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GPRA/GPRAMA RESOURCE GUIDE Government Performance and Results Act (GPRA)

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GPRA/GPRAMA RESOURCE GUIDE Government Performance and Results Act (GPRA) Tips and Tools for Improving GPRA! GPRA/GPRAMA RESOURCE GUIDE Government Performance and Results Act (GPRA) VERSION 4 : UPDATED for 2015 GPRA Year CALIFORNIA AREA INDIAN HEALTH SERVICE 650 Capitol Mall, Suite 7-100 Sacramento, CA 95814 Phone: 916-930-3927 FAX: 916-930-3953 Email: [email protected] GPRA/GPRAMA Resource Guide Version 4.0 (FY 2015) The Government Performance and Results Act (GPRA) is a federal law requiring agencies to demonstrate that they are using their funds effectively toward meeting their missions. The GPRA Modernization Act (GPRAMA) strengthens GPRA by requiring federal agencies to use performance data to drive decision making. The Indian Health Service reports data for 21 annual clinical GPRA measures (4 of which are classified as GPRAMA measures) and one long-term GPRA measure. 20 of these measures have annual targets at the Area and site level. This resource guide was developed to assist clinic staff with improving care at their clinic as well as improving performance on the clinical GPRA measures. Included in this guide are the following resources, instructions, and informational materials to assist your program: California Area Office Contacts: • CAO Office of Public Health Contacts Intro to GPRA/GPRA 101: • Important Websites for GPRA • GPRA 101 for Patients flyer • GPRA for Providers flyer • GPRA numerator and denominator definitions Cheat Sheet • Provider Article – March 2012: Intro to GPRAMA • Provider Article – Jan 2012: Strategies of Sites Meeting All GPRA Measures Data Entry: • PCC Data Entry Cheat Sheet *Updated! • EHR Data Entry Cheat Sheet *Updated! CRS Tools: • Instructions for Running the National GPRA & PART Report *Updated! • Instructions for Running the National GPRA Dashboard *Updated! o Example of National GPRA Dashboard • Instructions for Running a Patient List in CRS *Updated! • Instructions for Updating Medication and Lab Taxonomies HIV Tools and Resources: • Prenatal HIV Screening Package o Tips for Improving HIV Screening Rates o Prenatal HIV Screening measure logic o Notification of Prenatal HIV Screening form o HIPAA Privacy Authorization Form • Article - Integrating Clinical Decision Support to Increase HIV and Chlamydia Screening *New! CAO Trainings, Calls, & Conferences: • FY 2015 California GPRA Monthly Webinar flyer *Updated! GPRA/GPRAMA Resource Guide Version 4.0 (FY 2015) • Instructions for joining the California GPRA/GPRAMA Portal • FY 2015 California Providers Best Practices & GPRA Measures Continuing Medical Education Save the Date Flyer *Updated! Immunizations: o Tips for improving immunization coverage/ Helpful Links Behavioral Health Screening Tools: o Central Valley’s Health Screening Form (Depression Screening, DV/IPV Screening, FAS Screening, and Tobacco Screening) o Sample Behavioral Health Screening Tool (Depression Screening, Alcohol Screening, and DV/IPV Screening) o Northern Valley’s Behavioral Health Screening Tri-fold (Depression Screening, Alcohol Use Screening, and Intimate Partner/Domestic Violence Screening) Shared Tools and Resources: (These are tools used at some of the California Area Indian health programs that they have allowed us to share with all California programs): o Central Valley’s Diabetes/Hypertension medication form o Central Valley’s Standing Orders o Santa Barbara’s Comprehensive Assessment Form o Northern Valley’s Chart Audit Tool o Northern Valley Quality Improvement Calendar o Lake County’s Standing Orders for Diabetic Patients Shared Best Practices: • From Monthly California Area webinars: o Shared Tips for Improving Nephropathy Assessment rates o Mammography Best Practices o Alcohol Screening Best Practices o Influenza Vaccination Best Practices o Breastfeeding Best Practices o Retinopathy Screening Best Practices • Article – 2013: Use of Electronic Clinical Reminders to Increase Preventive Screenings in a Primary Care Setting *New! If you have any questions about this guide or the materials within, please contact the GPRA Team at the California Area Office at [email protected]. California Area Office of Public Health Contacts Contact Email Phone Number Behavioral Health Dawn Phillips, RN, CDE [email protected] 916-930-3981 ext 331 Dental Steve Riggio, DDS [email protected] 916-930-3981 ext 322 Diabetes Helen Maldonado, PA-C [email protected] 916-930-3981 ext 332 EHR & Telemedicine Steve Viramontes, PHN [email protected] 916-930-3981 ext 359 Health Promotion Beverly Calderon, RD, CDE [email protected] 760-735-6884 Disease Prevention IT/Data Entry IT Help Desk [email protected] 916-930-3981 ext 353 Meaningful Use & Marilyn Freeman, RHIA [email protected] 916-930-3981 ext 362 Vista Imaging Medical Records & Marilyn Freeman, RHIA [email protected] 916-930-3981 ext 362 HIPAA Compliance Amy Patterson, PhD [email protected] 916-716-6929 Christine Brennan, MPH [email protected] 916-930-3981 ext 333 National GPRA Support Team ([email protected]) CDR Wendy Blocker, MSN [email protected] 916-930-3981 ext 308 Rachel Pulverman [email protected] 916-930-3981 ext 361 Nursing & Immunizations Susan Ducore, RN, BSN, MSN, PHN [email protected] 916-930-3981 ext 323 INDIAN HEALTH SERVICE 650 Capitol Mall, Suite 7-100 Phone: 916-930-3927 CALIFORNIA AREA OFFICE Sacramento, CA 95814 Fax: 916-930-3953 E-mail: [email protected] Important Websites Clinical Reporting System: http://www.ihs.gov/cio/crs/ • Current measure logic • CRS User Manual • Software update information • GPRA Reporting Instructions and Due Dates • Performance Improvement Toolbox – contains clinical measure information, screening tools, guidelines, and other useful tools California Area Indian Health Service: http://www.ihs.gov/california/ • California Area Office (CAO) contacts • CAO Training Calendar • CAO Portals o Site Managers Portal o GPRA/GPRAMA Portal o Dental Portal • Health Program listing and locations • Important News and Announcements • Government Performance and Results Act (GPRA) Page o California Area and National Results and Publications o Best Practices Conference Presentations and Materials o GPRA Bulletins • Clinical Management Information for Dental, Behavioral Health, Information Resource Management, Nursing, Diabetes, Health Promotion and Disease Prevention, Immunizations, HIPAA, EHR, and Improving Patient Care Initiative Understanding the Government Performance and Results Act (GPRA) What is GPRA? GPRA data answers the following about the entire . Diabetes population served by the IHS: GPRA is a Federal law. It shows Congress how Are patients with diabetes having their blood well the Indian Health Service (IHS) is doing in . Immunizations sugar levels and blood pressures checked and providing health care services to American are they within normal levels? Indians and Alaska Natives who use IHS Are young children receiving the federal, tribal, and urban health facilities. IHS immunizations they need by 3 years of age? Are patients with diabetes getting their collects data and reports data to Congress on This includes: cholesterol levels, kidney function, and eyes over 20 clinical GPRA measures every year. checked regularly? .4 DTaP (Diphtheria-Tetanus-Pertussis) .3 IPV/OPV (injected or oral Polio) . Cancer Screening .1 MMR (Measles-Mumps-Rubella) What are GPRA measures? .3 Hepatitis B Are women ages 21-64 years old getting a Pap .3 Hib (Haemophilus Influenzae type b) smear at least every 3 years and women ages GPRA measures are indicators of how well the .1 Varicella (Chicken Pox) 52–64 years old getting a mammogram at agency has provided clinical care to its patients. .4 doses of Pneumococcal least every 2 years? Overall, they measure how well the IHS has done in the prevention and treatment of certain diseases, Are adults 65+ receiving an annual flu shot? Are all adults ages 51–80 years old being and the improvement of overall health. Have they received at least one pneumococcal checked for colorectal cancer? shot? . Behavioral Health Does GPRA mean my health .Dental Care Are all adult patients being screened for information is made public? Do all patients have a yearly dental visit? depression? How many topical fluorides and dental sealants No! Clinics never share any individual patient have been placed in patients in the past year? Are women being screened for domestic health data, and only national rates are reported to violence and alcohol use (to prevent birth Congress. The point of GPRA is to assess how .Prenatal Care complications like Fetal Alcohol Syndrome)? well IHS is providing for all of its patients. Have all pregnant women received an HIV Are tobacco-using patients being offered test? counseling to quit? GPRA provides information about how the IHS cares for you, your family, and your community. What Can You Do To Help? . Ask your health care provider if you GPRA 101 are due for any screenings, tests, or immunizations and check to make For Patients sure appointments are scheduled for your medical needs. GPRA: Government . Make sure your provider takes your height and weight measurements at Performance and Results least once a year. Act . Tell your provider about your health habits (examples: alcohol use and/or smoking). How does GPRA affect me, . Tell your provider about any tests/procedures/ immunizations you my family, and my had at a clinic other than where you normally receive care. For example, tell community? the provider about the colonoscopy you had five years ago at your prior facility. The Department of Health and Human Services is the principal agency for protecting the health of all Americans. Make sure you arrive on time for your appointments whenever possible and call to reschedule if you cannot make it Distributed by the so the appointment can be used by Indian Health Service/California Area Office someone else. 650 Capitol Mall Suite 7-100 . Take care of yourself! Ask your Sacramento, CA 95814 providers for tips on healthy eating and (916) 930-3927 FAX (916) 930-3952 healthy habits. GPRA Government Performance and Results Act Understanding the Government Performance and Results Act (GPRA) WHAT IS GPRA AND HOW DOES IT AFFECT ME? Introduction to GPRA for Providers and Clinic Staff What is GPRA? The Government Performance and Results Act (GPRA) is a federal law.
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