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Contextual questions take into account the distinctive norms and culture of the center and seek to determine how the Board reinforces them.
Never Seldom Generally Mostly Always
* Does the Board understand the history and mission of the center?
* Does the Board discuss the values of the center?
* How well does the Board take into account its members’ non-health center obligations? For example, does it provide day care during meetings? Does it hold meetings at times when public transportation is available?
* Does the Board reflect the needs of the community?
* Have Board members toured the center in the last year?
* Does the Board recruit members with an appropriate mix of expertise, experience, and demographic factors, including community consumer members who represent the health center’s target population and are vested in the future of the health center and non-consumer members who may have additional skills to assist the center and the Board?
 
 
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Educational questions assess how the Board assures that its members are knowledgeable and up-to-date about center policies,health care marketplace issues, and their own legal duties, obligations, and performance.
Never Seldom Generally Mostly Always
* Do Board members understand their fiduciary responsibilities? Does the Board understand details of applicable Federal, state and local laws, regulations and policies so that it can assure compliance (e.g., Section 330 and its implementing regulations; BPHC Program Expectations and other policies and guidance; Medicare and Medicaid law, including fraud and abuse laws; Federal tax and antitrust laws; Civil Rights Act of 1964 and other applicable non-discrimination laws and regulations; Americans with Disabilities Act; Clinical Laboratory Improvement Act; Occupational Safety and Health Act; Fair Labor Standards Act; Federal Tort Claims Act; Health Insurance Portability and Accountability Act)?
* Does the center provide Board trainings and retreats for educational purposes?
* Do Board members attend conferences on key topics?
* Are Board members provided with enough information to stay current on health care topics of importance to the center?
* Do new Board members receive a detailed orientation, including copies of the health center’s Bylaws, policies and procedures, and training regarding the Board’s roles and responsibilities (legal, financial and otherwise)?
* Are Board members given information for meetings in advance with enough time to review, prepare and formulate questions?
 
 
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Interpersonal questions measure how the Board works together as a team to accomplish their goals, duties, and decision-making tasks.
Never Seldom Generally Mostly Always
* Can Board members faithfully and constructively express their concerns to each other? To the CEO/Executive Director?
* Do Board members recognize that, at times, conflicts of interest may arise and does the Board have a procedure to handle such situations?
* Do Board members respect each other’s concerns and opinions, as well as the confidentiality of information discussed at the Board meetings?
* Have there been problems? Regarding what? How were they handled?
* Do certain members dominate Board meetings? Does the CEO/Executive Director?
* Do Board members attend center events and celebrations?
* Do Board members channel communication with staff through the CEO/Executive Director, not around him or her?
* For the individual self-analysis: Can you accept constructive criticism? Do you support majority decisions? Do you respect those who differ in opinion and belief?
 
 
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Analytical questions assess how the Board problem-solves and dissects complex information.
Never Seldom Generally Mostly Always
* Do Board members play devil’s advocate?
* Does the Board develop contingency plans?
* Does the Board recognize that its decisions may have multiple outcomes?
* If so, does it analyze the effects of each?
* Does the Board generate creative approaches and solutions to solving problems together?
* Are issues before the Board framed in ways that enable members to see connections between issues and how they fit into the overall Board strategy?
 
 
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POLITICAL: Political questions address how, as the Board steers the center forward in its mission, it juggles different stakeholders and constituencies who are vested in the success of the health center (i.e., other health and social service providers located in the community; advocacy groups for the population(s) served by the health center).
Never Seldom Generally Mostly Always
* Does the Board solicit input from people likely to be affected by its decisions?
* Does the Board communicate its decisions to those who are affected?
* Does the Board discuss the concerns of the community?
* Is the Board aware of the impact of its decisions in the community?
 
 
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