Presentation is loading. Please wait.

Presentation is loading. Please wait.

Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Alabama Primary Health Care Association 2013 Annual.

Similar presentations


Presentation on theme: "Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Alabama Primary Health Care Association 2013 Annual."— Presentation transcript:

1 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Alabama Primary Health Care Association 2013 Annual Conference and Trade Show 1

2 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority Presented by William W. Rice HRSA Consultant Alexandria, Virginia 2

3 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority Session Objectives Determine Board Authority For a FQHC Describe How to Demonstrate and Document Board Authority Best Practices in Board Oversight Discuss Related Issues 3

4 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority Determine Board Authority For a FQHC Relationship to the 19 Program Requirements How to Survive a HRSA Operational Site Visit 4

5 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Need Needs Assessment (PR #1) The Needs Assessment: What is the Boards Role? How Is the Needs Assessment Used? How Often Is a Needs Assessment Done? 5

6 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Services Required and Additional Services (PR #2) Services of the Health Center: Board Role and Responsibilities – Selection of Services – Written Agreements 6

7 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Services Staffing Requirement (PR #3) Staffing for the Health Center: Board Role and Responsibilities – Budgeting for Staff – Privileging and Credentialing – Personnel Policies 7

8 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Services Hours of Operation (PR #4) Accessible Hours of Operation/Locations: Board Role and Responsibilities – Approval of Operational Plan – Relationship to Patient Satisfaction – Changes in Scope of Project 8

9 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Services After Hours Coverage (PR #5) After Hours Coverage: Board Role and Responsibilities – Defined Arrangements – Delegation to Management 9

10 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Services Hospital Admitting (PR #6) Hospital Admitting Privileges and Continuum of Care: Board Role – Formal Arrangements for Referral – Staff Qualifications/Standards (Relationship to PR #3) 10

11 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Services Sliding Fee Discounts (PR #7) Sliding Fee Discounts: Board Role – Board Approval of the SFD Policy – Annual Revision Based on Federal Poverty Guidelines (FPL) 11

12 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Services QI/QA Plan (PR #8) Quality Improvement/Assurance Plan: Board Role and Responsibilities – Monitoring the Ongoing QI/QA Program – Providing Clinical Leadership 12

13 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Mgt./Fin. Key Management (PR #9) Key Management Staff: Board Role and Responsibilities – Selection/Dismissal of the CEO – Annual Evaluation of the CEO – CFO and Medical Director 13

14 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Mgt./Fin. Contracts/Agreements (PR #10) Contracts/Affiliation Agreements: Board Role and Responsibilities – Oversight of Contracted Services – Contracts/Agreements/MOUs and MOAs – Delegation to Management Where Appropriate 14

15 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Mgt./Fin. Collaborative Relationships (PR #11) Collaborative Relationships: Board Role and Responsibilities – Indirect Primarily – Related Aspects: Strategic and Operational Plans; i.e. Mission Statement 15

16 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Mgt./Fin. Financial Management (PR #12) Financial Management and Control Policies: Board Role and Responsibilities – Selection of Auditor – Acceptance of Annual Audit – Approval of Financial Policies – Oversight of Control 16

17 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Mgt./Fin. Billing and Collections (PR #13) Billing and Collection: Board Role – Written Billing, Credit and Collection Policies – Monitoring Financial Indicators; i.e. Days Outstanding in Accounts Receivable 17

18 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Mgt./Fin. Budget (PR #14) Budget: Board Role and Responsibilities – Approval of The Annual Operating Budget – 330 Grant Budget – Board Review of Budget Variences 18

19 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Mgt./Fin. Information Systems (PR #15) Program Data Reporting System: Board Role and Responsibilities – Data for the Strategic Plan – Monitoring of HRSA Reporting Requirements 19

20 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The 19 Program Requirements: Mgt./Fin. Scope of Project (PR #16) Scope of Project: Board Role – Sites – Services – Target Population and the Service Area 20

21 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The Program Requirements: Governance Board Authority (PR #17) Board Authority: Board Role and Responsibilities – Monthly Meetings & Minutes – 330 Grant Application and Budget – CEO Position Oversight 21

22 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The Program Requirements: Governance Board Authority (PR #17 Cont.) Board Authority: Board Role and Responsibilities – Measuring and Evaluating Progress – Developing Plans – Ongoing Reviews – Monitoring Assets and Performance 22

23 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The Program Requirements: Governance Board Composition (PR #18) Board Composition: Board Role and Responsibilities – Board Size – The User Majority – Other Board Composition Requirements – Special Populations 23

24 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority The Program Requirements: Governance Conflict of Interest (PR #19) Conflict of Interest Policy: Board Role and Responsibilities – Board By-laws – Conflict of Interest Policy – Conflicts: Nepotism, Business Relationships, Dual Loyalties 24

25 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority How Board Actions Are Demonstrated Meeting Minutes Board Approved Policies 25

26 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority How Board Actions Are Demonstrated Meeting Minutes – Level of Detail – Format – Approval Process – Importance 26

27 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority How Board Actions Are Demonstrated Policies – Board Approval Process – Frequency of Review/Approval – Policy Format Issues 27

28 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority Best Practices Board/Management Calendar Committee Functions Corporate Compliance Program 28

29 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority Board Authority Issues The Operational Site Visit – Process – Documentation By-laws – Compliance 29

30 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority Discussion/Questions and Answers 30

31 Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Governance Compliance Review: Board Authority Conclusion It has been an honor to have been a part of your conference. William Rice 31


Download ppt "Beyond Change: Transforming Culture, Care and Communities APHCAs 28 th Annual Conference and Trade Show Alabama Primary Health Care Association 2013 Annual."

Similar presentations


Ads by Google