Governance – CHC Resource Page

The CHC Program Requirements 17 – Board Authority, 18 – Board Composition, and 19 – Conflict of Interest Policy dictate that a CHC must be governed by a board of directors that has the appropriate authority, composition and by-laws in place to appropriately oversee the operations of the CHC. Guidance to meet this requirement is explained in detail in PIN 2014-01: Health Center Program Governance and resources to help tackle each of these governance requirements are below.

CCHN developed this Board Work Plan Tool to allow CHCs to plan out the Board of Directors’ oversight responsibilities over the course of the year.

  • The National Association of Community Health Centers provides a variety of tools and resources addressing the legal, administrative, financial and clinical aspects of being part of a CHC governing board. These tools include:
    • The Board Education Video Series, which uses brief video vignettes to present scenarios to highlight board roles and responsibilities. This is a free resource.
    • Through mylearning.nachc.com CHCs can access an Introduction to Health Centers for Governing Board Members and is geared toward strengthening board members’ competencies. Although this is a free resource some additional log-in information is necessary for access.
    • The Governing Board Responsibilities and How to Do Them series, which breaks out the primary nine requirements and responsibilities of CHC governing boards. A hard copy publication of this series is available for $20, or each document of the series can be downloaded for free.
    • Governance Information Bulletins, which break down board roles and responsibilities into 19 documents that each address a specific CHC governing board responsibilities or effective governance method and provide examples of best practices. This series can be downloaded for free and is available in both English and Spanish.
    • The Checklist of Key Provisions for Health Center Bylaws is a simple tool that can assist in developing and reviewing CHC bylaws.
    • The Health Center Program Governing Board Workbook provides a brief overview of the Health Center Program and its unique characteristics and requirements, including community based governance. It also highlights the foundational knowledge and core competencies needed to be an effective health center board member.
    • The Sustainability and Succession Planning Series Webinar Archive was recently released by NACHC. The first webinar focuses on organizational sustainability and C-Suite succession planning. The second webinar focuses on three approaches to succession planning and provides leaders with an understanding that can help them sustain executive and senior leadership within the organization.
  • The Community Health Association of the Mountain/Plains States (CHAMPS) has gathered together regulations, archived webcasts on governance topics, sample documents covering topics such as bylaws, meeting minutes and agendas, tools to assist in evaluating the CHC leadership and board, and resources to help in recruiting and orienting new board members. All of these resources can be found for free on the CHAMPS Community Health Center Board Resources
  • The Michigan Primary Care Association (MPCA) offers a variety of education and resources materials covering topics such as governing board roles and responsibilities as well as tools, recorded webinars and presentations to help guide CHC executive leadership work with the governing board. All of this can be found for free on the Health Center Board Governance Resources
  • The following resources provide different types of assessments for board self-evaluation. Resources help define roles of boards, overview of a great board and detail what high performing boards look like:
  • Resources specific to Program Requirement 19: Conflict of Interest Policy can be found in the BPHC Newly Funded TA Web Guide: Resources for New and Existing Grantees, specifically in part 5C. BPHC also posted an example of an Annual Disclosure of Potential Conflicts of Interest,  as shared by Sumter Family Health Center.
  • NACHC previously published the issue brief concerning Ensuring Compliant Health Centers Bylaws and Effectively Addressing Conflicts of Interest.
  • The Colorado Secretary of State developed a Board Education eLearining series that are intended for all current or aspiring board members for nonprofit organizations. The series addresses how to be effective and responsible nonprofit board members. Though not specific to CHC, the series is a free tool that can be used for CHC staff and board education.