We are having a difficult time recruiting board members. Do you have any suggestions?
Recruiting board members can be a challenge, but also rewarding. First and foremost, you’ll want to evaluate your board by developing a board matrix to determine the skill set that you need on the board. The HRSA Form 6 (Board Characteristics) is one example of a board matrix. Once that is completed, you’ll want to review your UDS data. Chapter 20 of the Health Center Compliance Manual, (found at Chapter 20: Board Composition | Bureau of Primary Health Care), provides specific requirements that the Board of Directors must follow. Once those 2 steps are completed and your health center has determined some board characteristics, here are some suggestions to assist with recruiting board members:
Individuals sitting on Committees – While not required, Board of Directors are strongly encouraged to have Board Committees. Committees of the board are where the majority of health center work is completed, such as the Finance Committee or Quality Improvement Committee. At times health centers will ask individuals within the community with specific skill sets to sit on these committees to help provide insight. These individuals sit on the committee but are NOT considered on the Board of Directors. They do not have voting power. This avenue of service allows potential board members to learn about the health center, gain education, and be helpful by providing their insight and knowledge. When new board members are needed, the health center can ask individuals sitting on a committee if they would like to be part of the Board of Directors.
Regulators are no longer satisfied with documentation alone; they want evidence that your compliance program actively prevents, detects, and corrects risk. Investigators expect to see how issues are identified early, investigated thoroughly, corrected effectively, and monitored over time. Boards demand measurable insight, and leadership needs confidence that exposure is managed before it becomes a liability. The standard has shifted from activity to impact.