Posts Tagged ‘FQHC Look-Alike’

FTCA Deeming – Don’t forget the Compliance Manual!

In FTCA on April 13, 2018 at 5:18 pm

I’ve been thinking about our annual FTCA deeming application lately – actually my clients have been helping me with that as some are sending emails anxiously anticipating the submission. Just an FYI, HRSA EHB sent out a notice on March 29th stating that it will reopen and resume accepting applications on May 4th, 2018. But really, there’s no need to wait until then if you are ready to get going – which I would recommend. We just don’t know when those grants they’ve been talking about will be posted and, if we’ve got our act together on FTCA we can focus on expanding our programs and services when they are released, instead of trying to figure out how to document your quarterly risk management assessments.

Speaking of risk management assessments – did anyone get stumped on that last year? The Compliance Manual has a chapter on FTCA, Chapter 21, and included in the Related Considerations items the following: “The health center determines how to conduct and document the completion of quarterly risk management assessments.” P. 85. Yea, so this is HRSA tell you that they aren’t going to tell you what to include. Here’s a thought…

My clients and I had quite a lively discussion about this list last year and after some debate we decided to start asking ourselves what we do to assess the clinics’ performance in any area. Literally, we started from January and worked our way through the past year and the upcoming year listing everything we do to review, assess, track, and survey our patients, our staff, our EHRs, and our work. In the end, we were amazed at how many things we were doing that met our thoughts on what the quarterly risk assessments should include. Keep in mind that not all the assessments have to be completed quarterly, you are just required to complete quarterly assessments. We combined semi-annual, annual, bi-annual, quarterly, and monthly assessments to make up our final list. Here’s a partial list of the areas we looked at and found assessments being conducted or opportunities for assessment that we added to our risk management quarterly assessment quarterly calendar.

  • Patient Complaints and Grievances
  • Hazard Vulnerability Assessment
  • Meaningful Use
  • Compliance Review
  • Review of Forms 5A, 5B, 5C
  • Employee Survey
  • 340B Program Compliance
  • Billing – Aging reports

Let me know if you would like the complete list. And remember, FTCA is covered extensively in Chapter 21 of the Compliance Manual – it’s worth a read!



Continuous Compliance – An Affordable Solution to HRSA’s Compliance Mandate

In Continuous Compliance, Uncategorized on April 3, 2018 at 11:24 pm

“Continuous Compliance” is a term used today by Jim Macrae, Associate Administrator Bureau of Primary Health Care Health Resources and Services Administration U.S. Department of Health and Human Services on the BPHC All-Programs Webcast. He was speaking about health centers and how they need to adopt a practice of compliance with their FQHC program throughout the year, not just before you have an Operational Site Visit. It makes sense to me!

In support of health centers as you transition from the old PINS and PALS to the new Compliance Manual and as you develop your “continuous compliance” program, TCG has developed a consulting service that is affordable and ongoing. With an initial review followed by ongoing support and consulting services, the program will enable you to work with highly-skilled consultants through the year.

The Tremaine Consulting Group’s FQHC Continuous Compliance Package will provide expert consulting for the following:
A. Section 330 Compliance Risk Assessment – Initial Review of 18 Program Requirements
B. Develop Action Plan for completion of the identified risks.
C. Conduct Quarterly FQHC Compliance Meetings.
D. Provide 20 hours of consulting support per quarter to support the development of needed processes or documents to correct deficiencies identified in the Risk Assessment. Any other needed consulting can be accessed up to the 20 hours per quarter.

  • Initial Program Development – Items A and B listed above: Consulting includes a 2-Day Onsite Visit and the development of Action Plan for identified risks. $10,000/one-time cost
  • Ongoing Program – Items C and D listed above: Consulting support for 20 hrs/quarter. $4,000/quarter

The program kicks off with a two-day site visit providing a Compliance Manual overview and the completion of the Compliance Risk Assessment that identified key areas of improvement and a timeline for completion of the work. The program continues with quarterly FQHC Compliance Meetings to update program status and complete random audits should there not be any current identified areas of improvement.

Call me today to get your health center enrolled – (530) 524-5420. I’m only taking ten health center clients for this program so don’t wait until the slots are gone!

Tremaine Consulting Group Services

In About Tremaine Consulting Group on April 11, 2012 at 6:16 pm

Tremaine Consulting Group Services Include:


• Continuous Compliance Program

• Compliance Manual Training – Changes in the program.

• Grant writing, Needs Assessments, and all other FQHC program related documentation and implementation.


• Rural Service Area

• Program Development

• Gap Analysis

• Community Action Planning


• Federally Qualified Health Center (FQHC) Section 330 CHC program

• Social Determinants of Health

• Rural Health Network/Collaborative Development

• Program Management

• Policy and Procedure Development


• Grant Writing – Federal, State, County, Private Foundation

• SAC, NAP, BPR, Expanded Services, capital, network development for FQHCs and Look-Alike Initial and Recertification.