U.S. Department of Health and Human Services

GPRA/GPRAMA Reporting

The Government Performance and Results Act (GPRA) and GPRA Modernization Act (GPRAMA) requires Federal agencies to demonstrate that they are using their funds effectively toward meeting their missions. The law requires agencies to have both a 5-year Strategic Plan in place and to submit Annual Performance Plans describing specifically what the agency intends to accomplish toward those goals with their annual budget request. GPRA also requires agencies to have performance measures with specific annual targets. Every year, the IHS reports results for GPRA/GPRAMA performance measures.

GPRA/GPRAMA measures for the IHS include clinical care performance measures, such as care for patients with diabetes, cancer screening, immunization, behavioral health screening, and other prevention measures. The agency also reports many non-clinical measures, including rates of hospital accreditation, injury prevention, and infrastructure improvements.

Quarterly GPRA Developmental Reporting from CRS

IHS facilities and participating tribal facilities using the Resource and Patient Management System (RPMS) submit GPRA Developmental data twice a year from RPMS’s Clinical Reporting System. GPRA Developmental data is used by measure leads to help inform clinical measure reporting, programming, and monitoring of related health factors at the local facility level. GPRA Developmental data is provisional and unpublished.

The deadlines for the 2025 quarterly GPRA Developmental report are as follows:

2nd Quarter: May 23, 2025
4th Quarter: October 24, 2025

GPRA/GPRAMA Clinical Measure Results

Beginning in 2018, official GPRA/GPRAMA measure results are produced by the Integrated Data Collection System Data Mart (IDCS DM) utilizing National Data Warehouse (NDW) data which reflects the population that uses IHS services. Official GPRA/GPRAMA clinical measure results are aggregated nationally and published annually at: