Quick Finds: Governance

Becoming a Teaching Health Center: Tips for Health Center Boards (2023). Resource Type: Publication. Description: This resource offers tips for boards when a health center is considering starting the process to become a Teaching Health Center. It offers a case example of how one board used these strategies. More Details...

Tips for Boards on Health Center Workforce Challenges and Opportunities (2023). Resource Type: Elearning. Description: NACHC has developed two resources – an article and companion video – related to workforce for health center boards. The article provides tips that a board can consider in partnership with the CEO to help address workforce challenges and opportunities through board-level functions, including strategic planning, budget approval, policy approval, and other forms of oversight and board development. A companion video provides a summary of the article. Boards may find it helpful to watch the companion video to generate discussion about the board’s role related to workforce challenges and opportunities. More Details...

Tips for Health Center Boards for Evaluating the Sliding Fee Discount Program (2022). Resource Type: Microlearning. Description: Health center boards are required to adopt, review and evaluate at least once every three years, and, as needed, approve updates to the Sliding Fee Discount Program as noted in Chapter 19: Board Authority in the Health Resources and Services Administration (HRSA) Health Center Program Compliance Manual. This short video provides tips on how boards can work with the health center CEO to evaluate and approve updates to the Sliding Fee Discount Program. It contains sample data and questions a board may wish to ask as part of this process. More Details...

Sliding Fee Discount Program: The Fundamentals for Health Center Boards (2022). Resource Type: Microlearning. Description: This short video outlines the fundamentals of the Sliding Fee Discount Program that is required under the Health Resources and Services Administration (HRSA) Health Center Program. This video is intended for health center boards and addresses the following topics: What is the Sliding Fee Discount Program and why is it important? What does a health center board need to know about the Sliding Fee Discount Program? Tips for boards related to the Sliding Fee Discount Program More Details...

Four Fundamentals of Value-Based Payment for Health Center Boards (2022). Resource Type: eLearning. Description: This brief video outlines four fundamental things boards and board members should know about value-based payment. This resource might be helpful for new board member orientation or for a full board to view as part of their ongoing board education. More Details...

Primer on Health Center Pharmacy Operations (2022). Resource Type: Publication. Description: The purpose of this resource is to orient new readers to pharmacy operations at health centers with a specific call-out section for the 340B program. Target audiences are health center C-Suite, Board Members, new health center 340B program staff, pharmacy leaders and new health center staff. More Details...

Manufacturer Restrictions on Contract Pharmacies (2022). Resource Type: Publication. Description: This NACHC Brief explains how Gilead’s new “Contract Pharmacy Integrity Initiative” leads to manufacturer restrictions which require health centers and other covered entities to provide claims-level data from contract pharmacies. Merck has recently included Federally Qualified Health Centers (FQHCs) in their contract pharmacy restrictions when previously only hospital covered entities were impacted. Restrictions do not apply to in-house/entity owned pharmacies. More Details...

Pharmacy Models: An Introduction for Health Center Boards (2022). Resource Type: eLearning. Description: This short video is intended to provide board members with a high-level overview of various pharmacy models and some of the strategic considerations related to these models. More Details...

The COVID-19 Pandemic and the Health Center Workforce: Challenges and Solutions (2022). Resource Type: Archived Webinar. Description: Despite increasing demand for health care services, health centers indicate a critical shortage of staff necessary to meet that demand. Burnout, stress, depression, etc. have eroded our healthy workforce. This Facebook Live session discussed workforce challenges and how to navigate these challenges. More Details...

Implementing Screening of People with Disabilities and Functional Needs During Disasters (2022). Resource Type: Archived Webinar. Description: This learning collaborative is designed to help health centers work with people with disabilities to create customized emergency preparedness kits and plans. More Details...

Developing Your Financial Playbook for Sound Governance Decision Making (2022). Resource Type: Archived Webinar. Description: This webinar provides a playbook for financial decision making for governing board members as it relates to expansion of service area, delivery of service lines and other significant investments needed to navigate our recovery from the Pandemic. More Details...

Financial Fundamentals & Oversight for Board Members (2022). Resource Type: Archived Webinar. Description: Based on a NACHC Board Member training developed by BKD, this webinar will provide governing board members with a basic understanding of their fiduciary responsibilities related to financial oversight, financial reporting, and performance metrics. This session is geared toward new governing board members, seasoned governing board members looking for a refresher, and the finance team. More Details...

The Role of the Health Center Board Member & Board Recruitment (part 1) (2022). Resource Type: Archived Webinar. Description: CPCA developed a 2-part governance training series based on NACHC developed Governance curriculum. The two, one-hour webinars provide summaries around individual board member responsibilities, the responsibilities of a board as a collective, how to work with the CEO, and tips and tricks around board recruitment, training and retention. More Details...

Federally Qualified Health Center Strategies for Coping with Hospital Closure: Community Health Center of Southeast Kansas (2022). Resource Type: Publication. Description: An in-depth exploration of a rural health center\'s response to the closure of a local hospital and the subsequent impact on the community. (Released in 2022) More Details...

Ten FAQs About Health Center Boards & the CMS Omnibus COVID-19 Staff Vaccination Interim Final Rule (2022). Resource Type: Publication. Description: This short document addresses Frequently Asked Questions (FAQs) about the implications of the CMS Omnibus COVID-19 Staff Vaccination Interim Final Rule (CMS IFR) for health center boards and board members. More Details...

The Board’s Role in Evaluating and Implementing Corporate Consolidation Strategies (2022). Resource Type: Publication. Description: This resource outlines the role of a health center board in evaluating and implementing corporate consolidation strategies such as merger, asset acquisition, and parent-subsidiary model. More Details...

Introduction to the Planning and Financing a Capital Project to Accommodate Integrated Care Learning Collaborative (2022). 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. Capital Link is launching a fifth year of our capital planning learning collaborative, which provides practical direction and tools for capital project planning, financing, and completing for health centers that anticipate the need for a project in the next one to five years. More Details...

Optimizing People, Place, and Process in Planning Your Facility for Integrated Care (2022). Resource Type: Archived Webinar. Description: This webinar will provide an overview of the most important factors to consider when planning a facility that will accommodate various models of integrated care. Drawing from our publication, “Tools for Creating an Environment that Supports Integration,” released in 2020 and the recently released, “Optimizing People, Place and Process: Resources to Facilitate Integrated Care in FQHCs,” we’ll present guiding principles for creating a place in which integrated care teams can work effectively with each other and the patients they serve. More Details...

Legal Lessons Learned from the Pandemic for Health Center Boards (2022). Resource Type: Publication. Description: Some of the health center board governance practices adopted during the pandemic may ensure improved governance for the foreseeable future and beyond. This short resource highlights legally-focused governance lessons learned during the pandemic. It also details considerations for assuring and maintaining a reasonable level of flexibility in the health center’s bylaws and key board-approved policies. More Details...

HRSA’s Loan Guarantee Program: An Overview (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). Participants will be provided with an overview of the program and the application process and will highlight recent health center projects that have benefitted from the guarantee. You will also learn about Capital Link’s upcoming LGP Learning Collaborative. More Details...

Board Actions Combating Racism: Case Study of Lowell Community Health Center (2021). Resource Type: Micro-Learning. Description: This video case study highlights the board of Lowell Community Health Center, which passed a Board Resolution Declaring that Racism is a Public Health Crisis. In the video, board members discuss the Resolution and how the board is providing oversight of its implementation. Various discussion questions for boards are included at the end of the video, along with links to resources for additional learning. More Details...

CCHN 2021 Community Health Center Governance Podcast Series (2021). Resource Type: Other. Description: This three-part podcast series provides short, digestible introductions to some of the important parts of being a board member for a CHC. This series is not a comprehensive guide of what it means to be a CHC board member, but rather provides a quick snapshot into relevant governance topics. More Details...

Considerations for Health Center Boards: Diversity, Equity, Inclusion, and Justice in Governance (2021). Resource Type: Self-Paced Module. Description: Considerations for Health Center Boards on Diversity, Equity, Inclusion, and Justice in Governance, is a short introductory module intended as a resource for boards starting to explore or reevaluate diversity, equity, and inclusion in health center governance. More Details...

Navigating CEO Transitions: A Toolkit for Health Center Boards (2021). Resource Type: Toolkit. Description: This toolkit provides an overview of steps involved in preparing for a CEO transition, searching for and selecting a CEO, and onboarding and supporting a new CEO. The appendix includes various templates and tools that can be customized by health center boards. More Details...

CEO Succession Planning: A Toolkit for Health Center Boards (2021). Resource Type: Toolkit. Description: This toolkit provides health center boards with guidance on creating a Chief Executive Succession Policy and a Chief Executive Backup Plan. Various templates are included in the toolkit. More Details...

The Role of Health Center Boards in Business Continuity Planning (2021). Resource Type: Publication. Description: Business Continuity Planning is the process that outlines the potential impacts of an unplanned disruption in operations and identifies the steps organizations will take to prepare for, respond to, recover from, and mitigate potential impacts. This short article outlines key considerations for health center boards related to Business Continuity Planning and questions boards can ask the CEO at their health center. More Details...

Hybrid Board Meetings: Our Next Normal? (2021). Resource Type: Publication. Description: This article outlines practices to consider for hybrid board meetings (when some participants are in-person and others are virtual). More Details...

Health Center Boards & HRSA Health Center Program Compliance: Considerations During and After the Pandemic (2021). Resource Type: Publication. Description: This short resource outlines key considerations for health center boards during and after the pandemic related to Health Center Program Compliance, outlines various resources available to boards on Health Center Program Compliance, and includes discussion questions for boards. More Details...

New Board Member Orientation: PowerPoint Template & Facilitator Guide (2021). Resource Type: Template. Description: Ensuring that new board members receive the information and training to prepare them for their new volunteer role is widely recognized as a good practice and is commonly referred to as “board orientation.” This “New Board Member Orientation – PowerPoint Template” can be customized for board orientation at your health center. The template  contains some slides with general information, as well as a series of slides designed to be updated with health center-specific information. An accompanying “Facilitator Guide” to the “New Board Member Orientation – PowerPoint Template” provides an overview of how to use the PowerPoint slides for the purposes of board orientation. These products are available in English and Spanish. More Details...

Audit Considerations Related to the COVID-19 Pandemic (2021). Resource Type: Publication. Description: This short article summarizes key pandemic-related considerations for health centers boards related to audits. Additionally, this resource contains a list of discussion questions for boards at the end of the document. More Details...

Tools for Creating an Environment that Supports Integrated Care (2021). Resource Type: Publication. Description: This toolkit equips health centers with the guiding principles and tools needed to create an environment that facilitates integrated care. This resource, developed with support from HRSA, is meant to stimulate project team’s thinking and problem-solving skills related to place planning and build cohesion as they embark on improvement projects. (Released in 2021) More Details...

Performance Benchmarking Toolkit for Rural Health Centers (2021). Resource Type: Publication. Description: This toolkit provides guidance in applying data analysis tools to help rural health centers more effectively track performance, understand key drivers, and incorporate operational insights for financial sustainability. This resource was supported by the Health Resources and Services Administration. (Released 2021) 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...

Modulos en capitación financiera para la junta directiva (2021). Resource Type: E-Learning. 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...

Capital Investment Trends and Needs of Federally Qualified Health Centers, 2021 (2021). Resource Type: Publication. Description: Supported by a Cooperative Agreement with the Health Resources and Services Administration, this report is based on the findings of our recent assessment of health centers across the US to determine the current and emerging capital plans and needs during this unprecedented time. (Released 2021) More Details...

Recruiting and Retaining Board Members: Considerations During and Immediately Post-Pandemic: Contratación y retención de miembros de la junta: consideraciones durante e inmediatamente después de la pandemia (2021). Resource Type: Publication. Description: This short resource outlines how health center boards and staff that work closely with the board can adapt board recruitment and retention practices during the pandemic and as we begin to emerge into a new post-pandemic environment. More Details...

Tools for Creating an Environment that Supports Integrated Care (2021). Resource Type: Toolkit. Description: This toolkit equips health centers with the guiding principles and tools needed to create an environment that facilitates integrated care. This resource, developed with support from HRSA, is meant to stimulate project team’s thinking and problem-solving skills related to place planning and build cohesion as they embark on improvement projects. (Released in 2021) More Details...

The Path Forward on Social Determinants of Health: Environment (Heat) (2021). Resource Type: Archived Webinar. Description: The third of five webinars in the Path Forward \"Moving from Screening to Solving for Social Needs\" series focusing on the intersection of health and environment, particularly heat, with presenters Jeremy Hess; Professor, Global Health, Medicine (Emergency Medicine), Environmental & Occupational Health Sciences, Dr. Vivek Shandas; Professor, Nohad A. Toulan School or Urban Studies and Planning – Portland State University; Founder and Director – Sustaining Urban Places Research Lab, and Dr. David Hondula; Senior Sustainability Scientist, Global Institute of Sustainability and Innovation; Associate Professor, School of Geographical Sciences and Urban Planning, Arizona State University; Faculty Affiliate, Epidemiology and Data Services, Maricopa County Department of Public Health. More Details...

Health Center Governance & Telehealth: Current and Future Considerations for Strategy and Oversight: Gobernanza y telesalud del centro de salud: Consideraciones actuales y futuras para la estrategia y la supervisión (2021). Resource Type: Publication. Description: This article outlines various strategic and oversight considerations related to telehealth for health center boards. A list of discussion questions is included at the end of the article. 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...

Three Ways Health Center Board Members can Serve as Ambassadors for the COVID-19 Vaccine (2021). Resource Type: Video. Description: This short video focuses on the board's role in promoting vaccine confidence and awareness. In addition to handouts on talking points and questions for board discussions, links to important resources are provided. More Details...

Pandemic-Related Budgeting Considerations for Health Center Boards / Consideraciones presupuestarias relacionadas con la pandemia para las juntas de los centros de salud (2021). Resource Type: Publication. Description: This article summarizes key pandemic-related considerations for health centers boards in the budgeting process. Additionally, this resource contains a list of discussion questions for boards at the end of the document. Este artículo resume las consideraciones clave relacionadas con la pandemia para las juntas de los centros de salud en el proceso de presupuestación. Además, este recurso contiene una lista de preguntas de discusión para los foros al final del documento. 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...

Board Oversight of Quality During the COVID-19 Pandemic (2021). Resource Type: Publication. Description: This short resource outlines various factors for board consideration regarding quality oversight and mitigating risks related to quality during the pandemic. More Details...

Memorandum of Understanding Template: A Partnership-Building Resource for Community Health Centers and Domestic Violence Programs (2021). Resource Type: Template. Description: The purpose of this model Memorandum of Understanding is to provide a model that contains best practices for building and sustaining health center and domestic violence program partnerships. More Details...

Tips for Board Chairs and Other Board Leaders During the COVID-19 Pandemic (2021). Resource Type: Document. Description: This article provides tips and ideas for board chairs, board officers, and committee chairs who may hold new or more involved leadership roles as the pandemic continues. More Details...

On-demand Health Center Board Series Focused on Health Center Program Compliance and Related Good Practices (2021). Resource Type: Videos. Description: These short videos from the Health Center Association of Nebraska are intended to increase the understanding of health center boards and the individual board members with HRSA’s governing board requirements as included in the Health Center Program Compliance Manual (last updated August 20, 2018) and the Health Center Program Site Visit Protocol (last updated February 20, 2020). Good governance practices are highlighted throughout the series. More Details...

Focusing on the Future: Strategic Planning and Thinking During the COVID-19 Pandemic: Enfoque en el futuro: planificación y pensamiento estratégicos durante la pandemia de la COVID-19 (2021). Resource Type: Document. Description: This short resource outlines how boards can use their strategic planning and thinking to support the health center as it navigates times of uncertainty and change. More Details...