Federally qualified health centers (FQHCs) are important providers of care to low-income, uninsured, and minority patient populations. The Fund's 2006 Health Care Quality Survey found that Americans face challenges in accessing high-quality, patient-centered care, and that obstacles are particularly problematic for patients at these centers. A follow-up national survey of CEOs at 1,078 FQHCs in 2009 will examine the extent to which their organizations possess the systems and capacity needed to achieve high performance. Specifically, the survey will focus on medical home structures, engagement in quality improvement activities, and workforce capacity. To investigate the association between clinical performance and organizational measures of high performance, the survey data will be linked to the Uniform Data System used by the Bureau of Primary Health Care.