The study site was a FQHC in a medium-sized southeastern U.S. city. It is accredited as a primary care medical home by The Joint Commission and served ~ 36,000 unique patients across nine outpatient and community-based clinical sites in 2019. Services include primary care medical clinics (Pediatrics, Adult Medicine, and Family Medicine); a Behavioral Health Clinic integrated with primary care; a dental clinic; a Women, Infants, and Children (WIC) clinic; a pharmacy with medications at discounted prices; a laboratory; and a radiology unit. The FQHC provides a care coordination team, case managers (behavioral health team members), Spanish interpreters (telephone interpretation for other languages), and free van transportation to and from appointments. The FQHC employs over 200 people and is governed by a community Board of Directors with majority representation by patients. Over 92% of patients are underrepresented racial or ethnic minorities, 56.8% are uninsured, and 97.1% are below 200% of the federal poverty limit.
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