California Area Office

The Government Performance and Results Act (GPRA) of 1993 is a law that requires Federal agencies to demonstrate that they are using their funding effectively. The Government Performance and Results Act Modernization Act (GPRAMA) of 2010 is an update to the original GPRA law that requires agencies to use performance data in decision making.  As part of GPRA/GPRAMA, all federal agencies have annual performance measures with specific annual targets. For the Indian Health Service (IHS), these annual targets are set by the Office of Management and Budget (OMB) in consultation with the representatives from IHS and the Department of Health and Human Services (HHS).

Currently, the IHS uses the Integrated Data Collection System (IDCS) through the National Data Warehouse (NDW) to report official GPRA/GPRAMA data. IDCS is a centralized data mart located within the NDW that allows IHS to collect comparable data from all participating IHS, tribal and urban sites throughout the country. This data is aggregated into a national average and reported to Congress.  The GPRA “year” runs from October 1st - September 30th. Reports are available for download throughout the GPRA year and are refreshed weekly.  A final GPRA report is run after annual user population data has been certified, usually in December of each year. Each report is cumulative for the GPRA year.

Since 2003, the California Area Office (CAO), through the National GPRA Support Team (NGST) has been responsible for all national GPRA/GPRAMA reporting within the Indian Health Service. The NGST analyzes and reports GPRA/GPRAMA data from all 12 IHS areas and provides technical assistance and trainings to other IHS Areas. Additionally, the NGST works with all tribal and urban Indian healthcare programs in California to provide training and resources for improving their local GPRA/GPRAMA performance.