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    The COACH partnership addressed food insecurity by screening over 7,000 patients. This initiative developed a successful screening and referral model for community health needs.

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    Area of Science:

    • Public Health
    • Community Health
    • Health Systems Research

    Background:

    • Community food insecurity is a significant public health issue requiring innovative solutions.
    • Healthcare systems face requirements for Community Health Needs Assessments (CHNA) and implementation planning.
    • Cross-sector partnerships are essential for addressing complex social determinants of health.

    Purpose of the Study:

    • To describe the development and implementation of a food insecurity screening and resource referral model.
    • To collectively meet federal Community Health Needs Assessment (CHNA) implementation planning requirements.
    • To evaluate the effectiveness of a collaborative, cross-health system approach to addressing food insecurity.

    Main Methods:

    • Formation of the Collaborative Opportunities to Advance Community Health (COACH) partnership.
    • Development of a standardized food insecurity screening tool and resource referral pathway.
    • Implementation of the model across participating health systems during an 18-month pilot period.

    Main Results:

    • Screened a total of 7,126 patients for food insecurity during the pilot phase.
    • Successfully integrated a food insecurity screening and referral process into clinical workflows.
    • Demonstrated a feasible model for addressing food insecurity within a healthcare setting.

    Conclusions:

    • The COACH model provides a scalable framework for healthcare systems to address patient food insecurity.
    • Collaborative partnerships are effective in meeting CHNA requirements and improving community health outcomes.
    • Screening and referral interventions can significantly impact the identification and management of food insecurity.