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Compliance Resolution Opportunity (CRO)
The Health Resources and Services Administration (HRSA) offers a Compliance Resolution Opportunity (known as the CRO period) for health centers, including Federally Qualified Health Centers (FQHCs) and FQHC Look Alikes to address and resolve issues related to non-compliance with federal regulations and program requirements.
These CRO periods usually follow an Operational Site Visit (OSV) but can also be compliance issues in response to any number of other reports, filings, reviews, or applications.
This opportunity is designed to help health centers correct deficiencies, improve their operations, and ensure continued eligibility for funding and support from HRSA.
1. Understanding Compliance Resolution
The Compliance Resolution Opportunity is a structured process provided by HRSA to assist health centers in resolving compliance issues identified during audits, site visits, or routine assessments. This initiative allows health centers to address areas of non-compliance proactively and implement corrective actions to meet HRSA standards.
The goal is to foster continuous improvement, enhance program performance, and ensure that health centers can effectively serve their communities while adhering to federal requirements.
2. Common Areas of Non-Compliance
Health centers may encounter various compliance issues, including but not limited to:
- Program Requirements: Non-compliance with specific programmatic requirements related to services, patient care, and health outcomes.
- Financial Management: Issues related to financial controls, reporting, and grant management practices.
- Governance and Organizational Management: Deficiencies in board governance, organizational structure, and management practices.
- Clinical Operations: Problems with clinical protocols, patient safety, and quality of care standards.
- Health Center Policies: Inadequate or outdated policies and procedures that do not align with HRSA guidelines.
3. The Compliance Resolution Process
HRSA's Compliance Resolution Opportunity typically involves several key steps:
1. Identification: HRSA identifies compliance issues through audits, site visits, or self-assessments.
2. Notification: Health centers are notified of the specific areas of non-compliance and are provided with detailed findings.
3. Action Plan Development: Health centers develop an action plan to address the identified deficiencies. This plan includes specific corrective actions, timelines, and responsible parties.
4. Implementation: Health centers implement the corrective actions as outlined in the action plan, making necessary changes to policies, procedures, and practices.
5. Monitoring and Reporting: Health centers monitor the implementation of corrective actions and provide regular reports to HRSA on progress and outcomes.
6. Resolution: HRSA reviews the submitted reports, verifies the implementation of corrective actions, and formally resolves the compliance issues if satisfactory progress has been made.
How FQHC Consultants, Inc. Can Help
FQHC Consultants, Inc. offers specialized support to health centers navigating the Compliance Resolution Opportunity provided by HRSA. Their services include:
- Assessment and Identification: Conducting a thorough assessment to identify areas of non-compliance and potential risks. Consultants help health centers understand HRSA's findings and develop a clear strategy for addressing them.
- Action Plan Development: Assisting in the creation of a comprehensive action plan that outlines corrective actions, timelines, and responsible individuals. Consultants ensure that the action plan meets HRSA requirements and addresses all identified deficiencies.
- Implementation Support: Providing guidance and support during the implementation phase, including developing and updating policies, procedures, and practices. Consultants help health centers execute corrective actions effectively and ensure that changes are integrated into daily operations.
- Training and Capacity Building: Offering training for staff and leadership on compliance requirements, best practices, and new procedures. Consultants help build organizational capacity to prevent future compliance issues and improve overall performance.
- Monitoring and Reporting: Assisting with the monitoring of corrective actions and preparing detailed progress reports for submission to HRSA. Consultants ensure that health centers meet reporting requirements and provide evidence of compliance.
- Follow-Up and Verification: Conducting follow-up reviews to verify that corrective actions have been effectively implemented and sustained. Consultants help health centers address any remaining issues and prepare for HRSA's final review.
- Communication with HRSA: Acting as a liaison between the health center and HRSA to facilitate communication, address questions, and resolve any concerns. Consultants help navigate HRSA's requirements and ensure that all necessary documentation is submitted.
List of Compliance Resolution Services
1. Assessment and Identification
- Comprehensive review of compliance issues
- Understanding HRSA findings and requirements
- Risk identification and mitigation strategies
2. Action Plan Development
- Creation of detailed corrective action plans
- Specification of timelines and responsible parties
- Alignment with HRSA guidelines and standards
3. Implementation Support
- Guidance on policy and procedure updates
- Support for integrating changes into daily operations
- Assistance with execution of corrective actions
4. Training and Capacity Building
- Staff and leadership training on compliance requirements
- Development of best practices and new procedures
- Building organizational capacity to prevent future issues
5. Monitoring and Reporting
- Tracking of corrective action implementation
- Preparation of progress reports for HRSA
- Ensuring adherence to reporting requirements
6. Follow-Up and Verification
- Conducting follow-up reviews to verify compliance
- Addressing remaining issues and concerns
- Preparing for HRSA's final review
7. Communication with HRSA
- Acting as a liaison between health centers and HRSA
- Facilitating communication and resolving concerns
- Navigating HRSA's requirements and documentation
By leveraging the expertise of FQHC Consultants, Inc., health centers can effectively address compliance issues, improve their operations, and ensure continued success in meeting HRSA’s standards and expectations.