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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

Clinical Reporting System (CRS)  

GPRA and Other National Reporting

The Government Performance and Results Act (GPRA) requires Federal agencies to demonstrate that they are using their funds effectively toward meeting their missions. The law requires agencies to have both a 5-year Strategic Plan in place and to submit Annual Performance Plans describing specifically what the agency intends to accomplish toward those goals with their annual budget request. Every year, the agency reports on how the agency measured up against the performance targets set in the Plan.

GPRA measures include clinical, such as various diabetes measures, cancer screening and others; Office of Information Technology (OIT)-related, such as increasing sites using certain software; quality of care, such as % of accredited hospitals; prevention, such as immunizations and injury prevention; and infrastructure, such as access to or improved sanitation facilities.

For additional information about GPRA and annual IHS performance measures, visit the Planning and Evaluation GPRA web page.

ICD-10 and GPRA

As Health Insurance Portability and Accountability Act (HIPAA) covered entities, all Indian Health Service/Tribal/Urban (I/T/U) programs must use the International Classification of Diseases, 10th Revision codes (ICD-10 CM/PCS) on all HIPAA electronic transactions (claims, etc.) by October 1, 2015. This will affect the majority of Government Performance and Results Act (GPRA) measures, as these measures currently utilize ICD-9 codes in the logic.

The Clinical Reporting System (CRS) development team will add ICD-10 codes to the measure logic in a future version of CRS. The logic will retain the ICD-9 codes, as many measures look back several years for data.

For more detailed information on the Indian Health Service's ICD-10 project, visit the IHS ICD-10 web site.


The deadlines for the 2015 quarterly GPRA reports are as follows:

  • 2nd Quarter: January 23, 2015
  • 3rd Quarter : April 24, 2015
  • 4th Quarter : July 24, 2015




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