2013 Annual Report - MCHDmchd.org/Documents/BulkDocuments/annual_report_522201411542… · new name and logo were unveiled for the public health agency. We hope the shorter MCHD name

2013 Annual Report

TABLE OF CONTENTSA LEGACY TO EXCELLENCE

MOBILE COUNTY HEALTH DEPARTMENT 2013 ANNUAL REPORT01

02 From The Health Officer

03 Community Health Centers

04 At A Glance

05 Organizational Chart

06 Administrative Services

08 Family Health Clinical Services

10 Program Services

12 Primary Care Medical Home Certification

13 Financial Statement

14 New MCHD Logo

A LEGACY TO EXCELLENCE

We are pleased to present this annual report for the October 2012-September 2013 fi scal year. During that time, our employees worked to expand the eff orts of pro-

moting, improving and protecting the health of the residents in Mobile County.

The Health Department received its fourth re-accreditation from The Joint Com-mission after an unannounced ambulatory survey. Our agency is one of only fi ve

public health departments in the country to receive the designation. During the fi scal year, the agency’s Primary Care division also was designated

for the fi rst time as a Primary Care Medical Home.

On September 30, a standing-room-only crowd was present as a new name and logo were unveiled for the public health agency. We hope the shorter MCHD name and modern green fi gure featured in the updated logo will continue to serve as a visible reminder that our 495-employee strong agency takes its mis-sion seriously.

In October, the Health Department recorded another mile-stone with the re-opening of the Citronelle Health Center. The newly renovated center provides primary care ser-vices. Women, Infant and Children Nutrition Program services also are provided at the location.

The Health Department also received several grant awards this year including more than $400,000 to help educate residents without health insurance on the new

marketplace options. A $500,000 federal grant also was awarded to MCHD’s Primary Care division to open a new clinic on Dauphin Island Parkway that will serve students and their families from three local public schools and resi-

dents in the surrounding community.

In this annual report, you will read about other highlights and see facts and fi gures regarding the activities carried out each day

at MCHD. I would like to emphasize one that I believe best illus-trates the dedication of our agency’s professionals and other staff members: This year, we recorded more than 699,805 community contacts with people seeking services during the fi scal year. Every single one of those community contacts represents an opportunity to touch someone’s life in a positive way.

Bernard H. Eichold II, M.D., Dr. P.H., F.A.C.P.Health Offi cer

MOBILE COUNTY HEALTH DEPARTMENT 2013 ANNUAL REPORT 02

FROM THE HEALTH OFFICER

COMMUNITY HEALTH CENTERSA LEGACY TO EXCELLENCE


The Mobile County Health Department operates 10 healthcare centers throughout the county and provides affordable primary care services to the community.

DOWNTOWN251 N. Bayou StreetMobile, AL 36603(251) 690-8158

NORTH MOBILE950 Coy Smith HighwayMt. Vernon, AL 36560(251) 829-9884

CHILDREN’S CENTER248 Cox StreetMobile, AL 36604(251) 405-4525

DAUPHIN ISLAND PKWY2601 Dauphin Island PkwyMobile, AL 36605

WOMEN’S CENTER248 Cox StreetMobile, AL 36604(251) 690-8935

SOUTHWEST MOBILE5580 Inn RoadMobile, AL 36619(251) 666-7413

SEMMES3810 Wulff Road EastSemmes, AL 36575(251) 445-0582

EIGHT MILE4555 St. Stephens RoadMobile, AL 36613(251) 456-1399

CITRONELLE19250 N. Mobile StreetCitronelle, AL 36522(251) 866-9126

MEDICAL UNIT251 N. Bayou StreetMobile, AL 36603(251) 690-8158

AT A GLANCEA LEGACY TO EXCELLENCE

$33,404,918FISCAL YEAR REVENUE(SEPT 30, 2012 - SEPT 30, 2013)

46PROGRAMS

10HEALTH CENTERS

495STAFF

1816YEAR FOUNDED IN

Founded three years before Alabama became a state to provide healthcare services to

Mobile County residents, the Mobile County Board of Health precedes any other health

department in Alabama by almost 100 years.


$69,037,318COMMUNITY ECONOMIC IMPACT

699,805COMMUNITY CONTACTS

1,644AREA SERVED

SQUARE MILES

12INCORPORATED CITIES

413,936TOTAL MOBILE

COUNTY RESIDENTS

ORGANIZATIONAL CHARTA LEGACY TO EXCELLENCE


BOARD OF HEALTH

HEALTH OFFICERBernard H. Eichold II, M.D., Dr. P.H., F.A.C.P.

DIRECTORADMINISTRATIVE SERVICES

Paul Betros, M.B.A.

MANAGEMENTINFORMATION SYSTEMS

Steven Peyer, M.S.

CORPORATE COMPLIANCE & PRIVACY OFFICER

(Vacant)

ADMINISTRATIVE SERVICES SUPPORTHelen Dials, M.P.A.

Safety Officer

SAFETY COMMITTEE

PERFORMANCE IMPROVEMENTCOORDINATOR

Jayne Wilson, B.A.

PHYSICAL PLANT & EQUIPMENT

Helen Dials, M.P.A.

EMERGENCY PREPAREDNESSRaffias Redmon, B.S.

MEDICAL RESERVE CORPS

BUREAU OF FINANCE Collena Matz, M.B.A., C.P.A.

Comptroller

PATIENT BILLINGC.W. Johnson, B.S.

PURCHASING & CONTRACTUAL SERVICES

Keith Smith, M.P.H.

FINANCE

HUMAN RESOURCESPeggy Howat, B.S.

INSURANCE & BENEFITSLaura Stuart, B.S

MEDICAL STAFF COORDINATORValencia Lipscomb, B.S.N., M.H.A.

STAFF DEVELOPMENT & TRAINING(Vacant)

COMMUNITY EDUCATIONPROGRAMS

Missy Wilson, M.S., A.L.C.

VITAL RECORDSLeAndrew Pears, B.S.

MEDIA RELATIONS

MARKETING

DIRECTORPROGRAM SERVICES

Joel Tate, M.B.A

HEALTH SERVICES ADMINISTRATIONMarie Chastang, M.A.

TEEN CENTERFelecia Allen, M.S.

PREGNANCY PREVENTIONPROGRAM

Jillian Ransom, M.P.H.

SEXUALLY TRANSMITTEDDISEASES CLINICPaul Piepho, B.S.

FAITH BASED INITIATIVES

TOBACCO CONTROL

SOCIAL & NUTRITIONAL PROGRAMSElizabeth W. Smith, MPA, RD, LD

SOCIAL SERVICESCarol Cannon, M.S.W.

WOMEN, INFANTS & CHILDREN

BUREAU OF DISEASE CONTROL& ENVIRONMENTAL HEALTH

Monica Knight, M.P.H.

IMMUNIZATIONSDan St. Onge, B.S.

TUBERCULOSISMegan M. Finnigan, B.S.

EPIDEMIOLOGYBecky Dixon, B.S.N.

FOOD & LODGINGStephanie Crawford, MPH, DHSc

ONSITE SEWAGE Theodore F. Micher, B.S.

VECTOR CONTROLJerry Folse

DIRECTOR FAMILY HEALTHCLINICAL SERVICES

Susan S�egler, B.S.N., M.P.H.

BUREAU OF PRIMARY CAREFrank Mitchell, M.Ed., M.P.A.

DAUPHIN ISLAND PARKWAY HEALTH CENTER

Med. Dir.,(Vacant)

GRANTS MANAGEMENT & REPORTING

PHARMACY

CLINICAL ADMINISTATIONJohndra Lewis, M.P.A.

NORTH MOBILE HEALTH CENTERMed. Dir.,

Dodd Ozment, M.D.

CITRONELLE CLINICMed. Dir.,

Nakia Li�lejohn, CRNP

HEALTH SERVICES ADMINISTRATIONAngelia Blackmon-Lewis, D.N.P.

CLINICAL ADMINISTRATIONTermika Smith, B.S., M.P.A.

ADULT CLINICMed. Dir.,

Gregory Evans, M.D.

XRAY

SATURDAY CLINIC

WOMENS HEALTHMed. Dir.,

Robin Normand, CRNP

HIV EARLY INTERVENTIONMed. Dir.,

John Van De Waa, M.D.

NORTH BALDWIN RURAL CLINIC

CLINICAL ADMINISTRATIONOlivia Pope, M.S.N.

PEDIATRIC CLINICMed. Dir.,

Mark Donahue, M.D.

DENTAL CLINICDental Dir.

Kerri Bowie, DMD

OPTOMETRY CLINICMed. Dir.,(Vacant)

ADOLESCENT HEALTH CLINICMed. Dir.,

Beth Eisenbeis, P.A.

MOBILE MEDICAL UNIT/OUTREACH

CENTRAL APPOINTMENTSCENTRAL REGISTRATION

Denise Williams, B.A.

HEALTH SERVICES ADMINISTRATIONKelly Warren, M.S.W., M.P.H.

CLINICAL ADMINISTRATIONRegina Tro�er, M.P.H.

WOMEN'S AND CHILDREN'SHEALTH CENTER

WOMEN'S CENTERMed. Dir.,

Daniel T. McCall, M.D.

NEWBURN CLINICMed. Dir.,

Daniel T. McCall, M.D.

SCHOOL BASED CLINICMed. Dir.,

Amy Bri�on, CRNP

CLINICAL ADMINISTRATIONStephen Murray, M.S.

SEMMES CLINICMed. Dir.,

Rhonda Bedsole, M.D.

SOUTHWEST MOBILE HEALTH CENTERMed. Dir.,

David Laycock, M.D.

EIGHT MILE CLINICMed. Dir.,

Tonya Dobbs, M.D.

CLINICAL ADMINISTRATIONElizabeth Williams, M.P.H.

AURA WELLNESS CENTERMed. Dir.,

Be�y Ruth Speir, M.D.

LEGAL COUNSELMichael T. Murphy, ESQ.

FAMILY ORIENTED PRIMARYHEALTH CARE

GOVERNING COUNCIL

MEDICAL REVIEW COMMITTEE

Gregory Evans, M.D.

Approved:

Bernard H. Eichold II, M.D., Dr. P.H., F.A.C.P. Health Officer March 6, 2013

MOBILE COUN

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ADMINISTRATIVE SERVICES

The Administrative Services branch of the MCHD is responsible for providing professional and tech-nical services and providing services to the pub-lic and other government agencies. The Direc-tor of Administrative Services provides oversight to Management Information Systems, Corporate Compliance, the division of Administrative Ser-vices Support (which includes safety, Performance Improvement, Physical Plant and Equipment, Emergency Preparedness and the Medical Reserve Corp.), the Bureau of Finance (which includes Pa-tient Billing, Purchasing and Contractual Services, and Finance), and the division of Human Resourc-es (which includes Insurance and Benefi ts, Medi-cal Staff Coordination, and Staff Development and Training).

The Mobile County Health Department (MCHD) Management Information Systems (MIS) de-partment is responsible for all information tech-nology services at MCHD, including the Voice over Internet Protocol (VOIP) phone system. During this past year, MIS upgraded the server and stor-age infrastructure and the server back-up hardware and software. MIS installed VOIP telephone sys-tems at Citronelle Health Center and Southwest Mobile Health Center.

The Corporate Compliance Department pro-vides oversight of HIPAA and patient privacy. The department audits accounts, records, information technology systems and internal controls; assists in conducting special studies as required to help detect fraud, waste and abuse; and assists external auditors. In 2013, the Corporate Compliance offi cer updated HIPAA policies, provided updated privacy training to employees, and produced multiple in-ternal audits.

The Performance Improvement (PI) Depart-ment assists the agency in maintaining regulatory compliance and Joint Commission Accreditation through medical record reviews, clinical outcome

measure audits and facilitation of the peer review process. The agency achieved The Joint Commis-sion (JC) Primary Care Medical Home (PCMH) certifi cation in 2013.

During the past year, Physical Plant & Equip-ment completed numerous projects: the South-west Mobile and Citronelle Health Centers were renovated. Vector Control’s parking lot was re-paved, the building was painted. Ceiling tiles were replaced. Multiple handrails were installed. Carpet was replaced. Gates were installed at the Bayou Street parking lot. New fl oors tiles were installed in three elevators at the Keeler.

In 2013, the Emergency Preparedness Team, along with other Mobile County Health Depart-ment employees and the Alabama Department of Public Health joined with Centers for Disease Con-trol and Prevention representatives to conduct a Community Assessment Public Health Emergency Response (CASPER) survey of about 300 house-holds in the Mobile County.

The Medical Reserve Corp recorded more than 850 hours of community service and emergency preparedness training. In addition to MMRC meet-ings, some of the community activities this past year included: CASPER (Community Assessment for Public Health Emergency Response) surveys; fi rst aid assistance at University of South Alabama’s Jaguars football games; medical and non-medical assistance with the MCHD drive-through seasonal fl u clinic; developing partnerships with the local Boy Scout troops, American Red Cross, Ministerial Emergency Response Committee, Marine Corps League, Hands On South Alabama, among others.

The Patient Billing Department processed more than 146,936 primary claims and 8,517 second-ary claims for 45,418 patients which were billed to Medicaid, Medicare, Blue Cross and Blue Shield, All Kids, Mom Care, Private Pay, Alabama Breast and Cervical Cancer and other third party billings. The department also produces many internal reports as


ADMINISTRATIVE SERVICES

ADMINISTRATIVE SERVICESA LEGACY TO EXCELLENCE


well as numerous external reports providing valu-able data for managers and external users. Data for grant reporting and special billings were completed for Uniform Data System (UDS) Reporting, Title X, Ryan White, United Way, Teen Pregnancy Preven-tion Grant, Refugee Screenings, Louisiana Public Health Institute (LPHI), and Meaningful Use.

During the 2013 year, the Department of Purchas-ing and Contractual Services processed a total of 9,448 requisitions for goods and services; hired a full-time inventory specialist to oversee fi xed assets and other property, and to manage the warehouse; implemented new policies and procedures, reor-ganized the warehouse, and established a compre-hensive system to catalog the contents and physical locations of all records and property in the ware-house.

The Finance Department produces bi-weekly payrolls, records cash collections through accounts receivable, pays vendors through accounts payable, produces various fi nancial statements and reports weekly, monthly, quarterly, and annually for man-agers and governing bodies, fi les grant billings for reimbursements, produces the yearly organization-al budget and maintains the budget throughout the year, prepares various federal reports such as the Medicare Cost Report and Uniform Data Systems report, reconciles bank statements, processes trav-el requests and provides other internal fi nancial functions.

Human Resources, including Insurance and Benefits, Medical Staff Coordination, and Staff Development and Training oversaw 494 active employees. This total is made of up 251 merit employees and 243 non-merit employees. MCHD has hired 123 individuals during this time; promot-ing 20 co-workers to higher positions. Of the 73 separations, 10 were retirements and 2 were de-ceased employees. MCHD added speech and occu-pational therapy to the health plan without added cost to the employees’ premium rates. Nine CPR

classes were presented. Staffi ng and Development hired a training manager and reorganized the new hire orientation program with adaptations for non-employee participants; began an online annual compliance poster test; and is currently develop-ing numerous online tests, surveys and registration sign-ups.

Jeanne Harris, Training Manager, presents a workshop on Training Needs Assessment for the

Optimal Performance Team.

Members of the Mobile Medical Reserve Corps.



FAMILY HEALTH CLINICAL SERVICES

FAMILY HEALTH CLINICAL SERVICES

Family Oriented Primary Health Care Clinic’s (FOPHCC) mission to provide healthcare services to the underserved of Mobile County continues to drive its employees as demonstrated by the excep-tional medical and dental care and strategic gains in FY 2013. FOPHCC recorded 136,081 encounters for 38,372 unduplicated patients. FOPHCC successfully completed its fourth Joint Commission survey. It also attained Primary Care Medical Home designation. FOPHCC achieved compliance with the federal stan-dards for Stage 2 of Meaningful Use of Health Infor-mation Technology.

Grants/Awards1. Construction of the Dauphin Island Parkway

Health Center for $500,0002. Provide Outreach and Enrollment to the health

insurance marketplace for $477,000 3. Tracking and retaining HIV positive patients into

care for $47,0004. Providing a navigator at the Southwest Medical

Clinic for $52,0005. Providing a social worker to monitor women

between the ages of 40-64 with chronic disease management under the WiseWoman program for $180,000

6. Providing additional services for $109,000 7. Providing HIV Family Planning services for

$220,000

• At FOPHCC’s downtown health center, a total of 44,519 medical and dental patient encounters were recorded by providers of the Adult, Pediatric, Dental, and Ryan White clinics. Approximately 7,168 care coordination encounters were provided and 1,219 nutrition visits were provided to patients.

• A total of 728 unduplicated HIV/AIDS diag-nosed patients received primary health care services through the Ryan White Part B, C, and F funded programs. Though there was no sig-nifi cant shift in the new users or established patients with regard to gender, age distribution,

or ethnic background, it is evident that dispari-ties continue to exist in minority populations. FOPHCC expanded existing relationships with AltaPointe and Catholic Social Services providing for increased case management support, increas-ing overall quality improvement. A nurse prac-titioner dedicated to providing fi ve day a week open access to primary HIV services provided an increase in our infectious disease medical hours in the clinic. All HIV related medications con-tinue to be provided at no cost to patients either through the AIDS Drug Assistance Program or patient assistance. The University of South Ala-bama continues to provide weekly and on-call medical support for patients. The North Baldwin Clinic, co-located at the Baldwin County Health Department in Bay Minette, also continues.

• The Dental Clinic generated 4,355 visits and consists of one full time dentist, one part-time dentist, a full time hygienist and support staff . The clinic continues to target patients 3-20 years of age and several sub-specialty popu-lations. Outreach events were held at area public schools including Mertz, B.C. Rain and campuses in northern Mobile County.

• During the reporting period, FOPHCC’s part-time Optometry Clinic generated 717 encounters and expanded its capacity by adding an extra day of service. The clinic continues to partner with the Li-ons Clubs of Mobile and the Eye Sight Foundation.

• The Saturday Clinic staff provided medi-cal and dental services to 1,188 patients. The service hours are from 8 a.m. to noon. A full range of services were off ered including inter-nal medicine, pediatrics, dental, immuniza-tions, family planning and laboratory services.

• FOPHCC continues outreach initiatives fo-cusing on early detection of breast and cervi-cal cancer through screenings on its mobile medical unit. FOPHCC also dedicates a pro-vider to the unit to increase outreach activities

FAMILY HEALTH CLINICAL SERVICESA LEGACY TO EXCELLENCE


throughout the county. FOPHCC has partnered with ST Aerospace to do on-site screenings.

• The North Mobile Health Center provides medical and dental services to the underserved in North Mobile and Washington counties. The facility houses medical and dental providers and support staff . The MCHD’s Women, Infants and Children program is also located in the building. The total number of patient visits recorded during the year at the North Mobile Health Center was 11,566.

• The Citronelle Health Center located in north Mobile County provided 3,462 medical encoun-ters during the year. It is staff ed with a part-time physician, full time mid-level, and sup-port staff . Renovations of the circa 1945 clinic were completed this year with a ribbon cut-ting ceremony scheduled for October 24, 2013.

• The Semmes Health Center, La Clinica de Semmes, continues to target migrant and seasonal farm workers in northwest Mobile County. Out-reach has always been a priority. The site provid-ed 14,626 patient visits, with services provided by a part-time pediatrician, full-time family practice physician, 2 full-time mid-levels, medical support staff , and a full-time dental team. The support-ing staff includes several full-time Spanish inter-preters/clerks, and a bilingual case manager who provides ancillary services to Hispanic patients.

• The Children’s Center, located in the Newburn building, provided medical care to 7,125 patients during the year. The vast majority of the patients seen in the clinic are children and adolescents. The clinic is staff ed with a full-time pediatrician, part time mid-level, and support staff . The hours of operation are 9 a.m.–6 p.m. and continues to serve as an ER diversion site for the University of South Alabama Children’s and Women’s Hospital.

• This year the Eight Mile Health Center, staff ed by mid-level providers, a full-time pediatrician, full-time dental team, and support staff gen-

erated 13,201 medical and dental encounters.

• Located at the Mobile County Training School in the Plateau Community, the School-Based Clinic provided year round medical, counseling, and case management visits to students of the school, their families and community members. A full time mid-level and support staff provided 1,862 medical encounters. Mental health services continue to be provided on site through contrac-tual arrangements with Catholic Social Services.

• In fi scal year 2013, the Women’s Center provided family planning, maternity care, and home visit nursing services generating 29,556 medical visits. The Women’s Center started two new initiatives, the “Centering Program,” which provides group education sessions along with individual medical appointments for pregnant patients, and “Real Talk,” a quarterly teen-driven group session that allows open discussion of various topics deal-ing with personal health and decision making.

• Central Appointments staff answered more than 168,000 calls during the fi scal year. FOPHCC continues to utilize the open access appointment model, which allows for same day or next day ap-pointments. Central Appointments moved to the Newburn building in October 2012. Admin-istrative staff implemented several performance improvement processes: the establishment of wait lists in the EHR; appointment reminder call backs; and call monitoring for quality assurance.

• Southwest Mobile Health Center in Tillman’s Corner opened and began off er-ing pediatric, adult health and family plan-ning services. During the year, they deliv-ered these services during 5,558 encounters.

• During the spring, FOPHCC was awarded an Aff ordable Care Act grant under the School-Based Health Centers Program. It is anticipated that construction will be complete in March of 2014.



PROGRAM SERVICES

PROGRAM SERVICES

The Community Education Program promotes the activities and mission of the MCHD. This depart-ment oversees marketing, graphics, communica-tions and vital records, which provides certifi cates for birth, death, marriage and divorce to Mobile County residents.

• The Marketing Department created the new MCHD logo, rebranding the old logo design.

• Vital Records issued 23,002 copies of certifi -cates, which included birth, death, marriage and divorce, for a total of $483,042.

Disease Control

• Vector Control received 1,107 mosquito and 1,318 rodent requests.

Mosquito Control

12,247 Inspections

6,538 Larviciding Applications

81,978 Miles Driven

739 Routes(Spray Routes by night spray trucks)

92 Spray Nights(Nights that spray trucks went out and sprayed)

14 Rain Outs(Nights with rain or weather too bad to allow spraying)

Rodent Control

1,607 Initial Inspections

5,094 Follow Up Inspections

29,996 Miles Driven

• Immunizations staff administered 49,680 vac-cines. Of those, 41,480 were given to children while adults received 8,200 of the injections.

• Total cases of Tuberculosis in Mobile County was 9, compared to 14 last year.

• The Food and Lodging Department completed 18,183 inspections and conducted food handler classes for 10,630 participants.

• The Sexually Transmitted Disease Clinic re-corded 6,607 patient encounters.

• The Epidemiology Department investigated more than 819 reports of possible communi-cable diseases and reported a total of 232 posi-tive cases to the Centers for Disease Control and Prevention and the Alabama Department of Public Health.

• The Onsite Division issued 937 plumbing and 540 septic tank permits.

Heath Services Administration

• The Fetal Infant Mortality Team reviewed 112 infant or fetal deaths.

• The TEEN Center’s Health Education Depart-ment presented 702 sessions to 13,176 students in 35 schools. The Family Support Program provides pregnant and parenting teens the sup-port they need to become responsible and car-ing parents. During the reporting period, Fam-ily Support accepted 114 new clients into the Family Support Program.

• The MCHD Tobacco Division Just Breathe Grant educated residents on the dangerous eff ects of second-hand smoke. As a result of the campaign’s outreach eff orts, 3 municipali-ties (Creola, Satsuma and Chickasaw) adopted comprehensive smoke-free ordinances this year. There were a total of 46 worksites, busi-

PROGRAM SERVICESA LEGACY TO EXCELLENCE


nesses and faith-based organizations reached, 25 health fairs and community events attended and 19 presentations conducted.

• The Student’s Working Against Tobacco (SWAT) team made 162 presentations at 21 sites and reached at least 4,712 children in grades 3 through 8 during the year.

Office of Nutrition Services

A monthly average of 13,380 participants received Women, Infants and Children (WIC) food instru-ments during the year. This was a decrease of 276 participants in caseload over the previous year. The WIC Program estimated that $11,033,036.23 WIC food dollars were spent in Mobile County. The par-ticipation caseload consisted of three categories that included women, (pregnant, breastfeeding, or postpartum), infants (birth to 1 year), and children (1 to 5 years). The TEEN Center recorded 2,930 participants during the FY 2013 that spanned from Oct. 1, 2012 to Sept. 30, 2013. The Semmes Health Center assisted 1,499 WIC participants. Those were the highest caseloads ever for those clinics. Through the Adult, Pediatrics and HIV clinics, a total of 1,202 patients received dietary counseling from registered dietitians. This is an increase of 494 patients over the previous year. These coun-seling sessions included medical nutrition therapy topics such as diabetes, hypertension, cholester-ol, weight management and other related topics. Weight loss and diabetic classes were also off ered and attended by more than 200 patients. Nutrition Services were expanded to all MCHD Health Cen-ters excluding School-Based. The “Fit Kids” sum-mer program provided hands-on nutrition educa-tion sessions to children ages 5-18. A small grant from Walmart provided physical activity incentives and healthy snacks to help promote positive be-havior changes with the children. Also, Nutrition Services provided “Prevent Diabetes” community presentations, CDC “Road to Health” program, and food demonstrations at MCHD clinics in partner-

ship with Alabama Cooperative Extension Service. The WIC Breastfeeding Peer Counseling Program continues to improve breastfeeding rates in the county. A team of seven peer counselors and a certifi ed lactation consultant aids participants in breastfeeding care and support. A total of 48% of the WIC participants breastfeed their infants dur-ing the fi rst year. This was a 1% increase over last year and a 20% increase since the program started in 2005.

The WIC Program relocated the Tillman’s Cor-ner Clinic into the Southwest Health Center lo-cated on Inn Road. Citronelle WIC Clinic moved into a newly renovated Health Center in Septem-ber, 2013. The Family Oriented Primary Health Care Clinic’s Citronelle Health Center reopened to patients after undergoing refurbishments. The $500,000 came from an Aff ordable Care Act Grant for Capital Development, announced in April 2012. The Offi ce of Nutrition Services coordinated the statewide Scale Back 2013 weight loss competition. The Health Department had a total of 71 employ-ees participate. A total of 362 pounds was lost by Health Department employees. Also, Nutrition Services coordinated and conducted a food drive during the holiday season.

Nutrition Services employees collected canned goods at the 2013 MCHD annual training event.



PRIMARY CARE MEDICAL HOME CERTIFICATION

After months of preparation and planning, MCHD has been certifi ed by The Joint Commission as a Primary Care Medical Home, according to Mark G. Pelletier, CEO of the Division of Accreditation and Certifi cation Operations for the commission. Staff members led by Jayne Wilson worked for months preparing for an unannounced visit from The Joint Commission at the Newburn Clinic in Mobile. This new designation will be in addition to The Joint Commission’s Gold Seal of Approval last given to the Health Department in October 2012 for ambu-latory care.

Banners welcoming patients to their medical home have been hung at clinics agency wide for several months. Brochures outlining details of what it means to be a medical home have been distributed to medical clinics so that staff and patients have easy access to the information. Essentially, provid-ing a medical home to a patient means off ering a care team truly dedicated to a person’s health. The care team can include a doctor, nurse practitioner, dentist, nurse, nutritionist, counselor and case manager working together to provide the best out-comes for the patient.

Welcome to yourMedical Home.

The focus is on you and your family.

PCMH Bifold.indd 1 4/9/2013 9:51:14 AM



REVENUES

APPROPRIATIONS

Local Government-County of Mobile $ 825,984

FY 2013

$ 825,984

FY 2012Local Government-City of Mobile $ 600,000 $ 600,000

Local Government-Other Municipalities $ 79,554 $ 79,584

State of Alabama $ 489,397 $ 489,397

TOTAL APPROPRIATIONS $1,994,935 $1,994,965

GRANTS

Eliminating Disparities $ 1,471,273

FY 2013

$ 1,500,350

FY 2012

Diabetic State Funding $ 9,750 $ 13,000

Food Stamp Nutrition Education $ 35,728 $ 103,229

Primary Care $ 5,945,234 $ 4,483,292

ARRA $ 0 $ 3,483

Migrant Health $ 170,739 $ 140,184

Family Planning $ 409,681 $ 398,273

Maternity $ 285,975 $ 302,600

Women, Infants & Children (WIC) $ 2,516,427 $ 2,359,599

HIV/AIDS $ 1,478,778 $ 1,435,231

Youth Empowered Tobacco Policy Initiatives $ 0 $ 25,000

Tobacco Control $ 54,865 $ 61,522

Community Putting Prevention to Work (CPPW) $ 267,588 $ 1,462,951

ALL KIDS $ 0 $ 3,500

Bioterrorism $ 221,094 $ 208,436

Medical Reserve Corps $ 52,421 $ 79,324

Breast and Cervical Cancer $ 94,299 $ 64,419

Cancer Registry $ 20,048 $ 59,478

Emergency Response - Tropical Event $ 17,689 $ 0

Teen Fund $ 25,000 $ 33,750

Teen Pregnancy Prevention $ 796,014 $ 627,979

Immunization $ 233,142 $ 190,160

AAP HIV Surveillance $ 14,175 $ 84,338

Refugee Preventive Health $ 30,063 $ 29,200

STD Control $ 61,314 $ 50,000

State Employee Wellness Screening $ 52,536 $ 78,848

HIV Family Planning $ 131,250 $ 167,500

ADPH - EDRS $ 61,625 $ 24,650

AIDS Control - State of Alabama $ 49,102 $ 89,574

LA Public Health Casper Study $ 26,236 $ 0

GRHOP PCCP $ 20,000 $ 0

LA Public Health BP Oil Contract $ 110,739 $ 0

TOTAL GRANTS $ 14,662,785 $ 14,079,870

OTHER

Ad Valorem Taxes $ 4,369,566

FY 2013

$ 4,376,925

FY 2012

Oil & Gas Severance Tax $ 274,825 $ 332,165

Medicaid and Medicare $ 8,818,552 $ 8,360,556

Reimbursement (State) $ 164,103 $ 59,462

Reimbursement (Other) $ 39,468 $ 16,800

Clinic Fees (Private Pay, Other Insurance) $ 1,048,595 $ 1,209,360

Local Fees, Permits, Misc. $ 1,848,750 $ 1,448,027

Refunds and Interest $ 62,273 $ 77,007

Sale of Fixed Assets $ 1,277 $ 11,516

Rent $ 115,990 $ 63,149

Donations $ 3,799 $ 50,500

TOTAL OTHER $ 16,747,199 $ 16,005,467

TOTAL REVENUES $ 33,404,918 $ 32,080,302

EXPENDITURES

Personnel Costs $ 22,735,975

FY 2013

$ 22,398,848

FY 2012

Contract Services $ 3,389,688 $ 2,981,482

Travel $ 207,182 $ 225,050

Equipment $ 1,111,580 $ 1,021,939

Supplies and Other $ 4,387,183 $ 4,473,866

Land and Buildings $ 1,142,568 $ 1,409,365

TOTAL EXPENDITURES $ 32,974,176 $ 32,510,550

FISC

AL

YEA

R EN

DIN

G S

EPTE

MBE

R 30

, 201

2 A

ND

SEP

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30, 2

013



NEW MCHD LOGO

Health Offi cer Dr. Bernard Eichold unveiled a new logo to a standing-room only crowd of community leaders, media and MCHD management during a news conference on Monday Sept. 30, 2013. He said the new logo should serve as a positive visible re-minder that the 495-employee strong agency takes its mission seriously to promote, improve and pro-tect the health of those who live in coastal Alabama.

“We want to show the public that the health department can change to meet the needs of the community,” Eichold said.

As he addressed the state of health in Mobile Coun-ty, MCHD staff members pushed the button on a series of internal changes at the downtown cam-pus that included integrating the new logo on an updated computer screen saver, on the agency’s website, Facebook and Twitter pages, the Culture blog, and other documents including letterhead and business cards. New posters promoting MCHD programs were hung along the front hall of the his-toric Keeler building, highlighting the Immuniza-tions Clinic, the Food and Lodging Division, the Women, Infants and Children nutrition program and Administrative Services.

Outside of 251 North Bayou Street Monday morn-ing, new signs were uncovered as a 20-foot-tall bright green air dancer popped and swayed above the main entrance. The logo features a green fi gure with arms outstretched next to the letters MCHD in alternating shades of blue and green. The signs and other promotional materials were designed by Health Department graphic artist James Currie.

Eichold addressed the state of health in Mobile County, talking about how residents ranked along-

side their counterparts in Alabama and beyond on several key health and quality of life indicators. He noted that there are many challenges Mobile residents face when it comes to health issues that include high blood pressure, diabetes, and cancer deaths, among others.

One idea behind publicly addressing the state of the health in Mobile County is that by making people more aware of how certain risky behaviors such as overindulging in highly processed foods and sugary sodas, not wearing a seatbelt or engag-ing in unprotected sex negatively aff ect their over-all health, they can be encouraged to take positive steps to improve their overall health.

Dr. Bernard Eichold addresses the media following a news conference that launched the new logo.

Donald Black installs a new sign on N. Bayou Street.

MOBILE COUNTY BOARD OF HEALTH

GEORGE T. KOULIANOS, M.D., F.A.C.O.G.CHAIRMAN 2013

D. LAWRENCE BEDSOLE, M.D., F.C.C.P.SECRETARY 2013

ELIZABETH MINTO, M.D.CHAIRMAN 2012

EDWARD R. FLOTTE, M.D.SECRETARY 2012

RONALD D. FRANKS, M.D.

HENRY J. KOCH, M.D.

DUNCAN SCOTT, M.D.

AIMEE H. WALSH, M.D.

MERCERIA LUDGOODPRESIDENT, MOBILE COUNTY COMMISSIONNOV. 2012 - PRESENT

MOBILE COUNTY HEALTH DEPARTMENT

BERNARD H. EICHOLD, II, M.D., Dr. P.H., F.A.C.P.HEALTH OFFICER

PAUL BETROS, M.B.A.DIRECTOR OF ADMINISTRATIVE SERVICES

SUSAN STIEGLER, B.S.N., M.P.H.DIRECTOR OF FAMILY HEALTH CLINICAL SERVICES

JOEL TATE, M.B.A.DIRECTOR OF PROGRAM SERVICES

Accredited by

251 N. BAYOU STREETP.O. BOX 2867MOBILE, AL 36652-2867

MCHD.ORGFACEBOOK.COM/MCHD.ORGTWITTER @MCHEALTHDEPTMCHDCULTURE.BLOGSPOT.COM

PRODUCED BY THE MOBILE COUNTY HEALTH DEPARTMENT MARKETING DEPARTMENT