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U.S. Department of Health and Human Services
Quality

Government Performance and Results Act (GPRA)

For more information about GPRA, including results prior to 2017 please click the link below:

For FY 2019 GPRA/GPRAMA National Results, please click the link below:

For more information about the 2019 measures, including measure logic please click the link below:

January 1, 2018
GPRA Report Summary 2018
January 1, 2017
GPRA Report Summary 2017
GPRA Report Summary 2018

The GPRA dashboard is published yearly.

DENTAL

A continuing emphasis on community oral health promotion/disease prevention is essential in order to address the current high prevalence, reduce the severity of oral disease and improve the oral health of American Indian/Alaska Native (AI/AN) people.

Access to dental services is a prerequisite for the control of oral disease in susceptible or high-risk populations.

The access to care measure is currently aligned with Healthy People 2020 as a percentage of patients who have visited the dentist within the previous 12 months.

Topical fluorides and dental sealants have been extensively researched and documented in the dental literature as safe and effective preventive interventions to reduce tooth decay.

ACCESS TO DENTAL SERVICES

28.3%
2018 Final
27.2% National Target

DENTAL SEALANTS

16.4%

2018 Final
16.0% National Target

TOPICAL FLUORIDE

32.9%

2018 Final
30.0% National Target

DIABETES

Diabetes prevention and treatment efforts are important priorities to decrease the onset of diabetes and its complications.

Controlling blood pressure reduces the risk that diabetic patients will develop heart disease, stroke, and kidney failure.

Adequate control of blood sugar levels reduces the risk that patients will develop complications of diabetes, such as heart, blood vessel, eye, kidney, and nerve problems.

Nephropathy assessments help to identify patients who are at risk for kidney disease.

Retinopathy assessments help to identify diabetic patients who are at higher risk for developing blindness.

People with diabetes have an increased risk of heart disease and stroke. Medications called statins help reduce this risk.

CONTROLLED BLOOD PRESSURE <140/90

55.6%
2018 Final
52.3% National Target

GOOD GLYCEMIC CONTROL

36.8%

2018 Final
36.2% National Target

NEPHROPATHY ASSESSED

44.2%

2018 Final
34.0% National Target

RETINOPATHY EXAM

49.2%

2018 Final
49.7% National Target

STATIN THERAPY

47.4%

2018 Final
37.5% National Target

IMMUNIZATIONS

Routine immunizations represent a cost-effective public health approach to protect individuals from preventable infectious diseases.

IHS tracked four immunizations nationally in 2018.

Two measures targeted children: combined (4:3:1:3:3:1:4) childhood series for children 19 – 35 months and an annual influenza vaccination for children 6 months to 17 years.

Two adult vaccination measures are included: annual influenza vaccination for adults 18+ and an adult composite immunization.

CHILDHOOD IMMUNIZATIONS

42.2%
2018 Final
45.6% National Target

INFLUENZA VACCINATION 6 MO-17 YRS

24.0%

2018 Final
20.6% National Target

INFLUENZA VACCINATION 18+

23.3%

2018 Final
18.8% National Target

ADULT COMPOSITE IMMUNIZATION

54.9%

2018 Final
Baseline National Target

PREVENTION

Prevention measures focus attention on early detection of disease (cancer screenings) and management of risk factors to prevent disease (tobacco cessation and HIV screening).

Prevention can focus on appropriate treatment of chronic conditions (cholesterol and blood pressure treatment) to avoid complications.

Prevention also focuses on healthy behaviors/lifestyles (childhood weight control and infant breastfeeding) that have been shown to prevent diseases.

(CERVICAL) PAP SCREENING

36.0%
2018 Final
35.9% National Target

COLORECTAL CANCER SCREENING

31.9%

2018 Final
32.6% National Target

MAMMOGRAPHY SCREENING

42.6%

2018 Final
42.0% National Target

TOBACCO CESSATION

28.9%

2018 Final
27.5% National Target

HIV SCREENING EVER

26.1%

2018 Final
17.3% National Target

CVD STATIN THERAPY

32.8%

2018 Final
26.6% National Target

CONTROLLING HIGH BLOOD PRESSURE-MILLION HEARTS

48.4%

2018 Final
42.3% National Target

CHILDHOOD WEIGHT CONTROL

21.9%

2018 Final
22.6% National Target

BREASTFEEDING RATES

40.1%

2018 Final
39.0% National Target

BEHAVIORAL HEALTH

High rates of alcohol and substance abuse, mental health disorders, suicide, violence, and behavior-related chronic diseases in American Indian and Alaska Native (AI/AN) communities are well documented.

Each of these serious behavioral health issues has a profound impact on the health of individuals, families, and communities.

Two measures relate to alcohol screening or identifying patients with risky or harmful alcohol use and provide them with a brief negotiated interview.

Two depression screening measures span ages 12 and older.

The intimate partner (domestic) violence (IPV/DV) measure identifies women 14 – 46 years who have been screened for IPV/DV.

UNIVERSAL ALCOHOL SCREENING

40.9%
2018 Final
37.0% National Target

SCREENING, BRIEF INTERVENTION & REFERRAL TO TREATMENT

11.8%
2018 Final
8.9% National Target

DEPRESSION SCREENING 12-17 YRS

36.0%
2018 Final
27.6% National Target

DEPRESSION SCREENING 18+

43.3%
2018 Final
42.2% National Target

INTIMATE PARTNER VIOLENCE/ DOMESTIC VIOLENCE SCREENING

38.1%
2018 Final
41.6% National Target
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