Burke Pediatrics Results

Lessons Learned at Burke Pediatrics

  • Patients are grateful!!!! People got food. Our practice was responsible for ~8,000 of food delivered in 2017 and again in 2018. We recruited 10 additional Northern Virginia practices (Pediatrics, Pediatric Specialist, OB-Gyn and Family Medicine Practices) that participated in 2018 and delivered an additional ~8,000 pounds of food.
  • Office staff eagerly supported the effort.
  • No negative patient or practice effects
  • Screening and referring is simple and requires very little provider or office time (1-2 minutes)
  • 80% of the patients who took advantage of the program had never been to a food bank before.
  • 1/3 of our food insecure patients had ??commercial health insurance.
  • Only 1/4 th of our Medicaid patients were "food insecure"
  • Approximately 10% of our patients (a typical middle class pediatric practice in a well employed Washington metro community) are food insecure. We were surprised. Efforts to recruit other practices was met often by this response, "Our patients are not in need", which is unlikely and truly unknown unless surveyed!
  • Reimbursement is available from third party payers. (see step 7)

Survey Results

  • In-office screening from April to August
  • 2200 families completed the survey during office visits
  • 190 surveys positive for food insecurity
    • 8.6% positive

Further Breakdown of Positive Surveys

  • Insurance Type
    • 25% private/self pay insurance
    • 75% state insurance (VA Medicaid, InTotal, AHKP)
  • Primary Language
    • 60% English speaking
    • 36% Spanish speaking
    • 4% other

Use of Food for Others

  • 42 unduplicated families served through the Rx for Food program
    • 181 unduplicated individuals
  • 17 of the 42 families have been served more than once (2 to 6 times)
  • 35 of the families are new to Food for Others

Amount of Food Served

  • 7,568 pounds of food for 181 individuals

Other Findings

  • Many insurance companies (Medicaid, InTotal, Anthem Healthkeepers) did reimburse for screening
    • ICD 10: Z13.21 Encounter for Screening Nutritional Disorder
    • 96160 High Risk Screening
    • Z59.4