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Introduction. Use this page to quickly find all resources from the Clearinghouse database on Finance.

Background. Finance resources contain information for health centers concerning capital development, financial sustainability, financial trends, and financial performance improvement.

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Displaying all 157 records.

Oversight of COVID-19 Funding Streams (2021). Resource Type: Publication. Description: This resource provides a quick overview of how to oversee multiple funding streams due to COVID-19. It provides links to resources, quick tips, and a Provider Relief Deadline. More Details...

Filling the HCH Gap: Case Studies of Non-HCH Health Centers Serving People Experiencing Homelessness (2021). Resource Type: Publication. Description: This publication highlights five health centers that do not have Health Care for the Homeless (HCH) designation but provide excellent services to people experiencing homelessness regardless. More Details...

Using American Rescue Plan Act (ARPA) Funds to Build Health Center Value Based Payment (VBP) Capability (2021). Resource Type: Publication. Description: This document provides guidance on ways that FQHCs can utilize American Rescue Plan Act funds to develop and expand their VBP capabilities. Areas of focus for short-term investments include improving data and IT, integrating services, and improving access and health equity. More Details...

Finance Office Hours: Provider Relief Funds (2021). Resource Type: Archived Webinar. Description: This webinar offers health centers tips on how and where to report PRF funds and update any new reporting requirements. More Details...

Understanding and Applying SDOH Screening Data to Address Barriers to Health: Webinar (2021). Resource Type: Archived Webinar. Description: Health centers provide high-quality primary and preventive care to diverse populations in special and vulnerable populations in underserved communities. Health centers also provide a host of enabling services – non-clinical services that aim to increase access to health care and improve population health outcomes. The ability to track and evaluate these services is an important tool for health centers to demonstrate their value in addressing patients’ social determinants of health; of equal importance is the ability to make this data actionable in order to address patients’ barriers to access. More Details...

Approaches to Financing Medical Respite/Recuperative Care Programs (2021). Resource Type: Publication. Description: Also known as recuperative care, medical respite care is short-term care for individuals experiencing homelessness who are too frail to recover from illness or injury on the streets or in shelters but not sick enough to remain in the hospital. This white paper describes trends and opportunities for funding medical respite programs and services and offers methods to expand and scale programs through innovative financing mechanisms and increased flexibility in payment policy. The paper outlines various approaches to finance medical respite programs, offering providers, state and federal Medicaid leadership, policymakers, and managed care organizations (MCOs) specific partnership options to ensure continuity and quality of care for patients with long-term health and housing needs. More Details...

Spring 2021 Finance Office Hours (FOH) for Health Centers: Strategies to Deploy ARP Funds (2021). Resource Type: Archived Webinar. Description: In 2020 Health Centers received federal funds from the CARES Act, which included Provider Relief Funds, which placed increased accountability and reporting on health centers. On April 1, HRSA awarded more than $6 billion from the American Rescue Plan (ARP) to Community Health Centers nationwide. This webinar will offer health centers tips on how and where to use the ARP funds as well as an update on any new reporting requirements. More Details...

Hot Topics in Finance During the Pandemic (2021). Resource Type: Video. Description: This short video features subject matter experts who explore hot topics in board financial oversight during the pandemic. Topics addressed include Provider Relief Funds, grants compliance, telehealth considerations, and communication with the board about various funding streams. At the end, there are some discussion questions to use with your board. More Details...

Strategic Planning and Strategic Financial Planning During Crisis (2021). Resource Type: Video. Description: This short video features subject matter experts who explore the concepts of both strategic planning and strategic financial planning during crisis. At the end, there are some discussion questions to use with your board and additional resources to continue to explore this topic. More Details...

Financial Oversight During COVID-19 (2021). Resource Type: Video. Description: This short video features subject matter experts who explore tips and considerations for board financial oversight during the pandemic. Topics addressed include days cash, operating margin, and the importance of asking questions. At the end, there are some discussion questions to use with your board. More Details...

Chief Financial Officer (CFO) Competencies Domains, Skills/Tasks and Definitions (2021). Resource Type: Publication. Description: This document outlines 11 domains, related tasks, and behavioral examples for Core Competencies for the Health Center CFO. These domains and related tasks and examples were identified and vetted through a National Advisory Panel made up of key staff who would have interaction with the CEO position in various settings. More Details...

Modulos en capitación financiera para la junta directiva (2021). Resource Type: eLearning Modules. Description: Esta es una serie de cinco sesiones de capacitación financiera para juntas y miembros de la junta directiva, presentada por la Asociación Nacional de Centros de Salud Comunitarios. More Details...

Look-Alike Webinar: Building Your Grants Management Structure (2021). Resource Type: Archived Webinar. Description: This webinar provides a deep-dive for Look-Alike Health Centers on how to thoughtfully build, administer and sustain a successful grants management program and infrastructure. More Details...

HRSA Health Center Facility Loan Guarantee Program Handbook for Lenders (2021). Resource Type: Publication. Description: Developed with support from HRSA, the Loan Guarantee Program Handbook for Lenders has been developed as a resource for lenders as they seek to utilize the program in connection with loans to eligible health centers. (Released in 2021) More Details...

Federally Qualified Health Centers Financial and Operational Performance Analysis 2016-2019 (2021). Resource Type: Publication. Description: This report, developed with support from the Health Resources and Services Administration, offers a framework for identifying strengths, challenges, and opportunities for performance improvement in a rapidly transforming health care landscape. (Released in 2021.) More Details...

Financial Impact of COVID-19 on California Federally Qualified Health Centers - Infographic (2021). Resource Type: Other. Description: Created with support from the California Health Care Foundation, this infographic highlights California FQHCs’ net projected losses from April through December 2020, after taking into account critical federal support made available through December 2020. More Details...

Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2016-2019 (2021). Resource Type: Publication. Description: This report, prepared by Capital Link with support from the Health Resources and Services Administration (HRSA), provides an aggregate financial and operational profile of rural Federally Qualified Health Centers. More Details...

Financial Impact of COVID-19 on Rural Federally Qualified Health Centers (2021). Resource Type: Other. Description: The Financial Impact of COVID-19 on Rural Federally Qualified Health Centers report highlights the net projected losses of Rural FQHCs from April 2020 through June 2021, after taking into account critical federal support made available through December 2020. (Released in 2021) More Details...

FQHC Roles and Opportunities Related to Rural Hospital Financial Distress and Closure (2021). Resource Type: Publication. Description: This publication, prepared with support from the Health Resources and Services Administration, provides a high-level examination of the lived experiences of Federally Qualified Health Centers (FQHCs) that serve rural communities, particularly in the context of rural hospital financial distress and closure. (Released in 2021) More Details...

Pharmacy Access Office Hours: Roundtable DIscussion (2021). Resource Type: Archived Webinar. Description: In this webinar, experts join in a panel discussion to discuss the latest developments in 340B. More Details...

Introduction to the Planning and Financing a Capital Project to Accommodate Integrated Care Learning Collaborative (2021). Resource Type: Archived Webinar. Description: Join Capital Link for an introductory webinar to learn more about our upcoming Planning and Financing a Capital Project to Accommodate Integrated Care Learning Collaborative and to gain insight on organizational readiness, select financial and operational benchmarks, financial capacity, and how to begin planning for your capital project. More Details...

National Financial Impact of COVID-19 on FQHCs Report: National Estimate from April 2020 - June 2021 (2021). Resource Type: Other. Description: Capital Link\'s new report provides a national picture of health center revenue loss, COVID-19-related expenses, the influx of relief funds through December 31, 2020, and the estimated gap in needed funds, based on the 15-month period from April 2020 through June 2021. More Details...

Communicating Health Center Impact Amid a Global Pandemic (2021). Resource Type: Archived Webinar. Description: Join us for a webinar to learn how these valuable reports can help tell your health center’s story to potential funders and help you advocate for federal, state and local health center support. More Details...

HRSA’s Loan Guarantee Program: An Overview and Invitation to Apply for Capital Link’s LGP Learning Collaborative (2021). Resource Type: Archived Webinar. Description: This webinar session will provide an overview of the Health Resources and Services Administration\'s (HRSA’s) Health Center Facility Loan Guarantee Program (LGP). More Details...

Guía Educativa del Centro de Salud (2021). Resource Type: Publication. Description: Hay cinco áreas claves para abordar: Visión y Misión; Directiva; Administración y Operaciones; Finanzas; Legal.Cada área tiene su propio Capítulo en la Guía y es una pieza independiente. La Guía está diseñada paraser utilizada por parte o en su totalidad, para satisfacer las necesidades de las partes interesadas. Otrosrecursos relacionados con la información proporcionada en la Guía se encuentran a través de enlaces en el texto de la Guía. More Details...

Financial and Operational Benchmarking Trends and Techniques Webinar (2020). Resource Type: Archived Webinar. Description: Learn how to effectively assess your health center’s financial and operational performance using benchmarking and comparative metrics from Capital Link’s audited financial database and data from the federal UDS reporting system, as referenced in Capital Link’s soon-to-be-released Federally Qualified Health Centers Financial and Operational Performance Analysis and our Performance Benchmarking Toolkit. More Details...

Webinar: Planning a Capital Project to Facilitate Integrated Care: A First Steps Overview (2020). Resource Type: Archived Webinar. Description: Join us to learn the essential steps for preparing your project for success, including principles for planning facilities that support team-based, integrated care and techniques for completing internal and external assessments that will ensure your project aligns with your patient, staff, and community needs. More Details...

Planning a Capital Project to Facilitate Integrated Care: A First Steps Overview (2020). Resource Type: Archived Webinar. Description: Join us to learn the essential steps for preparing your project for success, including principles for planning facilities that support team-based, integrated care and techniques for completing internal and external assessments that will ensure your project aligns with your patient, staff, and community needs. Participants will be equipped to begin a planning process that will build a strong foundation for their capital project. More Details...

California Federally Qualified Health Centers: Financial & Operational Performance Analysis, 2016-2019 (2020). Resource Type: Publication. Description: This report, prepared by Capital Link with support from the California Health Care Foundation, provides an aggregate financial and operational profile of California Federally Qualified Health Centers. The report offers a structure for recognizing the financial strengths, challenges, and benchmarks that support opportunities for health center performance improvement through an analysis of multi-year statewide trends and median outcomes. More Details...

California Federally Qualified Health Centers: Financial & Operational Performance Analysis, 2016-2019 (2020). Resource Type: Publication. Description: This report, prepared by Capital Link with support from the California Health Care Foundation, provides an aggregate financial and operational profile of California Federally Qualified Health Centers. The report offers a structure for recognizing the financial strengths, challenges, and benchmarks that support opportunities for health center performance improvement through an analysis of multi-year statewide trends and median outcomes. More Details...

Understanding Your Federal Funding Streams and Appropriate Stewardship (2020). Resource Type: Archived Webinar. Description: This webinar explores fundamental ways to manage and maximize the impact of federal funds from multiple funding streams for COVID-19. More Details...

Creating a Safer Environment for Patients and Staff: Architectural Design and Engineering Solutions – Part Two (2020). Resource Type: Archived Webinar. Description: Part Two of this series focuses on engineering solutions as we explore best practices in building systems design and management as well as facility maintenance. Strategies for addressing challenges in HVAC and air flow, room/space capacity and equipment selection (air scrubbers, filtration, UV lights, HEPA filters) as well as key factors in disinfection including the role of negative pressure and temperature setting will be presented by senior engineers. More Details...

Mergers and Acquisitions: A Practical Guide for Community Health Centers (2020). Resource Type: Publication. Description: Many health centers are exploring acquisitions and mergers as a means to ensure sustainability, expand services, and maintain patient access to basic health care services. This detailed guide, published by the California Health Care Foundation, is designed to help you navigate the process to consummate an effective merger or expansion so you and your new partner can get back to the essential job of providing high-quality health care and enhanced access to the communities you serve. More Details...

HRSA Health Center Facility Loan Guarantee Program Toolkit: Application Tips ​​​​​​and Tools for Health Centers (2020). Resource Type: Toolkit. Description: Developed with support from HRSA, the Health Center Facility Loan Guarantee Program Toolkit provides health centers with a detailed outline for preparing a capital project, collecting the materials needed to submit a LGP application, and tips to help navigate the application process efficiently. (Released in 2020.) More Details...

Creating a Safer Environment for Patients and Staff: Architectural Design and Engineering Solutions – Part One (2020). Resource Type: Archived Webinar. Description: Part One of this series focuses on architectural design as we explore opportunities for the re-organization and utilization of space to incorporate lessons learned during the COVID-19 pandemic; preparing us to respond to new challenges with solutions for indoor/outdoor entry zones, team work spaces and patient engagement/exam spaces. More Details...

Intro to Capital Link's Upcoming HRSA Loan Guarantee Program Learning Collaborative (2020). Resource Type: Archived Webinar. Description: This webinar session will provide detailed information about the benefits of the Health Resources and Services Administration's (HRSA’s) Health Center Facility Loan Guarantee Program (LGP) and Capital Link’s upcoming LGP Learning Collaborative. More Details...

What Health Centers Need to Know about CARES Act Funding:: An Interactive Online Guide to Inform Health Providers on Housing Resources under COVID 19 (2020). Resource Type: Online Self-Paced Learning Modules. Description: The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) passed on March 27, 2020 provides for over $2 trillion dollars in stimulus funding to combat the economic downturn due to the coronavirus pandemic. Information provided in this guide on the CARES Act will focus on resources directed to State, local governments, and community organizations to address the needs of people facing homelessness and at-risk of homelessness. More Details...

Telehealth for Supportive Housing Providers - CSH Three Part Telehealth Series: Guidance for Providers looking to adapt and are considering Billing for themselves (2020). Resource Type: Publication. Description: In the COVID19 environment technology can be used as a complement to face-to-face services, and also as a service on its own. Technology options can be especially useful for people with depression or suffering from distress, and when there are difficulties in physically meeting with tenants. More Details...

Intro to Capital Link's Upcoming HRSA Loan Guarantee Program Learning Collaborative (2020). Resource Type: Archived Webinar. Description: This webinar session will provide detailed information about the benefits of the Health Resources and Services Administration's (HRSA’s) Health Center Facility Loan Guarantee Program (LGP) and Capital Link’s upcoming LGP Learning Collaborative. More Details...

Understanding Your Costs in an Evolving Payment Environment - A Four-Part Webinar Series for Behavioral Health Providers: Focus on Behavioral Health: Utilizing Cost Data to Drive Programmatic Change (2020). Resource Type: Archived Webinar. Description: As the final webinar of this four-part series, we will review the key take-aways from the first three sessions and apply these concepts to several scenarios in which behavioral health providers are seeking to understand their costs in an evolving reimbursement environment. We will focus on how to model costs related to these scenarios and emphasize the use of this information for decision-making and guiding programmatic change. More Details...

$3.55 Billion NMTCs Just Awarded – How to Pursue NMTC Funding for Your Project (2020). Resource Type: Archived Webinar. Description: With the CDFI Fund having just announced $3.55 Billion in New Markets Tax Credits Awards, this timely webinar will help your health center determine if NMTC financing could be a good fit for your capital project and the steps you need to take in order to capitalize on this opportunity.  More Details...

$3.55 Billion NMTCs Just Awarded – How to Pursue NMTC Funding for Your Project (2020). Resource Type: Archived Webinar. Description: With the CDFI Fund having announced $3.55 Billion in New Markets Tax Credits Awards, this timely webinar will help your health center determine if NMTC financing could be a good fit for your capital project and the steps you need to take in order to capitalize on this opportunity. More Details...

CHC Finance Toolkit — COVID-19 (2020). Resource Type: Publication. Description: NACHC and BKD have compiled guidance in critical areas in order for community health center leaders to guide their teams through difficult times and prepare them to come out stronger on the other side. Topics include cash flow planning, Cares Act guidance, and remote work best practices. More Details...

Understanding Your Costs in an Evolving Payment Environment - A Four-Part Webinar Series for Behavioral Health Providers: Focus on Behavioral Health: Cost Allocation Methodology for Value-Based Payment Systems (2020). Resource Type: Archived Webinar. Description: During our third session, we will describe how to identify and calculate costs in a value-based reimbursement environment. Beginning with a high-level overview of value-based reimbursement concepts, we will discuss methodologies for identifying costs related to care pathways and clinical outcomes and provide examples that translate this effort into identifiable costs. More Details...

Understanding Your Costs in an Evolving Payment Environment - A Four-Part Webinar Series for Behavioral Health Providers: Focus on Behavioral Health: Preparing Internal Systems for Gathering Cost Data (2020). Resource Type: Archived Webinar. Description: The second webinar in the series will provide insight from a former behavioral health provider CFO into the ways health centers can set up charts of account, practice management systems/electronic health records, and HR/payroll systems to facilitate an accurate understanding of cost. More Details...

Creating a Compensation Package for Retention (2020). Resource Type: Online Self-Paced Learning Modules. Description: In this course you will learn how to create a robust compensation package to use as a retention tool in your health center. We'll highlight the key concepts of compensation and benefits, the importance of developing an effective communication plan to promote your compensation package, the role Board of Directors play in your health center’s compensation plan, and tools and resources you can use to assess and strengthen your compensation programs. More Details...

Understanding Your Federal Funding Streams and Appropriate Stewardship (2020). Resource Type: Archived Webinar. Description: This webinar explores fundamental ways to manage and maximize the impact of federal funds from multiple funding streams for COVID-19. More Details...

Understanding Your Costs in an Evolving Payment Environment - A Four-Part Webinar Series for Behavioral Health Providers: Focus on Behavioral Health: Cost Allocation: Getting the Basics Right (2020). Resource Type: Archived Webinar. Description: The first webinar in this series will provide participants with a detailed review of the methodology behavioral providers should use for allocating costs in a fee-for-service accounting environment (direct, indirect, and overhead), and an introduction to how “costing” will differ in a value-based system. More Details...

PPP Application Findings Infographic (2020). Resource Type: Publication. Description: This infographic presents findings on an assessment of health centers' experiences applying and receiving PPP loans during COVID-19. More Details...

Financial and Workforce Characteristics of High-Performing Health Centers (2020). Resource Type: Publication. Description: This infographic illustrates key findings from the STAR² Center and Capital Link’s study, which examines the financial and workforce characteristics of high-performing health centers across the country. More Details...

Developing a Business Plan and Financial Forecast for a Health Center Capital Project (2020). Resource Type: Archived Webinar. Description: This webinar is designed to assist health centers planning new or expanded facilities in developing a detailed business plan for their capital project. Drawing on our recently updated publication, Creating a Business Plan for Community Health Centers, we’ll examine each of the key components of a business plan, including financial forecasts, and how health centers can use this important document to help secure financing for their projects. More Details...

Developing a Business Plan and Financial Forecast for a Health Center Capital Project (2020). Resource Type: Archived Webinar. Description: This webinar is designed to assist health centers planning new or expanded facilities in developing a detailed business plan for their capital project. More Details...

Strategies to Manage Financial Operations During COVID-19 (Podcast Series): Response and Recovery (2020). Resource Type: Podcast. Description: A five-part podcast series to help health centers manage their fiscal solvency during COVID-19 response and recovery. Based on the NACHC-BKD video series, Financial Office Hours: Strategies to Manage Financial Operations During COVID-19, podcast topics include managing your health center’s cash flow, paycheck protection, provider relief funding, grants management, and staffing. More Details...

Claims Reimbursement for Testing and Treatment of Uninsured – COVID-19 (English/Spanish) (2020). Resource Type: Publication. Description: This document, authored by FTLF, provides an overview of the Department of Health and Human Services (HHS) Claims Reimbursement for Testing and Treatment to Health Care Providers and Facilities Serving the Uninsured Program. The analysis summarizes key terms and conditions of the Program as applicable for Health Centers. This specific COVID-19 related program is funded through the Provider Relief Fund, authorized in the Coronavirus Aid, Relief and Economic Security (CARES) Act. More Details...

Paycheck Protection Program (PPP) and Non-Traditional Financing for FQHCs during COVID-19 (2020). Resource Type: Archived Webinar. Description: This webinar discusses non-traditional financing opportunities for health centers dealing with financial downturn during COVID-19, focusing on the latest developments in the Paycheck Protection Program (PPP) administered by the Small Business Administration (SBA) and tips for strengthening health center participation in the PPP. More Details...

Utilizing Cost Data to Drive Programmatic Change (2020). Resource Type: Archived Webinar. Description: As the final webinar of this four-part series, we will review the key take-aways from the first three sessions and apply these concepts to several scenarios in which health centers are seeking to understand their costs in an evolving reimbursement environment.  More Details...

Webinar Recordings and Slides — COVID-19: Oral Health COVID-19 Webinars (2020). Resource Type: Archived Webinar. Description: This webpage includes all recordings and slides from NNOHA's live webinars related to COVID-19. The webinars include content on self-care, teledentistry, and oral health workforce. More Details...

Paycheck Protection Program Stimulus Calculator (2020). Resource Type: Other. Description: This resource is intended to assist you in calculating an estimated amount eligible for a Payroll Protection Loan as part of the CARES Act for COVID-19 funding relief. More Details...

Cost Allocation Methodology for Value-Based Payment Systems (2020). Resource Type: Archived Webinar. Description: To assist health center finance and accounting staff in preparing for the transition from fee-for-service to value-based care, The Delta Center for a Thriving Safety Net is hosting a webinar training series, Understanding Your Costs in an Evolving Payment Environment, facilitated by Capital Link. During our third session, we will begin to put those systems to the test as we explore how your costing challenges could change under a Value-Based Payment reimbursement methodology. More Details...

Pharmacy and Finance for PrEP (2020). Resource Type: Archived Webinar. Description: In this webinar Dr. Rupa Patel discusses pharmacy and financing considerations for initiating and managing PrEP. Dr. Patel, Assistant Professor of Medicine and Director of the PrEP for HIV Program at the Washington University of Medicine in St. Louis, will explore these topics and provide guidance for health centers providing PrEP to their patients. More Details...

Developing a Community Health Center Capital Project Plan and Budget – Part Two (2020). Resource Type: Archived Webinar. Description: The second part of a two-part webinar series will dive deeper into how to determine your sources and uses of funds, the elements of a business plan, and an overview of the variety of capital project financing sources available to health centers, including New Markets Tax Credits. This session will also discuss how health centers can use scenario modeling to strategically manage their capital projects in a changing environment.  More Details...

The Impact of COVID-19 on Health Center Revenue and Jobs: A 50-State Analysis (2020). Resource Type: Publication. Description: View a state-by-state estimate of health center revenue and job loss as a result of the COVID-19 pandemic. More Details...

Oral Health Listening Session Findings — COVID-19 (2020). Resource Type: Publication. Description: NNOHA hosted three oral health listening sessions on health center dental programs' responses to COVID-19. The listening sessions focused on protecting the community and protecting the dental team. The findings of the three listening sessions are provided in this document in addition the webinar recordings. More Details...

Health and Housing Partnerships: Progress Towards a Tobacco-Free Community (2020). Resource Type: Archived Webinar. Description: This webinar reviews the requirements of HUD’s smoke-free rule and identifies behavioral health treatment strategies for tobacco use disorder. More Details...

Tools and Techniques to Assess Your Health Center’s Market and Community Needs (2020). Resource Type: Archived Webinar. Description: This session will provide attendees with a review of the resources (many of which are free) available for health centers to assess market opportunities and community needs. More Details...

Proactive Scenario Planning: Modeling Financial Implications (2020). Resource Type: Archived Webinar. Description: Review opportunities for improving health center financial health by proactively forecasting revenue streams under a variety of scenarios and by implementing strategies to maximize revenue collections regardless of market changes. More Details...

NNOHA Oral Health Infrastructure: Brick and Mortar Expansion (2020). Resource Type: Archived Webinar. Description: As part of the 2019 HRSA Oral Health Infrastructure funding, NNOHA is offering a series of four webinars on various infrastructure enhancements for new or enhanced integrated oral health services. The first webinar of the series focuses on brick and mortar expansion. More Details...

Health Center Capital Project Financing Sources: HRSA’s Loan Guarantee Program and New Markets Tax Credits (2020). Resource Type: Archived Webinar. Description: This session describes the Health Resources and Services Administration's (HRSA's) greatly-expanded and streamlined Health Center Facility Loan Guarantee Program. We also discuss the benefits of New Markets Tax Credits. More Details...

Facilitating Change: Working Together, Engaging Others and Motivating for Change (2020). Resource Type: Archived Webinar. Description: Health centers are undergoing tremendous changes: considering shifting to value-based payment models; continuing to implement and optimize technology; creating data-driven quality improvement programs; and developing and enhancing multi-disciplinary care teams. More Details...

Cost Per Visit Measuring Health Center Performance (2020). Resource Type: Publication. Description: This Issue Brief provides a methodology for health centers to calculate costs across all service lines, and examines the operational factors that most directly influence those costs. Developed in collaboration with the National Association of Community Health Centers (NACHC). More Details...

Are You Ready?” Essential Preparation Activities to Move Your Capital Project Ahead (2020). Resource Type: Archived Webinar. Description: This session covers essential steps to prepare your project for success, including incorporating facilities goals in your strategic plan, understanding your patient base and community trends, analyzing your current operations to determine the space you need, and ensuring your center is financially sound before proceeding. We’ll also describe resources available to help you plan. More Details...

Preparing Internal Systems for Gathering Cost Data (2020). Resource Type: Archived Webinar. Description: The second webinar in the series will provide insight from a former health center CFO into the ways health centers can set up charts of account, practice management systems, and HR/payroll systems to facilitate an accurate understanding of cost. More Details...

Developing a Community Health Center Capital Project Plan and Budget – Part One (2020). Resource Type: Archived Webinar. Description: We will discuss how to estimate service area demand, workforce needs, and space requirements so you can build a realistic budget. We will also describe how to calculate your debt capacity and measure financial feasibility. More Details...

Developing a Community Health Center Capital Project Plan and Budget – Part One (2020). Resource Type: Archived Webinar. Description: This session, the first of a two-part webinar series, will take a broad look at capital project planning activities that allow you to accurately determine the cost of a project so your health center knows how much funding you need to secure. We will discuss how to estimate service area demand, workforce needs, and space requirements so you can build a realistic budget. We will also describe how to calculate your debt capacity and measure financial feasibility. More Details...

Prepare Now, Save Later - New Markets Tax Credits Can Save Millions on Your Future Capital Project (2020). Resource Type: Archived Webinar. Description: We will provide a general overview of the NMTC program, the timing of upcoming funding rounds, the process of completing a NMTC transaction and the myriad benefits of doing so. We’ll also review other sources of financing that can be leveraged along with NMTCs. More Details...

Creating a Business Plan for a Community Health Center Capital Project (2020). Resource Type: Publication. Description: This how-to manual is designed to provide health centers with a hands-on approach to writing a business plan for a facilities improvement project. (Updated 2020) More Details...

The Delta Center for a Thriving Safety Net Webinar Training Series - Cost Allocation: Getting the Basics Right (2020). Resource Type: Archived Webinar. Description: To assist health center finance and accounting staff in preparing for the transition from fee-for-service to value-based care, The Delta Center for a Thriving Safety Net is hosting a webinar training series, Understanding Your Costs in an Evolving Payment Environment, facilitated by Capital Link. More Details...

Cost Allocation: Getting the Basics Right (2020). Resource Type: Archived Webinar. Description: To assist health center finance and accounting staff in preparing for the transition from fee-for-service to value-based care, The Delta Center for a Thriving Safety Net is hosting a webinar training series, Understanding Your Costs in an Evolving Payment Environment, facilitated by Capital Link. This first webinar will provide a detailed review of the methodology for allocating costs in a fee-for-service accounting environment (direct, indirect, and overhead), and an introduction to how “costing” will differ in a value-based system.  More Details...

Optimizing Team Resources: Patient/Provider Scheduling and Panel Size (2020). Resource Type: Archived Webinar. Description: Health centers continue to devote significant resources to the transition to a team-based model of primary care delivery. From defining target outcomes to simplifying scheduling templates to aligning panel size, the participant will learn a replicable process for moving forward with each of their primary care teams through what is often a contentious and divisive operational imperative. More Details...

Financial and Operational Benchmarking Trends and Techniques (2019). Resource Type: Archived webinar. Description: How do you assess your performance by looking at your financial metrics? Which metrics are important? How can you benchmark your performance to your peers? In this session, health centers will learn how to assess their health center’s financial and operational performance using benchmarking and comparative metrics from Capital Link’s audited financial database and data from the federal UDS reporting system and referencing Capital Link’s recently updated Federally Qualified Health Centers Financial and Operational Performance Analysis and Performance Benchmarking Toolkit. More Details...

So You Want to Start a Health Center? (2019). Resource Type: Publication. Description: This publication is a guide for health care providers and organizations, public agencies, or community-based organizations and individuals interested in becoming part of the Health Center Program. This guide outlines the many considerations and recommended steps a community must consider for assessing readiness to apply to become a community health center. It also provides links to resources and toolkits that support each step of the process. More Details...

Finance & Reimbursement for Clinical Leaders (eLearning) (2019). Resource Type: Online Self-Paced Learning Modules. Description: This self-paced eLearning course discusses the importance of finance and reimbursement as part of a clinical leader’s core competency development. The focus will be on enhancing a clinical leader’s role in using financial tools and systems to effectively manage ongoing clinical operations, developing clinical component of health center grant applications, and ensuring clinical staff awareness of reimbursement mechanisms and issues. More Details...

Modules on Board Financial Oversight (2019). Resource Type: Online Self-Paced Learning Modules. Description: The Modules on Board Financial Oversight were produced by NACHC and feature subject matter experts from BKD. This five-part series addresses the board’s role in financial oversight, how to read key financial statements, and highlights some key financial performance indicators typically monitored by health center boards. The content in the modules is foundational and intended for those new to board service, board members who want to build their confidence related to financial oversight, or board members that want a refresher on this topic. The Modules can be viewed by individual board members, by the full board as part of its own ongoing board education,* or during new board member orientation.* The Modules include: Module 1: The Board's Role in Financial Oversight Module 2: Reading and Understanding the Balance Sheet (Statement of Financial Position) Module 3: Reading and Understanding the Income Statement (Statement of Activities) Module 4: Understanding the Importance of Cash Flow Module 5: Key Financial Performance Indicators More Details...

Policy Options for Improving Dental Coverage for People on Medicare (2019). Resource Type: Publication. Description: The Kaiser Family Foundation just released an “Issue Brief” which identifies several potential approaches for improving dental coverage for Medicare beneficiaries. Included in the options are OPEN’s recommendation to include an extensive dental benefit under Medicare Part B. Also included in the Issue Brief is the work OPEN has been doing to get federal policymakers to expand the types of “medically necessary” dental services that are covered. More Details...

Project Highlight: The Floating Hospital, NY (2019). Resource Type: Publication. Description: This summary describes The Floating Hospital, Inc.’s (TFH) expansion efforts in Long Island City, NY, highlighting the capital project planning, financing, and estimated community impact of a new $7.5 million health center capital facility. More Details...

Project Highlight: Primecare Community Health, IL (2019). Resource Type: Publication. Description: This summary describes PrimeCare Community Health, Inc.’s expansion efforts in Chicago, IL, highlighting the capital project planning, financing, and estimated community impact of a new $8 million health center capital project. More Details...

NACHC Payment Reform Readiness Assessment Tool (2019). Resource Type: Publication. Description: The preparedness assessment is designed to begin the conversation among health center leadership, staff, and key stakeholders/partners about successful engagement in payment reform models. More Details...

Legal Requirements and Issues Concerning Wraparound Payments to FQHCs (2019). Resource Type: Publication. Description: The federal law addressing the Medicaid FQHC PPS contains special provisions regarding payments to FQHCs for services rendered under contract with a Medicaid managed care organization (MCO). In essence, states are required to make payments to FQHCs to cover the difference between amounts paid to the FQHC by a Medicaid managed care organization (MCO) and the FQHC’s PPS rate (if the latter is higher).3 These supplemental payments, which are made directly from the state to the FQHC, are sometimes referred to as “wraparound” payments. This Issue Brief provides an overview of the law relating to wraparound payments to FQHCs, and identifies several current key policy issues relating to FQHCs’ participation in Medicaid managed care. More Details...

Financial and Operational Contingency Planning (English/Spanish) (2019). Resource Type: Publication. Description: n.a. More Details...

Nurse Closer Process: Using Nonclinician Staff to Make Patient Visits More Efficient (2019). Resource Type: Other. Description: The Nurse Closer process was designed and implemented to use non clinician staff to make patient visits more efficient. The model drives quality by combining team-based care with technology and allows all team members to work at the maximum capacity of their license. The goal of the process is to achieve higher value care with out increasing clinical expenses or provider burn out. More Details...

Achieving Social Determinants of Health Goals through Capital Expansion (2019). Resource Type: Archived Webinar. Description: The Social Determinants of Health (SDOH) can be a powerful framework to help health centers become an integral part of a community that sets the foundation for health. Health centers are increasingly addressing SDOH through their capital projects, such as co-located health and housing units, community gardens, gyms, and building space for financial counseling. More Details...

Medication-Assisted Treatment (MAT) Frequently Asked Questions: Compliance with HRSA Requirements for Scope of Project, Patient Access and Patient Payments (2019). Resource Type: Publication. Description: In practice, SUD-related services encompass various types of treatments based on the specific addiction disorder. One component is the provision of Medication-Assisted Treatment (MAT) services – a strategy that combines both drug and behavioral therapies to combat substance use disorders, and which may include opioid treatment programs (OTPs) such as Buprenorphine Therapy, non-opioid medication treatments and classes, and various behavioral health therapies. This Frequently Asked Questions (FAQ) document focuses on some of the more common questions related to the application of HCP requirements to the provision of MAT services. In particular, this FAQ addresses questions that often arise regarding the relationship between MAT services and the health center’s overall “scope of project,” patient access within the context of the HCP requirement to offer services to all residents of the service area, and patient payments for MAT services. More Details...

Performance Benchmarking Toolkit for Health Centers: Tracking Data to Improve Financial Performance (2019). Resource Type: Toolkit. Description: This toolkit provides guidance in applying data analysis tools to help health centers more effectively track performance, understand key drivers, and incorporate operational insights for financial sustainability. More Details...

Medicare FQHC Reimbursement (2019). Resource Type: Publication. Description: The Calendar Year 2019 Physician Fee Schedule Final Rule included two new provisions specific to health centers. Below is a summary of the latest updates for FQHCs. More Details...

Managed Care and Homeless Populations: Linking the HCH Community and MCO Partners (2019). Resource Type: Publication. Description: The brief includes the health care needs of this group, describes Health Care for the Homeless projects and the patients receiving care in these venues, a description of managed care, common goals between both entities, and issues that both providers and plans should consider when creating or strengthening partnerships. Because health care providers and insurance plans use different language, the terms “patient” and “member” are used throughout this brief to refer to the individuals being served. More Details...

HRSA's Loan Guarantee Program Explained, Part 1 (2019). Resource Type: Archived Webinar. Description: During this session, attendees will learn about HRSA’s greatly-expanded and streamlined Loan Guarantee Program. In this session, you will learn how to prepare for and apply to the program, as well as how to access available technical assistance resources to assist with the planning and application process. More Details...

Defining an Effective Change in Scope (2019). Resource Type: Publication. Description: This document explains the definition of a Medicaid change in scope and why this process is important for payment and care transformation. More Details...

Financing Medical-Legal Partnerships: View From The Field (2019). Resource Type: Publication. Description: To date, over 350 health organizations - including over 120 HRSA funded health centers -have implemented medical-legal partnerships (MLPs). This fact sheet draws on national survey data from these organizations and their partnering legal organizations to describe programs’ average budgets as well as a variety of health, legal, and philanthropic funding streams that currently fund MLPs. It also discusses how MLPs are adapting to meet their funding challenges and highlights examples of programs implementing innovative Medicaid financing models to pay for MLP services. More Details...

HRSA Health Center Facility Loan Guarantee Program: An Overview for Health Centers (2019). Resource Type: Publication. Description: Learn more about HRSA's Health Center Facility Loan Guarantee Program which offers loan guarantees for the construction, renovation, and modernization of medical facilities operated by health centers. This resource reviews the benefits, eligibility, application process, costs, and available assistance for this valuable program. More Details...

Using Financial and Operational Data to Plan for Growth (2019). Resource Type: Archived Webinar. Description: Develop a framework for identifying strengths, challenges, and opportunities for performance improvement in preparation for growth, including best practices from Capital Link's one-on-one work with health centers. More Details...

Medicaid FQHC PPS Checklist (2019). Resource Type: Publication. Description: This resource outlines important information regarding the Medicaid FQHC Prospective Payment System. Federal law requires that State Medicaid agencies pay federally-qualified health centers (FQHCs or “health centers”) using a prospective payment system (PPS). This Medicaid FQHC Prospective Payment System Checklist is designed to assist FQHCs and Primary Care Associations (PCAs) in assessing FQHCs’ PPS rates and in pursuing strategies to make the PPS methodology work better. More Details...

Health Centers as Assets in Their Community: Assessing Your Environment (Market Assessment) (2019). Resource Type: Archived Webinar. Description: This session is designed to provide attendees with a tour of the range of research resources available for health centers to assess market opportunities (many of them are free for all to use). We will review techniques for how to determine the size and location of the low-income, uninsured and under-served population, estimate the level of unmet need, and translate this information into workforce needs and a preliminary capital project budget. More Details...

Looking at PACE...An Opportunity for Community Health Centers (2019). Resource Type: Archived Webinar. Description: Join us to learn more about Program of All-Inclusive Care for the Elderly (PACE) and how to implement a program at your health center to better serve the growing population of patients aged 55 and older with chronic conditions, while supporting their independent living in the community. More Details...

Communicating the Value & Impact of Your Health Center (2019). Resource Type: Archived Webinar. Description: Now more than ever, there is a need to demonstrate the value and impact of health centers, whether to community members, legislators, funders, or payers. But how can you share your impact in a simple, compelling format? With Capital Link’s newly-redesigned, customized economic impact infographic, Value & Impact of Health Centers. More Details...

Strategic Planning for Capital Project Success (2019). Resource Type: Archived Webinar. Description: This session will introduce participants to strategic planning concepts and how to incorporate needed facilities replacement or expansion projects for into your plan, including strategies to obtain financing for capital projects. More Details...

Advancing Health Center Value By Strengthening PCA & HCCN Capacity (2018). Resource Type: Publication. Description: This infographic provides an overview of available learning opportunities to support PCAs and HCCNs as they engage health centers in value-based strategies. More Details...

Financial and Operational Benchmarking Trends and Techniques (2018). Resource Type: Archived Webinar. Description: In this session, health centers will learn how to assess their health center’s financial and operational performance using benchmarking and comparative metrics from Capital Link’s audited financial database and data from the federal UDS reporting system and referencing Capital Link’s recently released Federally Qualified Health Centers Financial and Operational Performance Analysis 2013-2016, a new resource providing multi-year trends for community health centers on a national basis. More Details...

Managing Your Health Center's Cost of Care (2018). Resource Type: Archived Webinar. Description: This session focused on the factors that influence the cost of care, providing information from new resources – a Capital Link study examining four-year trends across a series of cost-focused ratios and an updated NACHC issue brief providing a methodology for calculating costs. More Details...

Cost of Care Trends for Community Health Centers: 2012-2016 (2018). Resource Type: Publication. Description: This report provides median national health center cost trends for all services tracked by UDS from 2012- 2016, providing general comparative data for benchmarking. More Details...

Integrating Medical and Financial Health (2018). Resource Type: Publication. Description: This publication summarizes the impact of financial stability on health, and provides guidelines for creating a medical-financial partnership in a health center. More Details...

Cost Per Visit: Measuring Health Center Performance (2018). Resource Type: Publication. Description: Developed by Capital Link and the National Association of Community Health Centers (NACHC) as an update to NACHC’s original 2003 publication,Cost Per Visit – Measuring Health Center Performance, reviews in detail the process and methodology for calculating the component costs of care with a focus on cost per visit across all service lines — medical, dental, mental health (including substance abuse), and vision services. It also examines methods for reducing health center costs through population health management, global payment methodologies, and tying reimbursements to outcomes. More Details...

Office Hour: Finance & Reimbursement for Clinical Leaders (2018). Resource Type: Archived Webinar. Description: This Office Hour webinar features subject matter experts who address - and answer participants’ questions about - health center finance and reimbursement as part of a Clinical Leader’s core competency development. The focus is on enhancing the Clinical Leader’s ability to: (1) Fully utilize financial systems and tools to effectively manage ongoing clinical operations; (2) Develop the clinical component of health center grant applications; and (3) Ensure clinical staff awareness of important reimbursement issues and mechanisms. More Details...

Coding and Documentation Improvement Series (2018). Resource Type: Archived Webinar. Description: Part 1: Coding and Documentation Improvement Accurate coding and documentation is a vital component of a health centers financial viability and overall success. In this two-part webinar series industry expert, Shellie Sulzberger LPN, CPC, ICDCT-CM, Co-Founder of Coding and Compliance Initiatives, Inc. will compare the current model versus the future model of outlining patient risk and conduct an interactive Q&A in part-two. This training will address the basic coding structure and common issues that impact coding. Attendees will learn why clinical documentation is critical from the compliance, reimbursement, and patient care perspectives Part 2: Coding and Documentation Questions and Answers Do you have specific questions about coding and documentation? Does your health center have new staff in the billing and collections department? Do you need a refresher on your process? Now is your opportunity to ask Shellie Sulzberger, LPN, CPC, ICDCT-CM, Co-Founder of Coding and Compliance Initiatives, Inc. Shellie works with a number of community health centers and is recognized for her extensive knowledge of documentation and coding guidelines. During this one hour webinar, Shellie will be review and provide answers to the Frequently Asked Questions (FAQs) submitted following the May 9 webinar “Coding and Documentation: Recommendations for Outlining Patient Risk.” Follow this link to anonymously submit your questions in advance to be answered during the webinar. We will also allow limited time for participants to submit new questions More Details...

Medicaid Accountable Care Organizations: A Case Study with Hennepin Health (2018). Resource Type: Publication. Description: State Medicaid agencies are increasingly utilizing ACOs as an approach to redesign their health care delivery systems, and participating care providers in these states will experience significant changes in reimbursements and service organization/delivery. Through the lens of Hennepin Health, this publication examines key challenges, next steps, and lessons learned at one HCH program participating in an ACO. More Details...

Medicaid Accountable Care Organizations: A Case Study with Boston HCH Program (2018). Resource Type: Publication. Description: This case study examines how these changes to ACOs will impact BHCHP and other Massachusetts HCH programs—and how these issues might be common to other states implementing (or considering) ACOs as part of their health care delivery redesign. More Details...

Capital Expansion for Health and Housing Partnerships: Introductory Webinar for Health Centers Exploring Capital Expansion (2018). Resource Type: Archived Webinar. Description: Health center partnerships that are addressing SDOH include design and development of expanded facilities to address the needs for health center clients and to address general gaps for affordable and supportive housing in the community. More Details...

Payment Innovation and Health Center Dental Programs: Case Studies from Three States (2018). Resource Type: Publication. Description: As dental care reimbursement follows the trends of healthcare overall towards value-based payment reimbursement, lessons from pioneers in dental payment innovation will inform effective health center strategies that will both strengthen the dental safety network and improve the oral health of the communities they serve. This document outlines interviews from organizations in three states on how health center dental programs are adapting clinical care systems under payment innovation incentives. More Details...

Best Practices in Capital Planning and Financing (2018). Resource Type: Archived Webinar. Description: Capital projects are complicated for most health centers, but become more manageable when following a methodical process. This session with provide an overview of Capital Link's new resource Steps to Success: A Toolkit for Navigating a Capital Development Venture, a guideline of the steps involved in planning a capital project. We will also review resources available for each step of the planning process, and financing options for health centers, including New Markets Tax Credits. More Details...

The Fundamentals of Developing a FQHC APM (2017). Resource Type: Archived Webinar. Description: This webinar provides the basis for developing capitated FQHC APM and some best practices. More Details...

Medical Respite Care: Financing Approaches (2017). Resource Type: Publication. Description: The Council’s “Medical Respite Care: Financing Approaches” brief details practical considerations for creating or growing financially sustainable medical respite care programs. As communities look to reduce health care costs and improve patient outcomes, medical respite care programs fill a critical need for people without homes. To help fund this vital care, our brief details medical respite, provides a rationale for creating such programs, outlines financing approaches, and suggests steps for effective implementation. More Details...

Implementing your sliding fee policy (2017). Resource Type: Archived Webinar. Description: This session will review the requirements and different methodologies in operationalizing a sliding fee program. More Details...

The Value Proposition for Population Health Management for Health Centers: Calculating ROI on your PHM investment (2017). Resource Type: Publication. Description: Measuring return on investment ROI and the value of population health management is an emerging concern for health centers.  Calculating ROI on HIT investment is complex, and few health centers have experience in this endeavor.  The definition of value varies by type and size of provider, patient population, and other factors, and may be unique to an organization.  This white paper discusses principles and approaches to measure the value proposition for population health management for health centers.  Although few examples exist, we present the results of one health center’s measurement of the value of PHM. Measuring return on investment ROI and the value of population health management is an emerging concern for health centers.  Calculating ROI on HIT investment is complex, and few health centers have experience in this endeavor.  The definition of value varies by type and size of provider, patient population, and other factors, and may be unique to an organization.  This white paper discusses principles and approaches to measure the value proposition for population health management for health centers.  Although few examples exist, we present the results of one health center’s measurement of the value of PHM. Download the white paper below. More Details...

Steps to Success: A Toolkit for Community Health Centers Navigating a Capital Development Venture (2017). Resource Type: Toolkit. Description: This toolkit highlights eight planning activities, which are fundamental building blocks that create a foundation for smoother project completion, eliminating most of the guesswork, and allowing health centers to understand opportunities and risks. More Details...

Hurricane Recovery Resources for Health Centers (2017). Resource Type: Publication. Description: These resources assist health centers in obtaining Federal Emergency Management Agency (FEMA) funding for damaged or destroyed facilities. More Details...

Health Center Stories (2017). Resource Type: Publication. Description: To give health centers insights on the capital development process, Capital Link regularly profiles health centers that have successfully completed their capital funding strategy. These client stories illustrate how health centers are striving to expand to meet the needs of their communities, using a wide variety of financing structures to achieve the goal of moving ahead with their capital projects. More Details...

Introduction to Value-Based Payment for Health Centers: What is Value-Based Payment and why are Health Centers Considering Payment Reform? (2016). Resource Type: Publication. Description: This HITEQ brief introduces value-based payment and role of health centers as payment models shift. The brief answers key questions about health centers’ engagement in value-based payment, including health-center specific Alternative Payment Methodology (APM), reasons to engage in payment reform, the shifts in primary care payment going forward, and the transition to value-based payment. Value-based payment is a systematic method of paying for care that rewards the cost-effective improvement of the health and well-being of a population.  Payment reform is changing current volume-based payment system to alternative payment models (APMs) that link payment to outcomes and align financial incentives with providing value. By engaging in value-based payment models, health centers can lay the foundation for financial sustainability, high quality care, and engaged staff. This resource outlines value based payment and payment reform specifically tailored to the health center environment. More Details...

Building Resources to Support Civil Legal Aid Access in HRSA-Funded Health Centers (2016). Resource Type: Publication. Description: This issue brief describes how health centers used supplemental funding to anchor MLP services as part of enabling services activities. It shares the experiences of health centers from Hawai’i to New Hampshire that received expanded services awards from HRSA and used them for legal-related enabling services, and extrapolates lessons for other health centers about the impact of collaborations between health centers and civil legal aid services and how to leverage funding opportunities for fostering medical-legal partnerships. More Details...

What Questions Should I Ask About My Health Insurance (2016). Resource Type: Publication. Description: This publication is for patients to provide basic information about how health insurance may affect the cost of a visit. This document is editable and can be modified by the health center. More Details...

Que Preguntas Deberia Hacer Sobre Mi Seguro Medico (2016). Resource Type: Publication. Description: This publication is for Spanish-speaking patients to provide basic information about how health insurance may affect the cost of a visit. This document is editable and can be modified by the health center. More Details...

Hospital Community Benefit Funds: Resources for the HCH Community (2016). Resource Type: Publication. Description: This policy brief gives an overview of hospital community benefit requirements, illustrates the difference between two types of benefits, describes how community benefit funds are currently distributed, discusses additional state requirements, considers hospital perspectives, provides examples of successful partnerships currently in practice, and shares advice for maximizing hospital partnerships with the Health Care for the Homeless (HCH) community. More Details...

Spotlight on Capital Resources: New Markets Tax Credit Program Extension (2016). Resource Type: Publication. Description: The third in a series of New Markets Tax Credit (NMTC) Program resources published by Capital Link, this document focuses on the implications of the five-year NMTC program extension and includes the steps necessary for preparing to utilize NMTCs for a capital project, information on the new “one-day loan” structure constraints, and the feasibility of using a “developer fee” to increase investment. More Details...

Hallmarks of High Performance: Exploring the Relationship between Clinical, Financial, and Operational Excellence at America's Health Centers (2016). Resource Type: Publication. Description: This analysis examined the operating models, strategies, and practices of high-performing health centers to better understand the factors that work for and against the co-occurrence of strong clinical performance and financial sustainability. More Details...

Creating a Place for Care: Fostering Alignment and Eliminating Barriers in the Patient-Centered Medical Home (2016). Resource Type: Publication. Description: This resource is designed to assist health centers in the facility design process to ensure that their physical space is aligned with their process of care and the unique needs and preferences of the patients they serve. More Details...

Spotlight on Capital Resources: New Markets Tax Credit Program Update (2015). Resource Type: Publication. Description: Serving as a follow up to Spotlight on Capital Resources: New Markets Tax Credit Program published in 2012, this update provides new information for health centers on how to qualify for the NMTC Program using the Targeted Populations regulations and how to “wind-up” a transaction. More Details...

Creating a Dynamic and Useful Strategic Plan: A Toolkit for Health Centers (2015). Resource Type: Toolkit. Description: This interactive resource, developed by Capital Link and the National Association of Community Health Centers, provides health centers with a toolkit to create and maintain a useful strategic plan. It helps health centers to assess key influences, reinforce operating systems, establish objectives, and mobilize staff and other stakeholders to meet the challenges of a changing environment. Most importantly, it offers tools to distill this information into the critical actions health centers need to manage strategically and achieve sustainability. More Details...

Capital Plans and Needs of Health Centers: A National Perspective 2015 (2015). Resource Type: Publication. Description: This report is based on a 2015 assessment conducted to determine the capital plans and needs of health centers across the US. The assessment also gathered information on funding sources and interest in collaborative projects addressing the social determinants of health. More Details...

Spotlight on Capital Resources: Community Development Financial Institutions (2014). Resource Type: Publication. Description: This publication provides an overview of Community Development Financial Institutions (CDFIs) and their role in providing capital to traditionally underserved businesses, including health centers. It describes the CDFI business model and information that community health center management should find useful as they prepare to seek financing from a CDFI. More Details...

High-Performance Health Centers: Learning, Measuring, Achieving (2014). Resource Type: Publication. Description: This guide explores the transition from data to information to knowledge to action with the goal of achieving a high level of performance. It discusses the difference between calculating outputs and measuring outcomes, and reviews the basics of “change management,” explaining how to identify what’s important and how to transform limited resources into significant improvements. It also describes the importance of measuring, benchmarking, and evaluating all organizational activities, providing an introduction to the tools needed to attain high performance. More Details...

Adding Fund Development Capacity to Sustain Health Center Growth (2014). Resource Type: Publication. Description: This guide is designed to help health centers organize a fund development strategy and identify the right personnel to help improve fundraising efforts. It reviews the current fundraising environment for health centers, clarifies when to bring in fund development expertise, outlines the responsibilities of a development director and fundraising consultant, and discusses how organizing a capital campaign for facilities expansion differs from raising funds for operations. More Details...

Understanding Hospital Community Benefit Obligations: A Guide for Health Centers (2013). Resource Type: Publication. Description: Developed to assist health centers in forming productive collaborations with other providers, this publication describes hospital community benefit requirements and how they can spur community efforts to expand access to care and improve local health outcomes. More Details...

Spotlight on Capital Resources: Tax-Exempt Bonds (2013). Resource Type: Publication. Description: This publication describes tax-exempt bonds, including what they are, why health centers should consider using them to finance a capital project, eligibility, types of projects that can be financed, tax-exempt bond structures, and general steps for approval and issuance. More Details...

Estimating Capital Project Costs for Health Centers (2013). Resource Type: Publication. Description: This publication outlines the main components of a capital project budget and provides assistance in estimating top-line construction costs, based on the review of approximately 500 community health center capital projects from 2010-2013. More Details...

Engaging Staff and Community in Defining Your Capital Project (2013). Resource Type: Publication. Description: This publication offers tools and techniques to solicit valuable input from health center staff and community members to inform the design of a capital project. More Details...

Assembling a Capital Project Team (2013). Resource Type: Publication. Description: This publication is designed to help health centers understand how to assemble a skilled project team to complete a capital project, reviewing the roles and responsibilities of team members and how they contribute to the capital development process. More Details...

Working with the USDA: Opportunities for Rural Federally Qualified Health Centers (2012). Resource Type: Publication. Description: This publication describes the array of programs offered by the United States Department of Agriculture (USDA). Health centers considering capital expansions that are located in eligible areas may find these programs extremely beneficial. More Details...

Spotlight on Capital Resources: New Markets Tax Credit Program (2012). Resource Type: Publication. Description: The New Markets Tax Credit (NMTC) Program has helped many community health centers cost-effectively finance their capital projects. This resource explains what the NMTC Program is, how this type of financing works, and provides a detailed example. More Details...

Building Community Support for Your Health Center (2012). Resource Type: Publication. Description: This publication offers insights about how to develop strong relationships with community leaders and stakeholders, which is essential for achieving your health center’s mission and important to understand before embarking on expansion plans. It helps health centers and PCAs to assess community impact, develop an outreach plan, and create effective and memorable informational materials. More Details...

Preparing for a Capital Project: Are You Ready? (2011). Resource Type: Toolkit. Description: This toolkit evaluates health center readiness to begin the capital development process, with the goal of helping health centers avoid the pitfalls that insufficiently planned projects can encounter. It is presented as a series of questions to assess different aspects of pre-planning activities that should be completed before beginning a capital project, along with reasons for the relevance of the questions and advice for next steps. More Details...

Tips for Managing Facility Development Risk (2010). Resource Type: Publication. Description: Developed for the National Association of Community Health Center's Risk Management Series, this information bulletin describes the major areas of risk and identifies action steps so health centers can reduce exposure to liabilities related to facilities development. More Details...

Selecting the Right Capital Project Financing: A Guide for Health Center Staff and Boards (2010). Resource Type: Publication. Description: This publication gives health centers and boards the information they need to determine the best mix of capital financing options for their projects. It includes comprehensive sections on factors that influence health center financing, including debt capacity and lending requirements, as well as sources of equity and debt financing and credit enhancement. More Details...

Checklist: Sustainable Community Health Center Renovations (2010). Resource Type: Publication. Description: Developed by a team assembled by Perkins+Will, this document provides a checklist of sustainable building and renovation practices. More Details...

Capital Project Work Plan (2007). Resource Type: Toolkit. Description: The goal of this toolkit is for health centers to identify necessary steps in the capital development process that specifically address their individual capital projects. This document keeps management, the project team and the board of directors informed about the project. More Details...

Federally Qualified Health Centers Financial and Operational Performance Analysis 2015-2018 (1905). Resource Type: Publication. Description: This report, prepared with support from the Health Resources and Services Administration, provides an aggregate financial and operational profile of Federally Qualified Health Centers nationally from 2015 to 2018. By presenting multi-year trends, the analysis offers a framework for identifying financial strengths, challenges, and opportunities for performance improvement. More Details...

Key Considerations in Planning Your Facility for Integrated, Comprehensive Care (0201). Resource Type: Archived Webinar. Description: This webinar provides an overview of the most important factors to consider when planning a facility that will accommodate various types of integrated care. More Details...

That Was Easy Understanding Health Center Finances for Board Members (2015). Resource Type: Archived Webinar . Description: An overview of health center finance topics appropriate for board members without a financial background, presented in the context of the 19 HRSA program requirements. More Details...

How CHCs Are Funded - The Revenue Cycle (2015). Resource Type: Archived Webinar . Description: Training on understanding how CHCs are funded and the role that staff play in the health center’s financial viability. Staff at CHCs often have limited or no understanding of where funds that support center activities and staff salaries come from. This webcast will provide HC staff knowledge of the role that billing, co-pays, SFS and collections play in the financial viability of the health center and how they are part of that role from the front desk to the provider. More Details...

Medicaid PPS 101 For Everyone (n.a.). Resource Type: Archived Webinar. Description: This is the webinar for you! In this webinar we will go over the Medicaid basics, including Medicaid coverage of health centers, how the PPS is calculated, what is included in the PPS, and Alternative Payment Methodologies. Please join us to learn the basics for the first time or refresh your memory on this important program for health centers. More Details...

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.