Last Thursday, the Health Resources and Services Administration (HRSA) team visited our clinics for an intense three-day review. Time spent in meetings, tours and briefings revealed that we’re doing pretty darn well.

While here, HRSA reviewed our policies, procedures and practices and bumped them up against their 125 areas of compliance, which are broken into 19 Core Requirements. Of the 125 standards, HRSA found five areas for improvement. Since on average a health center receives between 6-8 findings, this wasn’t too shabby.

And of those five findings, most had to do with policies and procedures and were no big surprise. The creation of our compliance department was largely born out of this awareness, and we are confident that each finding can be addressed within the next 90 days.

HRSA reviewers gave us the five following findings:

• Required and Additional Services: Strengthen written contracts with our partners
• Staffing: Strengthen our policies and procedures for credentialing and privileging for all licensed and certified staff members
• Hospital Admitting Privileges and Continuum of Care: Strengthen our policies and procedures regarding hospital referrals
• Scope of Project: Maintain up-to-date records of clinical work conducted at the agency
• Board Authority: Strengthen record keeping and documentation process regarding Board of Directors meetings

A big thanks to everyone involved and for the devotion and diligence of our staff for making this visit run so smoothly!