Ecosystem Updates

Thistle – President Shiri Avnery said Thistle is beginning a fourth round of producing medically tailored meals in partnership with Kaiser Permanente for an MTM pilot study. The pilots are a 12-week whole-person care model that seeks to include wrap-around services such as nutrition consults and regular wellness check-ins. Thistle is interested in continuing to be a local meal provider for MTM and would like to participate in more pilot studies to help with development and collaboration for the logistics of an MTM program. One area of discussion is navigating the higher price points of Thistle meals that aim to be whole-food, plant-based meals from California growers. There is an opportunity for meal delivery outsourcing within the county as this would help reduce costs per meal for patients. Also, is there potential for a patient-selected tiered pricing model, where patients can choose a standard plan (covered by insurance) or premium plan (an added cost per meal beyond what insurance would cover). Cultural preferences for MTM is a tension point, and some recipients who are not used to a plant-based diet may find these meals unappealing.

Meals on Wheels Solano County – Executive Director Laurie Hartmann offered an exciting update on a local and state level regarding Meals on Wheels. MOWSC has been in the process of building a new production facility and is ready to break ground after acquiring all necessary funding. The new facility will be on Union Avenue in Fairfield, and scheduled for completion in spring 2024. With this new facility, they intend to include a small-scale commercial kitchen for use by community partners, such as Sustainable Solano for youth culinary instruction. On a much larger scale, Laurie shared about the upcoming work of Meals on Wheels California in the MTM space. MOWCA hosted a learning collaborative with all MOW program directors around MTM initiatives. There is a high probability MOWCA could become a one-stop-shop MTM wraparound service provider for healthcare providers and would potentially distribute administrative roles to leading regional agencies such as Solano County (NorCal Lead). This effort within the MTM space could start as early fall 2024.

Innovative Health Solutions (IHS) – Founding CEO and CFO Norma Lisenko shared an update on the work IHS has been doing and will be doing in the coming months around medically tailored meals. The team is currently wrapping up a 12-week MTM pilot with La Clinica Vallejo, which provided 50 community participants with weekly ready-made meals made by Provisions. While we look forward to the final report from this pilot toward the end of this year, Norma shared the importance of access to culturally relevant prepared foods. All the hard work that goes into a meal to be carefully prepared and transported can end up going to waste if people don’t like the food they are eating. IHS is set to receive additional funding through the Solano County Community Health Improvement Plan (CHIP) to further its MTM efforts over the coming months through a 12-week pilot program focused on maternal health.

Food is Free Bay Area – Through the work of Heather Pierini and Alma Munoz, FIFBA has participated in two separate MTM pilots for IHS. FIFBA actively participated in both pilots in a transportation provider role for MTM meals and grocery boxes. The first pilot was the 12-week program at La Clinica Vallejo for 50 participants: the team provided distribution of refrigerated meals prepared by Provisions and custom weekly grocery boxes to the La Clinica Vallejo distribution site. The second IHS pilot is a 12-week MTM program with Partnership HealthPlan of California, in which ready-made meals were picked up from Thistle and delivered to participants’ homes twice a week, alongside packed grocery boxes. Heather shared that the biggest hurdle in these pilots was creating the necessary logistical infrastructure, including a delivery/logistics app for drivers, a food safety program through the FDA recommendations, food storage/movement equipment for the bagged/boxed foods, limitations of eco-friendly packaging (compostable cardboard packaging was not sturdy enough for participants to carry home). She also shared about their efforts to find a better participant-tracking system for participant meal selection, allergies, and delivery weeks.

Sustainable Solano – Sustainable Solano continues supporting the foundation for medically tailored meals in Solano County through stakeholder meetings and creating an action plan. Sustainable Solano will continue the collaborative work to form an ecosystem of care amidst community stakeholders and clarify roles of each stakeholder in the emerging vision.  Besides the ecosystem’s coordination role, Sustainable Solano sees its participation in the MTM vision through public education programs, especially targeting youth, which can help prevent diet-related illnesses in the future. They continue their public education efforts through monthly cooking classes focused on healthy local food and are set to receive funding under the Solano County Community Health Improvement Plan (CHIP) for three youth wellness internship cohorts. These internships aim to educate Solano County youth about health and wellness through culinary and garden exploration.