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

Background. Governance resources in the Clearinghouse cover the key roles and responsibilities of health center boards, including financial, managerial, and succession planning concerns.

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Results for: Topic Area = Governance

Displaying records 51 through 100 of 100.

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...

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...

Memorandum of Understanding Template / Memorándum de Entendimiento o Acuerdo Colaborativo: 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...

Key Considerations in Planning Your Facility for Integrated, Comprehensive Care (2021). 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...

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...

Virtual Board Retreats (2021). Resource Type: Document. Description: This short resource outlines how health center boards can plan a virtual retreat during the pandemic, and offers some tools and templates that can be customized by boards. More Details...

The Board’s Role in Evaluating Collaborative Relationships (Governance Legal Brief 4) (2020). Resource Type: Document. Description: This Governance Legal Brief describes why health centers collaborate with other providers, defines common collaboration goals, and discusses potential types of collaborative relationships; examines the board’s role in evaluating collaborative relationships; highlights certain requirements applicable to health center board autonomy in the context of collaborative relationships; and highlights certain key decisions that must be approved by the board, including decisions to subaward a portion of the federal Health Center Project grant. More Details...

Protecting Health Center Board Members and Other Volunteers from Personal Liability (Governance Legal Brief 2) (2020). Resource Type: Document. Description: This Governance Legal Brief summarizes the federal law that protects volunteers of nonprofit organizations: the Federal Volunteer Protection Act. You will learn who this law protects, how it does so, and what is excluded from its coverage. You will also learn about private insurance as an additional option to limit volunteer and health center risks. More Details...

Identifying, Disclosing, and Managing Board Members’ Conflicts of Interest (Governance Legal Brief 1) (2020). Resource Type: Document. Description: This Governance Legal Brief provides general advice for board members about how to identify, disclose, and manage conflicts of interest. This document also describes steps to ensure that a conflict does not impact board decision-making, which could expose the health center to potential risks and liabilities. More Details...

CEO and Senior Executive Compensation – Legal Considerations for Health Centers (Governance Legal Brief 3) (2020). Resource Type: Document. Description: This Governance Legal Brief outlines key considerations related to CEO and senior executive compensation. More Details...

Evolution of the National Consumer Advisory Board: A Case Study in Consumer Leadership (2020). Resource Type: Publication. Description: Consumer involvement in governance is a unique feature of Health Care for the Homeless (HCH) programs and other federally supported Health Centers. The National Health Care for the Homeless Council acknowledged in its founding principles that “all people have the right to participate in the decisions affecting their lives,” and the development and growth of the National Consumer Advisory Board (NCAB) helps us live up to that principle. This new NCAB History case study serves as a testament to the work of those who helped NCAB flourish, and shares lessons learned for other consumer-led groups. More Details...

Public Entity and Co-Applicant Boards: Roles & Responsibilites (2020). Resource Type: Micro-Learning . Description: This short video provides an overview of the roles and responsibilities of public entity co-applicant boards, as well as a discussion of compliance and good governance practices for boards. More Details...

Orienting New Health Center Board Members During the COVID-19 Pandemic (2020). Resource Type: Publication. Description: This short resource outlines how health center boards and staff that work closely with the board can adapt board orientation during the pandemic. More Details...

The Board's Role in Strategic Planning: A Case Study of Cherokee Health Systems (2020). Resource Type: Micro-Learning. Description: This case study offers an overview of Cherokee Health Systems' strategic planning methodology from both the CEO and the Chief Strategy Officer's perspectives. It augments the other lessons in this series, providing a pragmatic example of strategic planning in action. More Details...

EnVision Centers, Jobs Plus and Health Centers Interactive Map (2020). Resource Type: Interactive Map. Description: NCHPH recently launched a new interactive map. This map shows the location of Health Centers, Envision Centers and Jobs Plus sites. EnVision Centers are centralized hubs that provide people living in public housing with resources and support needed to excel. Jobs Plus Sites. The place-based Jobs Plus Initiative program addresses poverty among public housing residents by incentivizing and enabling employment. Health Centers interested in partnering with near Envision Centers and Jobs Plus sites, visit this NCHPH resource and hover over the organization you want to partner with. Contact information will then be displayed in the information box. More Details...

The Board's Role in Strategic Planning: Case Study (2020). Resource Type: Micro-Learning. Description: This case study offers an opportunity to apply concepts regarding strategic planning from the online module titled, “The Board’s Role Related to Strategic Planning.” More Details...

Health Center Board Roles/Funciones de las juntas de los centros de salud (2020). Resource Type: Micro-Learning. Description: This short video from the National Association of Community Health Centers (NACHC) provides an overview of the roles and responsibilities of health center boards. The video highlights where boards and board members can turn to for additional information on compliance with requirements from the Health Resources and Services Administration (HRSA) Health Center Program and for good governance practices. More Details...

The Board's Role in the Needs Assessment (2020). Resource Type: Micro-Learning. Description: Each health center must undertake a community health needs assessment to understand critical needs in its community at least once every three years as required in the Health Resources and Services Administration (HRSA) Health Center Compliance Manual (Compliance Manual), Chapter 3: Needs Assessment. This short module outlines key components of a Needs Assessment and discusses the board’s role related to the Needs Assessment. More Details...

Payment Reform Fundamentals for Health Center Boards (2020). Resource Type: Publication. Description: To get control of the high cost of health care, payers such as Medicare, Medicaid, and health insurance companies are changing how they pay for care. They want to see more value for their money. As payers change how they pay for what they value, health care providers, including health centers, must change how they deliver care so it is more valuable without costing more. This document is intended to help health center board members understand changes to the health center payment and care model in order to meet their fiduciary responsibilities of providing oversight and acting for the good of the health center and protecting the health center's assets. This resource addresses: Why Payment Reform? What Does Payment Reform Mean for Health Centers? What is the Board’s Role in Supporting the Health Center in Payment Reform? More Details...

Consumer Advisory Board Manual (2020). Resource Type: Publication. Description: Special-populations-only health centers are eligible for a waiver of the consumer-majority Board if it meets special efforts to engage consumers. The best way to do this for Health Care for the Homeless health centers is the Consumer Advisory Board (CAB). Championed by the National CAB of the National Health Care for the Homeless Council, this manual includes updated lessons from decades of relevant experience. More Details...

Developing Cross-Sector Partnerships (2020). Resource Type: Publication. Description: This guide provides health center staff with tools and strategies to initiate, develop, and sustain community partnerships to better serve older adult residents of public housing. Content of this publication was developed through a 4-session learning collaborative launched by the SDOH academy with a small cohort of HRSA-funded health centers, HCCNs, and PCAs. More Details...

Juntas de los centros de salud: beneficios de los centros de salud (2020). Resource Type: Publication. Description: This short document, available in English and Spanish, discusses the benefits of the health center board model. More Details...

Health Center Boards: Benefits to Health Centers (2020). Resource Type: Publication. Description: This short document, available in English and Spanish, discusses the benefits of the health center board model. More Details...

Public Centers Monograph (2020). Resource Type: Publication. Description: This monograph discusses the category of health centers known as “public centers,” previously known as public entities. The publication highlights some of the key considerations, challenging aspects, strategic advantages, and answers some of the frequently asked questions about the public center model. 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...

Governance Guide for Health Center Boards (English/Spanish) (2019). Resource Type: Publication. Description: The Governance Guide for Health Center Boards addresses major areas of board responsibility and contextualizes them, where appropriate, in the Health Resources and Services Administration (HRSA) Health Center Program Compliance Manual (Compliance Manual) and relevant state and federal laws. The Governance Guide also reflects the latest effective governance practices for nonprofit boards. The Governance Guide for Health Center Boards will also be available in Spanish (forthcoming) and replaces the “Health Center Program Governing Board Workbook.” More Details...

Modules on Board Financial Oversight (2019). Resource Type: E-Learning. 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...

Finance Training for Board of Directors: Case Study 2 (2019). Resource Type: eLearning. Description: This case study is designed to help increase your confidence related to health center board financial oversight. Most of the content reinforces concepts addressed in the Modules on Board Financial Oversight – but occasionally additional variables are introduced to mimic the complexity of health center finances. More Details...

Finance Training for Board of Directors: Case Study 1 (2019). Resource Type: elearning. Description: This case study is designed to help increase your confidence related to health center board financial oversight. The content in the case reinforces concepts addressed in the Modules on Financial Oversight. More Details...

A Guide for Rural Health Care Collaboration and Coordination (2019). Resource Type: Publication. Description: A Guide for Rural Health Care Collaboration and Coordination was developed in cooperation with local, state, and national level leaders representing various rural health care organizations. This document discusses key lessons learned from efforts these leaders have pursued in their own rural communities. More Details...

Accountable Care for Health Center Boards (2019). Resource Type: E-Learning. Description: Accountable Care for Health Center Boards is a short online module for health center boards and board members that defines critical concepts and major steps in the health center journey from safety net to accountable care. It provides a solid foundation to understanding health center financing and raises questions that a board can ask to better understand how the health center it governs is related to the movement toward accountable care. More Details...

HITEQ Highlights: Managing Data as a Strategic Asset: Data Governance Fundamentals (2019). Resource Type: Archived Webinar. Description: In this webinar, the HITEQ Center presented the essentials of good data management processes and introduce the Center for Care Innovation’s Data Governance Handbook, offering ideas for action and tools to improve data quality, increase data literacy, and maximize access to data. More Details...

Building Data Teams and Skills: Maximizing Data Literacy and Data Governance for a Data Driven Culture: A compendium of references and tools, created in October 2018 (2018). Resource Type: Publication. Description: This compendium of references and tools is intended to support Quality Improvement efforts and to build skills across health center staff, in particular those who may be tasked with leading data literacy and data governance activities or are new to the health center world.  More Details...

If You Build It, Will They Come?: Recruiting and Retaining Consumers Experiencing Homelessness in Health Center Governance (2018). Resource Type: Publication. Description: This publication discusses common challenges and offers solutions in how to recruit new consumer leaders, as well as how to create structures and environments that encourage them to continue to engage. Also included are useful lessons on creating healthy group dynamics. More Details...

A Quick Guide on Consumer Engagement in Governance of Health Care for the Homeless Programs (2016). Resource Type: Publication. Description: Health centers serving people experiencing homelessness must meaningfully involve consumers with the lived experience of homelessness in their governance, either on their governance Board or through structures like Consumer Advisory Boards. This guide provides practical tips for organizations in setting up effective, empowering consumer governance structures and supports. The ideas in this Quick Guide were developed through conversations with over 20 key informants: consumer leaders, consumer support staff, and executive leaders of HCH projects who have facilitated consumer leadership both locally and nationally. More Details...

Using Outreach Data to Support Health Center Board Engagement (2016). Resource Type: Archived Webinar. Description: Outreach programs have unique access to community data that can enhance a health center’s governing board’s ability to make strategic decisions about providing appropriate and responsive care to patients in a financially sustainable manner. This webinar will address how to leverage outreach data to support health center planning and decision-making. HOP will present two effective tools that health center leadership, including board members, can use to inform their work: needs assessments and the Outreach Business Value Toolkit. More Details...

Becoming a Leader in Migrant Health (2014). Resource Type: Toolkit. Description: This training toolkit was developed by NCFH to increase the recruitment, orientation and successful integration of agricultural workers and other health center consumers into health center boards. It is designed to help health centers build capacity among patients and community members to for board membership. This unique resource also includes a leadership development component based on the needs of agricultural workers and other special populations. The toolkit includes all content, instructions and materials needed to be able to conduct this training in your community. More Details...

Understanding Your Role Will Make Your Job Easier Governance at Community Health Centers (2015). Resource Type: Archived Webinar . Description: Functioning governing boards are essential for the success of community and migrant health centers (C/MHC). Knowing what is expected from boards in terms of composition, functions, and responsibilities is the first step in achieving highly effective boards. In this 60 minutes session, the speaker will review what a C/MH board is; how it should look like; what it is supposed to do; and how effectiveness will be reflected. 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...

Plantilla de Notas de la Junta Directiva (2015). Resource Type: Template . Description: Plantilla de reunión para el registro de actas y notas de las reuniones de la junta directiva. More Details...

Health Center Governing Boards and Managers - Strategies For Successful Partnering With Key Players (2015). Resource Type: Archived Webinar . Description: The information shared in this session is intended to orient health center staff and board members on the topic of effectively connecting with the numerous and varied community, state, and national partners, without whom a health center can never achieve its full potential. Affiliations, Agreements, Contracts, Collaborations, and Scope of Practice will all be reviewed. The vital role of a right-sized, well structured, and effective Key Management Staff, led by the Governing Board’s Sole Employee will be examined and discussed. More Details...

Governing Boards: Recruitment Grid (2015). Resource Type: Template . Description: This tool provides governing boards with a quick view of current board members, their characteristics, number of terms, and skills. It also provides an easy way to assess the characteristics and skills needed for future board position openings. More Details...

Governing Board- Record of Health Center Policy Approval At-A-Glance (2016). Resource Type: n.a.. Description: Maintaining appropriate authority to oversee the operations of Federally Qualified Health Centers requires Governing Boards to comply with the PHS Section 330 Program Requirements, including establishing and periodically revising health center policies. The number of policies can be overwhelming and keeping policies current is challenging. This tool provides a non-exhaustive list of these policies and is intended to assist health centers and governing boards to keep track of needed updates and approvals. More Details...

Board Training Topics and Schedule (2015). Resource Type: Template . Description: Community Health Centers are complex organizations requiring Boards of Directors to be well-oriented to the organization and the Health Center Program, and also equipped, well-versed, and up-to-date on the most significant factors impacting service delivery at community health centers. This requires ongoing training on several important topics. As volunteer Boards of Directors with monthly meetings scheduled, and committee work in between, it is challenging to allocate a large block of time exclusively dedicated to board training. Therefore, to provide the opportunity for all board members to be introduced to selected training topics, it is recommended that a short training session be included as an agenda item at monthly board meetings. This template can help boards determine which topics they prefer to address for each meeting and which ones to schedule for their annual meeting. More Details...

Board of Directors- Meeting Minutes Template (2015). Resource Type: Template . Description: Meeting template for recording minutes and notes for board of directors meetings. More Details...

Board of Directors - Orientation Checklist (2015). Resource Type: Template . Description: The checklist provides information for different types of orientations: orientation to the organization; orientation to the Community Health Center Program; and orientation to roles, responsibilities, and expectations for board members. This tool can be used by board members and/or Chief Executive Officers to identify their orientation needs or to document the completion of the orientation process. More Details...

Board Member Self Evaluation Sample (2010). Resource Type: Template . Description: The self evaluation sample is a questionnaire designed to be filled out by individual board members. The responses are used to direct a dialog among board members, CEO, and consultants to explore areas for development and enhancement of governing board functions. More Details...

Auto-evaluacion para la mesa directiva (2010). Resource Type: Template . Description: El ejemplo de autoevaluación es un cuestionario diseñado para ser llenado por miembros individuales de la junta directiva. Las respuestas se utilizan para dirigir un diálogo entre los miembros de la junta, el director ejecutivo y los consultores para explorar áreas de desarrollo y mejora de las funciones de la junta directiva. 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.