Quality Improvement/​Assurance

In this section:

Primary Reviewer: Clinical Expert

Secondary Reviewer: N/A

Authority: Section 330(k)(3)(C) of the Public Health Service (PHS) Act; and 42 CFR 51c.110, 42 CFR 51c.303(b), 42 CFR 51c.303(c), 42 CFR 51c.304(d)(3)(iv-vi), 42 CFR 56.111, 42 CFR 56.303(b), 42 CFR 56.303(c), and 42 CFR 56.304(d)(4)(v-vii)

Health Center Program Compliance Manual Related Considerations

Documents the Health Center Provides

Compliance Assessment

Select each element below for the corresponding text of the element, site visit team methodology, and site visit finding questions.


1. Health centers may choose to provide samples of patient records before or during the site visit. If patient records will be provided during the site visit, this should be communicated before the site visit to avoid any disruption or delay in the site visit process.

2. See [Health Center Program Compliance Manual] Chapter 19: Board Authority for more information on the health center governing board’s role in approving policies.

3. The Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) have established standards and other criteria for structured data that EHRs must use in order to qualify for CMS incentive programs. For health centers that participate in these CMS incentive programs, further information is available at CMS Promoting Interoperability Programs.

Date Last Reviewed: