HRSA Required Documents Compliance Tracker

Tracks each HRSA Health Center Program requirement against the documents, policies, and evidence used to demonstrate compliance, including file naming and document control checks for operational site visit readiness.

Inspection Instructions and Scope

• HRSA review scope confirmed for operational site visit readiness
  Review the current HRSA Health Center Program requirement set and confirm the inspection scope includes all required documents, policies, and evidence for the selected site or service area.
• Inspection date and site identified
• Reviewer confirms document set is current as of inspection date
• Evidence repository or folder location recorded

HRSA Requirement-to-Evidence Mapping

• Each applicable HRSA Health Center Program requirement has a mapped supporting document
• Policies and procedures are available for each required operational area
• Evidence demonstrates implementation, not just policy existence
• Missing or outdated requirement mappings identified

Document Control and Version Management

• Document titles clearly identify the subject and document type
• Version number or effective date is present on controlled documents
• Approval authority is documented for controlled policies and procedures
• Superseded documents are removed from active use or clearly marked obsolete

File Naming and Upload Readiness

• File names follow the required naming convention
• Files are uploaded to the correct designated folder or sub-folder
• File names include the required identifiers and date elements
• Duplicate, draft, or unapproved files are excluded from the submission set

Operational Site Visit Readiness Evidence

• Required evidence is complete and available for review
• Evidence is recent enough to demonstrate current compliance
• Any gaps or exceptions have a documented corrective action plan
• Reviewer notes any high-risk deficiencies requiring immediate escalation

Inspector Sign-Off

• Inspector signature
• Final readiness determination