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Setting the Stage
BOARD MEMBER BOOT CAMP
Emily Heard,
Director, Health Center Governance Training,
NACHC
Policy & Issues Forum
March 27, 2019
Roles of the Board (“Collective”)
Strategic Direction
Adopt Policies
Provide Oversight
Board’s Strategic
CompositionCEO
Oversight &
Partnership
Ensure Resources
Board Functioning
4
Agenda
• Setting the Stage
• Emily Heard, Director, Health Center Governance Training, NACHC
• Part A: Legal Responsibilities
• Jacqueline C. Leifer, Esq., Senior Partner, Feldesman Tucker Leifer Fidell LLP
• Part B: Quality Oversight
• Donald L. Weaver, MD, Senior Advisor, Clinical Workforce, NACHC
• Part C: Administrative Oversight
• Malvise A. Scott, Senior Vice President, Partnership and Resource Development, NACHC
• Part D: Financial Responsibilities
• Mary Hawbecker, CPA, Senior Vice President, Operations and Chief Financial Officer, NACHC
• Action Planning and Wrap Up
• Emily Heard, Director, Health Center Governance Training, NACHC
Board Member Boot Camp:Legal Considerations
Jacqueline C. Leifer, Esq.
Senior Partner
© 2019 Feldesman Tucker Leifer Fidell LLP. All rights reserved. | www.ftlf.com
Topics
• Roles and Responsibilities of Health Center Board Members
• Traditional fiduciary duties: duties of care, loyalty, and obedience
• Section 330 statutory & regulatory requirements
• Governance “High Risks”
• Section 330 – related risks
• Additional high risk areas
• Addressing Risks Through Oversight of the Health Center’s Corporate
Compliance Program
© 2019 Feldesman Tucker Leifer Fidell LLP. All rights reserved. | www.ftlf.com
The Board’s Role in Quality Oversight
BOARD MEMBER BOOT CAMP
Donald L. Weaver, MD
Senior Advisor, Clinical Workforce
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 $6,375,000 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.
• Definition of quality and its importance for health centers
• Board’s role in providing oversight of quality
‒ Set tone
‒ Assure sufficient resources
‒ Establish and revise quality assurance (QA) and quality improvement (QI) policies*
‒ Review measurements and ask questions at board meetings
‒ Ensure follow-up taken regarding quality, patient grievances, etc.*
‒ Recruit board members with quality expertise
‒ Orient board members to quality
• Quality building blocks including the quadruple aim and Value Transformation Framework
Topics
*Note: see the HRSA Health Center Compliance Manual for more detail on specific health center requirements related to Quality Oversight.
https://bphc.hrsa.gov/programrequirements/compliancemanual/index.html
Administrative Oversight
BOARD MEMBER BOOT CAMP
Malvise A. Scott
Senior Vice President,
Partnership and Resource Development,
NACHC
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 $6,375,000 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.
• Organizational Structure
• CEO Oversight – Key Components
• Board vs CEO Role
• CEO Annual Goals
• CEO Evaluation
• CEO Compensation
• CEO Employment Contract
• Personnel Policies and Procedures
1
1
Topics
Financial Responsibilities of Board Members
BOARD MEMBER BOOT CAMP
Mary L. Hawbecker, CPASenior Vice President, Operations and
Chief Financial Officer, NACHC
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 $6,375,000 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.
Topics
• Governing Board Responsibilities – Fiscal Management
• Establishing Financial Priorities
• Review and Approval of the Center’s Annual Budget
• Auditor Selection
• Effective Monitoring and Evaluation
• Government Auditing Standards
• Reporting Package
• What is the IRS looking for
Action Planning & Wrap Up
BOARD MEMBER BOOT CAMP
Emily Heard,
Director, Health Center Governance Training,
NACHC
Roles of the Board (“Collective”)
Strategic Direction
Adopt Policies
Provide Oversight
Board’s Strategic
CompositionCEO
Oversight &
Partnership
Ensure Resources
Board Functioning
15
Additional Resources
• For more governance resources• Visit MyNACHC Learning Center (https://mylearning.nachc.com/) or the
Health Center Resource Clearinghouse https://www.healthcenterinfo.org/• Governance Workbook (English and Spanish)
• Governance Bulletins
• Recorded Webinars – including Introduction to Board Service Series
• Contact Emily Heard, Director, Health Center Governance, NACHC, [email protected]
• Visit your Primary Care Association’s Website