Management and Finance System Requirements

FQHC Management teams are made up of the Chief Executive Officer, Chief Financial Officer, the Medical Director, and should also include key department heads. A strong management team is essential for success. FQHCs must demonstrate the relationship of management staff to the Board of Directors with clear lines of authority between the Board, the CEO, and the staff. The CEO has authority to manage day-to-day clinic operations. All staff members are accountable to the CEO and the CEO is accountable to the Board of Directors.

Sample Job Descriptions
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The management team operationalizes the strategic goals and objectives of the FQHC and assures financial viability and cost competitiveness. To do this the management team has to be supported by interrelated systems. The MIS must have the capacity to provide the management team information on utilization and finances. To meet Section 330 requirements the financial system must use a fund accounting model and have internal controls, must track revenues and expenses against the FQHC operating budget, provide for timely billing and collections. In addition FQHCs must undergo an annual independent financial audit. This is critical because the data produced by the MIS is analyzed to determine changes needed to adapt to a changing environment.

The facilities where FQHCs will provide health services must meet health and safety code standards and, ideally, Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards. The facility must provide adequate space for clinical services as well as office space for clinical and administrative personnel, if they are housed in the same facility. Furthermore, the facilities must provide room for future growth or the FQHC must demonstrate that it has a strategic plan that includes capital development.