Beginning in 2023, Janice Wilkerson, GPCA Quality-Risk-Compliance Manager will be sending out an OSV Tip bi-monthly. These will be from questions you ask as well as information learned during an OSV. Also, if you have something to share about OSV please let her know. Please share with the appropriate staff.

OSV TIP #1 Annual zip review post UDS reporting, must be reviewed by the Board and documented in the Board minutes.

This was new to us until about a year ago.  Somehow it was missed for a time, then new training for reviewers brought it op… Now most reviewers look/ ask for this.

Compliance Manual Chapter 3 Needs Assessment, page: 21:

  • The health center must define and annually review the boundaries of the catchment area to be served [service area], including the identification of the medically underserved population or populations within the catchment area in order to ensure that the: Size of this area is such that the services to be provided through the center (including any satellite service sites) are available and accessible to the residents of the area promptly and as appropriate;
  • -Boundaries of such area conform, to the extent practicable, to relevant boundaries of political subdivisions, school districts, and areas served by Federal and State health and social service programs; and
  • -Boundaries of such area eliminate, to the extent possible, barriers resulting from the area’s physical characteristics, its residential patterns, its economic and social groupings, and available transportation.

It is listed as  “Demonstrating Compliance” for the Required Activities on page 22:

The health center identifies and annually reviews its service area1 based on where current or proposed patient populations reside as documented by the ZIP codes reported on the health center’s Form 5B: Service Sites. In addition, these service area ZIP codes are consistent with patient origin data reported by ZIP code in its annual Uniform Data System (UDS) report (for example, the ZIP codes reported on the health center’s Form 5B: Service Sites would include the ZIP codes in which at least 75 percent of current health center patients reside, as identified in the most recent UDS report).