The Texas Children’s Mobile Clinic Programs (TC-MCP) provides high-quality healthcare to under-resourced children in the Houston area. With our three medical mobile clinics, we travel all over the greater Houston area to care for pediatric patients. We have optimized our reach into lower socioeconomic status areas by targeting schools where more than 90% of children qualify for free or reduced lunch. However, some families continue to travel long distances to receive care from our clinics. Various Geo Mapping technologies are available such as the Area Deprivation Index, Social Vulnerability Index, and the Childhood Opportunity Index (COI). Each has advantages and disadvantages when used for mapping projects, but all have barriers to use like the need for dedicated time, resources, and statistics help. For our study, we chose COI as it takes into account multiple factors related to a child’s success. The COI has been widely used to spark conversations about unequal access to opportunity and to spur actions to increase equity. It measures and maps the quality of resources and conditions that matter for children to develop in a healthy way in the neighborhoods where they live. The index considers factors such as education, health, and social and economic conditions to provide a comprehensive view of the opportunities and challenges children may face in different areas. COI 2.0 combines data from 29 neighborhood-level indicators into a single composite measure that is available for nearly all U.S. neighborhoods (about 72,000 census tracts). The 29 indicators cover three domains: education, health/environment, and social and economic. The score is given from 0-100 with 100 representing the child with the highest opportunity to succeed in health. The COI categories provided are very low, low, moderate, high, and very high. For our project, we analyzed all patients seen from January-December 2022. During those 12 months, we saw 5,440 patients of which 50% were female, and 79% were Hispanic/Latino. The overall COI using census track data and nationally normed values showed that 75% of our patients come from very low or low COI, 14% come from moderate COI, and 1% come from high and very high COI. Some of our mobile clinic sites are in overall areas of moderate COI and moving them to areas of low or very low COI may help us reach the most vulnerable children in our area. Learning Objectives: · Describe 3 Geo Mapping technologies that could help mobile health clinics. · Understand how Geo Mapping can improve the reach of a mobile clinic. · List barriers to use of Geo Mapping technology for mobile clinics.

Lynda Aririguzo, MD, MPH, FAAP, Assistant Professor of Pediatrics, Texas Children’s Mobile Clinic; Norma Castillo, APRN, FNP-C, Family Nurse Practitioner, Texas Children’s Mobile Clinic Program; Cassandra Duran, DNP, RN, FNP-BC, Family Nurse Practitioner, Texas Children’s Mobile Clinic Program; Aditi Gupta, DO, FAAP, Pediatrician, Texas Children’s Mobile Clinic Program; Sanghamitra Misra, MD, MEd, FAAP, ABIHM, Medical Director, Texas Children’s Mobile Clinic Program, Director, Integrative Medicine Program, Texas Children’s Hospital