1. A FRUIT AND VEGETABLE PRESCRIPTION PROGRAM
PRESCRIPTION PROGRAM TRAINING TEMPLATE
Date
A FRUIT AND VEGETABLE PRESCRIPTION PROGRAM
LOGO HERE 1

2. AGENDA Welcome and Introductions Program Overview and Goals
Clinical Program Operations and Materials
Retail Operations and Materials
Implementation Timeline
Next Steps 2

3. WELCOME AND INTRODUCTIONS

4. PROGRAM OVERVIEW AND GOALS

5. WHAT IS A FRUIT AND VEGETABLE PRESCRIPTION PROGRAM?
A nutrition incentive program where healthcare providers offer clinical care, nutrition education, and/or a fruit and vegetable prescription redeemable for fruits and vegetables at a participating retail location.
Trainer Notes: Use this slide to discuss what your fruit and vegetable prescription program is. You may also want to include the benefits of the program, such as its positive impact on health and for communities by increasing consumption of and access to fresh, healthy, and locally grown fruits and vegetables; improving health outcomes in patient populations suffering from chronic diet-related diseases; or increasing the viability of local healthy food retailers by increasing the purchasing power of participants who regularly shop for fruits and vegetables. 5

6. HOW IT WORKS
Trainer Notes: Use this slide to give staff an overview of how the program works at both the clinical site and the retail site 6

7. PROGRAM GOALS
Increase consumption of and access to affordable fresh fruits and vegetables
To improve health outcomes in TARGET POPULATION
ADD ADDITIONAL GOAL
Trainer Notes: Use this slide to discuss your program goals 7

8. The Clinical Program Clinical and Retail Site Partners
Clinical Protocols
Roles and Responsibilities
Recruitment & Enrollment
The Clinical Visit
The Prescription

9. PARTNERS Trainer Notes: Use this slide to introduce program partners.9

10. CLINICAL PROTOCOLS
Enroll TARGET POPULATION patients to participate in the program
Obtain patient written consent to participate
Conduct TOTAL NUMBER & FREQUENCY OF VISITS clinical visits with patients
Educate participants on the importance of fruits and vegetables in their diet
Ensure that the provider and nutrition visit take place on the same day
Collect health indicators during each FREQUENCY clinical visit
Disburse prescriptions to patients during FREQUENCY visits
Report clinical data on a FREQUENCY basis using NAME OF DATABASE
Trainer Notes: Use this slide discuss your program’s clinical protocols 10

11. PROVIDER RESPONSIBILITIES
Trainer Notes: Use this slide to outline providers FVRx roles and responsibilities. 11

12. NUTRITION EDUCATOR RESPONSIBILITIES
Trainer Notes: If your program involves a nutritionist or nutrition educator, use this slide to discuss their role and responsibilities. 12

13. ADMINISTRATOR RESPONSIBILITIES
Trainer Notes: If your program involves clinical administrators, use this slide to discuss their role and responsibilities. 13

14. Recruitment & Enrollment

15. THE TARGET POPULATION ELIGIBILITY CRITERIA
Able to attend NUMBER monthly clinical visits from DATE TO DATE
Able to shop at the RETAIL NAME on a weekly or biweekly basis
Trainer Notes: Use this slide to discuss the target population eligibility criteria 15

16. RECRUITMENT STRATEGIES
Trainer Notes: Use this slide to present and discuss potential recruitment strategies. 16

17. PATIENT ENROLLMENT
Trainer Notes: Use this slide to discuss how patients will be enrolled into the program along with any materials developed. 17

18. OBTAINING CONSENT
Trainer Notes: Use this slide to discuss the consenting process and to reference any consenting forms. 18

19. PARTICIPANT IDS
Generate a list of unique identifiers, or Participant IDs
Assign IDs to each patient once they are enrolled
The same ID should be used for the participants throughout the entire program
Keep a master ID list that links each patient name to the ID number; store in a secure, locked file
Trainer Notes: Use this slide to discuss the use of unique identifiers
The Program ID number is a unique identifier that is assigned to each participant to anonymously track health metrics and prescription redemption information.
It is important to note that the same ID should be used for a participant during the entire program on all forms.
Keep a master ID list at your clinics linking the participant’s name to the ID, but this list should stay at the clinic in a secure electronic file or a locked file cabinet. 19

20. THE CLINICAL VISIT

21. THE CLINICAL VISIT Occurs FREQUENCY for NUMBER months.
The patient will:
Meet with
Attend an individual or group nutritional visit
Receive a prescription
Trainer Notes: Use this slide to discuss what the patient will do during an clinical visit. 21

22. THE PROVIDER
Trainer Notes: Use this slide to outline provider messaging, health metrics data collection and prescription distribution 22

23. CLINICAL VISIT FORM
Trainer Notes: Use this slide to discuss elements of the Fruit and Vegetable Prescription Program Visit Form. 23

24. NUTRITION EDUCATION
Trainer Notes: Use this slide to outline your program’s nutrition education messaging 24

25. NUTRITIONAL ASSESSMENT
Trainer Notes: Use this slide to discuss collecting information on participants nutritional intake, such as fruit and vegetable consumption.
The form captures the following data: 25

26. DATA COLLECTION & REPORTING
Trainer Notes: Use this slide to discuss expectations on data collection and reporting
For example:
How often data is collected
What data is being collected
Who collects the data
What forms the clinical team use to record and report the data 26

27. FRUIT AND VEGETABLE SERVING SIZES
Trainer Notes:
The Fruit and Vegetable Serving Size Guides are provided as an additional resource to help patients determine serving sizes when asking participants to estimate their fruit and vegetable consumption at each clinical visit. 27

28. PRE & POST-PROGRAM SURVEYS
Trainer Notes: If your program includes administering pre and post-program surveys, this slide can be used to discuss what questions are included on the surveys and at what point in the program the surveys should be administered. Reference printed surveys for clinical staff to review and ask questions during the training. 28

29. ADMINISTERING PATIENT SURVEYS
1. Distribute the survey to the patient and provide interpretation support when needed.
2. Check that the program ID is on every page of the survey.
3. Collect completed surveys and make copies of the surveys and keep the originals in a secure file on site.
4. Enter survey data into DATABASE NAME
Trainer Notes: Use this slide to discuss collecting survey date and where to report survey data.
Tip: Surveys should not be printed on both the front and back of sheets to make sure that participants have the opportunity respond to all survey pages. While understanding the issue of paper waste, you want to ensure a high response rate. 29

30. THE PRESCRIPTION

31. THE PRESCRIPTION Remind clinical staff to explain to the patient:
Trainer Notes: Use this slide to walk through the elements of a prescription and how it is filled out. Consider inserting an image of the prescription if you have one.
Remind clinical staff to explain to the patient:
How to use the prescription
Where to redeem the prescription
Provide any patient handouts that include program information
What happens if the patient loses the prescription (will they receive a new one or not) 31

32. WHAT IS THE PRESCRIPTION WORTH?
For example: $1 per household member x 7 days per week x 4 weeks = $28 per month
Trainer Notes: Use this slide to explain how to calculate a patient’s incentive amount. An example of a variable prescription amount has been included, change as needed.
This family’s prescription is worth $28 per week or $112 per month. 32

33. QUESTIONS?

34. AT THE FARMERS MARKET Farmers Market Protocols
Roles and Responsibilities
Prescription Redemption
Data Collection and Reporting
If your program is working with a grocery store or other brick and mortar retail the following slides on farmers markets can be deleted.

35. FARMERS MARKET PROTOCOLS
Prescription redemption occurs regularly for at least NUMBER months
Prescription redemption is tracked
Redemption data is reported to NAME
Redemption data is reported FREQUENCY
Prescriptions are redeemed for fresh fruits and vegetables only
Trainer Notes: Use this slide to discuss your program’s protocols. 35

36. MARKET MANAGER RESPONSIBILITIES
Trainer Notes: Use this slide to discuss the market manager’s program responsibilities 36

37. PRESCRIPTION REDEMPTION
1. Participant visits the farmers market
2. Participant visits the market table
3. Market staff redeem the prescription
Collects data/records use on prescription
Returns prescription to participant or retains a fully redeemed prescription
Distributes alternative currency (e.g. tokens)
4. Participant uses alternative currency to purchase fresh fruits and vegetables from vendors
Trainer Notes: Use this slide to discuss how you have designed your prescription redemption process.
You may also want to discuss how market staff ensure that the prescription is valid
It can be helpful to mention that the clinical team ensures that participants know about the farmers market, know what to expect, know the names/dates/times/locations. Some participants may have never frequented a farmers market before or have little knowledge of how to shop at a farmers market. Getting participants to feel comfortable using their prescription and shopping at the farmers market is important to getting participants to returning again and again. 37

38. COLLECTING REDEMPTION DATA
The Redemption Log is to be used to collect the following information:
Participant ID
The total $ amount of tokens distributed
The total $ amount spent at the market
The market manager/coordinator will use the Farmers Market Online Spreadsheet to report on redemption data.
Trainer Notes: Use this slide to discuss collecting redemption data at the market. 38

39. PRESCRIPTION REDEMPTION LOG
Trainer Notes: Use this slide to review elements of the Redemption Log Sheet and the data entered in it. 39

40. PRESCRIPTION REDEMPTION REPORTING TOOL
Trainer Notes: Use this slide to review elements of the Farmers Market Reporting Tool. You may also want to discuss the frequency of when data should be entered and reported. 40

41. QUESTIONS?

42. RETAIL PROGRAM Retail Protocols Roles and Responsibilities
Prescription Redemption
Data Collection and Reporting

43. RETAIL PROTOCOLS
Prescription redemption occurs regularly for at least NUMBER months
Prescription redemption is tracked
Redemption data is reported to NAME
Redemption data is reported FREQUENCY
Prescriptions are redeemed for fresh fruits and vegetables only
Trainer Notes: If your program partners with a retail partner such as a grocery store, small store, or convenience store, use this slide to discuss your program’s retail protocols. 43

44. STORE MANAGER RESPONSIBILITIES
Trainer Notes: Use this slide to discuss the store manager’s program role and responsibilities. 44

45. CASHIER RESPONSIBILITIES
Trainer Notes: Use this slide to discuss a cashier’s program role and responsibilities. 45

46. BOOKKEEPER RESPONSIBILITIES
Trainer Notes: Use this slide to discuss a bookkeeper’s program role and responsibilities. 46

47. PRESCRIPTION REDEMPTION
Participant shops for fruits and vegetables
Participant uses the prescription to purchase fruits and vegetables
Cashier redeems the prescription at the register
Trainer Notes: Use this slide to discuss how you have designed your prescription redemption process at a retail site, such as a grocery store, small store, or convenience store.
You may also want to discuss how staff ensure the prescription is valid. 47

48. COLLECTING AND REPORTING RETAIL DATA
The Fruit and Vegetable Prescription Invoice collects:
Date of prescription purchase
Program ID
Number of prescriptions used
The total $ of prescription redeemed
Trainer Notes: Use this slide to discuss collecting redemption data at the retail location. 48

49. NEXT STEPS

50. PROGRAM TIMELINE
INSERT MONTH(S)
Recruitment & enrollment begins
Clinical visits and prescription distribution begins
Prescription redemption begins
Patient pre-surveys completed
Clinical visits and prescription distribution continues
Prescription redemption continues
Patient post-surveys completed
Final clinical visits completed
Clinical visits and prescription distribution ends
Prescription redemption finishes
Trainer Notes: Use this slide to present your program’s timeline. 50

51. UPCOMING MEETINGS
Trainer Notes: Use this slide to communicate dates and locations of partner meetings and site visits. 51

52. PARTNER CONTACT INFORMATION
Trainer Notes: Use this slide to list the names and contact details of each partners’ main point of contact. 52