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Reflections on Success: Health Center Voices
Texas Association of Community Health Centers
Comprehensive Community Development from the Ground Up
As a Primary Care Association, the Texas Association
of Community Health Centers (TACHC) provides
a wide variety of support to communities throughout
Texas in need of new and expanded health center
services. Over the last few years, TACHC’s focus has
been both on starting new health centers or new sites
as well as helping organizations attain FQHC Look-
Alike status. As part of its comprehensive approach to
health center development, TACHC has periodically
surveyed member health centers as well as interested
communities and organizations to develop a statewide
strategic development plan and then worked directly
with communities to prepare and assist them in
increasing access to health center services.
As patient-driven and community responsive
organizations, health centers require buy in and
support from the ground up. TACHC has assisted
Texas communities new to the Health Center Program
by facilitating meetings and providing education
sessions on the benefits of the program. It has also
supported the essential health center governance
functions by providing training sessions for boards of
directors and assisted with the other “nuts and bolts”
of starting a new or expanded organization such as
developing bylaws as well as policies and procedures
for human resources, information management, quality
improvement, and even lease agreements.
One of the most successful approaches employed
by TACHC has come from its innovative method
of combining community development efforts
in coordination with the Texas FQHC Incubator
Program. The Incubator, started in September 2003,
has provided $5 million each year for health center
development through planning, operational support,
capital acquisitions, and statewide training and
technical assistance.
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Texas Health Center Growth Snapshot
As of August, 2007, Texas health centers have applied for and received:
- 31 New Access Point awards totaling approximately $16,336,000 in annual grants with additional FQHC Incubator grant support to 21 of these organizations;
- 34 Expanded Medical Capacity awards totaling approximately $13,087,000 in annual grants with additional FQHC Incubator grant support to 15 of these organizations; and
- 8 Service Expansion grants totaling approximately $996,000 in annual grants.
- The State FQHC Incubator Program has also provided awards to 10 of 11 organizations that have received FQHC Look-Alike status since the beginning of the health center expansion initiatives. Today, seven of those organizations are grant-supported health centers.
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