Document Type



This project was developed to create a basis for an on-going equitable and uniform system which would accomplish two objectives: 1) one to monitor the performance of these Health Systems and 2) to identify needs for technical assistance to these Health Systems by Indian Health Service (IHS) Area Offices. The purpose of this study is: 1) to obtain in more comprehensive data in order to effectively respond to questions asked of the IHS by the Health Resources and Services Administration (HRSA), the Congress, the Office of Management and Budget, the General Accounting Office, and others regarding the range of health services provided by Tribes and Tribal organizations and 2) to provide IHS Headquarters, Tribes and IHS Area Offices information to use in making management improvements. Information was reported on a voluntary basis by Tribes and Tribal organizations. Information is presented in the following categories: 1) nature of Tribal Programs; 2) type of contractual award instruments; 3) service population; 4) availability of services; 5) service workload; 6) costs per unit of service; 7) staffing; 8) administration; 9) information systems; 10) tribal manager perceptions; and 11) IHS Area manager perceptions. Recommendations are provided based on the findings of the study.

Publication Date



Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857 (RT-07).