As part of our assistance to Federally Qualified Health Centers (FQHCs) and Primary Care Associations (PCAs), Capital Link has developed a collection of resource publications on topics related to growth and performance improvement. These publications are provided for download free of charge with website registration.

Log in or register as a member and then click on the title to download.

 

Hallmarks of High Performance: Exploring the Relationship between Clinical, Financial and Operational Excellence at America's Health Centers

 

(available in PDF) January 2016

This analysis examined the operating models, strategies, and practices of high-performing health centers to better understand the factors that work for and against the co-occurrence of strong clinical performance and financial sustainability.

Access our infographic illustrating key findings here.

This study was supported by the Health Resources and Services Administration. 

 

 

Performance Benchmarking Toolkit for Health Centers, Tracking Data to Improve Financial Performance

 

(available in PDF) August 2015
This toolkit provides guidance in applying data analysis tools to help health centers more effectively track performance, understand key drivers, and incorporate operational insights for financial sustainability.

This resource was supported by the Health Resources and Services Administration.

 

Creating a Dynamic and Useful Strategic Plan, A Toolkit for Health Centers

 

(available in PDF) June 2015
This interactive resource, developed by Capital Link and the National Association of Community Health Centers (NACHC), provides health centers with a toolkit to create and maintain a useful strategic plan. It helps health centers to assess key influences, reinforce operating systems, establish objectives, and mobilize staff and other stakeholders to meet the challenges of a changing environment. Most importantly, it offers tools to distill this information into the critical actions health centers need to manage strategically and achieve sustainability. This toolkit was supported by the Health Resources and Services Administration.

 

New Markets Tax Credit Program Update

 

(available in PDF) May 2015
Serving as a follow up to Spotlight on Capital Resources: New Markets Tax Credit Program published in 2012, this update provides new information for health centers on how to qualify for the NMTC Program using the Targeted Populations regulations and how to “wind-up” a transaction. This resource was developed with support from the Health Resources and Services Administration.

 

High-Performance Community Health Centers: Learning, Measuring, and Achieving

 

(available in PDF) November 2014
This guide, developed specifically for health center staff and boards, explores the transition from data to information to knowledge to action with the goal of achieving a high level of performance. It discusses the difference between calculating outputs and measuring outcomes, and reviews the basics of “change management,” explaining how to identify what’s important and how to transform limited resources into significant improvements. It also describes the importance of measuring, benchmarking, and evaluating all organizational activities, providing an introduction to the tools needed to attain high performance. This resource was supported by the Health Resources and Services Administration.

 

Adding Fund Development Capacity to Sustain Health Center Growth

Adding-Fund-Development-Capacity-to-Sustain-Health-Center-Growth

 

(available in PDF) June 2014
This guide is designed to help health centers organize a fund development strategy and identify the right personnel to help improve fundraising efforts. It reviews the current fundraising environment for health centers, clarifies when to bring in fund development expertise, outlines the responsibilities of a development director and fundraising consultant, and discusses how organizing a capital campaign for facilities expansion differs from raising funds for operations. This resource was supported by the Health Resources and Services Administration.

 

Spotlight on Capital Resources: Community Development Financial Institutions

Spotlight_on_Capital_Resources_-_CDFIs_3-17_Page_1

 

(available in PDF) March 2014
Part of our Spotlight on Capital Resources series, this publication provides an overview of Community Development Financial Institutions (CDFIs) and their role in providing capital to traditionally underserved businesses, including health centers. It describes the CDFI business model and information that community health center management should find useful as they prepare to seek financing from a CDFI.

 

Estimating Capital Project Costs for Health Centers

EstimatingCapitalProjectCostsforHealthCenters_-_June_2013_Page_01

 

(available in PDF) July 2013
This publication outlines the main components of a capital project budget and provides assistance in estimating top-line construction costs. An update of our 2011 publication, this resource is based on the review of approximately 500 community health center capital projects from 2010-2013. This resource was supported by the Health Resources and Services Administration.

 

Assembling a Capital Project Team

AssemblingaCapitalProjectTeam_Page_01

 

(available in PDF) July 2013
This publication is designed to help health centers understand how to assemble a skilled project team to complete a capital project, reviewing the roles and responsibilities of team members and how they contribute to the capital development process. This resource was supported by the Health Resources and Services Administration.

 

Engaging Staff and Community in Defining Your Capital Project

Engaging-Staff-in-Defining-your-Project

 

 

(available in PDF) June 2013
This publication offers tools and techniques to solicit valuable input from health center staff and community members to inform the design of a capital project. This resource was supported by the Health Resources and Services Administration.

 

Understanding Hospital Community Benefit Obligations: A Guide for Health Centers

Understanding_Hospital_Community_Benefit_Obligations_Cover

 

(available in PDF) June 2013
Developed to assist health centers in forming productive collaborations with other providers, this publication describes hospital community benefit requirements and how they can spur community efforts to expand access to care and improve local health outcomes. This resource was supported by the Health Resources and Services Administration.

 

Spotlight on Capital Resources: Tax-Exempt Bonds

TaxExemptBondResource20134

 

(available in PDF) May 2013
Part of our Spotlight on Capital Resources series, this publication describes tax-exempt bonds, including what they are, why health centers should consider using them to finance a capital project, eligibility, types of projects that can be financed, tax-exempt bond structures, and general steps for approval and issuance. This resource was supported by the Health Resources and Services Administration.

 

Working With the USDA: Opportunities for Rural Federally Qualified Health Centers

USDA_Cover_for_Website

 

(available in PDF) September 2012
This publication describes the array of programs offered by the United States Department of Agriculture (USDA). Health centers considering capital expansions that are located in eligible areas may find these programs extremely beneficial. This resource was supported by the Health Resources and Services Administration.

 

Building Community Support for Your Health Center

BuildingCommunitySupportforyourHealthCenter

 

(available in PDF) August 2012
This publication offers insights about how to develop strong relationships with community leaders and stakeholders, essential for achieving your health center’s mission and important to understand before embarking on expansion plans. It helps health centers and PCAs to assess community impact, develop an outreach plan and create effective and memorable informational materials.

Spotlight on Capital Resources: New Markets Tax Credit Program

NMTC_Resource2012Cover_Page_1

 

(available in PDF) March 2012
The New Markets Tax Credit (NMTC) Program has helped many community health centers cost-effectively finance their capital projects. This resource explains what the NMTC Program is, how this type of financing works, and provides a detailed example.

 

Estimating Capital Project Costs for Health Centers

EstimatingCapitalProjectCostsCover

 

(available in PDF) April 2011
This publication outlines the main components of a capital project budget and provides assistance in estimating top-line construction costs. Based on the review of approximately 450 community health center capital projects from 2008-2011, the resulting recommendations provide preliminary guidelines for centers contemplating capital projects.

 

Creating a Healthcare Facility that Supports the Patient-Centered Medical Home

Patient Centered Medical Home

 

(available in PDF) March 2011
This publication provides tips and tools to support the Patient-Centered Medical Home Model of Care in both existing and new health center facilities. It educates health center staff of the PCMH principles and provides available resources for implementation.

 

Preparing for a Capital Project: Are You Ready?

PreparingforaCapitalProjectManual Cover

 

(available in PDF) March 2011
This publication provides a tool-kit to evaluate health center readiness to begin the capital development process, with the goal of helping community health centers avoid the pitfalls that insufficiently planned projects can encounter. It is presented as a series of questions to assess different aspects of pre-planning activities that should be completed before beginning a capital project, along with reasons for the relevance of the questions and advice for next steps.

 

Selecting the Right Capital Project Financing; A Guide for Health Center Staff and Boards

Selecting Right Capital Project Financing

 

(available in PDF) June 2010
The goal of this manual is to give health centers and boards the information they need to determine the best mix of capital financing options for their projects. It includes comprehensive sections on factors that influence health center financing, including debt capacity and lending requirements, as well as sources of equity and debt financing and credit enhancement.

 

Capital Funding Options for Rural Community Health Centers: A Guidebook and Resource Listing

RuralManualCover

 

(available in print only, updated July, 2004
This book has been developed to assist rural community health centers in the effort to identify and obtain funding resources for building and equipment projects. Although this book is intended for rural community health centers, much of the information included is also useful to community health centers in urban and areas where the population size varies. We hope it will help health centers nationwide meet the capital challenges related to providing increased access to comprehensive medical, dental, mental health and substance abuse services for the nation's underserved and uninsured.

Developing a Health Center: A Guide for Health Center Staff and Boards on Managing the Design and Construction Process

DevelopingHealthCenterCover

 

(available in print only) updated July, 2004
Facility development is a complex endeavor that relies on many different professions. It can be intimidating to realize that you must depend on all these people—and pay them a lot of money—and yet you may know little about their professions or how to manage them.

The philosophy behind this manual is that you—the health center leadership—must put yourself in control of your project from the beginning. This manual will help you understand the process of developing a facility project, and will help you formulate a management approach for success.

Capital Link provides assistance to health centers seeking to navigate through the capital development process!

Creating a Business Plan for a Community Health Center Capital Project: A 'How-To' Manual

BusinessPlansManualCover

 

(available in PDF and in print) updated July, 2004
Facility development is a complex endeavor that relies on many different professions. It can be intimidating to realize that you must depend on all these people—and pay them a lot of money—and yet you may know little about their professions or how to manage them.

The philosophy behind this manual is that you—the health center leadership—must put yourself in control of your project from the beginning. This manual will help you understand the process of developing a facility project, and will help you formulate a management approach for success.

Capital Link also provides business planning assistance to health centers!

Capital Project Work Plan

WorkPlanManualCover

 

(available in PDF and in print) March 2007
The goal of this tool is for health centers to identify necessary steps in the capital development process that specifically address their individual capital projects. This document keeps management, the project team and the board of directors informed about the project through a comprehensive written document.

Capital Link assists health centers with designing a tailored work plan to assist in proceeding through the various stages associated with a capital project.