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U.S. Department of Health and Human Services
Quality

Hospital Trends

In 2017, IHS launched the National Accountability Dashboard for Quality. This information is the quarterly trend data for IHS Hospitals. Click to expand images and see descriptions.

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. This is important because active quality improvement programs lead to better and safer care while also a requirement for CMS certification and accreditation.

Active Quality Improvement Program (QIP)
The national percentage of IHS hospitals and ambulatory facilities that have earned and maintained accreditation by a National Healthcare Accreditation Organization. This is important because accreditation indicates the quality and safety of care services at healthcare facilities.

Accredited
The national percentage of IHS healthcare facilities that access, review, and address patient safety event reports to prevent future similar safety incidents/adverse events. This is important because safety reporting leads to prevention of recurring safety risks.

Safety Reporting
The national percentage of facilities that have an Emergency Preparedness and Response Plan documented in policy and exercised in accordance with policy. This is important because Emergency Preparedness Response Plan ensures readiness for continued service should a major event occur (for example, Severe Winter Storm).

Emergency Preparedness
The national percentage of Indian Health Service (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 Indian Health Service system. PCMH recognition is a recognition of a level of quality of care better than routine accreditation. This is important because it indicates care services designed around patients to improve patient outcomes.

Patient-Centered Medical Home (PCMH)
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). This is important because local opiate policies aligned with IHM requirements will improve the appropriateness of opiate prescribing.

Opioid Policy
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. All IHS hospitals, with an ED, are transitioning to report these important outpatient measures. This is important because ED quality measures lead to reduced waiting times and earlier patient assessments for emergent conditions.

Emergency Department (ED) Reporting
Measure Q4FY17 Q1FY18 Q2FY18 Q3FY18 Q4FY18 Q1FY19 Q2FY19 Q3FY19 Q4FY19 Q1FY20 Q2FY20 Q2FY21 Q3FY21 Q4FY21 Q1FY22 Q2FY22 Q3FY22 Q4FY22 Q2FY23 Q4FY23
Active Quality Improvement Program (QIP) 88% 88% 92% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Accredited 81% 77% 69% 72% 75% 75% 75% 75% 79% 83% 83% 88% 88% 88% 86% 86% 91% 90% 90% 95%
Safety Reporting 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Emergency Preparedness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Patient Centered Medical Home (PCMH) 4% 8% 8% 12% 13% 13% 33% 33% 38% 46% 50% 54% 67% 71% 68% 64% 73% 81% 86% 100%
Opioid Policy 81% 88% 96% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Emergency Department (ED) Reporting 67% 67% 71% 70% 70% 70% 78% 87% 96% 91% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%