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, eheard@nachc.com

• Visit your Primary Care Association’s Website