Health Center Growth and Development

Whether you’re just starting a health center, or looking to expand the size and services of an existing center, the National Association of Community Health Centers is here to help. Through our Health Center Growth & Development (HCG&D) program, you can find resources to support the application and readiness process, regional and national training opportunities, and technical assistance.

This website contains resources to help you develop or strengthen governance structure, clinical services, administration, and finance. In addition, we provide information important to health centers regarding federal grant requirements and legislation.

If you can’t find what you need here, or need more information, contact Ted Henson, Director, Health Center Performance and Innovation at 301-347-0474.

Upcoming Webinar

Successfully Implementing HRSA's Site Visit Protocol for the Operational Site Visit: A Two-Part Webinar Series for Health Centers, Tuesday, May 7 and Thursday, May 9, 2019

Tuesday, May 7, 2019 | 1:00 pm – 2:30 pm EDT
Thursday, May 9, 2019 |1:00 pm – 2:30 pm EDT

Register Now


In response to a demand from the field, NACHC announces a 2-part webinar series for health center leaders on HRSA’s protocol for Operational Site Visits (OSVs). The OSV is HRSA’s process for assessing compliance with the Health Center Program requirements outlined in the Health Center Program Compliance Manual, which was updated in August 2018.

This webinar series will feature the perspective of three operational site visit reviewers – a fiscal, governance, and clinical reviewer – who will provide an overview of the Site Visit Protocol in their respective domains. Each reviewer will outline how compliance is assessed for the program requirements, identify potential pain points, and provide strategies for ensuring full compliance.

Learning Objectives
Featuring the perspective of three operational site visit reviewers and health center leader(s) that have utilized the new protocol, this webinar series will provide health centers with the following:

    1. A practical overview of the HRSA’s Health Center Program compliance process and protocols.
    2. A reviewer’s assessment of what the Operational Site Visit and Site Visit Protocol looks like when put into practice.
    3. A deep-dive to how the new protocol assesses compliance with the program requirements in the following areas:
      • Overview of the Site Visit Protocol and Governance Program Requirements
      • Management and Administration Program Requirements
      • Fiscal Program Requirements
      • Clinical Program Requirements
      • Performance Analysis
      • Promising Practices
      • FTCA Deeming Requirements

Webinars in this Series

Webinar 1: Tuesday, May 7, 2019
1:00 pm – 2:30 pm EDT
Jen Genua, CEO, Genua Consulting, Inc., will provide an overview of HRSA’s compliance program, including the Compliance Manual and the Site Visit Protocol. Ms. Genua will also walk attendees through the pre-planning process for operational site visits and share important tools and strategies for preparing the Board of Directors and organizing materials and documents for the site visit and review team. Ms. Genua will then walk attendees through the Governance requirements and highlight the pain points she observes health centers experience during the OSV. Next Renee Filson, Principal, Fiscal Solutions, will provide an overview of the fiscal program requirements and what the pain points are that she observes as a fiscal reviewer. Both speakers will address how the Site Visit Protocol can be successfully used to prepare for the site visit. Time will be reserved for Questions and Answers.

Jennifer Genua, CEO, Genua Consulting, Inc.
Renee Filson, Principal, Fiscal Solutions, LLC

Webinar 2: Thursday, May 9, 2019
1:00 pm – 2:30 pm EDT
Michelle Layton, BSN, MBA, Managing Director, Infidium Healthcare Solutions, LLC, will provide an in-depth overview of the clinical program requirements. She will identify pain points that she observes and strategies for proactively addressing potential problems ahead of the site visit. Ms. Layton will also provide an in-depth overview of other aspects of the OSV, including the performance analysis section, promising practices, and the Federal Tort Claims Act (FTC) deeming requirements. A health center leader will also provide an overview of their experience preparing for and going through the operational site visit. Time will be reserved for Questions and Answers.

Michelle Layton, BSN, MBA, Managing Director, Infidium Healthcare Solutions, LLC


NACHC Members can purchase the 2-part webinar series at a total cost of $400.

Non-members can purchase the 2-part webinar series at a total cost of $800.

Register online

Key NACHC Resources

Available at MyNACHC Learning Center:

Service Area Overlap Toolkit
Public Centers Discussion
So You Want to Start a Health Center
Funded! Now What?
Data Driven Decision Making
Catalog of Community Needs Assessment Tools and Resources