Finding Text
Criteria – As per the HRSA compliance manual, the health center requires that at least 51 percent of governing board members be patients of the health center. A patient board member must have received at least one service within the preceding 24 months that generated a health center visit, where both the service and the site were within the HRSA-approved scope of project. Condition and Description – During our testing of the composition of the governing board, we noted that only 6 of the 12 governing board members (50%) were identified as patient board members. To satisfy the Health Center Program requirement that at least 51% of governing board members be patients of the health center, a minimum of 7 of the 12 board members were required to meet the patient board member definition. Additionally, testing revealed that 3 of the 6 board members identified as patient board members did not receive at least one service within the preceding 24 months that generated a health center visit, where both the service and the site were within the HRSA-approved scope of project. As a result, these individuals did not meet the Health Center Program definition of a patient board member. Consequently, the Agency did not maintain a governing board with at least 51% patient representation as required by HRSA. Cause/Effect – The Agency has not complied with the requirements for maintaining a governing board with at least 51% patient representation and including receipt of qualifying services within the preceding 24 months