Improvement Strategies and Objectives:
Strategy #1: Increase Access to Emergency Food Resources
Objective Time-Frame Target Measure: Guest Registrations Served by PHII
Objective Time-Frame Target Goal: 20
Objective Time-Frame Target Date: 2026-04-30
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2026 | February 2026 | March 2026 | April 2026 | May 2026 | June 2026 | July 2026 | August 2026 | September 2026 | October 2026 | November 2026 | December 2026 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington | 61 | 75 | 91 | 124 | 132 | 166 | 149 | 154 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2025 | February 2025 | March 2025 | April 2025 | May 2025 | June 2025 | July 2025 | August 2025 | September 2025 | October 2025 | November 2025 | December 2025 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington | 68 | 58 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2021 | February 2021 | March 2021 | April 2021 | May 2021 | June 2021 | July 2021 | August 2021 | September 2021 | October 2021 | November 2021 | December 2021 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2020 | February 2020 | March 2020 | April 2020 | May 2020 | June 2020 | July 2020 | August 2020 | September 2020 | October 2020 | November 2020 | December 2020 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2019 | February 2019 | March 2019 | April 2019 | May 2019 | June 2019 | July 2019 | August 2019 | September 2019 | October 2019 | November 2019 | December 2019 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2018 | February 2018 | March 2018 | April 2018 | May 2018 | June 2018 | July 2018 | August 2018 | September 2018 | October 2018 | November 2018 | December 2018 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2017 | February 2017 | March 2017 | April 2017 | May 2017 | June 2017 | July 2017 | August 2017 | September 2017 | October 2017 | November 2017 | December 2017 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guest Registrations Served by PHII | 20 | Active | Decrease | Christen Coddington |
360 Access Hub - Quality Improvement Project #1
ABOUT
Problem Statement
We want to directly address food insecurity in Garrett County by providing more access to food resources in a culturally competent manner. Previous models have shown significant success as standalone programs. However, data indicate that the need continues to grow, and there are many barriers to providing food to people in crisis and those who are chronically food insecure.
Aim / Overall Goal / Desired Result
The Population Health, Innovation, and Informatics Unit wrote a grant that CareFirst awarded to establish a food pantry as a consistent place for people to improve their food and nutritional security by 2027.
Change Idea
Build partnerships and establish a dignity-first approach that uses a client-choice model and offers additional community resource provisions. Establish the 360 Access Hub!
PDSA Objective
Increase the number of people with emergent food insecurity needs by serving individuals through the 360 Access Hub help form.
PDSA Cycle Number: 1
Estimated PDSA Implementation Timeline
From 2025-10-31 to 2026-11-30
What questions do you want answered for this change?
How many people in Garrett County have emergent food insecurity needs? How does having a centralized resource improve community access? Do people know we exist?
PLAN
Predict what will happen when this test is carried out:
The Population Health, Innovation, and Informatics Unit will serve at least 20 guests per month.
List the tasks needed to set-up this change: (Please include the person responsible, when the task is to be completed, and where the task is to be completed for each task.)
The first step, the ribbon-cutting ceremony to kick off wide-scale media and partnership building, was held on October 24, 2025. Presentations at agency partner meetings to keep them updated are ongoing throughout the cycle. Developing a social media presence for 360 Access Hub managed by the Garrett County Health Department will help us build awareness.
Related Improvement Measure:
DO
Describe what happened when you ran the test:
We began serving guests at the ribbon-cutting ceremony on October 24, 2025. The help form on the website went live on October 31, 2025, as one public health response to the withholding of SNAP payments. 72 help forms were received, and on November 12th, 2025, PHII served 68 guests. Since SNAP payments have been reinstated, 21 additional help forms have been submitted through November. December 10th, we will serve 21 of the new forms, and on December 17th, we will serve the 72 guests with second appointments. Guest registrations have exceeded the predicted 20 per month.
STUDY
Describe the measured results, and how they compared to the predictions:
As a result, the efforts implemented appear to have a positive overall impact (nearly five times the predicted need). We continue to monitor the number of help forms submitted on a monthly basis. Numbers may have been exacerbated by the SNAP funding cuts, increasing the number of individuals presenting with need. Further needs assessments are required to guage ongoing and "surge" needs to adapt operations.
ACT
Describe what modifications in the plan will be made for the next cycle from what you learned:
In order to serve the significantly higher number of individuals in need, our team is developing robust infrastructure to support operations, including a pathways program and supporting resources to address Social Determinants of Health identified in the most recent Community Health Needs Assessment (CHNA) and in alignment with our agency's Strategic Plan.
