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GPRA and Other National Reporting

The Government Performance and Results Act (GPRA) 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 Indian Health Service reports results for these GPRA performance measures.

GPRA 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.

ICD-10 and GPRA

As Health Insurance Portability and Accountability Act (HIPAA) covered entities, all Indian Health Service/Tribal/Urban (I/T/U) programs must use the International Classification of Diseases, 10th Revision codes (ICD-10 CM/PCS) on all HIPAA electronic transactions (claims, etc.) as of October 1, 2015. This will affect the majority of Government Performance and Results Act (GPRA) measures, as these measures currently utilize ICD-9 codes in the logic.

The Clinical Reporting System (CRS) development team has added ICD-10 codes to the measure logic in CRS. The logic will retain the ICD-9 codes, as many measures look back several years for data.

For more detailed information on the Indian Health Service's ICD-10 project, visit the IHS ICD-10 web site.

Quarterly GPRA Reporting

Beginning in 2018, official GPRA/GPRAMA measure results will be calculated through the Integrated Data Collection System Data Mart (IDCS DM) utilizing National Data Warehouse (NDW) data. However, IHS facilities and participating tribal facilities using the Resource and Patient Management System (RPMS) will still be required to submit GPRA Developmental data twice a year and Other National Measure (ONM) data once a year from RPMS’s Clinical Reporting System.

The deadlines for the 2018 quarterly GPRA Developmental and ONM reports are as follows:

  • 2nd Quarter: April 20, 2018 (GPRA Developmental only)
  • 4th Quarter: October 26, 2018 (GPRA Developmental and ONM)

Additional GPRA Information