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.

 

Performance Improvement

Capital Project Financing

Capital Project Planning

Patient-Centered Medical Home

 

Performance Improvement
 

Predictive Analytics: An Overview for Community Health Centers

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July 2016

Developed by Capital Link and the National Association of Community Health Centers (NACHC), this resource provides health centers with a definition of predictive analytics, its history and development, the data and resources needed to predict a patient’s future behavior, and how health centers can begin utilizing it. It also includes specific examples of organizations that have successfully used predictive analytics.

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

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

 

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

                                                    

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

 

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.

 


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


                                                                                                                                                                                                          

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.

 
 
 

Capital Project Financing

 

 

New Markets Tax Credit Program Update

 

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.

 


Adding Fund Development Capacity to Sustain Health Center Growth

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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

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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

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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.

 


Spotlight on Capital Resources: Tax-Exempt Bonds

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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

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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.


Spotlight on Capital Resources: New Markets Tax Credit Program

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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

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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.

 


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

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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

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(available in print only) 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.

 
 

Capital Project Planning


Assembling a Capital Project Team

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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

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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

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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.

 


Building Community Support for Your Health Center

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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.


Preparing for a Capital Project: Are You Ready?

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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.

 


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

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 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.


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

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July 2004 

This manual provides a “hands on” approach to writing a business plan for health centers engaged in expansion activities. Organized in seven sections, this resource outlines the essential elements needed in a business plan and, most importantly, the best way to present the information in order to successfully obtain financing for a capital improvement project.

 


Capital Project Work Plan

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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.

 
 

Patient-Centered Medical Home

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

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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.

Creating a Place for Care: Fostering Alignment and Eliminating Barriers in the Patient-Centered Medical Home

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July 2016

This resource is designed to assist health centers in the facility design process to ensure that their physical space is aligned with their process of care and the unique needs and preferences of the patients they serve.

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

Developing an Organizational Culture that Sustaiins the Patient-Centered Medical Home: Lessons Learned

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July 2016

This resource examines the cultural challenges and successes health centers face in sustaining a patient-centered, team-based model of primary care delivery, offering considerations for the patient, family, and staff experience and flexible organizational structures for team-based care.

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