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Division of Monitoring and Evaluation

The Division of Monitoring and Evaluation (DME) coordinates the agency’s work on monitoring service delivery and its impact on health outcomes, with new focus on Primary Health Care (PHC) strengthening. DME provides granular reporting on the care given by the agency’s providers at the bedside. It divides its monitoring and evaluation efforts into two workstreams, a comprehensive clinical performance monitoring program, and an agency-wide PHC system strengthening program.

Clinical Performance Monitoring

Indian Health Service providers face unique challenges to delivering high quality care due to a variety of geographic, financial, and cultural factors. Accordingly, OCPHI is developing a set of clinical indicators that reflect the various ways in which IHS providers deliver care in this environment. We will assess care along all lines of service delivery, ensuring that all essential services required to maintain a healthy population are being actively monitored. 

doctor at work

Primary Health Care (PHC)

The Indian Health Service fundamentally operates as a Primary Health Care (PHC) oriented organization. Accordingly, IHS should assess its performance in service delivery in the context of this model of care. OCPHI has lead a multi-stakeholder consensus development process to identify the most context relevant, feasible to collect, and actionable measures on PHC for implementation in IHS. We are now in the process of defining their metadata, identifying data sources, collecting and displaying these data for use in system performance monitoring.