National IHS GPRA This link connects to the IHS national GPRA web page, where IHS GPRA performance measures, performance plans, and reports from 2001 to the present (including the Executive Summary and 12-Area comparative reports) can be accessed. This page also links to Clinical Reporting System information, including a Performance Improvement "Toolbox" of resources for improving GPRA performance.

California Area IHS Technical Assistance Book (PDF 734KB) This document provides samples of graphs, worksheets, and references that programs can use to improve GPRA percentages.

Fiscal Year 2008 GPRA Results

California Results (PDF 2.5MB)
IHS National Summary (PDF 4MB)
IHS National-12 Area Summary (PDF 1.8MB)

Fiscal Year 2007 GPRA Results

California Results (PDF 532KB)
IHS National Summary (PDF 296KB)
IHS National-12 Area Summary (PDF 673KB)

Fiscal Year 2006 GPRA Results

California Results (PDF 278KB)
IHS National Summary (PDF 419KB)
IHS National-12 Area Summary (PDF 673KB)

Fiscal Year 2005 GPRA Results

California Results (pdf 192KB)
IHS National Executive Summary (pdf 183KB)
IHS National 12-Area Summary (pdf 353KB)

GPRA Bulletins

• GPRA Bulletin -2008
• 08-01 - Extended Season for Influenza Vaccinations
(PDF 28KB)
• 08-02 - Tobacco Cessation GPRA Measure (PDF 57KB)
• GPRA Bulletin -2007
• 07-01 - Influenza and Pneumococcal Vaccinations
(PDF 15KB)
• GPRA Bulletin -2006
• 06-01 - Pneumococcal and Influenza Vaccinations Alert
(PDF 32KB)
• 06-02 - Clinical Guidance for 2006 Reporting (PDF 90KB)
  Review checklist of practical and action items.
• Influenza Vaccination Chart (PDF 25KB)
  View vaccination chart for 2006.
• GPRA Bulletin -2005
• 05-01 - GPRA Bulletins, Introduction
(PDF 15KB)
• 05-02 - Prenatal HIV Screening Indicator
(PDF 63KB)

Best Practices Toolbox

CAO Clinical Best Practices conferences and trainings draw on quality improvement principles and best-practice guidelines. Many of the conferences and trainings are national events, or open to all IHS areas, tribal organizations, and individuals to join in order to learn and share, network, and challenge each other to reach new levels of excellence. Web-based and conference sessions not only provide the most up-to-date recommendations and standards from National experts but also provide technical guidance relevant within the Indian Health Service. The target audience includes anyone who participates in the performance measure (GPRA) process, including providers, nursing staff, data entry staff and administrators.

2008 - Web-sessions: Cancer Prevention and Treatment (CPT) Series Powerpoint Presentations

	CPT I: Breast Cancer Screening - February 20, 2008
		Breast Cancer (Baluh) (PDF 236KB)
		Breast Cancer (Klepacki) (PDF 355KB)
	CPT II: Colorectal Cancer Screening (CRC) - March 26, 2008
		CRC Screening (Verzosa) (PDF 45KB)
		CRC Screening (Smith) (PDF 234KB)
		CRC Screening (Klepacki) (PDF 415KB)
	CPT III: Cervical Cancer Screening - April 23, 2008
		Cervical Cancer Screening (Kruusmagi) (PDF 40KB)
		Cervical Cancer Screening (Klepacki) (PDF 954KB)
		Cervical Cancer Treatment Algorithms (PDF 2MB)
		American Journal of Obstetrics and Gynecology (PDF 128KB)
		Cervical Cancer Screening Reference (HTM 204KB)
	CPT IV: Tobacco Cessation - To Prevent Lung Cancer - May 21, 2008
		Tobacco Cessation (Lamer) (PDF 900KB)
		Tobacco Cessation (Klepacki) (PDF 1.4MB)
	CPT V: Cancer Prevention - A CCI Perspective - June18, 2008
		Cancer Screening Overview (PDF 268KB)
		Cancer Screening - Forest County (PDF 265KB)
		Cancer Screening - Whiteriver (PDF 371KB)
		Cancer Screening - Rapid City (PDF 146KB)
	CRS Performance Improvement Toolbox

2007 - Web-sessions: Maternal and Child Health Series Powerpoint Presentations

	MCH I - Prenatal HIV Screening - January 31, 2007
		Prenatal HIV Screening (Brigg Reilley) (PDF 88KB)
		CA Area: Improvising Prenatal HIV Screening Rates (Dr. Theresa Cullen) (PDF 66KB)
	MCH II - Breastfeeding - February 21, 2007
		Breast feeding - Benefits, Responsibilities for Health Promotion, & update on IHS activities (Dr. Judy Thierry) (PDF 300KB)
		CRS and Breastfeeding (Stephanie Klepacki) (PDF 137KB)
	MCH III - Childhood Immunizations - April 4, 2007
		Childhood Immunization Practices (Amy Groom) (PDF 189KB)
		CRS and Childhood Immunizations (Stephanie Klepacki) (PDF 549KB)
	MCH IV - Fetal Alcohol Syndrome (FAS) Prevention - April 18, 2007
		MCH IV - FAS Prevention session (WMV 4.8MB)
		FAS Prevention measure (Dr. David Sprenger) (PDF 167KB)
		CRS and FAS prevention (Stephanie Klepacki) (PDF 646KB)
	MCH V - Intimate Partner Violence/Domestic Violence (DV/IPV) Screening - May 16, 2007
		MCH V - DV/IPV Screening session (WMV 5.2MB)
		Intimate Partner Violence Screening (Denise Grenier) (PDF 152KB)
		CRS and DV/IPV Screening (Stephanie Klepacki) (PDF 614KB)

Children and Weight provides information on what communities can do.

Community Tool Box This website promotes community health and development by connecting people, ideas and resources.

Grants This website offers a single access point for over 1000 grant programs offered by the 26 Federal grant-making agencies.

Healthy Women Build Healthy Communities Toolkit offers information for women who want to improve the health of their communities.

Improving Chronic Illness Care Their mission is to help the chronically ill through quality improvement and research. This is an initiative from the Robert Wood Johnson Foundation.

Just Move It is a national campaign, with partnerships in California forming, to promote physical activity for Native Americans and Alaska Natives.

My Pyramid This website can help you choose the foods and amounts that are right for you.

Partnership for Prevention Their mission is to improve health by preventing illness and injury and by promoting health.

President's Challenge features a program that encourages all Americans to make being active part of their everyday lives.

Prevention Report provides a variety of health topics each quarter.

Young Native Scholars is a year-round academic enrichment and outreach program supporting middle/high school and college students with the resources, information and motivation to pursue higher education and improve retention.