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

Office of Information Technology
Clinical Reporting System (CRS)  

GPRA+ FY04 (version 3.1)

CURRENT STATUS: GPRA+ FY04 version 3.0 software was released for IHS national deployment on January 16, 2004. Version 3.1 was released in mid June 2004 and contains three new report options.

GPRA+ FY04 contains topics over 200 clinical indicators (specific pairs of denominators and numerators), representing 32 clinical topics that are based on RPMS data. 19 indicators are reported nationally through the Department of Health and Human Services to the Office of Management and Budget (OMB) and to Congress, as mandated by the Government Performance and Results Act (GPRA). See the GPRA+ FY04 Indicator Definitions and Logic List below for topic and individual indicator descriptions. Enhancements for version 3.1 include:

  • the addition of five new or substantially revised indicators;
  • logic changes or additions to 14 indicators, including change in "controlled" blood pressure logic for diabetes; adding refusals to count toward immunizations, updating blood pressure categories to reflect new guidelines, and revising age ranges for some denominators;
  • changing the GPRA Performance and Area Director Performance Reports to include only individual GPRA denominator and numerator (not all indicators related to GPRA topic);
  • changing both GPRA and Area Director Performance Reports so that sites can run locally only, or choose to export to the Area for aggregation.
  • adding Performance Summary sheet at end of GPRA and Area Director Performance Reports to summarize local results against national performance.
  • providing user option to select entire user population (not just beneficiary 01 American Indian/Alaska Native) or non AI/AN population for local reporting.
  • adding LOINC codes as another standard national code set that is used to identify lab tests for all relevant indicators.
  • (v3.1) providing additional flexibility to local reporting by adding two population options to the Selected Indicators reports. Users can report on a patient panel (user-defined list of specific patients) or on all patients in the RPMS database, regardless of community of residence.
  • (v.3.1) adding HEDIS report.
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