Food and Nutrition Security


Public Health and Wellness

FNCE 2018

299. The Socioeconomics of Malnutrition: Food Insecurity Screening and Intervention

Sunday, October 21
3:30 PM - 5:00 PM
CE: 1.5

Session Level 2 - Intermediate

Social determinants of health are gaining recognition in the health care system as contributors to poor health and outcomes. Food insecurity impacts many of our patients, yet often goes undetected and unrecognized. Registered dietitian nutritionists have an important role to play in identifying food insecurity and helping patients to access vital food resources. This presentation will provide attendees with validated screening tools and methodologies and creative interventions that have been successfully applied throughout Oregon and Washington state. The session will then take a deep dive into a hospital system’s efforts to address food insecurity and malnutrition.

Planned with the Committee for Public Health/Community Nutrition

Learning Objectives:

Learning Need Codes:

  • 4010 - Community intervention, monitoring, evaluation
  • 4020 - Community program development
  • 4070 - Food security, hunger

Michele Guerrero, RD, LD

As Primary Care Nutrition Services Supervisor at Yakima Valley Farm Workers Clinic, one of the largest Federally Qualified Health Centers in the country, Michele co-manages the nationally-renowned YVFWC Primary Care Nutrition Services program. Working to increase reimbursement coverage and consistency across health systems, she supervises a collaborative of RDNs in 18 clinics working in primary care and healthcare transformation. She also functions as the regional integrated manager team lead.

Michele has spoken about the YVFWC integrated nutrition services model in many settings, including for the Oregon Primary Care Association, Oregon Academy of Nutrition and Dietetics Annual Conference, and CCO Oregon Annual Conference.. She is a member of the Nutrition Council of Oregon and advisory boards for the Oregon State WIC program and Oregon State University’s Dietetic Internship. She is also the chair of the Adult Nutrition in Health Centers Workgroup with the Academy and HRSA, and a member of the Committee for Public Health and Community Nutrition. Michele's leadership in the dietetics community was recognized with the Oregon Academy of Nutrition and Dietetics' 2017 RYDY.

Michele earned her Bachelor of Science in Nutritional Sciences and Dietetics from Seattle Pacific University in Seattle, WA, and completed her Dietetic Internship at Oregon Health and Science University in Portland, OR. Michele is a native of the Columbia River Gorge, and grew up on an orchard in the shadow of Mount Adams. She enjoys traveling, particularly to visit her sister in London and rambling through the Scottish Highlands.


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Samia Hamdan, MPH, RD

Samia Hamdan is a Senior Nutritionist with the USDA Food and Nutrition Service Agency. For the past 13 years, she has provided nutrition training and technical assistance to six State agencies and 23 tribes related to the USDA National School Lunch Program, School Breakfast Program, Summer Food Service Program, Food Distribution Program on Indian Reservations. Previously she worked at the School Nutrition Association. She has held several elected and appointed leadership positions with the Academy of Nutrition and Dietetics, including current serving as Vice Chair for the Committee on Public Health and Community Nutrition and previous Chair of the Public Health and Community Nutrition DPG. Samia has a Master’s in Public Health from the University of Minnesota and two undergraduate degrees in Agricultural Journalism and Dietetics from the University of Wisconsin-Madison.


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Lynn Knox

Lynn Knox is the State Health Care Liaison for the Oregon Food Bank (OFB). She works with health care providers across the state to provide training and technical assistance on implementation of food insecurity screening and a wide range of interventions to address it. Currently, Lynn is mobilizing OFB’s health care partners across the state to press for maintenance of comprehensive, quality health care and food assistance programs at the state and federal level. Lynn has worked with the Oregon Health Authority to develop a food insecurity screening and intervention Medicaid performance improvement metric and to incorporate the two question screening into other patient assessment tools. Her work at the national level has included advocacy for the incorporation of food insecurity screening into electronic health records systems, serving on the National Quality Forum's expert panel on food and housing insecurity measures and she was the the founding facilitator for a learning exchange about health care engagement with Food Banks across the United States.


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Suzanne Watkins, MS, RD, LD

Suzanne Watkins received her Bachelors of Science in Public Health at Brigham Young University Idaho in 2013, a Master’s of Science in Human Nutrition at Drexel University in 2015, and completed a Dietetic Internship through Oregon State University in 2016. Suzanne finds fulfillment in working with low income and high nutrition risk populations, and in the past has worked for the Supplemental Nutrition Program for Women, Infants, and Children, provided multiple nutrition seminars, workshops, and services for low income populations, and has helped cook for local soup kitchens and meal distribution centers. Suzanne is currently working as an inpatient clinical dietitian at Samaritan Albany General Hospital.


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299. The Socioeconomics of Malnutrition: Food Insecurity Screening and Intervention

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