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Government Performance and Results Act (GPRA)

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

For more information about the 2021 measures, including measure logic please click the link below:



Historical Summary Reports

To view the historical reports, the following pages are available.


January 1, 2021
GPRA Report Summary 2021
GPRA Report Summary 2021

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.

The IHS dental health measures support Healthy People 2030 oral conditions objectives.

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

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

19.5%
2021 Final Result
26.6% National Target

DENTAL SEALANTS

8.0%

2021 Final Result
13.8% National Target

TOPICAL FLUORIDE

16.8%

2021 Final Result
27.6% National Target

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

48.1%
2021 Final Result
59.1% National Target

POOR GLYCEMIC CONTROL

15.8%

2021 Final Result
16.8% National Target

NEPHROPATHY ASSESSED

41.5%

2021 Final Result
45.5% National Target

RETINOPATHY EXAM

41.1%

2021 Final Result
51.4% National Target

STATIN THERAPY

50.1%

2021 Final Result
49.0% National Target

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

IHS tracked four immunizations nationally in 2020.

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

37.6%
2021 Final Result
42.8% National Target

INFLUENZA VACCINATION 6 MO-17 YRS

18.2%

2021 Final Result
26.6% National Target

INFLUENZA VACCINATION 18+

18.1%

2021 Final Result
24.4% National Target

ADULT COMPOSITE IMMUNIZATION

37.5%

2021 Final Result
55.1% National Target

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

33.6%
2021 Final Result
38.4% National Target

COLORECTAL CANCER SCREENING

27.9%

2021 Final Result
32.6% National Target

MAMMOGRAPHY SCREENING

26.4%

2021 Final Result
43.4% National Target

TOBACCO CESSATION

22.5%

2021 Final Result
34.0% National Target

HIV SCREENING EVER

35.8%

2021 Final Result
32.0% National Target

CVD STATIN THERAPY

34.8%

2021 Final Result
33.3% National Target

CONTROLLING HIGH BLOOD PRESSURE-MILLION HEARTS

42.1%

2021 Final Result
42.9% National Target

CHILDHOOD WEIGHT CONTROL

25.1%

2021 Final Result
22.6% National Target

BREASTFEEDING RATES

39.2%

2021 Final Result
40.0% National Target

High rates of alcohol and substance abuse, mental health disorders, suicide, violence, and behavior-related chronic diseases in American Indian and Alaska Native 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

31.1%
2021 Final Result
39.0% National Target

SCREENING, BRIEF INTERVENTION & REFERRAL TO TREATMENT

15.8%
2021 Final Result
14.3% National Target

DEPRESSION SCREENING 12-17 YRS

28.4%
2021 Final Result
43.2% National Target

DEPRESSION SCREENING 18+

35.0%
2021 Final Result
49.4% National Target

INTIMATE PARTNER VIOLENCE/ DOMESTIC VIOLENCE SCREENING

27.2%
2021 Final Result
37.5% National Target