Source: REINVESTMENT PARTNERS submitted to NRP
RP RX PRODUCE PRESCRIPTION PROGRAM: BETTER FOOD FOR BETTER HEALTH
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1020839
Grant No.
2019-70030-30406
Cumulative Award Amt.
$507,340.00
Proposal No.
2019-04711
Multistate No.
(N/A)
Project Start Date
Sep 1, 2019
Project End Date
Aug 31, 2022
Grant Year
2019
Program Code
[PPR]- Produce Prescription
Recipient Organization
REINVESTMENT PARTNERS
110 E GEER ST
DURHAM,NC 27701
Performing Department
(N/A)
Non Technical Summary
Reinvestment Partners'Produce Prescription Program (RPRx) partnerswith three health partners across two counties in North Carolina. RPRx offers low-income patients of health clinics who are on Medicaid or receive SNAP benefits with a monthly prescription to purchase WIC-qualified fruits and vegetables from major grocery retailers. Local health partners will refer participants and provide wraparound services to clients with nutritional needs.
Animal Health Component
(N/A)
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70473101010100%
Goals / Objectives
Our goals for this project include:Reduce the barriers to healthy eating for low-income consumers.Increase the purchase and consumption of fruits and vegetables by low-income consumersDemonstrate effective use of technology to allow for greater participant utilization and choiceIncrease awareness of healthy eating principles and strategies by coupling the prescription with wraparound nutrition servicesDemonstrate the effectiveness of produce prescription programs in improving health outcomes for participants
Project Methods
The health partners will screen patients with nutrition related health issues about their access to healthy food. The providers will ask if the client receives SNAP benefits or if they are on Medicaid, inform them about the Produce Prescription program, and, with the client's permission, enroll them in the program. The enroller can be a case manager or a health provider. They can verify Medicaid status by using the patient's Medicaid card and number. To determine those with active SNAP accounts, they will be instructed to call up the SNAP telephone number with the patient's EBT number to confirm active status.Partners will use a web portal created by RP to enroll participants in the program. During this process, participants enroll electronically into RP Rx and provide the client with a Solutran Healthy Savings card, activating the card at the same time. The activation of the card will deposit the initial $40 in funds for the purchase of fruits and vegetables. Each month, $40 in produce prescription funds will be deposited on the Solutran Healthy Savings Card. We will work with Solutran to ensure smooth implementation of the technology and address any challenges.RP Rx participants will use the Solutran card to make purchases of WIC-qualifying fruits and vegetables at local Food Lion, Walmart, and Harris Teeter stores. The $40 can be redeemed only in the month in which it was deposited. The prescription will last for 12 months if the client remains active. The 12-month time frame was determined by researchers evaluating the Bull City Bucks program who recommended that a longer duration will likely have a greater impact on health.Solutran will provide monthly reports to RP and receive reimbursement for prescriptions redeemed.

Progress 09/01/19 to 08/31/22

Outputs
Target Audience:In this project, we targeted Medicaid beneficiaries and patients at select participating Federally Qualified Health Centers in North Carolina. Eligible Medicaid beneficiaries were identified by using the administritive data of a major health system in Mecklenburg County. The beneficiaries were selected because they resided within Mecklenburg County and because they had been to the emergency department at least once within the last 6 months. Patients enrolled through the FQHCs were identified by screening positiveas being food insecure and having a diet-related chronic health condition. Changes/Problems:The biggest change that occurred with this program was the inclusion of Atrium Health as an impelementation and research partner. This partnership allowed us to test a new delivery model of performing outreach to a targeted subset of patients based on healthcare utilization and census tracts. We have connected with researchers within Atrium Health to investigate the impact of this program on participants' health and healthcare utilization outcomes. What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest?We have communicated the results to our healthcare partners and a variety of other stakeholders in North Carolina including NC DHHS. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? RP accomplished the following under this project: We reduced the financial barriers to healthy eating for 2,332 low-income North Carolinians. $442,216 was distributed to participants to purchase eligible fruits and vegetables. Preliminary findings indicate that this doubled participants' intake of fruits and vegetables. Our project distributed credits onto the customer loyalty card of our retailer partner, Food Lion. These credits were used to purchase any eligible item in any of the 500 Food Lion stores in North Carolina. This technology maximized participants' choice to purchase the items they wanted, when and where they wanted to buy them. We partnered with healthcare providers to provide our program as a supplement to their suite of educational and nutritional services. We are partnering with Atrium Health to evaluate the impact of our program on participants' health and healthcare utilization outcomes.

Publications

  • Type: Websites Status: Published Year Published: 2022 Citation: https://www.bcbsncfoundation.org/wp-content/uploads/2022/05/Reinvestment-Partners-Case-Study-April-2022.pdf


Progress 09/01/21 to 08/31/22

Outputs
Target Audience:In this reporting period, RP served 2,332 participants. 399 were enrolled through participating Federally Qualified Health Centers in Forsyth and Wake Counties in North Carolina. Participants were screened by care/case managers for food insecurity and health condition. Health center staff enrolled patients directly over the phone or in person. 1933 participants were enrolled through Atrium Health based in Charlotte, NC. Atrium sent unique, single use referral viatext messages to targeted Medicaid patients prompting them to enroll themselves in the program. These patients were concentrated in targeted low-income census tracts in Mecklenburg County. Changes/Problems:We added a partnership with Atrium Health because they have a greater capacity to implement technology-enabled outreach to targeted patient populations. This partnership allowed us to reach the majority of participants in a very short amount of time. What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?The Atrium Health research team will continue implementing their study of our program. The program has ended.

Impacts
What was accomplished under these goals? RP accomplished the following goals in this rerpoting period: Distributed over $385,000 in healthy food incentives to 2,332 participants in 3 counties Increased participants' healthy food purchase by doubled Used novel technology approaches to reach clients quickly and efficiently Partnered with healthcare providers to offer nutrition education programs and other nutritional wraparound services Initiated partnerships with Atrium Health researchers to evaluate the health impacts of our produce prescription program

Publications


    Progress 09/01/20 to 08/31/21

    Outputs
    Target Audience:Clinic staff enroll patients with targeted medical conditions into Reinvestment Partners' produce prescription program. Patients must have SNAP to participate. Changes/Problems:We haven't experienced any major changes or problems, although enrollment has been slower than anticipated due to the ongoing COVID-19 pandemic. Now enrollment is steady and the funds are being spent each month. What opportunities for training and professional development has the project provided?We train all clinic staff who enroll patients in our program. They become proficient in enrollment through our portal. How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?Continue to enroll patients and deliver $40/mo for fruits and vegetables to enrolled patients.

    Impacts
    What was accomplished under these goals? Reduce barriers to healthy eating for low-income consumers. All participants in the produce prescription program receive $40 per month that can only purchase healthy fruits and vegetables at their local Food Lion store. We have enrolled 304 participants so far. - Increase purchase and consumption of fruits and vegetables by low-income consumers. With many of our participants only receiving a meager monthly SNAP benefit, the $40 for fruits and vegetables allows them to buy healthy food that they could not before. Participants have spent about $50,000 so far on eligible fruits and vegetables. - Demonstrate effective use of technology to allow for greater participant utiliation and choice. Patients are enrolled in minutes and effective immediately. Patients can choose to buy any healthy fruit or vegetable they want.

    Publications


      Progress 09/01/19 to 08/31/20

      Outputs
      Target Audience:Clinic staff enroll patients with targeted medical conditions into Reinvestment Partners' produce prescription program. Patients must have SNAP to participate. Changes/Problems:We haven't experienced any major changes or problems, although enrollment has been slower than anticipated due to the ongoing COVID-19 pandemic. What opportunities for training and professional development has the project provided?We train all clinic staff who enroll patients in our program. They become proficient in enrollment through our portal. How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?Increase enrollment and encourage enrollment over the phone.

      Impacts
      What was accomplished under these goals? - Reduce barriers to healthy eating for low-income consumers. All participants in the produce prescription program receive $40 per month that can only purchase healthy fruits and vegetables at their local Food Lion store. - Increase purchase and consumption of fruits and vegetables by low-income consumers. With many of our participants only receiving a meager monthly SNAP benefit, the $40 for fruits and vegetables allows them to buy healthy food that they could not before. - Demonstrate effective use of technology to allow for greater participant utiliation and choice. Patients are enrolled in minutes and effective immediately. Patients can choose to buy any healthy fruit or vegetable they want.

      Publications