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Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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CHR Data Mart
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Community Health Representative (CHR) Data Mart

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The mission of the Indian Health Service is to raise the health status of the American Indians and Alaska Native people (AI/AN) to the highest possible level. The Indian Health Performance Evaluation System (IHPES) supports that mission by providing access to data and information to important health services provided to American Indians and Alaska Natives served by the Community Health Representative program, Indian Health Service. By providing access to national and regionally aggregated data, the Indian Health Service now has immediate access to data that can be used to report and track important health issues relating to "Indian country". The data can also be used for advocacy purposes.

The IHPES program utilizes the electronic export processes in place to move data from local health care organizations where treatment is provided and on to National Programs. The IHPES program utilizes the National Data Warehouse (NDW) containing patient level encounters from both Resource Patient Management System (RPMS) sites as well as non-RPMS sites that have mapped to the industry standard HL7 formats required by the NDW project to receive, process and load data.

The goal of this IHPES application is to accurately reflect the scope of services provided by the Community Health Representative program and its contribution to many national GPRA measures. The application is also designed to provide immediate access to data/information to appropriate Community Health Representative leadership and staff for program management, budget and advocacy purposes.

Project Scope 

The CHR Data Mart project provides access to core Community Health Representative reports for all sites exporting data to the National Data Warehouse project.

The application provides the ability to generate aggregated national, area (regional), Program level reports. Access is controlled by both user-id/passwords of the IHS Web Account system, and application-level permissions. The level of report(s) available to the user is dependent upon his/her approved access "level" and location assignment. Access privileges are controlled by CHR staff.

Project Description 

The Community Health Representative (CHR) Program and the Indian Health Performance Evaluation System (IHPES) formed a partnership to develop a "version 2" CHR Data Mart. The data mart is much more than providing simple statistics to CHR related data. The data mart includes the ability for senior IHS leadership and CHR staff to access the most critical performance data for the program - CHR File Tracker, Program List, and Health Problem Code reports. The application includes a number of "core" reports defined by CHR staff. The reports provide the ability to look at each performance measure from the national, area (regional) or Program level. Access is provided via a web browser and can be accessed anytime through the IHS "internet".

The data mart provides core reports such as CHR File Tracker (tracks the PCC CHR File exports), Program List (lists the number of encounters by Area and CHR Program), Reports (reports for Health Problem Codes, Service Code and Activity Location), and Users (application user listing report). The application provides the ability to generate reports "on the fly" by location, number of services, client contacts, health problem codes and CHR referrences.

The application makes full use of the IHS' National Data Warehouse project jointly developed by the Office of Information Technology (OIT) and the IHPES program.


The IHPES application provides the following reports:

  • CHR File Tracker
  • Program List
  • Health Problem Code with Service Hours
  • Service Code
  • Activity Location
  • Referred To CHR By
  • Referred By CHR To
  • Health Problem Code with Age
  • Health Problem Code with Gender
  • Health Problem Code with Age and Gender
  • Health Problem Code with Service and Travel Hours
  • Chronic Disease Performance Measures Report