Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Karen Roberts Burritt PhD, RN, FNP-BC

Second Advisor

Leslie Pelkey, MD, FACP

Third Advisor



Background: The rate of uncontrolled diabetes among patients at a local Federally Qualified Health Center (FQHC) is higher than the nation standard, a phenomenon believed to be caused by the effects of social determinants of health (SDOH). SDOH, specifically food insecurity, play a significant role in health outcomes of diabetic patients. Increasing access to healthy foods, thereby reducing food insecurity, has the potential to improve glycemic control and reduce diet related chronic disease.

Objectives: The project aims to determine if partnership with a membership based incentivized grocery store has the potential to positively impact health outcomes among vulnerable patients with uncontrolled type 2 diabetes.

Methods: This quality improvement project targeted patients above age 18 residing in Kent County, Michigan, that met all of the following: a) a diagnosis of type 2 diabetes, b) glycosylated hemoglobin (A1C) at or above 9%, c) household income at or below 200% of the federal poverty level. Collaborative efforts with a membership based incentivized grocery store were established and qualifying patients were connected with the resource. Data was collected via chart audit, phone interviews, and review of purchasing habits.

Results: During the patient recruitment period between 8/2019-12/2019, 48 patients expressed interested in the Food Club. Of those 48, 23 referrals were successfully completed, and six individuals completed the membership process. Primary outcomes were A1C, depression scores, and barriers encountered by patients during the referral and membership processes.

Implications: Practice implications included increasing SDOH screening workflow to gain insight on the barriers patient face. These preliminary results will be strengthened by continued work under grant funding received by the FQHC.

Additional Files

Bri Taylor Final Defense.pptx (3951 kB)