**FY 2005, 2006, 2007 GPRA MEASURES**

+-------------+-------------+-------------+--------------+------------+
| **          | **FY 2005   | **2006      | **2007       | **He       |
| Performance | Target**    | Target**    | Target**     | adquarters |
| Measure**   |             |             |              | Lead**     |
+=============+=============+=============+==============+============+
| **TREATMENT |             |             |              |            |
| MEASURES**  |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Diabetes  |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| 1\.         | During FY   | During FY   | During FY    | Kelly      |
| [           | 2005,       | 2006,       | 2007, assure | Acton,     |
| **Diabetes: | assure that | assure that | that the     | OCPS/DDTP, |
| Poor        | the         | the         | proportion   | 50         |
| Glycemic    | proportion  | proportion  | of patients  | 5-248-4182 |
| C           | of patients | of patients | with         |            |
| ontrol:**]{ | with        | with        | diagnosed    |            |
| .underline} | diagnosed   | diagnosed   | diabetes     |            |
| Assure that | diabetes    | diabetes    | that have    |            |
| the         | that have   | that have   | poor         |            |
| proportion  | poor        | poor        | glycemic     |            |
| of patients | glycemic    | glycemic    | control does |            |
| with        | control     | control     | not increase |            |
| diagnosed   | does not    | does not    | over FY 2006 |            |
| diabetes    | increase    | increase    | level.       |            |
| that have   | above the   | over FY     |              |            |
| poor        | FY 2004     | 2005 level. |              |            |
| glycemic    | level.      |             |              |            |
| control     |             |             |              |            |
| does not    |             |             |              |            |
| increase    |             |             |              |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| 2\.         | During FY   | During FY   | During FY    | Kelly      |
| [Diabetes:  | 2005,       | 2006,       | 2007,        | Acton,     |
| Ideal       | maintain    | maintain    | maintain the | OCPS/DDTP, |
| Glycemic    | the         | the         | proportion   | 50         |
| Control:]{  | proportion  | proportion  | of patients  | 5-248-4182 |
| .underline} | of patients | of patients | with         |            |
| Address the | with        | with        | diagnosed    |            |
| proportion  | diagnosed   | diagnosed   | diabetes     |            |
| of patients | diabetes    | diabetes    | that have    |            |
| with        | that have   | that have   | demonstrated |            |
| diagnosed   | d           | d           | ideal        |            |
| diabetes    | emonstrated | emonstrated | glycemic     |            |
| that have   | ideal       | ideal       | control at   |            |
| d           | glycemic    | glycemic    | the FY 2006  |            |
| emonstrated | control at  | control at  | level.       |            |
| glycemic    | the FY 2004 | the FY 2005 |              |            |
| control at  | level.      | level.      |              |            |
| the ideal   |             |             |              |            |
| level.      |             |             |              |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[3.       | During FY   | During FY   | During FY    | Kelly      |
| Diabetes:   | 2005,       | 2006,       | 2007,        | Acton,     |
| Blood       | maintain    | maintain    | maintain the | OCPS/DDTP, |
| Pressure    | the         | the         | proportion   | 50         |
| C           | proportion  | proportion  | of patients  | 5-248-4182 |
| ontrol:]{.u | of patients | of patients | with         |            |
| nderline}** | with        | with        | diagnosed    |            |
| Address the | diagnosed   | diagnosed   | diabetes     |            |
| proportion  | diabetes    | diabetes    | that have    |            |
| of patients | that have   | that have   | achieved     |            |
| with        | achieved    | achieved    | blood        |            |
| diagnosed   | blood       | blood       | pressure     |            |
| diabetes    | pressure    | pressure    | control at   |            |
| that have   | control at  | control at  | the FY 2006  |            |
| achieved    | the FY 2004 | the FY 2005 | level.       |            |
| blood       | level.      | level.      |              |            |
| pressure    |             |             |              |            |
| control.    |             |             |              |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[4.       | During FY   | During FY   | During FY    | Kelly      |
| Diabetes:   | 2005,       | 2006,       | 2007,        | Acton,     |
| D           | maintain    | maintain    | maintain the | OCPS/DDTP, |
| yslipidemia | the         | the         | proportion   | 50         |
| Asse        | proportion  | proportion  | of patients  | 5-248-4182 |
| ssment:]{.u | of patients | of patients | with         |            |
| nderline}** | with        | with        | diagnosed    |            |
| Address the | diagnosed   | diagnosed   | diabetes     |            |
| proportion  | diabetes    | diabetes    | assessed for |            |
| of patients | assessed    | assessed    | dyslipidemia |            |
| with        | for         | for         | (LDL         |            |
| diagnosed   | d           | d           | cholesterol) |            |
| diabetes    | yslipidemia | yslipidemia | at the FY    |            |
| assessed    | (LDL        | (LDL        | 2006 level.  |            |
| for         | c           | c           |              |            |
| dy          | holesterol) | holesterol) |              |            |
| slipidemia. | at the FY   | at the FY   |              |            |
| \[outcome\] | 2004 level. | 2005 level. |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[5.       | During FY   | During FY   | During FY    | Kelly      |
| Diabetes:   | 2005,       | 2006,       | 2007,        | Acton,     |
| Nephropathy | maintain    | maintain    | maintain the | OCPS/DDTP, |
| Asse        | the         | the         | proportion   | 50         |
| ssment:]{.u | proportion  | proportion  | of patients  | 5-248-4182 |
| nderline}** | of patients | of patients | with         |            |
| Address the | with        | with        | diagnosed    |            |
| proportion  | diagnosed   | diagnosed   | diabetes     |            |
| of patients | diabetes    | diabetes    | assessed for |            |
| with        | assessed    | assessed    | nephropathy  |            |
| diagnosed   | for         | for         | at the FY    |            |
| diabetes    | nephropathy | nephropathy | 2006 level.  |            |
| assessed    | at the FY   | at the FY   |              |            |
| for         | 2004 level. | 2005 level. |              |            |
| n           |             |             |              |            |
| ephropathy. |             |             |              |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[6.       | During FY   | During FY   | During FY    | Mark       |
| Diabetic    | 2005,       | 2006,       | 2007,        | Horton     |
| Retin       | maintain    | maintain    | maintain the |            |
| opathy:]{.u | the         | the         | proportion   | PIMC       |
| nderline}** | proportion  | proportion  | of patients  |            |
| Address the | of patients | of patients | with         | 60         |
| proportion  | with        | with        | diagnosed    | 2-263-1200 |
| of patients | diagnosed   | diagnosed   | diabetes at  | ext 2217   |
| with        | diabetes    | diabetes    | all sites    |            |
| diagnosed   | who receive | who receive | who receive  | 60         |
| diabetes    | an annual   | an annual   | an annual    | 2-820-7654 |
| who receive | diabetic    | retinal     | retinal      | (cell)     |
| an annual   | retinal     | examination | examination  |            |
| diabetic    | examination | at          | at the FY    |            |
| retinal     | at          | designated  | 2006 level.  |            |
| e           | designated  | sites at    |              |            |
| xamination. | sites at    | the FY 2005 |              |            |
| \[outcome\] | the FY 2004 | level and   |              |            |
|             | rate.       | establish   |              |            |
|             |             | the         |              |            |
|             |             | baseline of |              |            |
|             |             | patients    |              |            |
|             |             | with        |              |            |
|             |             | diagnosed   |              |            |
|             |             | diabetes    |              |            |
|             |             | who receive |              |            |
|             |             | an annual   |              |            |
|             |             | retinal     |              |            |
|             |             | examination |              |            |
|             |             | at all      |              |            |
|             |             | sites.      |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Cancer    |             |             |              |            |
| Screening   |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[7.       | During FY   | During FY   | During FY    | Nat Cobb,  |
| Cancer      | 2005,       | 2006,       | 2007, assure | OPHS/Epi,  |
| Screening:  | maintain    | maintain    | that the     | 50         |
| Pap Smear   | the         | the         | proportion   | 5-248-4132 |
| Rates:]{.u  | proportion  | proportion  | of female    |            |
| nderline}** | of eligible | of female   | patients     |            |
| Address the | women       | patients    | ages 21      |            |
| proportion  | patients    | ages 21     | through 64   |            |
| of eligible | who have    | through 64  | without a    |            |
| women       | had a Pap   | without a   | documented   |            |
| patients    | screen      | documented  | history of   |            |
| who have    | within the  | history of  | hysterectomy |            |
| had a Pap   | previous    | h           | who have had |            |
| screen      | three years | ysterectomy | a Pap screen |            |
| within the  | at the FY   | who have    | within the   |            |
| previous    | 2004        | had a Pap   | previous     |            |
| three       | levels.     | screen      | three years  |            |
| years.      |             | within the  | does not     |            |
| \[outcome\] |             | previous    | decrease     |            |
|             |             | three years | more than 1% |            |
|             |             | at the FY   | from the FY  |            |
|             |             | 2005 level. | 2006 level.  |            |
+-------------+-------------+-------------+--------------+------------+
| **[8.       | During FY   | During FY   | During FY    | Nat        |
| Cancer      | 2005,       | 2006,       | 2007, assure | Cobb,      |
| Screening:  | maintain    | maintain    | that the     | /OPHS/Epi, |
| Mammogram   | the         | the         | proportion   | 50         |
| Rates:]{.u  | proportion  | proportion  | of female    | 5-248-4132 |
| nderline}** | of eligible | of female   | patients     |            |
| Address the | women       | patients    | ages 50      |            |
| proportion  | patients    | ages 50     | through 64   |            |
| of eligible | who have    | through 64  | who have had |            |
| women who   | had         | who have    | mammography  |            |
| have had    | mammography | had         | screening    |            |
| mammography | screening   | mammography | within the   |            |
| screening   | at the FY   | screening   | last 2 years |            |
| within the  | 2004 rate.  | within the  | does not     |            |
| last 2      |             | last 2      | decrease     |            |
| years.      |             | years at    | more than 1% |            |
| \[outcome\] |             | the FY 2005 | from the FY  |            |
|             |             | level.      | 2006 level.  |            |
+-------------+-------------+-------------+--------------+------------+
| **[9.       | No          | During FY   | During FY    | Nat Cobb,  |
| Cancer      | indicator.  | 2006,       | 2007, assure | /OPHS/Epi, |
| Screening:  |             | establish   | that the     | 50         |
| Colorectal  |             | baseline    | rate of      | 5-248-4132 |
| Rates:]{.u  |             | rate of     | colorectal   |            |
| nderline}** |             | colorectal  | screening    |            |
| Address the |             | screening   | for          |            |
| proportion  |             | for         | clinically   |            |
| of eligible |             | clinically  | appropriate  |            |
| patients    |             | appropriate | patients     |            |
| who have    |             | patients    | ages 50 and  |            |
| had         |             | ages 50 and | older does   |            |
| appropriate |             | older.      | not decrease |            |
| colorectal  |             |             | more than 1% |            |
| cancer      |             |             | from the FY  |            |
| screening.  |             |             | 2006 level.  |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Alcohol   |             |             |              |            |
| and         |             |             |              |            |
| Substance   |             |             |              |            |
| Abuse       |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[10. RTC  | **[RTC      | **[RTC      | **[RTC       | Wilbur     |
| Improvem    | Accredi     | Accredi     | Accre        | Woodis,    |
| ent/Accredi | tation:]{.u | tation:]{.u | ditation:]{. | OCPS/DBH,  |
| tation:]{.u | nderline}** | nderline}** | underline}** | 301-       |
| nderline}** |             |             |              | 443-6581   |
| Assure      | During FY   | During FY   | During FY    |            |
| quality and | 2005, the   | 2006,       | 2007,        |            |
| ef          | Youth       | maintain    | maintain     |            |
| fectiveness | Regional    | 100%        | 100%         |            |
| of Youth    | Treatment   | ac          | a            |            |
| Regional    | Centers     | creditation | ccreditation |            |
| Treatment   | that have   | rates for   | rates for    |            |
| Centers.    | been in     | the Youth   | the Youth    |            |
| \[output    | operation   | Regional    | Regional     |            |
| effective   | for 18      | Treatment   | Treatment    |            |
| 05\]        | months or   | Centers     | Centers that |            |
|             | more will   | that have   | have been in |            |
|             | achieve     | been in     | operation    |            |
|             | 100%        | operation   | for 18       |            |
|             | ac          | for 18      | months or    |            |
|             | creditation | months or   | more, either |            |
|             | either      | more,       | through      |            |
|             | through     | either      | CARF, or a   |            |
|             | CARF or a   | through     | comparable   |            |
|             | comparable  | CARF, or a  | a            |            |
|             | ac          | comparable  | ccreditation |            |
|             | creditation | ac          | process.     |            |
|             | process.    | creditation |              |            |
|             |             | process.    |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[11.      | During FY   | During FY   | During FY    | Wilbur     |
| Alcohol     | 2005,       | 2006,       | 2007,        | Woodis,    |
| Screening   | increase    | increase    | maintain the | OCPS/DBH,  |
| (FAS        | the         | the         | screening    | 30         |
| Preve       | screening   | screening   | rate for     | 1-443-6581 |
| ntion):]{.u | rate for    | rate for    | alcohol use  |            |
| nderline}** | alcohol use | alcohol use | in female    |            |
| Address     | in female   | in female   | patients     |            |
| screening   | patients 15 | patients    | ages 15 to   |            |
| for alcohol | to 44 over  | ages 15 to  | 44 at 8%.    |            |
| use in      | the FY 2004 | 44 to 8%.   |              |            |
| appropriate | rate.       |             |              |            |
| female      |             |             |              |            |
| patients.   |             |             |              |            |
|             |             |             |              |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Oral      |             |             |              |            |
| Health      |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[12.      | During FY   | During FY   | During FY    | Patrick    |
| Fluoridated | 2005,       | 2006,       | 2007, assure | Blahut,    |
| Water:]{.u  | establish   | increase by | that (1) the | OCPS/DOH,  |
| nderline}** | (1) the     | 1% (1) the  | number of    | 30         |
| Address     | baseline    | number of   | topical      | 1-443-1106 |
| access to   | number of   | topical     | fluoride     |            |
| optimally   | topical     | fluoride    | applications |            |
| fluoridated | fluoride    | a           | provided to  |            |
| water for   | a           | pplications | American     |            |
| the AI/AN   | pplications | provided to | Indian and   |            |
| population. | provided to | American    | Alaska       |            |
| \[outcome\] | American    | Indian and  | Native       |            |
|             | Indian and  | Alaska      | patients,    |            |
| **In 2005,  | Alaska      | Native      | with a       |            |
| changes to  | Native      | patients,   | maximum      |            |
| [Fluorides: | patients,   | with a      | number of    |            |
| Address     | with a      | maximum     | four         |            |
| American    | maximum     | number of   | applications |            |
| Indian and  | number of   | four        | per patient  |            |
| Alaska      | four        | a           | per year and |            |
| Native      | a           | pplications | (2) the      |            |
| patients'   | pplications | per patient | number of    |            |
| access to   | per patient | per year    | American     |            |
| topical     | per year    | and (2) the | Indian and   |            |
| fluori      | and (2) the | number of   | Alaska       |            |
| des]{.under | baseline    | American    | Native       |            |
| line}**[.]{ | number of   | Indian and  | patients     |            |
| .underline} | American    | Alaska      | receiving at |            |
|             | Indian and  | Native      | least one    |            |
|             | Alaska      | patients    | topical      |            |
|             | Native      | receiving   | fluoride     |            |
|             | patients    | at least    | application  |            |
|             | receiving   | one topical | does not     |            |
|             | at least    | fluoride    | decrease     |            |
|             | one topical | application | more than 1% |            |
|             | fluoride    | above the   | from the FY  |            |
|             | a           | FY 2005     | 2006 levels. |            |
|             | pplication. | levels.     |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[13.      | During FY   | During FY   | During FY    | Patrick    |
| Dental      | 2005,       | 2006,       | 2007, assure | Blahut,    |
| Access:]{.u | maintain    | maintain    | that the     | OCPS/DOH,  |
| nderline}** | the         | the         | proportion   | 30         |
| Address the | proportion  | proportion  | of patients  | 1-443-1106 |
| proportion  | of patients | of patients | that obtain  |            |
| of patients | that obtain | that obtain | access to    |            |
| who obtain  | access to   | access to   | dental       |            |
| access to   | dental      | dental      | services     |            |
| dental      | services at | services at | does not     |            |
| services.   | the FY 2004 | the FY 2005 | decrease     |            |
|             | level.      | level.      | more than 1% |            |
| EFFICIENCY  |             |             | from the FY  |            |
| MEASURE     |             |             | 2006 level.  |            |
+-------------+-------------+-------------+--------------+------------+
| **[14.      | During FY   | During FY   | During FY    | Patrick    |
| Dental      | 2005,       | 2006,       | 2007, assure | Blahut,    |
| Se          | maintain    | maintain    | that the     | OCPS/DOH,  |
| alants:]{.u | the number  | the number  | number of    | 30         |
| nderline}** | of dental   | of dental   | dental       | 1-443-1106 |
| Address the | sealants    | sealants    | sealants     |            |
| number of   | placed per  | placed per  | placed per   |            |
| sealants    | year in     | year in     | year in      |            |
| placed per  | American    | American    | American     |            |
| year in     | Indian and  | Indian and  | Indian and   |            |
| American    | Alaska      | Alaska      | Alaska       |            |
| Indian and  | Native      | Native      | Native       |            |
| Alaska      | patients at | patients at | patients     |            |
| Native      | the FY 2004 | the FY 2005 | does not     |            |
| patients.   | level.      | level.      | decrease     |            |
| \[outcome\] |             |             | more than 1% |            |
|             |             |             | from the FY  |            |
|             |             |             | 2006 level.  |            |
+-------------+-------------+-------------+--------------+------------+
| [15.        | During FY   | Eliminated  | Eliminated   | Patrick    |
| Diabetes:   | 2005,       | in FY 2006  | in FY 2006   | Blahut,    |
| Dental      | maintain    |             |              | OCPS/DOH,  |
| Access:]{   | the         |             |              |            |
| .underline} | proportion  |             |              | 30         |
| Address the | of patients |             |              | 1-443-1106 |
| proportion  | with        |             |              |            |
| of patients | diagnosed   |             |              |            |
| diagnosed   | diabetes    |             |              |            |
| with        | who obtain  |             |              |            |
| diabetes    | access to   |             |              |            |
| who obtain  | dental      |             |              |            |
| access to   | services at |             |              |            |
| dental      | the FY 2004 |             |              |            |
| services.   | level.      |             |              |            |
|             |             |             |              |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Family    |             |             |              |            |
| Abuse,      |             |             |              |            |
| Violence,   |             |             |              |            |
| and Neglect |             |             |              |            |
| Indicator** |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[16.      | During FY   | During FY   | During FY    | Theresa    |
| Domestic    | 2005, the   | 2006,       | 2007,        | Cullen,    |
| (Intimate   | IHS will    | increase    | maintain the | ITSC/DIR/  |
| Partner)    | maintain    | the         | screening    | OMS\       |
| Violence    | the         | screening   | rate for     | 52         |
| Scr         | screening   | rate for    | domestic     | 0-670-4803 |
| eening:]{.u | rate for    | domestic    | violence in  |            |
| nderline}** | domestic    | violence in | female       | Ramona     |
| Address the | violence in | female      | patients     | Williams,  |
| proportion  | female      | patients    | ages 15      | OCPS/DBH,  |
| of women    | patients    | ages 15     | through 40   | 30         |
| who are     | ages 15     | through     | to 5%.       | 1-443-2038 |
| screened    | through 40  | 40to 5%.    |              |            |
| for         | at the FY   |             |              |            |
| domestic    | 2004 rate.  |             |              |            |
| violence at |             |             |              |            |
| health care | .           |             |              |            |
| facilities. |             |             |              |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **          |             |             |              |            |
| Information |             |             |              |            |
| Technology  |             |             |              |            |
| Development |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[Data     | During FY   | During FY   | > During FY  | Theresa    |
| Quality     | 2005,       | 2006,       | > 2007,      | Cullen,    |
| I           | implement a | continue    | > assure     | ITSC/DIR/  |
| mprovement: | national    | the         | > that all   |            |
| 17.]{.u     | program to  | automated   | > GPRA       | OMS,\      |
| nderline}** | improve the | extraction  | > clinical   | 52         |
| Expand the  | quality,    | of GPRA     | >            | 0-670-4803 |
| automated   | accuracy    | clinical    |  performance |            |
| extraction  | and         | performance | > measures   |            |
| of GPRA     | timeliness  | measures    | > based on   |            |
| clinical    | of Resource | through     | > RPMS data  |            |
| performance | Patient     | ongoing     | > can be     |            |
| measures    | Management  | development | > reported   |            |
| and improve | System      | and         | > by CRS     |            |
| data        | (RPMS)      | deployment  | > (clinical  |            |
| quality.    | Patient     | of CRS      | > reporting  |            |
|             | Care        | (clinical   | > system)    |            |
| EFFICIENCY  | Component   | reporting   | > software.  |            |
| MEASURE     | (PCC)       | system)     |              |            |
| effective   | clinical    | software.   |              |            |
| 05          | data to     |             |              |            |
|             | support the |             |              |            |
|             | Agency's    |             |              |            |
|             | GPRA        |             |              |            |
|             | clinical    |             |              |            |
|             | measures by |             |              |            |
|             | expanding   |             |              |            |
|             | the current |             |              |            |
|             | automated   |             |              |            |
|             | data        |             |              |            |
|             | quality     |             |              |            |
|             | assessment  |             |              |            |
|             | "package"   |             |              |            |
|             | to include  |             |              |            |
|             | two new     |             |              |            |
|             | additional  |             |              |            |
|             | clinical    |             |              |            |
|             | measures.   |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[18.      | During FY   | During FY   | During FY    | Wilbur     |
| Behavioral  | 2005,       | 2006,       | 2007, assure | Woodis,    |
| Health:]{.u | expand the  | establish a | that the     | OCPS/DBH,  |
| nderline}** | Behavioral  | baseline    | rate of      | 30         |
| Expand the  | Health (BH) | rate of     | annual       | 1-443-6581 |
| Behavioral  | Data System | annual      | screening    |            |
| Health Data | by          | screening   | for          |            |
| System by   | increasing  | for         | depression   |            |
| increasing  | the number  | depression  | in adults    |            |
| use of      | of sites    | in adults   | ages 18 and  |            |
| appropriate | using the   | ages 18 and | over does    |            |
| software    | RPMS        | over.       | not decrease |            |
| ap          | Behavioral  |             | more than 1% |            |
| plications. | Health (BH) |             | from the FY  |            |
|             | software    |             | 2006 level.  |            |
|             | application |             |              |            |
|             | over the FY |             |              |            |
|             | 2004 level  |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[19.      | During FY   | During FY   | During FY    | Denise     |
| Urban IS    | 2005, IHS   | 2006,       | 2007,        | Exendine   |
| Impro       | will have   | increase    | maintain the |            |
| vement:]{.u | in place    | the number  | number of    | /          |
| nderline}** | contract    | of urban    | urban sites  | OD/OUIHP,\ |
| Expand      | and grant   | sites       | reporting    | 30         |
| Urban       | r           | reporting   | clinical     | 1-443-4680 |
| Indian      | equirements | clinical    | GPRA         |            |
| Health      | for all     | GPRA        | performance  |            |
| Program     | urban       | performance | measures     |            |
| capacity    | Indian      | measures    | through the  |            |
| for         | programs to | through the | national     |            |
| securing    | provide a   | national    | clinical     |            |
| mutually    | specified   | clinical    | reporting    |            |
| compatible  | data set in | reporting   | process at   |            |
| automated   | a standard  | process     | 2006 levels. |            |
| information | format.     | from 2005   |              |            |
| system that |             | levels.     |              |            |
| captures    |             |             |              |            |
| health      |             |             |              |            |
| status and  |             |             |              |            |
| patient     |             |             |              |            |
| care data   |             |             |              |            |
| for the     |             |             |              |            |
| Indian      |             |             |              |            |
| health      |             |             |              |            |
| system.     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Quality   |             |             |              |            |
| of Care     |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[20.      | During FY   | During FY   | During FY    | Balerma    |
| Accredi     | 2005,       | 2006,       | 2007,        | Burgess,   |
| tation:]{.u | maintain    | maintain    | maintain     | ORAP/BOE,  |
| nderline}** | 100%        | 100%        | 100%         |            |
| Maintain    | ac          | ac          | a            | 30         |
| 100%        | creditation | creditation | ccreditation | 1-443-1016 |
| ac          | of all      | of all      | of all       |            |
| creditation | I           | I           | IHS-operated |            |
| of all IHS  | HS-operated | HS-operated | hospitals    |            |
| hospitals   | hospitals   | hospitals   | and          |            |
| and         | and         | and         | outpatient   |            |
| outpatient  | outpatient  | outpatient  | clinics.     |            |
| clinics.    | clinics.    | clinics.    |              |            |
+-------------+-------------+-------------+--------------+------------+
| [**21.      | During FY   | > During FY | > During FY  | Robert     |
| Medication  | 2005, all   | > 2006, IHS | > 2007, IHS  | Pittman,   |
| Error       | direct care | > will      | > will       | OCPS/DCCS, |
| Impro       | facilities  | > establish | > maintain   |            |
| vement**:]{ | shall be    | > and       | > operation  | 30         |
| .underline} | using the   | > evaluate  | > of a       | 1-443-1190 |
| Address     | NCCMERP     | > a medical | > medical    | (05 only)  |
| medication  | nationally  | > error     | > error      |            |
| errors by   | recognized  | > reporting | > reporting  | Theresa    |
| developing  | medication  | > system at | > system at  | Cullen,    |
| a reporting | error       | > 3 areas.  | > 3 areas.   | ITSC/DIR/  |
| system to   | definition, |             |              |            |
| reduce      | and shall   |             |              | OMS,\      |
| medication  | have a      |             |              | 52         |
| errors.     | n           |             |              | 0-670-4803 |
| \[outcome\] | on-punitive |             |              | (06-07)    |
|             | multi-d     |             |              |            |
| **In 2006,  | isciplinary |             |              |            |
| changes to  | medication  |             |              |            |
| [Medical    | error       |             |              |            |
| Error       | reporting   |             |              |            |
| Impro       | system in   |             |              |            |
| vement:]{.u | place.      |             |              |            |
| nderline}** |             |             |              |            |
| **[Address  |             |             |              |            |
| medical     |             |             |              |            |
| errors      |             |             |              |            |
| through     |             |             |              |            |
| development |             |             |              |            |
| and         |             |             |              |            |
| imp         |             |             |              |            |
| lementation |             |             |              |            |
| of a        |             |             |              |            |
| medical     |             |             |              |            |
| error       |             |             |              |            |
| reporting   |             |             |              |            |
| system.]{.u |             |             |              |            |
| nderline}** |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[22.      | Eliminated  | Eliminated  | Eliminated   | Phil       |
| Customer    | in FY 2005. | effective   | in FY 2005.  | Smith,     |
| Satisf      | (subsumed   | FY 2005.    |              | OPHS\      |
| action:]{.u | by          |             |              | 30         |
| nderline}** | ac          |             |              | 1-443-6528 |
|             | creditation |             |              |            |
|             | indicator)  |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| *           |             |             |              |            |
| *PREVENTION |             |             |              |            |
| MEASURES**  |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Public    |             |             |              |            |
| Health      |             |             |              |            |
| Nursing     |             |             |              |            |
| Measure**   |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[23.      | During FY   | During FY   | During FY    | Francis    |
| Public      | 2005,       | 2006,       | 2007,        | Frazier,   |
| Health      | maintain    | implement a | establish a  | OCPS/DNS,  |
| N           | the total   | data system | baseline of  | 30         |
| ursing:]{.u | number of   | capable of  | time spent   | 1-443-1840 |
| nderline}** | public      | recording   | and nature   |            |
|             | health      | the time    | of public    |            |
| Address the | nursing     | spent and   | health       |            |
| number of   | services    | nature of   | activities   |            |
| public      | (primary    | public      | performed by |            |
| health      | and         | health      | public       |            |
| nursing     | secondary   | activities  | health       |            |
| services    | treatment   | other than  | nurses.      |            |
| (primary    | and         | one-on-one  |              |            |
| and         | preventive  | patient     |              |            |
| secondary   | services)   | care, with  |              |            |
| treatment   | provided to | an emphasis |              |            |
| and         | individuals | on          |              |            |
| preventive  | in all      | activities  |              |            |
| services)   | settings at | that serve  |              |            |
| provided by | the FY 2004 | groups or   |              |            |
| public      | workload    | the entire  |              |            |
| health      | levels.     | community.  |              |            |
| nursing.    |             |             |              |            |
|             |             |             |              |            |
| EFFICIENCY  |             |             |              |            |
| MEASURE     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **I         |             |             |              |            |
| mmunization |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[24.      | During FY   | During FY   | During FY    | Amy Groom, |
| Childhood   | 2005,       | 2006,       | 2007, assure | OPHS/Epi   |
| Immuniz     | maintain    | maintain    | that the     | 50         |
| ations:]{.u | baseline    | baseline    | rates for    | 5-248-4226 |
| nderline}** | rates for   | rates for   | recommended  |            |
| Address     | recommended | recommended | i            | Jim Cheek, |
| rates for   | im          | im          | mmunizations | OPHS/Epi,  |
| recommended | munizations | munizations | for American | 50         |
| im          | for         | for         | Indian and   | 5-248-4226 |
| munizations | American    | American    | Alaska       |            |
| for AI/AN   | Indian and  | Indian and  | Native       |            |
| children    | Alaska      | Alaska      | children     |            |
| 19-35       | Native      | Native      | 19-35 months |            |
| months.     | children    | children    | do not       |            |
| \[outcome\] | 19-35       | 19-35       | decrease     |            |
|             | months      | months      | more than 1% |            |
|             | compared to | compared to | from the FY  |            |
|             | FY2004.     | FY 2005.    | 2006 level.  |            |
+-------------+-------------+-------------+--------------+------------+
| **[25.      | In FY 2005, | In FY 2006, | In FY 2007,  | Amy Groom, |
| Adult       | maintain    | maintain FY | assure that  | OPHS/Epi.  |
| Imm         | the FY 2004 | 2005 rate   | the rate for | 50         |
| unizations: | rate for    | for         | influenza    | 5-248-4226 |
| Inf         | influenza   | influenza   | vaccination  |            |
| luenza:]{.u | vaccination | vaccination | levels among | Jim Cheek, |
| nderline}** | levels      | levels      | adult        | DPHS/Epi,  |
| Address     | among adult | among adult | patients     | 50         |
| influenza   | patients    | patients    | aged 65      | 5-248-4226 |
| vaccination | aged 65     | aged 65     | years and    |            |
| rates among | years and   | years and   | older does   |            |
| non-instit  | older.      | older.      | not decrease |            |
| utionalized |             |             | more than 1% |            |
| adult       | **(ON HOLD  |             | from the FY  |            |
| patients    | in FY 2005  |             | 2006 level.  |            |
| aged 65     | due to      |             |              |            |
| years and   | influenza   |             |              |            |
| older.      | vaccine     |             |              |            |
| \[outcome\] | s           |             |              |            |
|             | hortage)**. |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[26.      | In FY 2005, | In FY 2006, | In FY 2006,  | Amy Groom, |
| Adult       | maintain    | increase    | increase the | OPHS/Epi   |
| Imm         | the FY 2004 | the rate    | rate for     | 50         |
| unizations: | rate for    | for         | pneumococcal | 5-248-4226 |
| Pne         | p           | p           | vaccination  |            |
| umovax]{.un | neumococcal | neumococcal | levels among | Jim Cheek, |
| derline}:** | vaccination | vaccination | adult        | OPHS/Epi\  |
| Address     | levels      | levels      | patients age | 50         |
| p           | among adult | among adult | 65 years and | 5-248-4226 |
| neumococcal | patients    | patients    | older to     |            |
| vaccination | age 65      | age 65      | 76%.         |            |
| rates among | years and   | years and   |              |            |
| non-instit  | older.      | older to    |              |            |
| utionalized |             | 72%.        |              |            |
| adult       |             |             |              |            |
| patients    |             |             |              |            |
| age 65      |             |             |              |            |
| years and   |             |             |              |            |
| older.      |             |             |              |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Injury    |             |             |              |            |
| Prevention  |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| [**27.      | *           | **[Web      | During FY    | Nancy      |
| Injury      | *[Web-based | Based       | 2007 each    | Bill,      |
| Interv      | repo        | Rep         | Area will    | OEHE/DEHS, |
| ention**:]{ | rting:]{.un | orting:]{.u | conduct at   |            |
| .underline} | derline}**\ | nderline}** | least three  | 30         |
| Support     | During FY   |             | community    | 1-443-0105 |
| comm        | 2005,       | During FY   | injury       |            |
| unity-based | develop a   | 2006,       | prevention   |            |
| injury      | web-based   | implement   | projects and |            |
| prevention  | data        | web-based   | report them  |            |
| programs.   | collection  | data        | using the    |            |
|             | system to   | collection  | automated    |            |
|             | report      | system to   | tracking     |            |
|             | injury      | report      | system.      |            |
|             | prevention  | injury      |              |            |
|             | projects.   | prevention  |              |            |
|             |             | projects.   |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[28.      | During FY   | During FY   | During FY    | Nancy      |
| Un          | 2005,       | 2006,       | 2007, assure | Bill,      |
| intentional | reduce the  | reduce the  | that the     | OEHE/DEHS, |
| Injury      | mortality   | mortality   | mortality    |            |
| Rates:]{.u  | rate of     | rate of     | rate of      | 30         |
| nderline}** | un          | un          | u            | 1-443-0105 |
| Address the | intentional | intentional | nintentional |            |
| number of   | injuries to | injuries to | injuries     |            |
| un          | no higher   | no higher   | does not     |            |
| intentional | than the FY | than the FY | increase     |            |
| injuries    | 2004 level. | 2005 level. | more than 1% |            |
| for AI/AN   |             |             | over the FY  |            |
| people.     |             |             | 2006 level.  |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Suicide   |             |             |              |            |
| Prevention  |             |             |              |            |
| Measure**   |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[29.      | During FY   | During FY   | During FY    | Wilbur     |
| Suicide     | 2005,       | 2006,       | 2007,        | Woodis,    |
| Survei      | integrate   | establish   | maintain     | OCPS/DBH,  |
| llance]{.un | the         | baseline    | baseline     | 30         |
| derline}:** | Behavioral  | data on     | data on      | 1-443-6581 |
| Support     | Health      | suicide     | suicide      |            |
| suicide     | suicide     | using the   | using the    |            |
| prevention  | reporting   | RPMS        | RPMS suicide |            |
| by          | tool into   | suicide     | reporting    |            |
| collecting  | RPMS.       | reporting   | tool.        |            |
| co          |             | tool.       |              |            |
| mprehensive |             |             |              |            |
| data on the |             |             |              |            |
| incidence   |             |             |              |            |
| of suicidal |             |             |              |            |
| behavior.   |             |             |              |            |
|             |             |             |              |            |
| \[Changes   |             |             |              |            |
| to outcome  |             |             |              |            |
| in FY       |             |             |              |            |
| 2006\]      |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **De        |             |             |              |            |
| velopmental |             |             |              |            |
| Prevention  |             |             |              |            |
| and         |             |             |              |            |
| Treatment   |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[30. CVD  | **[CVD      | During FY   | **[CVD       | James      |
| Prevention: | Prevention: | 2006,       | C            | Galloway,  |
| Chole       | Chole       | increase    | omprehensive | PAO/Native |
| sterol:]{.u | sterol:]{.u | the         | as           | American   |
| nderline}** | nderline}** | proportion  | sessment:]{. | Cardiology |
| Support     | During FY   | of patients | underline}** | Program,   |
| clinical    | 2005,       | ages 23 and | During FY    | 92         |
| and         | establish   | older that  | 2007,        | 8-214-3920 |
| comm        | the         | receive     | establish    |            |
| unity-based | proportion  | blood       | the baseline |            |
| car         | of patients | cholesterol | proportion   |            |
| diovascular | ages 23 and | screening.  | of at risk   |            |
| disease     | older that  |             | patients who |            |
| prevention  | receive     |             | have a       |            |
| i           | blood       |             | c            |            |
| nitiatives. | cholesterol |             | omprehensive |            |
|             | screening.  |             | assessment   |            |
| \[outcome\] |             |             | for all      |            |
|             |             |             | CVD-related  |            |
|             |             |             | risk         |            |
|             |             |             | factors.     |            |
+-------------+-------------+-------------+--------------+------------+
| [31.        | During FY   | During FY   | During FY    | Jean       |
| Obesity     | 2005, each  | 2006,       | 2007,        | Char       |
| As          | area will   | establish   | maintain the | les-Azure, |
| sessment]{. | increase    | the         | proportion   | OCPS/DCCS, |
| underline}: | the number  | baseline    | of children, | 30         |
| Support     | of patients | proportion  | ages 2-5     | 1-443-0576 |
| clinical    | for whom    | of          | years, with  |            |
| and         | BMI data    | children,   | a BMI of 95% |            |
| comm        | can be      | ages 2-5    | or higher at |            |
| unity-based | measured by | years, with | the 2006     |            |
| obesity     | 5%.         | a BMI of    | level.       |            |
| prevention  |             | 95% or      |              |            |
| i           |             | higher.     |              |            |
| nitiatives. |             |             |              |            |
| \[outcome\] |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[32.      | During      | During      | During 2007, | Nat Cobb,  |
| Tobacco Use | 2005, rates | 2006,       | assure that  | OPHS/Epi , |
| Asse        | of          | establish   | the          | 50         |
| ssment:]{.u | screening   | the         | proportion   | 5-248-4132 |
| nderline}** | for tobacco | proportion  | of tobacco   |            |
| Support     | use in      | of tobacco  | using        |            |
| local level | patients    | using       | patients     |            |
| initiatives | will be     | patients    | that receive |            |
| directed at | maintained  | that        | tobacco      |            |
| reducing    | at FY 2004  | receive     | cessation    |            |
| tobacco     | rates.      | tobacco     | intervention |            |
| usage.      |             | cessation   | does not     |            |
| \[outcome\] |             | in          | decrease     |            |
|             |             | tervention. | more than 1% |            |
|             |             |             | from the     |            |
|             |             |             | baseline     |            |
|             |             |             | established  |            |
|             |             |             | in FY 2006.  |            |
+-------------+-------------+-------------+--------------+------------+
| **HIV/AIDS  |             |             |              |            |
| Measure**   |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| [**33. HIV  | **[Prenatal | **[Prenatal | In FY 2006,  | Jim Cheek, |
| Scr         | HIV         | HIV         | assure that  | DPHS/Epi,  |
| eening:**]{ | Scre        | Scre        | the          | 50         |
| .underline} | ening:]{.un | ening:]{.un | proportion   | 5-248-4226 |
| Support     | derline}**\ | derline}**\ | of pregnant  |            |
| screening   | In FY 2005, | In FY 2006, | female       |            |
| for HIV     | establish   | increase    | patients     |            |
| infections  | the         | the         | screened for |            |
| in          | baseline    | proportion  | HIV does not |            |
| appropriate | number of   | of pregnant | decrease     |            |
| population  | women       | female      | more than 1% |            |
| groups.     | screened    | patients    | from the FY  |            |
|             | for HIV in  | screened    | 2006 level.  |            |
| \[outcome\] | pregnancy.  | for HIV.    |              |            |
+-------------+-------------+-------------+--------------+------------+
| **En        |             |             |              |            |
| vironmental |             |             |              |            |
| S           |             |             |              |            |
| urveillance |             |             |              |            |
| Measure**   |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[34.      | By the end  | By the end  | By the end   | Kelly      |
| En          | of FY 2005, | of FY 2006, | of FY 2007,  | Taylor,    |
| vironmental | 12          | assure that | assure that  | OEHE,OPHS, |
| Survei      | en          | 50% more    | 60% more     | 30         |
| llance:]{.u | vironmental | en          | e            | 1-443-1593 |
| nderline}** | health      | vironmental | nvironmental |            |
| Implement   | programs    | health      | health       |            |
| automated   | will have   | programs    | programs     |            |
| web-based   | reported    | above FY    | above FY     |            |
| en          | the         | 2005 level  | 2006 level   |            |
| vironmental | regionally  | will have   | will have    |            |
| health      | appropriate | reported    | reported the |            |
| s           | en          | the         | regionally   |            |
| urveillance | vironmental | regionally  | appropriate  |            |
| data        | health      | appropriate | e            |            |
| collection  | priorities  | en          | nvironmental |            |
| system in   | based on    | vironmental | health       |            |
| tribal      | current     | health      | priorities   |            |
| systems.    | community   | priorities  | based on     |            |
|             | data into   | based on    | current      |            |
|             | WebEHRS.    | current     | community    |            |
|             |             | community   | data (a      |            |
|             |             | data (a     | total of 29  |            |
|             |             | total of 18 | programs in  |            |
|             |             | programs in | FY 2007)     |            |
|             |             | FY 2006)    | into         |            |
|             |             | into        | WebEHRS.     |            |
|             |             | WebEHRS.    |              |            |
+-------------+-------------+-------------+--------------+------------+
| **CAPITAL   |             |             |              |            |
| PROG        |             |             |              |            |
| RAMMING/INF |             |             |              |            |
| RASTRUCTURE |             |             |              |            |
| I           |             |             |              |            |
| NDICATORS** |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[35.      | During FY   | During FY   | During FY    | James      |
| Sanitation  | 2005,       | 2006,       | 2007,        | Ludington, |
| Impro       | provide     | provide     | provide      | OEHE/DSFC  |
| vement]{.un | sanitation  | sanitation  | sanitation   |            |
| derline}**: | facilities  | facilities  | facilities   | 30         |
| Provide     | projects to | projects to | projects to  | 1-443-1046 |
| sanitation  | 20,000      | 20,000      | 20,000       |            |
| facilities  | Indian      | Indian      | Indian homes |            |
| to new or   | homes with  | homes with  | with water,  |            |
| like-new    | water,      | water,      | sewage       |            |
| homes and   | sewage      | sewage      | disposal,    |            |
| existing    | disposal,   | disposal,   | and/or solid |            |
| Indian      | and/or      | and/or      | waste        |            |
| homes.      | solid waste | solid waste | facilities.  |            |
|             | facilities. | facilities. |              |            |
| EFFICIENCY  |             |             |              |            |
| MEASURE     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[35A.     | No          | During FY   | During FY    | James      |
| Sanitation  | indicator.  | 2006, 20%   | 2007, 20% of | Ludington, |
| Impr        |             | of the      | the homes    | OEHE/DFSC, |
| ovement]{.u |             | homes       | served by    |            |
| nderline}** |             | served by   | the          | 30         |
| **[A.]{.u   |             | the         | Sanitation   | 1-443-1046 |
| nderline}** |             | Sanitation  | Facilities   |            |
| During FY   |             | Facilities  | Construction |            |
| 2006 20% of |             | C           | Program      |            |
| the homes   |             | onstruction | funding for  |            |
| served will |             | Program     | the backlog  |            |
| be at       |             | funding for | of needs for |            |
| Deficiency  |             | the backlog | existing     |            |
| Level 4 or  |             | of needs    | homes will   |            |
| above as    |             | for         | be at        |            |
| defined by  |             | existing    | Deficiency   |            |
| 25 USC      |             | homes will  | Level 4 or   |            |
| 1632.       |             | be at       | above as     |            |
|             |             | Deficiency  | defined by   |            |
|             |             | Level 4 or  | 25 USC 1632. |            |
|             |             | above as    |              |            |
|             |             | defined by  |              |            |
|             |             | 25 USC      |              |            |
|             |             | 1632.       |              |            |
+-------------+-------------+-------------+--------------+------------+
| [**36.      | During FY   | During FY   | During FY    | Jose       |
| Health Care | 2005,       | 2006,       | 2007,        | Cuzme,     |
| Facility    | increase    | increase    | increase the | O          |
| Constr      | the modern  | the modern  | modern       | EHE/DFPC/, |
| uction**:]{ | health care | health care | health care  | 30         |
| .underline} | delivery    | delivery    | delivery     | 1-443-8616 |
| Improve     | system to   | system to   | system to    |            |
| access to   | improve     | improve     | improve      |            |
| health care | access and  | access and  | access and   |            |
| by          | efficiency  | efficiency  | efficiency   |            |
| c           | of health   | of health   | of health    |            |
| onstruction | care by     | care by     | care by      |            |
| of the      | assuring    | assuring    | assuring the |            |
| approved    | the timely  | the timely  | timely       |            |
| new health  | phasing of  | phasing of  | phasing of   |            |
| care        | c           | c           | construction |            |
| facilities. | onstruction | onstruction | of the       |            |
|             | of the      | of the      | following    |            |
| EFFICIENCY  | following   | following   | health care  |            |
| MEASURE     | health care | health care | facilities:  |            |
| (effective  | facilities: | facilities: |              |            |
| 2005)       |             |             | a.Winnebago, |            |
|             | a\.         | a\.         | NE --        |            |
|             | Winnebago,  | Winnebago,  | continue     |            |
|             | NE --       | NE --       | providing    |            |
|             | revise      | continue    | Drug         |            |
|             | method of   | providing   | Dependency   |            |
|             | providing   | Drug        | Unit portion |            |
|             | Drug        | Dependency  | of project.  |            |
|             | Dependency  | Unit        |              |            |
|             | Unit        | portion of  | b\. Phoenix  |            |
|             | portion of  | project.    | Indian       |            |
|             | project     |             | Medical      |            |
|             | since       | b\. Phoenix | Center       |            |
|             | renovation  | Indian      | (PIMC)       |            |
|             | of old      | Medical     | System, SE   |            |
|             | structure   | Center      | Ambulatory   |            |
|             | no longer   | (PIMC)      | Care Center  |            |
|             | considered  | System, SE  | (ACC), Upper |            |
|             | feasible.   | Ambulatory  | Santan, AZ   |            |
|             |             | Care Center | -- continue  |            |
|             | b\. Phoenix | (ACC),      | design of    |            |
|             | Indian      | Upper       | new          |            |
|             | Medical     | Santan, AZ  | satellite    |            |
|             | Center      | -- complete | health       |            |
|             | (PIMC)      | planning    | center.      |            |
|             | System, SE  | and         |              |            |
|             | Ambulatory  | commence    | c\. PIMC     |            |
|             | Care Center | design of   | System, SW   |            |
|             | (ACC),      | new         | ACC,         |            |
|             | Upper       | satellite   | Komatke, AZ  |            |
|             | Santan, AZ  | health      | -- continue  |            |
|             | -- continue | center.     | with design  |            |
|             | planning of |             | of new       |            |
|             | this        | c\. PIMC    | satellite    |            |
|             | satellite   | System, SW  | health       |            |
|             | health      | ACC,        | center.      |            |
|             | center.     | Komatke, AZ |              |            |
|             |             | -- complete | d\. PIMC     |            |
|             | c\. PIMC,   | planning    | System, NE   |            |
|             | SW ACC,     | and         | ACC,         |            |
|             | Komatke, AZ | commence    | Scottsdale,  |            |
|             | -- continue | design of   | AZ -- start  |            |
|             | planning of | new         | design of    |            |
|             | this        | satellite   | new          |            |
|             | satellite   | health      | satellite    |            |
|             | health      | center.     | health       |            |
|             | center.     |             | center.      |            |
|             |             | d\. Barrow, |              |            |
|             | d\. Barrow, | AK --       | e\. Barrow,  |            |
|             | AK --       | complete    | AK --        |            |
|             | commence    | site        | continue     |            |
|             | site        | acquisition | design of    |            |
|             | acquisition | and         | replacement  |            |
|             | and design  | continue    | hospital.    |            |
|             | of          | design of   |              |            |
|             | replacement | replacement | f\.          |            |
|             | hospital.   | hospital.   | Sisseton, SD |            |
|             |             |             | -- complete  |            |
|             | e\. Pinon,  | e\. Red     | construction |            |
|             | AZ --       | Mesa, AZ -- | of a         |            |
|             | complete    | complete    | replacement  |            |
|             | c           | c           | health       |            |
|             | onstruction | onstruction | center and   |            |
|             | of new      | of new      | supporting   |            |
|             | health      | health      | staff        |            |
|             | center and  | center and  | quarters.    |            |
|             | supporting  | supporting  |              |            |
|             | staff       | staff       | g\. Clinton, |            |
|             | quarters.   | quarters.   | OK --        |            |
|             |             |             | continue     |            |
|             | f\. Red     | f\. St.     | construction |            |
|             | Mesa, AZ    | Paul, AK -- | of           |            |
|             | --continue  | complete    | replacement  |            |
|             | c           | c           | health       |            |
|             | onstruction | onstruction | center.      |            |
|             | of a new    | of          |              |            |
|             | health      | replacement | h\. Eagle    |            |
|             | center and  | health      | Butte, SD -- |            |
|             | supporting  | center and  | complete     |            |
|             | staff       | supporting  | design and   |            |
|             | quarters.   | staff       | start        |            |
|             |             | quarters.   | construction |            |
|             | g\. St.     |             | of           |            |
|             | Paul, AK -- | g\.         | replacement  |            |
|             | continue    | Metlakatla, | health       |            |
|             | c           | AK --       | center.      |            |
|             | onstruction | complete    |              |            |
|             | of          | c           | i\. Kayenta, |            |
|             | replacement | onstruction | AZ --        |            |
|             | health      | of          | commence     |            |
|             | center and  | replacement | design of    |            |
|             | supporting  | health      | replacement  |            |
|             | staff       | center and  | health       |            |
|             | quarters.   | supporting  | center.      |            |
|             |             | staff       |              |            |
|             | h\.         | quarters.   | j\. San      |            |
|             | Metlakatla, |             | Carlos, AZ   |            |
|             | AK --       | h\.         | -- commence  |            |
|             | continue    | Sisseton,   | design of    |            |
|             | c           | SD --       | replacement  |            |
|             | onstruction | continue    | health       |            |
|             | of          | c           | center.      |            |
|             | replacement | onstruction |              |            |
|             | health      | of a        | k\. Wagner,  |            |
|             | center and  | replacement | SD --        |            |
|             | supporting  | health      | complete     |            |
|             | staff       | center and  | design of    |            |
|             | quarters.   | supporting  | staff        |            |
|             |             | staff       | quarters     |            |
|             | i\.         | quarters.   | supporting   |            |
|             | Sisseton,   |             | existing     |            |
|             | SD          | i\.         | health care  |            |
|             | --continue  | Clinton, OK | facility.    |            |
|             | c           | -- continue |              |            |
|             | onstruction | c           | l\. Ft.      |            |
|             | of          | onstruction | Belknap, MT  |            |
|             | replacement | of          | -- complete  |            |
|             | health      | replacement | design and   |            |
|             | center and  | health      | construction |            |
|             | supporting  | center.     | of staff     |            |
|             | staff       |             | quarters     |            |
|             | quarters.   | j\. Eagle   | supporting   |            |
|             |             | Butte, SD   | existing     |            |
|             | j\.         | -- commence | health care  |            |
|             | Clinton, OK | design of   | facility in  |            |
|             | -- complete | replacement | Harlem, MT,  |            |
|             | design and  | health      | and          |            |
|             | commence    | center.     | satellite    |            |
|             | c           |             | health care  |            |
|             | onstruction | k\.         | facility in  |            |
|             | of          | Kayenta, AZ | Hays, MT.    |            |
|             | replacement | -- prepare  |              |            |
|             | health      | to commence | m\.          |            |
|             | center.     | design of   | Ph           |            |
|             |             | replacement | oenix-Nevada |            |
|             | k\. Eagle   | health      | Youth        |            |
|             | Butte, SD   | center.     | Regional     |            |
|             | -- complete |             | Health       |            |
|             | planning    | l\. San     | Center       |            |
|             | for         | Carlos, AZ  | (YRTC) --    |            |
|             | replacement | -- prepare  | complete     |            |
|             | health      | to commence | construction |            |
|             | center.     | design of   | of this      |            |
|             |             | replacement | satellite    |            |
|             | l\.         | health      | YRTC.        |            |
|             | Kayenta, AZ | center.     |              |            |
|             | -- complete |             | n\.          |            |
|             | planning of | m\. Zuni,   | Cent         |            |
|             | replacement | NM --       | ral-Southern |            |
|             | health      | complete    | California   |            |
|             | center.     | design and  | YRTC --      |            |
|             |             | c           | continue     |            |
|             | m\. San     | onstruction | site         |            |
|             | Carlos, AZ  | of staff    | acquisition. |            |
|             | -- complete | quarters    |              |            |
|             | planning of | supporting  | o\. Northern |            |
|             | replacement | existing    | California   |            |
|             | health      | health care | YRTC --      |            |
|             | center.     | facility.   | continue     |            |
|             |             |             | site         |            |
|             | n\. Bethel, | n\. Wagner, | a            |            |
|             | AK --       | SD --       | cquisition.. |            |
|             | complete    | continue    |              |            |
|             | d           | design and  | p\. Dental   |            |
|             | esign-build | c           | Facilities   |            |
|             | of staff    | onstruction | Program --   |            |
|             | quarters    | of staff    | using FY     |            |
|             | supporting  | quarters    | 2007         |            |
|             | the         | supporting  | funding,     |            |
|             | existing    | existing    | provide      |            |
|             | health care | health care | additional   |            |
|             | facility.   | facility.   | dental       |            |
|             |             |             | units.       |            |
|             | o\. Zuni,   | o\. Ft.     |              |            |
|             | NM          | Belknap, MT | q\. Joint    |            |
|             | --continue  | -- continue | Venture      |            |
|             | design and  | design and  | Construction |            |
|             | c           | c           | Program      |            |
|             | onstruction | onstruction | (JVCP) --    |            |
|             | of staff    | of staff    | negotiate    |            |
|             | quarters    | quarters    | JVCP         |            |
|             | supporting  | supporting  | Agreement    |            |
|             | existing    | existing    | and issue    |            |
|             | health care | health care | funding for  |            |
|             | facility.   | facility in | initial      |            |
|             |             | Harlem, MT, | equipment    |            |
|             | p\. Wagner, | and         | for tribally |            |
|             | SD --       | satellite   | provided and |            |
|             | commence    | health care | owned health |            |
|             | design and  | facility in | center.      |            |
|             | c           | Hays, MT.   |              |            |
|             | onstruction |             | r\. Small    |            |
|             | of staff    | p\.         | Ambulatory   |            |
|             | quarters    | Pho         | Program      |            |
|             | supporting  | enix-Nevada | (SAP) --     |            |
|             | existing    | Youth       | until        |            |
|             | health care | Regional    | completed,   |            |
|             | facility.   | Health      | continue to  |            |
|             |             | Center      | monitor      |            |
|             | q\. Ft.     | (YRTC) --   | tribal       |            |
|             | Belknap, MT | continue    | construction |            |
|             | -- complete | c           | projects     |            |
|             | planning    | onstruction | receiving FY |            |
|             | update of   | of this     | 2001, FY     |            |
|             | staff       | satellite   | 2002, and FY |            |
|             | quarters    | YRTC.       | 2003 awards. |            |
|             | supporting  |             | Award        |            |
|             | existing    | q\.         | c            |            |
|             | health care | Centr       | ompetitively |            |
|             | facility in | al-Southern | selected     |            |
|             | Harlem, MT, | California  | tribally     |            |
|             | and         | YRTC --     | owned health |            |
|             | satellite   | continue    | center SAP   |            |
|             | health care | site        | projects     |            |
|             | facility in | a           | using FY     |            |
|             | Hays, MT,   | cquisition. | 2007         |            |
|             | and         |             | funding.     |            |
|             | commence    | r\.         |              |            |
|             | design and  | Northern    |              |            |
|             | c           | California  |              |            |
|             | onstruction | YRTC --     |              |            |
|             | of Harlem   | continue    |              |            |
|             | units.      | site        |              |            |
|             |             | a           |              |            |
|             | r\.         | cquisition. |              |            |
|             | Wadsworth,  |             |              |            |
|             | NV --       | s\. Small   |              |            |
|             | continue    | Ambulatory  |              |            |
|             | design and  | Program     |              |            |
|             | c           | (SAP) --    |              |            |
|             | onstruction | until       |              |            |
|             | of          | completed,  |              |            |
|             | Pho         | continue to |              |            |
|             | enix-Nevada | monitor     |              |            |
|             | satellite   | tribal      |              |            |
|             | Youth       | c           |              |            |
|             | Regional    | onstruction |              |            |
|             | Treatment   | projects    |              |            |
|             | Center      | receiving   |              |            |
|             | (YRTC).     | FY 2001, FY |              |            |
|             |             | 2002, and   |              |            |
|             | s\.         | FY 2003     |              |            |
|             | Centr       | awards.     |              |            |
|             | al-Southern | Award       |              |            |
|             | California  | additional  |              |            |
|             | -- complete | co          |              |            |
|             | YRTC        | mpetitively |              |            |
|             | project     | selected    |              |            |
|             | planning    | tribally    |              |            |
|             | and         | owned       |              |            |
|             | commence    | health      |              |            |
|             | site        | center SAP  |              |            |
|             | a           | projects    |              |            |
|             | cquisition. | using FY    |              |            |
|             |             | 2005        |              |            |
|             | t\.         | funding.    |              |            |
|             | Northern    |             |              |            |
|             | California  |             |              |            |
|             | -- complete |             |              |            |
|             | YRTC        |             |              |            |
|             | project     |             |              |            |
|             | planning    |             |              |            |
|             | and         |             |              |            |
|             | commence    |             |              |            |
|             | site        |             |              |            |
|             | a           |             |              |            |
|             | cquisition. |             |              |            |
|             |             |             |              |            |
|             | u\. Joint   |             |              |            |
|             | Venture     |             |              |            |
|             | C           |             |              |            |
|             | onstruction |             |              |            |
|             | Program     |             |              |            |
|             | (JVCP) --   |             |              |            |
|             | negotiate   |             |              |            |
|             | JVCP        |             |              |            |
|             | Agreement   |             |              |            |
|             | and issue   |             |              |            |
|             | funding for |             |              |            |
|             | initial     |             |              |            |
|             | equipment   |             |              |            |
|             | for         |             |              |            |
|             | tribally    |             |              |            |
|             | provided    |             |              |            |
|             | and owned   |             |              |            |
|             | health      |             |              |            |
|             | center.     |             |              |            |
|             |             |             |              |            |
|             | t\. Small   |             |              |            |
|             | Ambulatory  |             |              |            |
|             | Program     |             |              |            |
|             | (SAP) --    |             |              |            |
|             | until       |             |              |            |
|             | completed,  |             |              |            |
|             | continue to |             |              |            |
|             | monitor     |             |              |            |
|             | tribal      |             |              |            |
|             | c           |             |              |            |
|             | onstruction |             |              |            |
|             | projects    |             |              |            |
|             | receiving   |             |              |            |
|             | FY 2001, FY |             |              |            |
|             | 2002, and   |             |              |            |
|             | FYP 2003    |             |              |            |
|             | awards.     |             |              |            |
|             | With tribal |             |              |            |
|             | co          |             |              |            |
|             | nsultation, |             |              |            |
|             | update      |             |              |            |
|             | adm         |             |              |            |
|             | inistration |             |              |            |
|             | procedures  |             |              |            |
|             | and solicit |             |              |            |
|             | FY 2005 SAP |             |              |            |
|             | a           |             |              |            |
|             | pplications |             |              |            |
|             | for         |             |              |            |
|             | tribally    |             |              |            |
|             | owned       |             |              |            |
|             | health      |             |              |            |
|             | center      |             |              |            |
|             | projects.   |             |              |            |
|             |             |             |              |            |
|             | u\. Dental  |             |              |            |
|             | Facilities  |             |              |            |
|             | Program --  |             |              |            |
|             | using FY    |             |              |            |
|             | 2005        |             |              |            |
|             | funding,    |             |              |            |
|             | provide     |             |              |            |
|             | additional  |             |              |            |
|             | dental      |             |              |            |
|             | units.      |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **CO        |             |             |              |            |
| NSULTATION, |             |             |              |            |
| PA          |             |             |              |            |
| RTNERSHIPS, |             |             |              |            |
| CORE        |             |             |              |            |
| FUNCTIONS,  |             |             |              |            |
| AND         |             |             |              |            |
| ADVOCACY    |             |             |              |            |
| INDICATORS  |             |             |              |            |
| C**         |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **C         |             |             |              |            |
| onsultation |             |             |              |            |
| Improvement |             |             |              |            |
| Indicator** |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[37.]{    | Eliminated  | Eliminated  | Eliminated   | Dave       |
| .underline} | effective   | effective   | effective FY | Byington,  |
| C           | FY 2005.    | FY 2005.    | 2005         | OTP/OD,\   |
| onsultation |             |             |              | 30         |
| Process     |             |             |              | 1-443-1104 |
| Im          |             |             |              |            |
| provement** |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **Adm       |             |             |              |            |
| inistrative |             |             |              |            |
| Efficiency, |             |             |              |            |
| Eff         |             |             |              |            |
| ectiveness, |             |             |              |            |
| and         |             |             |              |            |
| Acc         |             |             |              |            |
| ountability |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[38. CHS  | Eliminated  | IHS will    | Eliminated   | Clayton    |
| Procurement | in FY 2005  | develop a   | effective FY | Old Elk    |
| Impro       | due to the  | new         | 2005         |            |
| vement:]{.u | Medicare    | indicator   |              | Brenda     |
| nderline}** | Mo          | for FY      |              | Jeanotte,  |
| Improve the | dernization | 2006.       |              | ORAP/DCC,  |
| level of    | Act that    |             |              | 30         |
| Contract    | makes CHS   | Eliminated. |              | 1-443-2694 |
| Health      | negotiated  |             |              |            |
| Service     | contracts   |             |              |            |
| (CHS)       | obsolete.   |             |              |            |
| procurement |             |             |              |            |
| of          | **Moves to  |             |              |            |
| inpatient   | Treatment   |             |              |            |
| and         | group in FY |             |              |            |
| outpatient  | 2006.**     |             |              |            |
| hospital    |             |             |              |            |
| services    |             |             |              |            |
| for         |             |             |              |            |
| routinely   |             |             |              |            |
| used        |             |             |              |            |
| providers   |             |             |              |            |
| under       |             |             |              |            |
| contracts   |             |             |              |            |
| or rate     |             |             |              |            |
| quote       |             |             |              |            |
| agreements  |             |             |              |            |
| at the      |             |             |              |            |
| IHS-wide    |             |             |              |            |
| reporting   |             |             |              |            |
| level.      |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| 39\.        | By the end  | Eliminated  | Eliminated   | Nat Cobb,  |
| **[Public   | of FY 2005, | effective   | effective FY | OPHS/Epi,  |
| Health      | the IHS     | FY 2006.    | 2006         |            |
| Infrast     | will have   |             |              | 50         |
| ructure]{.u | completed a |             |              | 5-248-4132 |
| nderline}** | systematic  |             |              |            |
| Assure      | assessment  |             |              |            |
| appropriate | of the      |             |              |            |
| adm         | public      |             |              |            |
| inistrative | health      |             |              |            |
| and public  | inf         |             |              |            |
| health      | rastructure |             |              |            |
| inf         | for         |             |              |            |
| rastructure | H           |             |              |            |
| is in place | eadquarters |             |              |            |
| in response | in an       |             |              |            |
| to agency   | additional  |             |              |            |
| reo         | three Area  |             |              |            |
| rganization | Offices.    |             |              |            |
| and         |             |             |              |            |
| acc         |             |             |              |            |
| ountability |             |             |              |            |
| re          |             |             |              |            |
| quirements. |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **40.       | Eliminated  | Eliminated  | Eliminated   |            |
| Compliance  | in FY 2004. | effective   | effective FY |            |
| Plans:**    |             | FY 2004.    | 2004         |            |
+-------------+-------------+-------------+--------------+------------+
| **41.       | Eliminated  | Eliminated  | Eliminated   |            |
| Tribal SD   | in FY 2004. | effective   | effective FY |            |
| Process**:  |             | FY 2004.    | 2004         |            |
+-------------+-------------+-------------+--------------+------------+
| **Quality   |             |             |              |            |
| of Work     |             |             |              |            |
| Life and    |             |             |              |            |
| Staff       |             |             |              |            |
| Retention   |             |             |              |            |
| Group**     |             |             |              |            |
+-------------+-------------+-------------+--------------+------------+
| **[42.      | During FY   | During FY   | **TBD**      | Jess       |
| Schola      | 2005, the   | 2006, IHS   |              | Brien,     |
| rships:]{.u | IHS will    | will        |              | OPHS/DHP,\ |
| nderline}** | increase    | increase    |              | 30         |
| Assess      | its         | its         |              | 1-443-2545 |
| scholarship | efficiency  | efficiency  |              |            |
| program for | in placing  | in placing  |              |            |
| placement   | Health      | Health      |              |            |
| and         | Profession  | Profession  |              |            |
| efficiency. | Scholarship | Scholarship |              |            |
|             | recipients  | recipients  |              |            |
| EFFICIENCY  | in Indian   | in Indian   |              |            |
| MEASURE.    | health      | health      |              |            |
|             | settings    | settings    |              |            |
|             | within 90   | within 90   |              |            |
|             | days of     | days of     |              |            |
|             | graduation  | graduation  |              |            |
|             | by 2% over  | over the    |              |            |
|             | the         | established |              |            |
|             | established | FY 2004     |              |            |
|             | FY 2004     | baseline.   |              |            |
|             | baseline.   |             |              |            |
|             |             | **Moves to  |              |            |
|             | **Moves to  | Treatment   |              |            |
|             | Treatment   | Group in    |              |            |
|             | Group in    | 2006**      |              |            |
|             | 2006**      |             |              |            |
+-------------+-------------+-------------+--------------+------------+