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Health Centers: America's Primary  Care Safety Net Reflection on Success, 2002-2005 Health Resources & Services Administration US Department of Health and Human Services

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.

Health center caregiver with stethoscope examines patient
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.