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Government Performance and Results Act (GPRA)

The Government Performance and Results Act (GPRA) of 1993 is a law that requires Federal agencies to demonstrate that they are using their funding effectively. The Government Performance and Results Act Modernization Act (GPRAMA) of 2010 is an update to the original GPRA law that requires agencies to use performance data in decision making.  As part of GPRA/GPRAMA, all federal agencies have annual performance measures with specific annual targets. For the Indian Health Service (IHS), these annual targets are set by the Office of Management and Budget (OMB) in consultation with the representatives from IHS and the Department of Health and Human Services (HHS).

Currently, the IHS uses the Clinical Reporting System (CRS) to report official GPRA/GPRAMA data. CRS is a Resource Patient Management System (RPMS) based software package that allows IHS to collect comparable data from all participating IHS, tribal and urban sites throughout the country. This data is aggregated into a national average and reported to Congress. (GPRA reports from non-RPMS sites are also accepted, but not combined with CRS data.)  The GPRA “year” runs from July 1st - June 30th. Quarterly reports are run for the second quarter (ending Dec. 31st), and third quarter (ending March 31st), and a final report is run at the end of the year (ending June 30th). Each report is cumulative.

Since 2003, the California Area Office (CAO), through the National GPRA Support Team (NGST) has been responsible for all national GPRA/GPRAMA reporting within the Indian Health Service. The NGST collects, analyzes, and reports GPRA/GPRAMA data from all 12 IHS areas and assists in the preparation of the GPRA/GPRAMA section of the annual IHS budget submission to Congress. Additionally, the NGST works with all tribal and urban Indian healthcare programs in California to provide training and resources for improving their local GPRA/GPRAMA performance.


Call or email the IHS CA Area Office GPRA Team.

Resources for Government Performance & Results Act

Provides a wide variety of information regarding the Government Performance and Results Act (GPRA).