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

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Circular 05-07

Indian Health Service
Rockville, Maryland 20852

Refer to: OD/DDMO


Effective Date:  11/01/2005


  1. PURPOSE.   The purpose of the Performance Achievement Team (PAT) is to ensure the efficient and effective coordination of performance in the Indian Health Service (IHS).  The PAT will enhance and reward the integration of a performance management culture across the Indian health care system.

  2. SCOPE.  Through the PAT and the performance budgeting process, a more direct link and discussion between budget and program performance is expected to be achieved that integrates performance related to the Government Performance and Results Act (GPRA), the Program Assessment Rating Tool (PART), the Performance and Accountability Report (PAR), and the President's Management Agenda (PMA).

  3. REPORTING REQUIREMENTS.  Performance management reporting requirements associated with the following laws/initiatives are within the scope of the responsibility for coordination by the PAT:

    1. Performance Budget Submissions

    2. President's Management Agenda and Scorecard

    3. The Department of Health and Human Services (HHS):

      1. Program and Management Objectives

      2. Strategic Plan

      3. The Secretary's 500 Day Plan

      4. Performance and Accountability Report

    4. Program Assessment Rating Tool and Corrective Action Plans

    5. Human Capital Accountability and Assessment Framework

    6. The Director, IHS, Performance Contract

    7. The Director, IHS, Annual Self Assessment

    8. Indian Health Service Organizational Self Assessment

    9. Indian Health Service Business Plan

    10. Area Directors' Performance Contracts

    11. Government Performance and Results Act of 1993


    1. Performance Achievement Team.  The PAT is responsible for supporting the IHS mission by ensuring the efficient achievement and documentation of a high level of performance in meeting the major Federal accountability requirements and ensuring that the performance results are used effectively to advocate for the health care needs of American Indian and Alaska Native people.  The PAT shall support the Director, IHS, by:

      1. ensuring that accountability and reporting requirements are achieved or exceeded for various budget/performance-directed laws and initiatives;

      2. making recommendations to the Director on Agency performance and budget integration issues, measures, and responsibilities;

      3. recommending the direction of resources to achieve and/or exceed Agency goals and objectives;

      4. leading change so that performance management is integrated into the organizational culture throughout the Indian health system; and

      5. ensuring that Agency leaders and managers have performance instruments and information available to monitor the process to bring about the successful attainment of goals and achievement of objectives.

    2. Performance Officer.  The Performance Officer will serve:

      1. permanently as the co-chairperson, PAT;

      2. as the principal Agency contact for the PAT; and

      3. will recommend members for term appointments to the Director, IHS

  5. MEMBERSHIP.  The membership of the PAT will exemplify commitment to performance management at different organizational levels within the IHS The following 12 individuals are appointed to serve on the PAT:

    1. Co-Chair.  The Director, IHS will appoint one co-chairperson to serve a 3-year term and 12members to serve 3-year terms.

    2. Co-Chair.  The Performance Officer will serve permanently as the second PAT Co-Chair.

    3. Members.  The PAT members may include but not be limited to the following individuals:

      1. Deputy Director for Indian Health Policy;

      2. Deputy Director for Management Operations;

      3. Chairperson, IHS, Performance Review Board;

      4. Representative, National Council of Chief Executive Officers;

      5. one Area Director and ;

      6. one representative from each of the following Headquarters offices:

        1. Office of Management Services,

        2. Office of Finance and Accounting,

        3. Office of Information Technology,

        4. Office of Clinical and Preventive Services,

        5. Office of Public Health Support,

        6. Office of Resource, Access, and Partnerships, and

        7. Office of Environmental Health and Engineering.

      7. Ex-officio members may be added at the discretion of the Co-Chairs, PAT.

      8. Term and ex-officio members may include expert staff to assist in PAT special assignments and/or deliverables.

  6. MEETINGS.  The PAT will meet quarterly and hold additional meetings as necessary.  Each member or alternate will be expected to attend and actively participate in all meetings.  An annual schedule of meetings will be determined by the PAT during the first quarter of each fiscal year.  Meetings are to be conducted via televideo conferencing or teleconference that are conducive to the PAT and advantageous and cost-effective to the Government.


    1. Outcomes.  The PAT will institutionalize performance management as a hallmark of the organizational climate in such a manner as to significantly contribute to the realization of the IHS mission.

    2. Deliverables.  The PAT will produce three deliverables:

      1. the annual Director's Performance Contract,

      2. the annual accomplishments report on Agency-wide achievements in executing the Director's Performance Contract, and

      3. an annual organizational self-assessment for submission to the Department.

    3. Evaluation.  The PAT will submit to the Director, IHS, an annual self assessment that will communicate the Team's effectiveness based around four factors:

      1. team process,

      2. team structure,

      3. organizational context, and

      4. the quality and timeliness of the Team’s coordinating activities and deliverables.

  8. SUPERSEDURE.  This circular supersedes the IHS Circular 98-03, "Charter, Performance Achievement Team, Indian Health Service," dated June 2, 1998.

  9. EFFECTIVE DATE.  This circular is effective on the date of signature.

/Charles W. Grim, D.D.S./
Charles W. Grim, D.D.S., M.H.S.A.
Assistant Surgeon General
Director, Indian Health Service

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