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North Carolina Health Center Development Resources

Below you will find a thorough list of Section 330 Federally-Qualified Health Center (FQHC)-specific resources.

Quick Links

Background & History of Community Health Centers

Chronicles: The Community Health Center Story

America's Health Centers: An Enduring Legacy, Value for Today and Tomorrow
In 2015, America’s Health Centers celebrate 50 years of success in expanding access to quality and affordable primary and preventive healthcare services to millions of uninsured and medically underserved people nationwide. (NACHC, 2015).

A Promise Kept: 40 Years of America's Community Health Centers: This video history of Community Health Centers in America is a promise to provide essential medical care to everyone in the community, regardless of their ability to pay. Forty years later, over 1,200 CHCs keep that promise every day, serving over 20,000,000 people in 2012.

Dr. Jack Geiger: History of Community Health Centers: Prepared for the June 2011 international conference COMMUNITY HEALTH CENTRES: ACTING TODAY, SHAPING TOMORROW, Dr. Jack Geiger, founder of the Community Health Centers movement in the United States, describes the history of CHCs and social medicine in the U.S., South Africa and elsewhere.

Out in the Rural: A short film that highlights one of the very first Community Health Centers in the United States: the Tufts-Delta Health Center of North Bolivar County, Mississippi.

Community Health Centers Past, Present, and Future: Building on 50 Years of Success: A document which demonstrates quality patient outcomes, bipartisan support, and growth of the health center program's ability to serve larger number of patients since it started in 1965 (NACHC, 2015).

19 Key Health Center Program Requirements

Program Requirements

Health Center Program Requirements: 2010 power point presentation by HRSA to NACCHO

Health Professional Shortage Area Search

Medically Underserved Area/Medically Underserved Population (MUA/MUP)

Health Center Scope of Project

2014 PIN (Policy Information Notice) on FQHC Governance

HRSA Governing Board Handbook (2000)

Clinical and Financial Program Measures

Health Center Data Requirements

Other Bureau of Primary Health Care Resources (BPHC)

Home Page of BPHC

What is a Health Center?

How to Become a Health Center

Funding to Serve Special Populations

Resources for Health Center Development: Links to several websites with resources on a broad range of topics recommended by HRSA.

Example of New Access Point (NAP) funding opportunity

National Association of Community Health Centers (NACHC) Resources

Home page of NACHC

Search NACHC Publications

So You Want to Start a Health Center…?: A Practical Guide for Starting a Federally Qualified Health Center”, 2015

“Successful Practices in Community Development for Community Health Centers”, 2012

Federally Qualified Health Center Look-Alike Designations

FQHC Look-Alike Program and Application

Collaborative Models

2007 PIN on Service Area Overlap

Service Area Overlap Tool Kit (NACHC, 2015)

1997 Affiliation Agreement PIN

1998 Affiliation Agreement PIN

The Legal Considerations of Establishing A Successful Health Center & Hospital Collaborative Model (2009 powerpoint presentation by Feldesman, Tucker, Leifer, and Fiddell)

"A Manual on Effective Collaboration Between Critical Access Hospitals and Federally Qualified Health Centers” (HRSA, 2010)

2014 PIN (Policy Information Notice) on FQHC Governance: includes guidance on applying as a public entity.

“Partnerships between Federally Qualified Health Centers and Local Health Departments for Engaging in the Development of a Community-Based System of Care” a manual created by NACHC in 2010.

“Comparison of the Rural Health Clinic and Federally Qualified Health Center Programs” (HRSA, 2006)

"Public Centers: A Discussion Monograph" (NACHC, 2014)

Needs Assessment Resources

  • UDS Mapper: The UDS Mapper is designed to help inform users about the current geographic extent of U.S. federal (Section 330) Health Center Program (HCP) grantees and look-alikes. Webinars and tutorials are available for training on its use.
  • The North Carolina Community Health Information Portal (NC-HIP) The North Carolina Community Health Information Portal (NC-HIP) is a web-based application designed to allow researchers, public health professionals, hospital executives and other policymakers to generate new insights from existing public and private databases. NC-HIP allows users to geo-map their own health data alongside major public health data sets. With minimal training, users can upload their own Excel spreadsheets, juxtapose them with public health databases and transform the combined data into powerful, actionable visuals. Quick Start Guide available.
  • The Cecil G. Sheps Center for Health Services Research: The Sheps Center stores and manages various data resources for use in health services research.
  • NC County Community Health Assessments.
  • The North Carolina Health Data Explorer: The Health Data Explorer provides access to health data for North Carolina counties in an interactive, user-friendly atlas of maps, tables, and charts. It allows users to select, visualize, explore and download data on major disease mortality, disparities between groups, social and economic factors, and health behaviors. Users can also print maps and export image files from the Explorer.
  • Healthy North Carolina: 2020: The Healthy North Carolina 2020 health objectives address all aspects of health with the aim of improving the health status of every North Carolinian.
  • 2014 Report by the NC Task Force on Rural Health: Office of Rural Health and Community Care (ORHCC) within the North Carolina Department of Health and Human Services (NC DHHS), and the Kate B. Reynolds Charitable Trust (the Trust) convened a Task Force on Rural Health. The overall goal of the Task Force on Rural Health was to develop a North Carolina Rural Health Action Plan that included workable strategies to improve rural health outcomes that were actionable over the next three to five years.
  • Community Commons: Enrich your community work with maps and data reports that can be shared and saved.
  • HealthLandscape.org: Create custom maps and tables of the health status in individual communities by showing populations at risk, health outcomes, and the distribution of health interventions.
  • Hotspotting Toolkit Available: Hotspotting is a data-driven process for the timely identification of extreme patterns in a defined region of the healthcare system. Hot spotting has been used to show where diseases and hospital admissions cluster in communities and can be used to show evidence of need for funding, as well as guide targeted intervention and follow-up.
  • The Rural Assistance Center website is full of funding tips, maps, data, and grant writing manuals, as well as current funding opportunities.
  • Mapping the Measure of America: State and county-level maps showing key health indicators such as life expectancy, diabetes, and more. Also covers indicators that impact health, like educational attainment and income. Select a county by clicking on the map for a brief profile.
  • Healthy NC Improvement App (IMAPP): The Center for Public Health Quality and the Center for Healthy North Carolina are pleased to announce the launch of the Healthy NC Improvement App (IMAPP), a comprehensive, user-friendly resource to help community partnerships select and implement evidence-based interventions (EBIs) to improve population health.  
  • HRSA Area Health Resources Files (AHRF): The Area Health Resources Files are a no-cost, comprehensive source of healthcare data. Information on national, state and county-specific health and health-related resources includes annual data on health care professions, health care facilities, hospitals and population health data.  

New Start Resources

BPHC Health Center Program Site Visit Guide (2014)

BPHC Samples and Templates Resource Center

“FUNDED! Now What? Quick Reference Guide” (NACHC, 2015)

Funding to Serve Special Populations

The Bureau of Primary Health Care has designated three special populations: migratory and seasonal agricultural workers, homeless, and public housing residents.  Current and aspiring federally qualified health centers are eligible to apply for this funding during New Access Point application opportunities.  Please see the document attached here for funding allocations as well as BPHC requirements related to these funding opportunities. 

Incubator Project Outcomes




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