This tool box offers downloadable samples of policies, procedures, forms, and other supportive documents that can be adapted to meet health centers needs related to the some requirements of the of the Community Health Center Program.
The Tool Box is a work-in-progress and will continually be updated. If you have any suggestions or questions, please contact NCFH.
The Tool Box is a work-in-progress and will continually be updated. If you have any suggestions or questions, please contact NCFH.
ORIENTATION TO MIGRANT HEALTH
Introduction:
The U.S. Public Health Service Act, Section 330g authorized grants to health centers to establish health services for migratory and seasonal agricultural workers (MSAWs), migratory agricultural workers that are no longer working in agriculture due to age or disability, and their families. Agencies that receive migrant health funds must assure that those funds are used to provide health services to the agricultural worker population. One way to ensure compliance with this requirement is to establish a standard process for verifying agricultural worker status for new health center patients.
Status verification is the process by which Health Center Program grantees determine whether an individual seeking primary health care services can be classified as an MSAW, as defined by Program Legislation and interpreted by the Health Resources and Service Administration, Bureau of Primary Health Care in its 2022 Uniform Data System Manual (p.40).
The Bureau of Primary Health Care (BPHC) expects every health center grantee to develop a policy and procedure for verifying “Special Population” designation of its users, including agricultural workers. It is important to note that the Migrant Health Program Statute and Regulations are silent on the definitions of some key terms such as seasonality, family, and principal employment, among others. Therefore, in creating this toolbox, it is NCFH’s intent to provide practical recommendations based on our understanding of Congress’ intent when this law was enacted, as well as the current barriers to care faced by the target population.
Training for Staff:
Questions? Please contact miller@ncfh.org
The U.S. Public Health Service Act, Section 330g authorized grants to health centers to establish health services for migratory and seasonal agricultural workers (MSAWs), migratory agricultural workers that are no longer working in agriculture due to age or disability, and their families. Agencies that receive migrant health funds must assure that those funds are used to provide health services to the agricultural worker population. One way to ensure compliance with this requirement is to establish a standard process for verifying agricultural worker status for new health center patients.
Status verification is the process by which Health Center Program grantees determine whether an individual seeking primary health care services can be classified as an MSAW, as defined by Program Legislation and interpreted by the Health Resources and Service Administration, Bureau of Primary Health Care in its 2022 Uniform Data System Manual (p.40).
The Bureau of Primary Health Care (BPHC) expects every health center grantee to develop a policy and procedure for verifying “Special Population” designation of its users, including agricultural workers. It is important to note that the Migrant Health Program Statute and Regulations are silent on the definitions of some key terms such as seasonality, family, and principal employment, among others. Therefore, in creating this toolbox, it is NCFH’s intent to provide practical recommendations based on our understanding of Congress’ intent when this law was enacted, as well as the current barriers to care faced by the target population.
Training for Staff:
- Archived Webinar: Migratory & Seasonal Agricultural Worker Identification, Registration and Reporting in the UDS
- Ag Worker Identification Digital Training Tool - Digital story designed to assist front desk staff in accurately identifying, registering and reporting their MSAW patients in the UDS. This 10 minute training video is a perfect introduction to the Ag Worker ID process for new team members, as well as seasoned staff.
- Customized Training and Technical Assistance - NCFH offers customized training and technical assistance to meet health centers’ individual needs. Contact miller@ncfh.org for more information.
- Identifying and Reporting H-2A Workers in the UDS Publication
- IAC Program Pillars
- Migratory and Seasonal Agricultural Worker (MSAW) Status Verification: Points to Remember
- How Migratory and Seasonal Agricultural Workers (MSAWs) Identify Themselves
- Agricultural Tasks Performed by Migratory and Seasonal Agricultural Workers (MSAW)
- IAC Migrant Health Program Self-Assessment Tool - Tool designed to assist health center staff in evaluating their current Migrant Health Program and identify potential areas for improvement.
- Increase Access to Care (IAC) Q&A Packet - Frequently Asked Questions and Answers gathered from past Increase Access to Care workshops, webinars, and trainings.
- Ag Worker Identification Front Office Reference Sheet - Tool designed to help health center staff ask the right questions to accurately identify, classify and report MSAWs in the UDS. It also helps to illustrate the tasks and industries included in HRSA’s definition of agriculture, as well as provide general guidelines for proper classification and reporting of MSAWs in UDS.
- Sample MSAW Patient Status Verification Policy and Procedure
- Sample Patient Registration Forms (English and Spanish)
- Ag Worker Client Profile
- Get Your Foot in the Door: Health Center Strategies for Initiating Relationships with Growers, Contractors, and Employers – Tool designed to provide strategies, specifically for health centers, in identifying and connecting with growers, contractors, and employers that employ Migratory and Seasonal Agricultural Workers (MSAWs).
Questions? Please contact miller@ncfh.org
Emergency Preparedness
Emergency Preparedness
Emergency Communication with Indigenous Agricultural Workers
Emergency Communication with Migratory and Seasonal Agricultural Workers
Safety of Community Workers
Strategies for Emergency Management of Chronic Conditions Among Agricultural Workers
Emergency Communication with Indigenous Agricultural Workers
Emergency Communication with Migratory and Seasonal Agricultural Workers
Safety of Community Workers
- Risk Management
- Policy Template
- General Precaution
- Home Visits
- When Transporting Patients
- During Emergencies & Road Blocks
Strategies for Emergency Management of Chronic Conditions Among Agricultural Workers
Governance and leadership
Becoming a Leader in Migrant Health
Key Strategies for Effective Change Management in Health Centers
Resources for Board of Directors
NCFH and the National Association of Community Health Centers (NACHC) have worked collaboratively on many fronts, including the delivery of training to consumer board members. Health Centers have requested short, digestible content that can be used in board meetings or board orientation, especially in Spanish, and NACHC has responded by developing a five-part series of e-learning modules. These modules were only available in English and are standalone independent learning educational modules that can be viewed individually or in a group. In partnership with NACHC, NCFH has translated the e-learning modules into Spanish and adapted them for a low literacy audience. NCFH has also developed accompanying Discussion Guides for Modules 1 through 5 of this e-learning series in English and Spanish that can be utilized to facilitate a group discussion.
The five Spanish e-learning modules include:
Board Finance Training Discussion Guides:
Board Roles Short Video Module
Another key NACHC elearning module, “Board Roles,” has been translated into Spanish by NCFH, with English and Spanish Discussion Guides.
Strategic Planning Short Video Module
Another key NACHC eLearning module, “The Board's Role in Strategic Planning” has been translated into Spanish by NCFH, with English and Spanish Discussion Guides.
Key Strategies for Effective Change Management in Health Centers
Resources for Board of Directors
- Recruitment Grid
- Orientation Checklist
- Minutes Template - English & Spanish
- Record of Policy Approval at a Glance
- Training Topics
- Self Evaluations
- Self Evaluations Sample - English & Spanish
NCFH and the National Association of Community Health Centers (NACHC) have worked collaboratively on many fronts, including the delivery of training to consumer board members. Health Centers have requested short, digestible content that can be used in board meetings or board orientation, especially in Spanish, and NACHC has responded by developing a five-part series of e-learning modules. These modules were only available in English and are standalone independent learning educational modules that can be viewed individually or in a group. In partnership with NACHC, NCFH has translated the e-learning modules into Spanish and adapted them for a low literacy audience. NCFH has also developed accompanying Discussion Guides for Modules 1 through 5 of this e-learning series in English and Spanish that can be utilized to facilitate a group discussion.
The five Spanish e-learning modules include:
- Módulo 1: Capitación financiera para la junta directiva
- Módulo 2: Lectura y comprensión del balance general financiero
- Módulo 3: Lectura y comprensión del estado de resultados
- Módulo 4: Comprensión de la importancia del flujo de efectivo; and
- Módulo 5: Indicadores clave de rendimiento financiero
- NACHC Board Financial Elearning Modules 1-5 (English)
- NACHC Board Financial Elearning Modules 1-5 (Spanish)
Board Finance Training Discussion Guides:
- Module 1: The Boards’ Role in Financial Oversight (English / Spanish)
- Module 2: Reading and Understanding the Balance Sheet (English / Spanish)
- Module 3: Reading and Understanding the Income Statement (English / Spanish)
- Module 4: Understanding the Importance of Cash Flow (English/ Spanish)
- Module 5: Key Financial Performance Indicators (English / Spanish)
Board Roles Short Video Module
Another key NACHC elearning module, “Board Roles,” has been translated into Spanish by NCFH, with English and Spanish Discussion Guides.
- Access the English and Spanish Modules through the Health Center Clearinghouse here: Health center Board Roles/Funciones de las juntas de los centros de salud
- Discussion Guide: Health Center Board Roles (English / Spanish)
Strategic Planning Short Video Module
Another key NACHC eLearning module, “The Board's Role in Strategic Planning” has been translated into Spanish by NCFH, with English and Spanish Discussion Guides.
- Access the English and Spanish Modules through the Health Center Clearinghouse here: The Board's Role in Strategic Planning/La Función de la Junta Directiva en la Planificación Estratégica
- Discussion Guide: The Board's Role in Strategic Planning (English / Spanish)
Needs assessment
Ag Worker Needs Assessment
Increase Access to Care Self Assessment
SDOH Self Assessment
- Introduction
- Points to Remember
- Sample Policy & Procedure
- Determining What Information is Needed
- Sample Needs Assessment - English & Spanish
Increase Access to Care Self Assessment
SDOH Self Assessment
Patient's Rights & RESPONSIBILITIES
Patient Rights & Responsibilities - Introduction
Patient Rights & Responsibilities - Policy Sample
Patient Satisfaction - Introduction
Patient Satisfaction - Policy & Procedure Sample
Self-Declaration - Intro & Points to Remember
Self-Declaration - Sample Form - English & Spanish
Sliding Fee Discount Program
Patient Rights & Responsibilities - Policy Sample
Patient Satisfaction - Introduction
Patient Satisfaction - Policy & Procedure Sample
Self-Declaration - Intro & Points to Remember
Self-Declaration - Sample Form - English & Spanish
Sliding Fee Discount Program
SOCIAL DETERMINANTS OF HEALTH
Screening Tools:
SDOH Self-Assessment Tool
Patient SDOH Screening Tool
Increased Access to Care (IAC) Plus Health Center SDOH Checklist
Increased Access to Care (IAC) Plus SDOH Customizable Screening Tool
Culture and Language:
Cultural Competency - Intro
Language Competency Checklist
Language Access Services Assessment and Planning Tool
Implementing a Language Access Program
Telehealth:
Assessing Patient Telehealth Readiness Tool
8 Tips for Telehealth Communications
Food Insecurity:
Food Rx Replication Guide
Collaborative Relationships:
Community Asset Mapping Tool
Coalition Building Tool: A Guide for Establishing Collaborative Relationships
Housing
Housing Guide for Safe and Adequate Ag Worker Housing
Health Literacy - Intro
SDOH Self-Assessment Tool
Patient SDOH Screening Tool
Increased Access to Care (IAC) Plus Health Center SDOH Checklist
Increased Access to Care (IAC) Plus SDOH Customizable Screening Tool
Culture and Language:
Cultural Competency - Intro
Language Competency Checklist
Language Access Services Assessment and Planning Tool
Implementing a Language Access Program
Telehealth:
Assessing Patient Telehealth Readiness Tool
8 Tips for Telehealth Communications
Food Insecurity:
Food Rx Replication Guide
Collaborative Relationships:
Community Asset Mapping Tool
Coalition Building Tool: A Guide for Establishing Collaborative Relationships
Housing
Housing Guide for Safe and Adequate Ag Worker Housing
Health Literacy - Intro
STAFF ORIENTATION/TRAINING
Migrant Health Orientation
C.MHC Acronym List
Bilingual Greetings for Monolingual Staff (Spanish with pronunciation and English translations)
C.MHC Acronym List
Bilingual Greetings for Monolingual Staff (Spanish with pronunciation and English translations)
- Text only
- With audio clips (must download pdf for audio to play & will need the latest version of Adobe Flash Player)
CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS)