Family Health (FH) is a community health center (CHC) whose parent organization is the Mobile County Health Department (MCHD). Established as the board of health for the Mississippi Territory in 1816, the MCHD has served the county for over 200 years. MCHD/FH is one of the few CHCs in the nation that maintains this kind of relationship with a local health department. Since 1979, FH has provided comprehensive primary care services to Mobile County, AL on a sliding fee scale. There are 11 sites in Mobile County and one site in Baldwin County that are strategically located where population needs are greatest and access to care is limited. The agency’s mobile medical unit is key to outreach. As a Health Center Program award recipient, MCHD/FH requests continued H80 funding support for the period of performance starting 6-1-2022. MCHD/FH seeks to continue serving its current service area (Area ID# 298 – Mobile, AL) and projects to serve 45,050 unduplicated patients in calendar year 2023. Mobile County is designated as a Health Professional Shortage Area (HPSA) for primary care, dental and mental health. Many FH sites are in Medically Underserved Areas (MUAs). Mobile County has 414,809 residents (U.S. Census 2020). The population is 55.34% White, 35.26% African American, 2.07% Asian, 0.98% American Indian/Alaska Native, 0.06% Native Hawaiian/Other Pacific Islander, 1.45% some other race and 4.85% two or more races. 13,425 (3.24%) of the county is Hispanic/Latino, and 4.3% of residents report speaking a language other than English at home. 23% of the county’s residents are children <18 years old, while 16.4% of the population is >65 years. In 2020, the median family income was $56,158. Nearly 36% of Mobile’s children live in households that utilized some form of public assistance over the past 12 months. Nearly 29% of children <18 years old and 33% of children <5 years old live below the federal poverty level (FPL). 11% of the county’s popu
lation is uninsured, and nearly 40% is covered by some form of public health insurance. Family Health has maintained accreditation for both ambulatory care and Primary Care Medical Home (PCMH) by the Joint Commission (TJC) since 2013. Following the recent survey, TJC is expected to reaffirm our accreditation formally in early 2022. MCHD/FH fully integrates primary care services with public health programs. In coordination with MCHD programs and formal referral agreements with partner agencies, FH provides a broad range of services including: primary care, diagnostic laboratory, diagnostic radiology, screenings, coverage for emergencies during and after-hours, voluntary family planning, immunizations, pediatric care, gynecological care, maternity care, preventive dental, pharmaceutical services, case management, eligibility assistance, health education, outreach, transportation, translation, additional dental, behavioral health, mental health, substance use disorder, nutrition and psychiatric services. During CY2020, there were over 70,000 patient visits at FH, despite the pandemic. The agency utilizes a multi-disciplinary approach to meet the needs of the patients. FH staff includes physicians; mid-level providers; nurses; case managers; lab techs; nutritionists; dentists; dental hygienists; and other support staff. FH serves as a training site for health professions. FH is well-positioned to serve both the public housing and migrant/agricultural patients within the service area via 330(g) and 330(i) funding. The center also operates an RHC in Baldwin County, 2 robust Ryan White (RW) Part C EIS programs and a RW Part B program. MCHD/FH has seasoned administrative staff and strong financial systems in place capable of large program and grants management. Monthly expenditure and revenue reports allow for timely review of fiscal operations. The agency’s independent audit report completed for FY2020 found no reportable conditions. Fiscal management is maintained through
the MCHD’s Office of Finance.