California Area Office - Resources for Government Performance & Results Act

IHS National GPRA

This link connects to the Clinical Reporting System GPRA web page, where IHS GPRA performance measures, performance plans, and reports from 2004 to the present (including the National Summary and Area Summary reports) can be accessed. This page also has a link to Performance Improvement "Toolbox," with resources for improving GPRA performance.

The IHS Primary Care Provider journal (Link to IHS PDF 3MB)- March 2012, Volume 37, Number 3 "Significant Changes to GPRA Beginning in Fiscal Year 2013"

GPRA Measures

Diabetes Measures
Good Glycemic Control (A1c < 8.0)
Blood Pressure Control (< 140/90)
LDL Assessment
Nephropathy Assessment
Retinopathy

Cancer Screening Measures
Pap Screening Rates
Mammogram Rates
Colorectal Cancer Screening Rates

Oral Health Measures
Topical Fluorides
Dental Access
Dental Sealants

Quality of Care Measures
YRTC Improvement/Accreditation

Public Health Nursing Measure
Public Health Nursing

Immunization Measures
Childhood Immunizations (4313*314)
Adult Immunizations: Influenza
Adult Immunizations: Pneumovax

Suicide Prevention Measure
Suicide Surveillance

Prevention Measures
Alcohol Screening (Fetal Alcohol Syndrome Prevention)
Domestic (Intimate Partner) Violence Screening
Depression Screening
Comprehensive Cardiovascular Disease Assessment
Childhood Weight Control
Tobacco Cessation Intervention

HIV/Aids Measure
Prenatal HIV Screening

Breastfeeding Measure
Breastfeeding Rates

GPRA Results

Fiscal Year

2011

California Results (PDF 2.5MB)

2010

California Results (PDF 3.1MB)
IHS National-12 Area Summary (PDF 1.7MB)

2009

California Results (PDF 3.4MB)
IHS National Summary (PDF 2MB)
IHS National-12 Area Summary (PDF 1.2MB)

2008

California Results (PDF 2.5MB)
IHS National Summary (PDF 4MB)
IHS National-12 Area Summary (PDF 1.8MB)

2007

California Results (PDF 532KB)
IHS National Summary (PDF 296KB)
IHS National-12 Area Summary (PDF 673KB)

GPRA Improvement Tools

GPRA Resource Guide V2, Updated for 2013 GPRA Year (PDF - 8MB)

GPRA Measure Numerator and Denominator Definitions (PDF - 23KB)
Tobacco Cessation:
- IHS GPRA Poster - Tobacco Cessation (PDF - 1MB)
- IHS GPRA Powerpoint Slides - Achieving Meaningful Use and GPRA: CHANGES IN DOCUMENTING TOBACCO USE AND EXPOSURE (PDF - 1.2MB)

GPRA Trainings

February 1, 2013 Conference Call / Webinar

Cervical Cancer Screening (PDF 937KB)

January 25, 2013 Conference Call / Webinar

Breast Cancer Screening (PDF 7.8MB)

October 12, 2012 Conference Call / Webinar

FY 2013 GPRAMA/Budget Measure Logic Changes

October 10, 2012 Monthly GPRA Collaborative Webinar

Influenza PowerPoint slides

2011 GPRA WebEx Presentations

Improving GPRA Performance: Chilhood Immunizations

2011_ChildhoodIZProtectingChildrenFromDisease.pdf (PDF 756KB)

Improving GPRA Performance: Pap Screening

GPRAWebEx-PapScreening-100311.pdf (PDF 15MB)
**NOTE: Download will take a while due to size of file**

Improving GPRA Performance: Cervical Cytology Screening

GPRAWebEx-CervicalCytologyScreening101911.pdf (PDF 578KB)

The following topics have corresponding PowerPoint presentations available upon request. Please contact the IHS CAO GPRA team: caogpra@ihs.gov or call: 916-930-3927

2011 - Web-sessions: Improving GPRA Performance Series
        CRS Patient Lists & Reports
        Childhood Immunizations
        Tobacco Cessation

2010 – Web-sessions: Improving GPRA Performance Series
Diabetes: Blood Pressure Control
        Diabetes: Ideal Glycemic Control (A1c<7%)
        Breast Health & Mammogram Screenings
        Depression Screening

2008 - Web-sessions: Cancer Prevention and Treatment (CPT) Series
        CPT I: Breast Cancer Screening - February 20, 2008
        CPT II: Colorectal Cancer Screening (CRC) - March 26, 2008
        CPT III: Cervical Cancer Screening - April 23, 2008
        CPT IV: Tobacco Cessation - To Prevent Lung Cancer - May 21, 2008
        CPT V: Cancer Prevention - A CCI Perspective - June18, 2008

2007 - Web-sessions: Maternal and Child Health Series
        MCH I - Prenatal HIV Screening - January 31, 2007
        MCH II - Breastfeeding - February 21, 2007
        MCH III - Childhood Immunizations - April 4, 2007
        MCH IV - Fetal Alcohol Syndrome (FAS) Prevention - April 18, 2007
        MCH V - Intimate Partner Violence/Domestic Violence (DV/IPV) Screening - May 16, 2007

Medical Providers' Best Practices Conference

2012 Medical Providers' Best Practices & GPRA Measures Conference

Conference Agenda (PDF 153KB)
Conference Flyer (PDF 149KB)

Monday, April 23, 2012 - PRE-CONFERENCE Meetings

Nursing

Immunizations Update - Yamada (PDF 3.3MB)
Future of Nursing Leadership - Knutson (PDF 1.4MB)
IOM Report on the Future of Nursing - Stoltz (PDF 3.8MB)
Reducing Hospital Admissions - Finke (PDF 2.4MB)
American Indian Infant Health Initiative - Lavalas / Howe (PDF 800KB)

Behavioral Health

MSPI Update - Bass (PDF 1.7MB)
Childhood Depression and Treatment - Sprenger (PDF 1.4MB)
Yuki Trails - Tucker (PDF 9.6MB) **Big file, may take a while to download
American Indian Infant Health Initiative - Lavalas / Howe (PDF 800KB)

Tuesday, April 24, 2012

Introduction to a Patient-Centered Medical Home - Lewis (PDF 288KB)
GPRA Program Update - Leach (PDF 12MB) **Big file, may take a while to download
Integrating Behavioral Health and Primary Care - Broncho (PDF 2MB)
Integrating Behavioral Health and Primary Care - Lake (PDF 1MB)
Bridging the Gaps - Care Across Transitions - Finke (PDF 2MB)
Cervical Cancer Screening - Waxman (PDF 515KB)
Meaningful Use Overview - Lamer (PDF 2MB)
Suicide Prevention - Altamirano (PDF 3.7MB)
Wellness Program Model - Carmichael (PDF 2.4MB)
Monitoring and Meeting Clinical Quality Measures - Lamer (PDF 1.4MB)
Adverse Childhood Events - Bullock (PDF 8.6MB) **Big file, may take a while to download
Comprehensive CVD Screening - Lamer (PDF 2.6MB)
Patient Information Sharing - Stewart (PDF 474KB)
Pain Management and Prescription Drug Abuse - Fishman (PDF 2.6MB)
EHR Reminders - Bassett (PDF 777KB)
Building a GPRA Culture - Brigham (PDF 820KB)
Building a GPRA Culture - Bonilla, Tiller (PDF 1.3MB)

Wednesday, April 25, 2012

Patient-Centered Medical Home - Romeo (PDF 840KB)
California Area ICD-10 Overview - Martinez (PDF 630KB)
A National Prevention Strategy - Brown (PDF 2.5MB)
Clinical Documentation Improvement - Hailes (PDF 4MB)
Leadership for Improvement - Lewis (PDF 660KB)
Advanced Access - Tantau (PDF 2MB)
Strategies for Improving Immunizations - Groom (PDF 1MB)
Getting Health Boards on Board - Bird (PDF 4MB)
Empowering Patients - Sanders (PDF 9MB) **Big file, may take a while to download
Advanced Access Potential Pitfalls - Tantau (PDF 760KB)

Thursday, April 26, 2012

iCare Training - Kelsey (PDF 4.7MB)
Diabetes
- Introduction - Maldonado (PDF 1MB)
- Getting to the Roots - Bullock (PDF 13MB) **Big file, may take a while to download
- Are We Making a Difference - Giotta, Starritt (PDF 760KB)
- Psychological Support for Patients with Chronic Illnesses - Tonemah (PDF 10MB) **Big file, may take a while to download

Health Information Management (HIM)
- Medical Record Confidentiality and Release of Information - Buescher (PDF 800KB)
- HIM and Patient Information Sharing - Stewart (PDF 380KB)
- Clinical Documentation Improvement - Lemire (PDF 190KB)
- Meaningful Use - Lemire (PDF 75KB)
- Legal Health Record - Premeau (PDF 275KB)
- Record Custodian to Health Information Steward - Lewis (PDF 1MB)
- VistA Imaging - Stewart (PDF 7MB) **Big file, may take a while to download

2011 Medical Providers' Best Practices & GPRA Measures Conference

Agenda's, Flyer's

2011_BPConf_Agenda-0524-0525.pdf (PDF 170KB)
2011_BPConf_Agenda-0526.pdf (PDF 78KB)
2011_CA_BP_Conference_Flyer.pdf (PDF 494KB)

Monday, May 23, 2011

California Pre-Conference

BP2011_AB354(Yamada).pdf (PDF 1.7MB)
BP2011_CaliforniaAreaGPRAPresentation(NGST).pdf (PDF 473KB)
BP2011_CHIS(Satter).pdf (PDF 224KB)
B P2011_IHSClinicalAdministration101(Sprenger).pdf (PDF 695KB)
BP2011_IPC(Maldonado,Blocker).pdf (PDF 202KB)
BP2011_UniversalBehavioralHealthScreening(Sprenger).pdf (PDF 1MB)

Meaningful Use Meeting

BP2011_ElectronicHealthInformationExchangeInCA(Kriz).pdf (PDF 680KB)
BP2011_Medi-CalEHRIncentiveProgram(Dickey).pdf (PDF 207KB)
BP2011_MeaningfulUseReport(Rosales).pdf (PDF 409KB)
BP2011_Medi-CalEHRIncentives(Marchant).pdf (PDF KB)
BP2011_NationalIndianREC(Arreola-Pro,Freeman,Campbell).pdf (PDF 1.4MB)
BP2011_SupportingTheNextGenerationofNativeHealthCare(NIHB).pdf (PDF 508KB)
BP2011_WorkforceDevelopment(DiMantova).pdf (PDF 794KB)

Tuesday, May 24, 2011
Medical Providers' Best Practices & GPRA Measures Conference

BP2011_AdoptingACareTeamApproach(Chen).pdf (PDF 6.9MB)
BP2011_AlaskaTribalGPRAPilotProject(Wolter).pdf (PDF 2.9MB)
BP2011_BreastCancerScreening(Myers).pdf (PDF 6.5MB)
BP2011_ColorectalCancerScreening(Haverkamp).pdf (PDF 1.3MB)
BP2011_GPRAModernizationActof2010(Karol).pdf (PDF 700KB)
BP2011_HealthyPeople2020(Nichols).pdf (PDF 3.4MB)
BP2011_ImprovingPatientCare(Karol).pdf (PDF 1.2MB)
BP2011_InfluenzaVaccination(Singleton,Groom).pdf (PDF 1MB)
BP2011_MeaningfulUseinIndianCountry(Hays).pdf (PDF 4.3MB)
BP2011_MeaningfulUseofData(Hayes).pdf (PDF 700KB)
BP2011_MedicalLeadership(Salmeron).pdf (PDF 330KB)
BP2011_PerformanceReportingRequirements(Leach).pdf (PDF 1.6MB)
BP2011_ScreeningAndPreventionofCervicalCancer(Leach).pdf (PDF 2.7MB)
BP2011_TelemedicineinDementiaDiagnosisandTreatment(Weiner).pdf (PDF 484KB)

Wednesday, May 25, 2011
Medical Providers' Best Practices & GPRA Measures Conference

BP2011_AnEnvironmentalApproachtoCommunityHealth(Sims).pdf (PDF 6MB)
BP2011_BestPracticesforHIVandSTDScreening(Reilley).pdf (PDF 1MB)
BP2011_BestPracticesforPhysicalActivityPrograms(Robison).pdf (PDF 1.8MB)
BP2011_Breastfeeding(Parker,Gephart).pdf (PDF 130KB)
BP2011_ChildhoodImmunizations(Singleton,Groom).pdf (PDF 1.6MB)
BP2011_CommunityAdvocacy(Lara-ORourke).pdf (PDF 2MB)
BP2011_ConsideringSocialDeterminantsofHealth(Styne).pdf (PDF 1.4MB)
BP2011_GettingToTheRoots(Bullock).pdf (PDF 6.9MB)
BP2011_MentalHealthScreeningintheIHSPopulation(Price).pdf (PDF 246KB)
BP2011_TheFabFour(Cox).pdf (PDF 1.4MB)
BP2011_TowardsPatient-FriendlyCommunication(Rinderle).pdf (PDF 2.2MB)
BP2011_ViewingMUPerformanceiniCare(Kelsey).pdf (PDF 272KB)

Thursday, May 26, 2011
Diabetes Day

BP2011_CaseManagementforDiabetes.pdf (PDF 166KB)
BP2011_ScreeningandMonitoringofCKDinDiabetes(Bullock).pdf (PDF 10MB)
***NOTE: File may take several minutes to open or download due to it's size***
BP2011_SDPIGrantManagement.pdf (PDF 355KB)
BP2011_SMSinEverydayCare(Casey).pdf (PDF 4MB)

Area GPRA Coordinators' Conference

2012 GPRA Coordinators Conference

Tuesday, Decembr 4, 2012

GPRA 2012 CRS Results (PDF 5.2MB)
GPRA 2012 Urban Results (PDF 960KB)
2012 Other National Measures (ONM) (PDF 94KB)
Clinical Reporting System (CRS) Update 2012 - Powers (PDF 203KB)
Clinical Quality Management (CQM) - Lamer (PDF 4MB)
FY 2013 Reporting Due Dates & Targets (PDF 868KB)
Improving Patient Care (IPC) Measures and Data Collection - Myles (PDF 1.7MB)
Measure Standardization - Leach (PDF 1.2MB)

Wednesday, December 5, 2012

ICD-10 Update - Chase (PDF 649KB)
Agency Level Performance Measures Reporting (ALPMR) Update - Gomez (PDF 118KB)
Centralized Performance Measurement in IHS - Hays (PDF 742KB)
New Guidelines for Diabetes Management (DM) Care - Bullock (PDF 9.2MB)
Updated Cervical Cancer Screening Guidelines - Aoyama (PDF 474KB)
Electronic Health Record (EHR) Cervical Cancer Screening - Taylor (PDF 2.1MB)
Tribal Budget Recommendations - Crowder (PDF 1MB)

2011 GPRA Coordinators Conference

Tuesday, November 29, 2011

GPRA 2011 CRS Results (PDF 4.2MB)
2011 GPRA REPORTING & RESULTS - Urban Programs (PDF 721KB)
Role of the Area GPRA Coordinator in Area Tribal Budget Formulation Meetings (PDF 494KB)
Clinical Reporting System (CRS) Update (PDF 1.1MB)
Quality of Care Website (PDF 7.5MB)
Other Reporting Requirements (PDF 1.8MB)
IHS - ALL GPRA Target Results Graph (PDF 1.8MB)

Wednesday, November 30, 2011

Measure Alignment (PDF 126KB)
APPROACHES & BEST PRACTICES: The Alaska Experience (PDF 1.8MB)
GPRA Best Practices (PDF 78KB)
Childhood Immunizations: Protecting children from disease (PDF 722KB)
Tucson GPRA Best Practices (PDF 248KB)
California GPRA Best Practices (PDF 2.5MB)
Comprehensive CVD Measure Analysis (PDF 553KB)

Links

Email Announcement: California GPRA Coordinators Listserv (PDF 55KB) The National GPRA Support Team at the California Area Office has created a California Area GPRA Listserv for all California Tribal and Urban programs to use. View the email message for more details about signing up for this listserv.

IHS California Area GPRA Listserv:
http://www.ihs.gov/listserver/index.cfm?module=signUpForm&list_id=250

IHS National GPRA:
http://www.ihs.gov/planningevaluation/index.cfm?module=dsp_pe_gpra

IHS Clinical Reporting System:
http://www.ihs.gov/cio/crs/

Healthcare Effectiveness Data and Information Set (HEDIS):
http://www.ncqa.org/HEDISQualityMeasurement.aspx