Helpful files and materials related to NCoP
About HVS NCoP
Brief slide deck that describes the purpose, goals, and structure of the NCoP
Purpose, Priorities, and Goals
Document describing the motivation for the NCoP and what makes us unique. It also summarizes current and future priorities and outlines general NCoP goals
High Level Logic Model
General overview of NCoP activities and outputs, and their short-term, intermediate, and long-term outcomes
Detailed Logic Model
Detailed description of NCoP activities, outputs, and outcomes organized by subgroup (policy, coding, research, and clinical implementation). This document is updated annually following the in-person NCoP meeting at the FRAC and Feeding America Anti-Hunger Policy Conference.
Last update: February 2018
2020 Annual In-Person Meeting Follow-up
As a follow-up to engage with those who were unable to attend the annual in-person meeting in February, a virtual planning call took place April 2, 2020 to allow for all HVS NCoP members to participate in our 2020 strategic planning. The following resource includes meeting notes and member updates in response to COVID-19.
2020 Annual In-Person Meeting
Recap of the annual in-person NCoP meeting, held on February 29, 2020, at the National Anti-Hunger Policy Conference in Washington, D.C. The following resource includes a list of attendees, meeting notes, member updates, and a summary of current member projects.
November 2019 Quarterly Virtual Meeting
Recap of virtual meeting held November 7, 2019. This meeting featured a presentation by Tricia McGinnis and Anna Spencer of the Center for Health Care Strategies, who discussed the landscape of waivers available for state agencies to address food insecurity through Medicaid and partnerships with CBOs. The following resource includes links to the Webinar slide deck and recording, Q&A, member updates, and discussion notes.
August 2019 Quarterly Virtual Meeting
Recap of virtual meeting held August 15, 2019. This meeting featured a presentation by Kristin Sukys and Jean Terranova of the Massachusetts Food Is Medicine State Plan, a two-year statewide initiative that explored the need for and access to nutrition interventions in the Commonwealth, and provides fifteen actionable policy recommendations to increase access to food is medicine interventions. The following resource includes the downloadable MA Food Is Medicine State Plan and Executive Summary, links to the Webinar slide deck and recording, and member updates and discussion notes.
May 2019 Quarterly Virtual Meeting
Recap of virtual meeting held May 21, 2019. This meeting featured a presentation of SIREN’s recent Community Resource Referral Platforms guide by Yuri Cartier, with a follow-up discussion lead by Lynn Knox of the Oregon Food Bank. The following resource includes the downloadable guide and SIREN presentation slides, links to the Webinar slide deck and recording, presentation notes, member updates and discussion notes, and member Q&A.
2019 Annual In-Person Meeting
Recap of the annual in-person NCoP meeting, held on February 23, 2019, at the National Anti-Hunger Policy Conference in Washington, D.C. The following resource includes a list of attendees, meeting notes, member updates, and a summary of current member projects.
November 2018 Quarterly Virtual Meeting
Recap of the virtual meeting held November 18, 2018. This meeting featured a presentation from Wendy Davis, Stanley Weinberger, and Chris Pellegrino from the Vermont Child Health Improvement Program (VCHIP) on “Improving Food Insecurity Screening in Vermont Health Care Settings”. The following resource includes the downloadable VCHIP presentation slides, links to the Webinar slide deck and recording, presentation notes, and member updates and discussion notes.
August 2018 Quarterly Virtual Meeting
Recap of the quarterly meeting held August 22, 2019. This meeting featured a presentation from Danielle Jones on the EveryONE Project. The following resource includes links to the Webinar slide deck and video recording, and additional resources.
May 2018 Quarterly Virtual Meeting
Recap of the quarterly meeting held in May 23, 2018. This meeting introduced a newly released issue brief developed by the NCoP (primarily member Sarah DeSilvey) titled “An Overview of Food Insecurity Coding in Health Care Settings: Existing and Emerging opportunities”, and discussed opportunities to document food insecurity in the medical record. The following resource includes links to the Webinar slide deck and video recording, meeting notes, member and project updates, and additional resources.
December 2017 Quarterly Virtual Meeting
Recap of the quarterly meeting held December 7, 2017. This meeting featured a presentation of “Community Health Detailing: Tap the Power of Community to Improve Care for Food-Insecure Families” by Rishi Manchanda, Founder and President of HealthBegins. The following resource includes links to the Webinar slide deck and video recording, guest presentation slides, meeting notes, member and project updates, document of NCoP “goals, priorities, and accomplishments”, and additional resources.
December 2016 Quarterly Virtual Meeting
The following resource includes links to documents discussed at the quarterly meeting held in December 2016. These include relevant journal articles, Malnutrition Quality Collaborative Workgroup Meeting 1 & 2 slides, draft letter to the AAFP, Hunger to Health Coalition sign on letter, and additional resources.
Electronic Medical-Record Based Referrals to Community Nutritional Assistance for Food-Insecure Patients
This paper briefly describes the integration of a food resource referral into the Hennepin County Medical Center’s EMR at the hospital, outpatient clinics, and community primary are clinics for patients that screen positive for food insecurity using the Hunger Vital Sign. Authors found that this clinic-to-community linkage fits into clinicians’ workflow with minimal disruption, efficiently connecting patients to the hunger relief system.
Hunger Vital Sign NCoP Professional Brief: Four opportunities for medical and health organizations to address food insecurity
This brief provides examples of work by leading medical and health organizations to support Hunger Vital Sign National Community of Practice members’ efforts to improve the food security of their patients at practice and policy levels — work that ultimately promotes positive health outcomes, addresses longstanding disparities in health, and reduces health care costs. Drawing on concrete examples, this brief describes the following four opportunities for medical and health organizations to engage their members in addressing food insecurity: 1) adopt; 2) assist; 3) advocate; 4) and advance the field.
Food is Medicine Massachusetts State Plan Case Study
The Massachusetts Food is Medicine Case Study, written by NCoP members, captures the lessons learned, takeaways, and process details of the MA FIM State plan. FIMMA’s case study motivates context-specific application of FIM interventions. This is a blueprint to inform future initiatives with evidence-based practices and an infrastructure to translate planning to implementation.
Food Insecurity and Health: Overcoming Food Insecurity Through Healthcare-Based Interventions
The National Quality Forum (NQF), in collaboration with Humana Inc. has released its latest practical resource, a food insecurity and health implementation guide. Drawing from diverse expert input and patient experiences, NQF’s latest Guide includes lessons learned, innovative and promising practices, as well as solutions to common barriers to address food insecurity in communities across the nation. The Guide provides healthcare organizations with a range of strategies to effectively intervene and assist individuals in their communities who may experience negative health outcomes from unstable access to food.
Members of the NCoP served as contributors and reviewers of these measures.
The Hunger Vital Sign Identifies Household Food Insecurity among Children in Emergency Departments and Primary Care
This study aimed: (1) to examine the sensitivity and specificity of the 2-item Hunger Vital Sign against the 18-item Household Food Security Survey Module (HFSSM) in identifying young children in food insecure households in emergency department and primary care sites and (2) to examine associations between food insecurity and adverse health conditions. Results found that screening for food insecurity with the Hunger Vital Sign identifies children at risk for adverse health conditions in both primary care and emergency department sites, and can be used to connect families with resources to alleviate food insecurity.
An Overview of Food Insecurity Coding in Health Care Settings: Existing and Emerging Opportunities
Developed by NCoP member Sarah DeSilvey, FRAC and Children’s Healthwatch (NCoP co-conveners), this report reviews existing and emerging opportunities to document food insecurity screening, assessment, intervention, and billing for each part of a patient visit using discrete codes and language from standardized EHR medical vocabularies.
This document features food insecurity and related posters and presentations from the 2019 Pediatric Academic Societies (PAS) Meeting. Search criteria included: food insecurity; social determinants of health; social need/risk; and screening (related to food insecurity and the social determinants of health). Work of NCoP members is highlighted in yellow and in bold.
Blue Cross Blue Shield Memorandum
Drafted by Sarah DeSilvey (NCoP member) and Children’s HealthWatch (co-conveners of NCoP), this memo was sent to Blue Cross Blue Shield of Vermont on the importance of reimbursing for health risk assessment CPT codes 96160 and 96161. As a result of collaborative efforts, BCBS of VT (the largest private insurer in VT), now reimburses for these CPT codes, which include food insecurity.
In April, 2019, the NCoP was featured in an Islamic Medical Association of North America (IMANA) Webinar titled “Ending Hunger Using the Hunger Vital Sign Tool.” The following resource is the slide deck Richard Sheward (co-convener of the NCoP) used for the presentation. The slides introduce the HVS tool and the NCoP, the food insecurity screening and referral process, and other relevant resources.
In September, 2019, Richard Sheward and Heather Hartline-Grafton (co-conveners of the NCoP) presented as subject matter experts on “Identifying & Addressing Food Insecurity in Healthcare Settings” during Moving Health Care Upstream’s Policy Learning Lab Webinar. The following resource is a slide deck of this presentation.
Policy Learning Lab Compendium of Research & Technical Assistance Memos
In 2018, Children’s HealthWatch and FRAC (co-conveners of the NCoP) participated in Moving Health Care Upstream’s Policy Learning Lab, where they partnered as a subject matter expert in food insecurity and provided tailored resources and technical assistance to support four of the Policy Learning Lab teams. The following resource is the full MHCU Policy Learning Lab report, released in April, 2019. NCoP memos can be found on pages 37-63 in the following resource.
Food Insecurity Screening and Referral Algorithms for Adults, Patients Living with Diabetes, and Pediatric Patients
Nutrition & Obesity Network, Policy Research and Evalution
Free downloadable algorithms that provide flow and steps for screening for and addressing food insecurity through various referrals for three specific populations: adults, patients living with diabetes, and pediatric patients.
Identifying and Addressing Childhood Food Insecurity in Healthcare and Community Settings
Hans B. Kersten, Andrew F. Beck, and Melissa Klein. eBook.
This resource offers clinicians and other stakeholders a comprehensive multi-tiered framework for identifying, addressing, and reducing food insecurity among children and their families. Recommendations for screening in a busy clinical setting, strengths and limitations of widely-used instruments, and a variety of clinic-level interventions are discussed.
Community Resource Referral Platforms: A Guide for Healthcare Organizations
Released in April, 2019, the Social Interventions Research & Evaluation Network (SIREN) developed a guide that explores the landscape of community resource referral platforms and the experiences of early adopters. Drawing upon a review of nine commonly used platforms and interviews with 39 organizations in the process of selecting or implementing a platform, the guide provides a primer on the current features and functionalities of these technologies and distills lessons learned and recommendations on how to implement a community resource referral platform
Addressing Food Insecurity: A Toolkit for Pediatricians
This toolkit, developed in 2017 by FRAC (co-convener of the NCoP) and the American Academy of Pediatrics (AAP), is designed for health providers who work with children and provides tools, resources, and materials to screen for food insecurity and connect families to nutrition programs and resources. The toolkit also provides specific strategies for pediatricians to support and advocate for national and local policies that increase access to adequate healthy food for all children and their families. The toolkit includes downloadable resources that can be readily used in clinical settings.
Identifying Food Insecurity in Health Care Settings: A Review of the Evidence
Literature review conducted in 2017 by the Social Interventions Research & Evaluation Network (SIREN) to compare and evaluate studies that have investigated the efficiency, validity, and/or acceptability of multiple screening tools used in healthcare settings. Authors: Jacqueline Torres, PhD; Emilia De Marchis, MD; Caroline Fichtenberg, PhD; and Laura Gottlieb, MD, MPH.
Food Insecurity Screening in Houston and Harris County: A Guide for Healthcare Professionals
This report provides healthcare providers with information on how to screen and respond to food insecurity, including an extensive list of local resources. The report also highlights the need for more research on how to most effectively screen and respond to food insecurity and to study the link between food insecurity screening and patient health outcomes. Developed by Correa, N. and the ACE Coalition Food Insecurity Workgroup
Food Insecurity and Health: A Toolkit for Physicians and Healthcare Organizations
Developed in 2017 by Humana and Feeding America to raise awareness and to offer suggestions for how health care professionals might treat food insecurity in their patients. This resource is intended to support health care providers as they identify patients who are food insecure and to make connections with community resources to help patients improve their access to healthy food, their diet quality and ultimately their health.
Addressing Food Insecurity in Health Care Settings: Key Actions & Tools for Success
Children’s HealthWatch and FRAC (co-conveners of the NCoP) along with Feeding America have worked with anti-hunger advocates, emergency food providers, and health care providers across the nation as they address food insecurity in health care settings. All three organizations share a common vision of supporting these partnerships to improve food security and health, and have identified four key actions and multiple resources for successful efforts. The four key actions outlined in this brief offer the latest best practices to start or enhance efforts to address food insecurity in health care settings.
Screen and Intervene: Addressing Food Insecurity Among Older Adults
This free, online course, developed by FRAC and the AARP Foundation, is designed for health care providers and community-based partners working with older adults. After completing the course, learners will be able to: define food insecurity; identify the risk factors for food insecurity among older adults; identify the negative health outcomes that food-insecure patients may face; use the Hunger Vital Sign™ screening tool; and connect individuals to SNAP, additional nutrition resources, and community partners. Continuing education credit is available.