Healthcare is an accredited 25-bed Critical Access
Hospital and a system of primary and specialty care
clinics providing services to 29,000 residents of rural
Jefferson County, Washington. In 2022, the Jefferson
Healthcare Population Health Department piloted a
10-patient prescription CSA (community-supported
agriculture) program through their oncology clinic.
The program was developed in partnership with Goosefoot
Farm, a grassroots free food initiative based in
Chimacum, Washington. Goosefoot provides fresh, organic,
nutrient-dense fruits and vegetables to Jefferson County
residents for no charge. In 2022, Goosefoot Farm grew and
donated over 16,000 pounds of organic food to community
members, including Jefferson Healthcare patients living
For the 2023 season, Jefferson Healthcare secured funding
to support the farm and expanded the program to serve
patients in their diabetes education program. The program
grew to serve 15 patients in 2023.
The Jefferson Healthcare prescription CSA program is part
of a broader constellation of initiatives that aim to
address food insecurity while simultaneously supporting
local farmers. In partnership with the Jefferson County
Farmers Market Association (JCFMA), Jefferson Healthcare
also administers a VegRx program for low-income children.
Jefferson Healthcare prioritizes offering fiscal support
and collaboration to local farms which are operated by
farmers from historically marginalized populations. They
believe that "moving beyond whole-person-care to
whole-community-care" can be an effective and fiscally
responsible mechanism for improving population health
while addressing systemic inequities.