Progress 01/01/24 to 12/31/24

Outputs
Target Audience:No change in audience from prior progress report Changes/Problems:1) Propose increasing population of referring providers by expanding to non event site referring providers pending staff and farmer capacity. 2) Barriers of transportation and on the ground staff capacity remain barriers to enrollment and retainment, even with highly engaged and interested patients (transportation), however increasing enrollment and provider engagement is encouraging. What opportunities for training and professional development has the project provided?In addition to our events and work with medical students in the WVU School of Medicine Culinary Lifestyle and Medicine track, we presented at the WV Academy of Nutrition and Dietetics, the AgingWell conference at Shepherd University, and the Gusnip Nutrition Incentive Hub Community of Practice. Our staff continued to attend USDA coordinated educational and support events. How have the results been disseminated to communities of interest?Via communciations with the WVU School of Medicine, presentations to our community partners and hospital colleagues, our website, facebook page, and through our collaboration with other WV PPR and Food as Medicine initatives across the state. What do you plan to do during the next reporting period to accomplish the goals?1) To increase impact and uptake of our incentives, consideropen enrollment to a broader range of enrolling clinicians across WVU Medicine (eg not limited to those from the current event sites) . We would do this in collaboration with our local farmers to ensure capacity andkeeping the eventsites the same to minimize impact on current staff. 2) Continue to build on our social media presence and expand our educational content 3) Continue to explore innovative options, door dash or other modality, to expand delivery options for high risk patients for whom transportation is a barrier. 4) Continue to explore innovative options to collaborate with our community partners who would like to expand the program to their populations.

Impacts
What was accomplished under these goals? For Goal 1: 1a) Increased participating sites to our goal of 8 clinics across two counties. The eighthclinic added was Ob-Gyn,our first addressing ouraim of including expecting mothers and perinatal health. - We also partnered with ourlocal farmers to addwinter boxes to extend season to 42 weeks, thereby increasing opportunites for enrollment and for families to have access to fresh produce over the winter 1b) Added content to our website (www.Farmtoyouwv.org) providinginformation on community-wide resources for nutrition access, lifestyle health and food security such as local farmers' market nutrition incentive programs, cooking resources, community gardens, and emergency food organizations. This addition was additive to our continued flyers and communications at our biweekly events at each clinic in partnership with our community colleagues. For Goal 2: 2a) We continue to deliver practical nutrition and cooking education events tailored to the seasonal produce and diet sensitive conditions available onsite, with accompanying recipes and a reusable produce bag. The mobile teaching unit proved to be a big win with patients and direct hands on teaching and education. We added the inclusion ofseasonalspecific recipes in our winter boxes tailored to the produce in the box from our local farmers. With the help of our medical students, added content and recipes to our website For Goal 3: 3a) Increased by an additional site - for a total of 8 as per above - with our aimed for mix of primary care and subspecialty clinics For Goal 4: 4a) We continued to collaborate with and build depth of relationship with our farmers. Through this partnership we were able to increasecapacity winter boxes and for our enrollment to an additional 37 in year 2. We were also able try new vegetables, greens and herbs for our patients while honing in on the volumes needed for the tried and true favorites for diet specific conditions. 4b) For our direct to consumer marketing for our farmers, we added indivualsections on our website for each farm, and farm specific videos and visual content we worked on with the WVU Reed School of Mediaand Communications and hgihlighted thier produce in community events.

Publications

Progress 01/01/23 to 12/31/23

Outputs
Target Audience:Patients and staff and providersin our 7 participating farm to you WVU Medicine clinics across twocounties in the Eastern Panhandle of West Virginia. These include primary care clinics, Center for Diabetes and Metabolic Health, and the Heart and Vascular Institute. Patients are those with diet sensitive conditions meeting USDA PPR program enrollment criteria and the public at large who visit our Farm to You website or soical media page. Providers are the referring providers and their staff at participating sites. Changes/Problems:The primary barriers we have met have been: 1) A pause in the program due to need to change organizational entity 2) Need for additional sources of funding to expand to community partners interested in collaboration - while we have geerous and sufficient produce incentives for these collaborations, we need to identify funds for further staff to staff those events 3) Need for additional sources of funding or innovative approaches for delivery models due transportation barriers in rural areas 4) Season being limited to 6 months long, whichlimits enrollment period - we will aim to add winter boxes to extend the season What opportunities for training and professional development has the project provided?Our staff attend USDA/Gusnip conferences and educational offerings, including the community of practice sessions. We held educational sessions and cooking demonstrations at thelaunch of our Farm to You Mobile teaching Unit.which included medical students from the WVUSchool of Medicine and faculty providers. We provided education at our regional collaborative diabetes coalition. How have the results been disseminated to communities of interest?Our results have been disseminated via our website www.Farmtoyouwv.org,our Facebook page, andin presetations community, hospital and health system leadership. What do you plan to do during the next reporting period to accomplish the goals?During the next reporting period we plan to: 1) Expand to one more clinical site for a total of 8 2) Introduce winter boxes 3) Increase Enrollment via increasing provider referrals and staff capacity 4) Increase educational outreach via additional content on our website, increased educational tools (recipe cards, rack cards, posters) and the highlighting of our program and farmer partners via dedicated farmer focus on our webste and the development of short form and long form videos 5) Explore collaborations community partners including Meals on Wheels and local Food pantries 6) Identify innovative approaches for food delivery or other options for patients for whom travel is prohibitive as multiple patients expressed this was a barrier in either enrolling or continuing engagement with the program

Impacts
What was accomplished under these goals? Goal 1a) We added 3 new clinical site, the Heart and Vacular Institute (with evening hours for increased access), Innwood primary care,and Magnolia Family Medicine. We increasedthe number of enrollments to a total of 12 for second 6 months of the year 1b) We met our goal of providinginformation on community-wide resources at each event at our respective clinical sites for nutrition access with flyers at our events and social media, these included lifestyle health and food security resources such as local farmers' market nutrition incentive programs, cooking resources, community gardens, and emergency food organizations 2a) We launched our Farm to You Mobile teaching kitchen and met our goal ofdelivering practicalnutrition and cooking education,tailored to seasonal produce and diet sensitive conditions, onsitewith accompanying recipes and a reusable produce bag. 3a) We increased the number ofclinics using EHR-based PRx in the clinical encounter in at least 7clinical sites , 4a) We continued to collaborate, support and highlighta cooperative network of local farmers. However did not acheive our PRx goal for the year, with an average of 12patients enrolled in the second six months as the season did not start until May 4b) We worked with the Hall agency at the WVU School of Media to further develop our website andeducational content and highlighted each farm on our Meet the Farmers page. We also our partnering farmersat weekly events and on social media

Publications