food is Medicine interventions in Massachusetts, 2. Uses surveys and listening sessions to assess the distribution of access to Food is Medicine interventions in Massachusetts, and 3. Will develop a strategy , which will include metrics to measure progress, to increase the availability of Food is Medicine interventions to meet the level of need throughout the state. Food is Medicine State Plan Video Center for Health Law and Policy Innovation 3
P LANNING C OUNCIL • • • Alliance of Massachusetts Community Servings Massachusetts League of YMCAs Community Health Centers • DentaQuest Foundation • • Blue Cross Blue Shield of MA Massachusetts Medical Society • Elder Services of Merrimack Foundation • Valley Mayor's Office of Food Access, • Blue Cross Blue Shield of Boston • Emerald Physician Services Massachusetts • Meals on Wheels America • Executive Office of Elder Affairs • Boston Medical Center HealthNet • Minuteman Senior Services • Feeding America Plan • New England States Consortium • Greater Boston Food Bank • Boston Medical Center Systems Organization (NESCSO) • Harvard School of Public Health • Boston Public Health Commission • Project Bread • Health Care Without Harm • Brockton Neighborhood Health • The Food Bank of Western MA • Just Roots Center • Tufts Friedman School of • Krupp Family Foundation • Children's Health Watch Nutrition Science and Policy • Massachusetts Healthy Aging • Center for Health Law and Policy • UMass Medical School Collaborative Innovation (CHLPI) • UMass Memorial Medical Center • Massachusetts Department of • Commonwealth Care Alliance • Wholesome Wave Transitional Assistance • Community Health Center of • Massachusetts Food System Franklin County Collaborative Center for Health Law and Policy Innovation 4
D ATA C OLLECTION 1. Surveys to healthcare providers, healthcare payers, and community-based food and nutrition service organizations 2. Listening Sessions held across the state and to targeted groups 3. In-Depth Community Member Interviews with individuals receiving food and nutrition services 4. Spatial Analysis to identify areas with a high need for Food is Medicine services Center for Health Law and Policy Innovation 5
D ATA T HEMES Healthcare Providers and Insurers CBOs Clinicians • FIM services are supported • When covering FIM services, • Food insecurity screening is not primarily by (and subject to) most often covering meals philanthropy and other grant widespread, standardized, or programs • Believe FIM services are tracked beneficial to patients and to • At current funding levels, • Providers want to connect their mission CBOs will be hard-pressed patients to resources but feel to change their practices or • Largely have no concrete plans constrained by time serve many more clients to expand services • Providers do not know what • CBOs need assistance to resources are available build capacity and expertise • Providers want and need more • CBOs want to work with information about nutrition and healthcare partners health to best serve patients Center for Health Law and Policy Innovation 6
P RIORITY A REAS FOR FIM S ERVICES 21 Priority Towns Chronic disease prevalence Chronic disease acute episodes Food insecurity Low vehicle access Center for Health Law and Policy Innovation 7
S TATE P LAN D EVELOPMENT (S PRING 2019) • Responsive recommendations for coordinated action based on our data, especially focused on expanding capacity for services in high priority areas. • Recommendations for all sectors : government, private sector, nonprofit community-based organizations, healthcare providers and payers, community advocates, philanthropy, academia. • Guided by the community and vetted by our Planning Council Center for Health Law and Policy Innovation 8
S TAY T UNED ! Sarah Downer , Associate Director Center for Health Law and Policy Innovation, Harvard Law School sdowner@law.harvard.edu Jean Terranova , Director of Food and Health Policy Community Servings Jterranova@servings.org https://www.chlpi.org/massachusetts- food-medicine-state-plan/ Center for Health Law and Policy Innovation 9
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