FQHC Governance & Board Development Consulting
FQHC Governance & Board Development
HRSA requires that FQHCs be governed by a board of directors where at least 51 percent of members are patients of the health center who represent the community served. This consumer-majority requirement is one of the defining features of the FQHC model — and one of the most commonly cited areas of compliance concern during HRSA site visits.
Effective governance goes far beyond meeting the numerical requirement. A high-functioning board provides strategic direction, financial oversight, CEO accountability, and community trust. Our consultants help health centers build boards that do all of these things well.
Service Areas
- Board Composition Assessment — Review of current board composition against HRSA consumer-majority and representation requirements
- Board Member Recruitment — Strategies and tools for identifying, recruiting, and onboarding qualified consumer board members
- Bylaws Development & Review — Drafting or updating organizational bylaws to meet HRSA requirements and governance best practices
- Board Orientation & Training — Comprehensive orientation curriculum for new board members covering FQHC mission, legal responsibilities, financial oversight, and HRSA requirements
- Governance Policy Development — Written board policies covering conflict of interest, board-CEO relationship, committee structure, and meeting management
- Board Self-Assessment — Structured annual board evaluation tools and facilitation support
- CEO Evaluation Framework — Development of a formal CEO performance evaluation process tied to organizational goals
What We Deliver
- Governance Assessment Report — A written evaluation of your current governance structure with findings and specific recommendations
- Board Development Plan — A 12-month roadmap for strengthening board composition, engagement, and capacity
- Policy Manual — Board governance policies tailored to your organization and HRSA requirements
- Training Materials — Ready-to-use board orientation and ongoing education resources
Some or all of the services described herein may not be permissible for HealthBridge US clients and their affiliates or related entities.
The information provided is general in nature and is not intended to address the specific circumstances of any individual or entity. While we strive to offer accurate and timely information, we cannot guarantee that such information remains accurate after it is received or that it will continue to be accurate over time. Anyone seeking to act on such information should first seek professional advice tailored to their specific situation. HealthBridge US does not offer legal services.
HealthBridge US is not affiliated with any department of public health agencies in any state, nor with the Centers for Medicare & Medicaid Services (CMS). We offer healthcare consulting services exclusively and are an independent consulting firm not affiliated with any regulatory organizations, including but not limited to the Accrediting Organizations, the Centers for Medicare & Medicaid Services (CMS), and state departments. HealthBridge is an anti-fraud company in full compliance with all applicable federal and state regulations for CMS, as well as other relevant business and healthcare laws.
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For more information about the structure of HealthBridge, visit www.myhbconsulting.com/governance
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