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Appendices

Appendix A: HHS Strategic Plan and IHS Strategic Plan Crosswalk

The table below is a crosswalk of the IHS Strategic Plan and the HHS Strategic Plan FY 2018-2022. The HHS Strategic Plan Goals and Objectives are listed on the left side of the table and the IHS Strategic Plan Goals and Objectives are listed in the right columns. The upper case “X” represents where the IHS is listed as a contributing agency to the HHS Strategic Plan FY 2018-2022. Other goals and objectives specifically apply to other federal agencies. The crosswalk shows places where the HHS Strategic Plan aligns with the IHS Strategic Plan. The lower case “x” indicates the HHS objective aligns with the IHS objective(s). The asterisk (*) indicates the IHS has activities that may indirectly support the HHS objective(s).

HHS Strategic Plan FY 2018-2022
IHS
IHS Goals
Goal 1
Goal 2
Goal 3
Objectives
1.1
1.2
1.3
2.1
2.2
3.1
3.2
3.3

Goal 1: Reform, Strengthen, and Modernize the Nation’s Healthcare System

X

IHS Goals 1 & 2

1.1 Promote affordable healthcare, while balancing spending on premiums, deductibles, and out-of-pocket costs

*

1.2 Expand safe, high-quality healthcare options, and encourage innovation and competition

x

x

x

1.3 Improve Americans' access to healthcare and expand choices of care and service options

X

x

1.4 Strengthen and expand the healthcare workforce to meet America's diverse needs

X

x

Goal 2: Protect the Health of Americans Where They Live, Learn, Work, and Play

X

IHS Goals 1, 2, & 3

2.1 Empower people to make informed choices for healthier living

X

x

x

2.2 Prevent, treat, and control communicable diseases and chronic conditions

X

x

x

2.3 Reduce the impact of mental and substance use disorders through prevention, early intervention, treatment, and recovery support

X

x

x

2.4 Prepare for and respond to public health emergencies

X

x

x

Goal 3: Strengthen the Economic and Social Well-Being of Americans across the Lifespan

X

IHS Goals 1 & 2

3.1 Encourage self-sufficiency and personal responsibility, and eliminate barriers to economic opportunity

*

3.2 Safeguard the public against preventable injuries and violence or their results

X

x

x

3.3 Support strong families and healthy marriage, and prepare children and youth for healthy, productive lives

X

x

x

3.4 Maximize the independence, well-being, and health of older adults, people with disabilities, and their families and caregivers

X

x

x

Goal 4: Foster Sound, Sustained Advances in the Sciences

IHS Goals 1 & 3

4.1 Improve surveillance, epidemiology, and laboratory services

x

x

4.2 Expand the capacity of the scientific workforce and infrastructure to support innovative research

*

4.3 Advance basic science knowledge and conduct applied prevention and treatment research to improve health and development

*

4.4 Leverage translational research, dissemination and implementation science, and evaluation investments to support adoption of evidence-informed practices

*

Goal 5: Promote Effective and Efficient Management and Stewardship

X

IHS Goals 1 & 3

5.1 Ensure responsible financial management

X

x

5.2 Manage human capital to achieve the HHS mission

X

x

x

5.3 Optimize information technology investments to improve process efficiency and enable innovation to advance program mission goals

X

x

5.4 Protect the safety and integrity of our human, physical, and digital assets

X

x

Appendix B: GPRA/GPRAMA Measures and IHS Strategic Plan Crosswalk

The IHS reports the measures listed in the table below are consistent with the requirements of the GPRA and GPRAMA. IHS GPRA/GPRAMA measures include clinical care performance measures, such as care for patients with diabetes, dental, cancer screening, immunization, behavioral health screening and other prevention measures. The IHS also reports many non-clinical measures, including rates of hospital accreditation, injury prevention, and infrastructure improvements. GPRA/GPRAMA data is reported for IHS facilities, participating Tribal facilities, and UIOs. The crosswalk table below shows the IHS GPRA/GPRAMA performance measures in the left column and the IHS Strategic Plan goals and objectives are listed in the right columns. The upper case “X” indicates the performance measure aligns to the IHS objective.

AGENCY PERFORMANCE MEASURES

(Measure ID – Measure)

IHS Goals

Goal 1

Goal 2

Goal 3

Objectives

1.1

1.2

1.3

2.1

2.2

3.1

3.2

3.3

42 – Health Professions scholars placed in 90 days

X

IHP-1 - Number of scholarship awards under Section 103

X

IHP-2 - Number of scholarship awards under Section 104

X

IHP-3 - Number of Externs under Section 105

X

IHP-4 - Number of new 2-year contracts awarded loan repayments under Section 108

X

IHP-5 - Number of continuing 1 year loan repayment contract extensions under Section 108

X

IHP-6 - Total number of continuation awards funded in previous fiscal year under Section 108

X

CHR-1 - Number of patient contacts

X

CHR-2 - Community Health Representative (CHR) patient contacts for Chronic Disease Services

X

CHR-3 - Number of CHRs trained

X

10 - Youth Regional Treatment Centers (YRTC) Accreditation

X

20 - Accreditation (federal sites)

X

23 - Public Health Nursing Activities

X

28 - Unintentional Injury Mortality

X

29 - Suicide surveillance [# of forms completed]

X

35 - Number of new and like-new and existing homes provided with sanitation facilities

X

36 - Health Care Facilities Construction (HCFC) Projects completed

X

44 - Years of Potential Life Lost (YPLL)

X

45 - Hospital admissions per 100,000 service population: long-term complications of diabetes

X

52 - Diabetes: Good Glycemic Control

X

53 - Diabetes: Controlled Blood Pressure <140/90

X

54 - Diabetes: Statin Therapy

X

55 - Diabetes: Nephropathy Assessed

X

56 - Diabetes: Retinopathy Exam

X

57 - Pap Smear Rates

X

58 - Mammogram Rates - Retire after 2018 and replace with a new measure

X

59 - Colorectal Cancer Screening

X

61 - Topical Fluoride-Patients

X

62 - Access to Dental Services

X

63 - Dental Sealants

X

65 - Depression Screening 18 years and older

X

66 - Childhood Immunizations

X

67 - Influenza vaccination rates among children 6 months to 17 years

X

68 - Influenza vaccination rates among adults 18 years and older

X

69 - Adult Composite Immunization

X

70 - Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

X

71 - Childhood Weight Control

X

72 - Tobacco Cessation

X

73 - HIV Screening Ever

X

75 - Controlling High Blood Pressure-Million Hearts

X

80 - Universal Alcohol Screening

X

81 - Intimate Partner Violence/Domestic Violence (IPV/DV) Screening

X

82 - Screening, Brief Intervention, and Referral to Treatment (SBIRT)

X

85 - Depression Screening 12-17 year olds

X

86 - Diabetes: Poor Glycemic Control >9%

X

87 - Mammogram Rates - Baseline in 2019

X

AK-1 - Chronic Hepatitis B Patients Screened/Targeted

X

AK-2 - Chronic Hepatitis C Patients Screened/Targeted

X

AK-3 - Other Liver Disease Patients Screened/Targeted

X

AK-4 - Hepatitis A vaccination

X

AK-5 - Hepatitis B vaccination

X

EHS-3 - Injury Intervention: Occupant protection restraint use (Seat Belts)

X

EPI-4 - Number of requests for technical assistance including data requests for Tribal/Urban (T/U) organization, communities, or AI/AN individuals responded to

X

EPI-5 - Number of Tribal Epidemiology Centers (TEC)-sponsored trainings and technical assistance provided to build tribal public health capacity

X

Health Care Facilities Construction - Efficiency (HCFC-E) - HCFC Leadership in Energy and Environmental Design (LEED) certified IHS health care facilities

X

HE-1 - Number of visits with Health/Patient Education

X

PRC-2 - Track IHS referrals

X

PRC-3 - Track self-referrals

X

SFC-E - Sanitation Facilities Construction (SFC) Average project duration

X

TMG-1 - Planning Grants

X

TMG-2 - Health Management Structure (HMS) grants

X

UIHP-10 - UIHP Controlled Blood Pressure

X

UIHP-11 - UIHP Poor Glycemic Control

X

UIHP-7 - UIHP Number of AI/AN served

X

UIHP-8 - UIHP Good Glycemic Control

X

UIHP-9 - UIHP Childhood Weight Control

X

HIT-1 - OMB IT Dashboard--All IHS Major Investments will maintain a score of 4/5 or greater

X

HIT-2 - HHS Chief Information Officer (CIO) Workplan--IHS will score 90% or greater on the annual scoring of the HHS CIO Workplan

X

TOHP-SP - Tribal Consultation

X

 

Appendix C: National Accountability Dashboard for Quality and IHS Strategic Plan Crosswalk

IHS hospitals and ambulatory health centers report data for the nine measures reported in the NAD-Q; measures are listed in the table below. The IHS NAD-Q dashboard is a tool to support oversight and management of these federal facilities and ensures data is monitored and reported on compliance with IHS policy requirements, accreditation standards, or federal regulations. The crosswalk table below shows the IHS NAD-Q measures in the left column and the IHS Strategic Plan goals and objectives listed in the right columns. The upper case “X” indicates the measure aligns to the IHS objective.

National Accountability Dashboard for Quality (NAD-Q)

IHS Goals

Goal 1

Goal 2

Goal 3

Objectives

1.1

1.2

1.3

2.1

2.2

3.1

3.2

3.3

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

X

Accredited - The national percentage of IHS hospitals and ambulatory facilities that have earned and maintained accreditation by a National Healthcare Accreditation Organization.

X

Safety Reporting - The national percentage of IHS health care facilities that access, review, and address patient safety event reports to prevent future similar safety incidents/adverse events.

X

Emergency Preparedness - The national percentage of facilities that have an Emergency Preparedness and Response Plan documented in policy and exercised in accordance with policy.

X

Patient-Centered Medical Home (PCMH) - The national percentage of IHS ambulatory care facilities that have achieved PCMH recognition to promote high quality patient care, enhance the patient experience, support population health and improve the work environment within the IHS system. PCMH recognition is a recognition of a level of quality of care better than routine accreditation.

X

Opioid Policy - 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).

X

Emergency Department (ED) Reporting - The national percentage of healthcare facilities with an Emergency Department 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.

X

Employee Influenza Vaccination - The national percentage of Health care Personnel (HCP) who have received the influenza vaccination to protect patient safety and reduce transmission of influenza in healthcare settings.

X

Federal Employee Viewpoint Survey (FEVS) Participation - The national percentage of IHS federal employees completing the annual Employee Viewpoint Survey, during the active survey period and includes an assessment of employee job satisfaction across all federal categories and professions.

X