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U.S. Department of Health and Human Services
Quality

National Accountability Dashboard for Quality

NAD-Q

Quality measurement is an essential part of providing safe and effective, patient-centered care. Dashboards are a useful tool for easily displaying and monitoring key performance indicators across the organization. The Indian Health Service dashboard monitors and reports information on compliance with IHS policy requirements, accreditation standards, or regulations at hospitals and ambulatory health centers. The tool also supports oversight and management and will allow IHS to make fact-based decisions to ensure quality and safety of care.

IHS is accepting feedback on the dashboard from tribal leaders, partner organizations, IHS staff and the public. Your input will be used to continue to improve our quality efforts.

Dashboard Overview: The quality dashboard identifies key domains of quality for healthcare systems:
  • Quality (efficient, effective, and equitable)
  • Accreditation
  • Workforce
  • Patient-centered care
  • Safety
  • Timely care

Historical Trends

To view the historical quarterly trends, the following pages are available.

Hospital Trends

This information is the quarterly trend data for IHS Hospitals.

Ambulatory Health Center Trends

This information is the quarterly trend data for IHS Ambulatory Health Centers.

Agency Rates

This information is the quarterly trend data for IHS healthcare provider participation in influenza vaccinations and employee surveys.

Health Care Accreditation Status of IHS facilities
This information is the quarterly trend data for all federally operated IHS facilities.

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Fiscal Year-2023 Quarter 4

The National Accountability Dashboard for Quality is published quarterly.



ACTIVE QUALITY IMPROVEMENT PROGRAM (QIP)

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 - 21

AMBULATORY HEALTH CENTERS

100%

FACILITIES - 32
IHS NATIONAL TARGET 100%

ACCREDITED

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.

INDIAN HEALTH SERVICE HOSPITALS

95%

FACILITIES - 21

AMBULATORY HEALTH CENTERS

97%

FACILITIES - 32
IHS NATIONAL TARGET 100%
100% of IHS hospitals are CMS certified. The 3 hospitals that have CMS certification without accreditation are not counted as accredited.

SAFETY REPORTING

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 - 21

AMBULATORY HEALTH CENTERS

100%

FACILITIES - 32
IHS NATIONAL TARGET 100%

EMERGENCY PREPAREDNESS

The national percentage of 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 - 21

AMBULATORY HEALTH CENTERS

100%

FACILITIES - 32
IHS NATIONAL TARGET 100%

PATIENT-CENTERED MEDICAL HOME (PCMH)

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

100%

FACILITIES - 21

AMBULATORY HEALTH CENTERS

100%

FACILITIES - 32
IHS NATIONAL TARGET 100% BY DECEMBER 2021

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).

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 - 21

AMBULATORY HEALTH CENTERS

100%

FACILITIES - 32
IHS NATIONAL TARGET 100%

EMERGENCY DEPARTMENT (ED) REPORTING

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 Emergency Department quality measures lead to reduced waiting times and earlier patient assessments for emergent conditions.

NATIONAL RATE

100%

FACILITIES - 21
IHS NATIONAL TARGET 100%

EMPLOYEE INFLUENZA VACCINATION

The national percentage of Healthcare Personnel (HCP) who have received the influenza vaccination to protect patient safety and reduce transmission of influenza in healthcare settings. The report reflects data from the 2020-2021 influenza season” should be updated to read: “The national percentage of Healthcare Personnel (HCP) who have received the influenza vaccination to protect patient safety and reduce transmission of influenza in healthcare settings. The report reflects data from the 2022-2023 influenza season.

Why is this important?

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

NATIONAL RATE

85.7%

IHS NATIONAL TARGET 90%

FEDERAL EMPLOYEE VIEWPOINT SURVEY (FEVS) PARTICIPATION

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 2020 survey results.” should be updated to read: “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 2022 survey results.

Why is this important?

Assessment of employee job satisfaction assists in the recruitment and retention of high quality staff.

NATIONAL RATE

43.4%

IHS NATIONAL TARGET 75%
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