Implementing the Integrated Data Collection System project to efficiently satisfy federal reporting regulations and allow the Indian Health Service to identify and track additional performance measures and improve patient care.
Client: Indian Health Service
The Indian Health Service (IHS), which is the principal federal healthcare provider for American Indians and Alaska Natives, reports to the US Office of Management and Budget and US Congress on performance measures as required under the Government Performance and Results Act (GPRA). The law requires that federal agencies such as the IHS demonstrate effective use of funds toward fulfilling their missions. Along with its annual budget requests, the IHS submits annual performance plans and reports for more than 20 annual clinical performance measures. The performance plans and reports were previously developed manually and often took up to 9 months to complete.
To support the IHS, RESPEC staff implemented an Integrated Data Collection System (IDCS) project that encompasses all of the GPRA measures and allows the IHS to identify and track additional measures. The IDCS system is now operational at the IHS and is the sole means of delivering these critical reports. The IDCS measures performance metrics based on data entirely from the National Data Warehouse. The performance measures are delivered via the web in numerous predefined reports with slice-and-dice capability. This expanded capability allows the IHS to submit reports up to 6 months earlier than the previous method and dynamically identify trends earlier and periodically. The IHS can then use this information to fulfill its mission by improving patient care while supporting budgetary and reporting requirements.
The IHS recognizes the usefulness of this data system that can improve local management. RESPEC staff are now adding dynamic dashboards to this system to be closer to real time and provide IHS management with additional slice-and-dice scenarios based on contemporaneous data. These scenarios were previously very labor-intensive or difficult to obtain through ad hoc coding to support data mining. These dashboards are expanding the capability of the IDCS to local and area managers to determine the results of clinical and patient quality improvement programs.