Part II: Ensuring Effective Governance and Management
This webinar series is co-sponsored by the National Association of Community Health Centers (NACHC). NACHC members are eligible for a discount on the webinar series: check your email for the coupon codes.
Join us for Part II of the De-Mystifying the Compliance Manual webinar series which focuses on:
- Chapter 19: Board Authority
- Chapter 20: Board Composition
- Chapter 11: Key Management Staff
In the past few years, HRSA has transitioned its compliance efforts from requiring FQHCS to utilize multiple guidance documents to ensure adherence to health center program requirements to issuing the Health Center Program Compliance Manual (the Manual), a consolidated resource to assist FQHCs in understanding, demonstrating, and operationalizing compliance.
The Manual, which supersedes most (but not all) prior guidance, incorporates a new approach to everyday compliance by addressing:
- Each requirement’s statutory and regulatory basis
- Key elements of compliance that form the framework of every health center’s project
- Documentation necessary for verification of compliance
- Areas where health centers maintain discretion
To assist in conducting a “hands-on” compliance evaluation, HRSA issued a Site Visit Protocol (the SVP), which aligns with the Manual and reflects a more objective assessment tool. A new SVP was just issued in April 2019, which includes additional clarification on documentation requirements and assessment methodologies. Together, the Manual and the SVP are the main tools used by HRSA for both on-site reviews of grantees and FQHC look-alike entities (Operational Site Visits - OSVs) and “desk audits” of project and designation renewal applications.
Is your health center prepared for the recent changes to compliance with HRSA requirements and the compliance assessment processes – both on-site and through the application? Given the possible consequences of non-compliance, including 1-year project periods for non-compliance with a single element and potential loss of 330-grant funds, it is critical that every health center be and remain vigilant whether you are expecting an OSV, submitting your SAC / RD application, or looking to bolster current operations as part of ongoing compliance efforts.
- Health Center Executive Staff
- Clinical Leadership
- Quality and Credentialing/Privileging Staff
- Financial Leadership and Staff
- Compliance Officers
- Board members
- Other Staff assisting with HRSA compliance and/or OSV preparation
After this webinar series, you will be able to:
- Understand the key HRSA programmatic requirements addressed in the Manual and the SVP.
- Identify specific documentation and updated assessment methodologies necessary to demonstrate compliance, and explore areas where health centers retain discretion.
- Discuss the newest developments in the OSV and application review processes from an insider’s perspective.
A Partner in the firm’s health law practice group, Molly advises health centers on the management of clinical, employment and workforce related risks, with a particular focus on professional liability, Federal Tort Claims Act, and HIPAA matters. From her experience as both a private attorney and in-house counsel, Molly knows the importance of managing liability and risk issues in mission-driven organizations. [Full Bio]
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