As described in Chapter 11-Key Management Staff in the Health Center Program Compliance Manual, HRSA requires the Project Director/CEO position to be directly employed by the health center and report to the governing board. As transitions in health centers occur, the Project Director/CEO position must be directly employed and not be a contractor. A health center can have an Interim Project Director/CEO, but that individual must be a W-2 employee. During an Operational Site Visit (OSV), a health center can demonstrate compliance by presenting one of the following:
The health center determines which document to provide during the OSV.
Compliance was never meant to feel this heavy. But for many healthcare organizations, it has become exactly that.
Requirements keep expanding. Oversight is more intense. Audits are more frequent. And too often, the work is still managed through disconnected systems, spreadsheets, and constant manual follow-ups.
There is a better way to do this work.