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Fiscal Year-2020 Quarter 3

The National Accountability Dashboard for Quality is published quarterly.



The national percentage of ambulatory facilities that have an active Quality Improvement Program (QIP) documented in a policy that includes the collection, aggregation, analysis, and reporting of quality improvement data.

Why is this important?

Active quality improvement programs lead to better and safer care while also a requirement for CMS certification and accreditation.

INDIAN HEALTH SERVICE HOSPITALS

100%

FACILITIES - 24

AMBULATORY HEALTH CENTERS

100%

FACILITIES - 30
IHS NATIONAL TARGET 100%
The national percentage of IHS hospitals and ambulatory facilities that have earned and maintained accreditation by a National Healthcare Accreditation Organization.

Why is this important?

Accreditation indicates the quality and safety of care services at healthcare facilities. 96% of IHS hospitals are CMS certified. The 3 hospitals that have CMS certification without accreditation are not counted as accredited.

INDIAN HEALTH SERVICE HOSPITALS

88%

FACILITIES - 24

AMBULATORY HEALTH CENTERS

97%

FACILITIES - 30
IHS NATIONAL TARGET 100%
The national percentage of IHS healthcare facilities that access, review, and address patient safety event reports to prevent future similar safety incidents/adverse events.

Why is this important?

Safety reporting leads to prevention of recurring safety risks.

INDIAN HEALTH SERVICE HOSPITALS

100%

FACILITIES - 24

AMBULATORY HEALTH CENTERS

100%

FACILITIES - 30
IHS NATIONAL TARGET 100%
The national percentage of healthcare facilities that have an Emergency Preparedness and Response Plan documented in policy and exercised in accordance with policy.

Why is this important?

An Emergency Preparedness Response Plan ensures readiness for continued service should a major event occur (for example, Severe Winter Storm).

INDIAN HEALTH SERVICE HOSPITALS

100%

FACILITIES - 24

AMBULATORY HEALTH CENTERS

100%

FACILITIES - 30
IHS NATIONAL TARGET 100%
The national percentage of IHS Hospitals and Ambulatory Health Centers that have achieved Patient-Centered Medical Home (PCMH) certification to promote high quality patient care, enhance the patient experience, support population health and improve the work environment within the IHS system.

Why is this important?

The Patient Centered Medical Home certification indicates care services designed around patients to improve patient outcomes.

INDIAN HEALTH SERVICE HOSPITALS

50%

FACILITIES - 24

AMBULATORY HEALTH CENTERS

90%

FACILITIES - 30
IHS NATIONAL TARGET 100% BY DECEMBER 2021
The national percentage of IHS Hospitals and Ambulatory Health Centers with current local policies aligned with current policies established within the Indian Health Manual (IHM) on Chronic Non-Cancer Pain Management and Prescription Drug Monitoring Programs (PDMPs).

Why is this important?

Local opiate policies aligned with Indian Health Manual requirements will improve the appropriateness of opiate prescribing.

INDIAN HEALTH SERVICE HOSPITALS

100%

FACILITIES - 24

AMBULATORY HEALTH CENTERS

100%

FACILITIES - 30
IHS NATIONAL TARGET 100%
The national percentage of health care facilities with an ED reporting rates for Median Time from ED Arrival to ED Departure for Discharged ED Patients and Left Without Being Seen to ensure the delivery of adequate and timely access to care in emergency departments.

Why is this important?

Reporting of ED quality measures lead to reduced waiting times and earlier patient assessments for emergent conditions.

NATIONAL RATE

100%

FACILITIES - 22
IHS NATIONAL TARGET 100%
The national percentage of Health Care Personnel (HCP) who received the influenza vaccination to protect patient safety and reduce transmission of influenza in health care settings. The report reflects data from the 2019-2020 influenza season.

Why is this important?

Health care professionals who receive the influenza vaccination help to reduce the transmission of influenza.

NATIONAL RATE

92%

IHS NATIONAL TARGET 90%
The national percentage of IHS federal employees completing the annual Federal Employee Viewpoint Survey during the active survey period. This includes an assessment of employee job satisfaction across all federal categories and professions. The report reflects data from the 2019 survey results.

Why is this important?

Assessment of employee job satisfaction help recruit and retain high quality staff.

NATIONAL RATE

66%

IHS NATIONAL TARGET 75%