{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T17:05:36Z","timestamp":1767891936085,"version":"3.49.0"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Food insecurity (FI), limited or uncertain access to adequate food, impacts every state, county, and community in the United States. The goals of this quality improvement (QI) initiative were to first achieve greater than 90% compliance with FI screening for patients seen at pediatric GI clinics within 1 year and second increase the proportion of families identified as FI connected with resources to 50% at follow\u2010up visits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using plan\u2010do\u2010study\u2010act cycles, interventions were implemented to (1) educate, (2) create a screening process, (3) optimize communication with EMR utilization, and (4) connect families to resources. Descriptive statistics on all variables collected were performed. Differences between the FI and food secure groups were assessed using the Mann\u2013Whitney test for continuous variables and the Chi\u2010squared test for categorical variables. QIMacros\u00ae Quality Improvement\/SPC Software for Excel was used to create process control charts to show improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the timeframe from August 29, 2022, to February 29, 2024, 2946 visits were completed in the GI clinic, and 58% (1731 patients) were screened for FI. Of the patients that were screened for FI, 13% screened positive. Compliance with FI screening improved to 90%, and connection to resources improved to 75%. Race, ethnicity, preferred language, and insurance were all significantly associated with FI, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This QI initiative demonstrates standardized FI screening improves FI identification and connection to resources.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpn3.70010","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T02:03:00Z","timestamp":1739239380000},"page":"776-782","source":"Crossref","is-referenced-by-count":1,"title":["Feeding hope: A quality improvement initiative to improve identification of food insecurity"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3359-4338","authenticated-orcid":false,"given":"Nicole","family":"Misner","sequence":"first","affiliation":[{"name":"Morsani College of Medicine University of South Florida Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patoula","family":"Panagos\u2010Billiris","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine University of South Florida Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Yavelow","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine University of South Florida Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaitanya","family":"Chaphalkar","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine University of South Florida Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athanasios","family":"Tsalatsanis","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine University of South Florida Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Racha T.","family":"Khalaf","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine University of South Florida Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Food security in the US. US Department of Agriculture. January 8 2025.https:\/\/www.ers.usda.gov\/topics\/food-nutrition-assistance\/food-security-in-the-u-s\/measurement\/#security"},{"key":"e_1_2_8_3_1","unstructured":"Map the meal gap. Feeding America.2024.https:\/\/map.feedingamerica.org"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-0397"},{"key":"e_1_2_8_5_1","unstructured":"AshbrookA EsselK KimberlyM Bennett\u2010TejesD. Screen and intervene: a toolkit for pediatricians to address food insecurity. FRAC 2021.https:\/\/frac.org\/aaptoolkit"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-3146"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-011718"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2018.02.019"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpr3.12058"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000001778"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2023.06.012"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/pai.13019"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.13109"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-022-03566-x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2020.05.056"}],"container-title":["Journal of Pediatric Gastroenterology and Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpn3.70010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T07:05:43Z","timestamp":1756969543000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpn3.70010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,10]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/jpn3.70010"],"URL":"https:\/\/doi.org\/10.1002\/jpn3.70010","archive":["Portico"],"relation":{},"ISSN":["0277-2116","1536-4801"],"issn-type":[{"value":"0277-2116","type":"print"},{"value":"1536-4801","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,10]]}}}