The nation’s highest performing health centers can be classified as having strong clinical quality as well as financial health, but are there lessons to be learned about their workforce models? Capital Link and the Association of Clinicians for the Underserved (ACU) explored this question in a study examining the workforce and financial characteristics of high-performing health centers to begin to understand the success factors among a variety of staffing models for potential replication.

Developed with support from the Health Resources and Services Administration, Identifying Workforce and Financial Characteristics of High-Performing Health Centers is a report of findings comparing financial and workforce metrics of High Performers against Non-High Performers and median results of Federally Qualified Health Centers nationally to identify effective models for potential replication and areas for further research.

The report highlights the following findings:

  • High-performing health centers demonstrated operating margins approximately three times higher than national and non-high performing health centers

  • High Performers had nearly three times the cash reserves of Non-High Performers and national health centers, at the median

  • Provider mix at the high-performing health centers was comprised of approximately 60% physicians and 40% non-physicians

  • A 2 to 1 ratio of primary care support staff to providers for High Performers was higher than peer groups, a finding that supports research on effective team models

  • The average tenure for CEOs for High Performers was over 10 years, approximately 60% higher than both peer groups

Further analysis on the influence of workforce models on financial and operational performance would provide additional insight on replicable models. To learn more about the findings, access this new resource here.

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