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Thursday, May 23, 2013
The Indian Health Service (IHS) Resource and Patient Management System (RPMS) is a comprehensive health information system (HIS) created to support the delivery of high quality health care to American Indians and Alaska Natives who attend several hunThe Indian Health Service (IHS) Resource and Patient Management System (RPMS) is a comprehensive health information system (HIS) created to support the delivery of high quality health care to American Indians and Alaska Natives who attend several hundred Federal, Tribal, and Urban facilities nationwide. RPMS is critical to IHS operations and integrates practice management, medical, behavioral health, population health and performance reporting functions into a fully capable electronic health record (EHR) suite. RPMS evolved alongside the Veterans Administration's acclaimed VistA HIS but occupies a unique place as the only system designed specifically to support the direct care and public health mission of the IHS. RPMS aligns with the Administration's commitment to promoting the adoption of EHRs due to their ability to improve health outcomes and decrease costs. RPMS supports the Health Information Technology for Economic and Clinical Health Act (HITECH) by establishing interoperability through the electronic sharing of information with states, interoperability with commercial labs, and electronic communication among medical staff participating in patient care. RPMS supports HHS Goal 1 Objective F by providing a Meaningful Use Certified EHR and empowering the patient with personal health information. The RPMS EHR is certified as a complete EHR for ambulatory and inpatient settings according to the criteria for Stage 1 Meaningful Use, and is in use at more than 300 sites nationwide. IHS is progressing in the full implementation of the Nationwide Health Information Network (NwHIN) gateway, supporting HIT Principle 3. RPMS is in the mixed lifecycle phase; much of the suite is in operations and maintenance, while enhancements are being developed for the Meaningful Use Stage 2 EHR Certification and ICD-10 conversion. RPMS continues to invest in maintenance, including protecting the privacy and security of information, supporting HIT Principle 5. RPMS has incorporated open source software, maintaining an effective system with low cost, supporting HIT Principle 4. As a high-quality, low-cost public domain system, RPMS has also proven attractive to private and public sector health care entities outside of IHS. RPMS is dependent upon the IHS Infrastructure, Office Automation, and Telecommunications (IOAT) Investment as it provides the physical computer and networking systems and support on which RPMS is operated. More..
FY2013 (CY) Spending
Time frame of Investment
1984 - 2020
No change in status
Indian Health Services
Based on the current cost, schedule, and/or operational performance of this investment and the timeliness of data entry, this investment has been asseBased on the current cost, schedule, and/or operational performance of this investment and the timeliness of data entry, this investment has been assessed as '5 - Low Risk' by the HHS CIO. More..
Number of Projects
|Project Name||Project Life Cycle Costs||Cost Variance||Schedule Variance|
|ICD-10 Transition||$9.98 M|
|Metric Description||Frequency||Unit of Measure||FY2013 Target||Most Recent Actual||Met/Not Met||Updated Date of Most Recent Actual|
|Average days in accounts receivable for small ambuAverage days in accounts receivable for small ambulatory clinics More..||Quarterly||NumberNumber||72||45||Met||2013-03-31|
|Percentage of classroom attendees surveyed rated aPercentage of classroom attendees surveyed rated an 80% satisfaction level or better with Trainer More..||Quarterly||PercentagePercentage||80||88||Met||2012-12-31|
|Percentage of National OIT Help Desk Tickets for Percentage of National OIT Help Desk Tickets for RPMS Closed Within 30 Days of Creation More..||Monthly||PercentagePercentage||75||62||Not Met||2013-02-28|
|Percentage of patients identified by RPMS ClinicalPercentage of patients identified by RPMS Clinical Decision Support logic as at-risk who have a comprehensive assessment for all Cardiovascular Disease-related risk factors More..||Semi-Annual||PercentagePercentage||32.3||19.8||Not Met||2012-12-31|
|Percentage of adults ages 18 and over as identifiePercentage of adults ages 18 and over as identified by RPMS Clinical Decision Support tools who are screened for depression. More..||Semi-Annual||PercentagePercentage||53.2||45.6||Not Met||2012-12-31|
|Percentage of federal hospitals that have receivedPercentage of federal hospitals that have received all software requirement updates and are eligible to attest for Meaningful Use More..||Semi-Annual||PercentagePercentage||92||86||Not Met||2013-03-31|
|General InformationGeneral Information||www.ihs.gov|
The () symbol indicates the link is broken or not publicly available.
|Does the investment have any activities with a planned duration greater than a year?:||Yes|
|Planned duration of the longest activity (days):||845|
|Average planned duration of in-progress and future activities (days):||378|
|Planned cost of one activity is greater than 25% of total planned cost of all activities?:||No|
|Number of contracts applying modular development principles:||6|
All activity calculations assess only activities with no related child activities.
Note: All descriptions, dates, and costs are as reported by agencies.
This section includes details about the organizations and leadership responsible for the performance of this investment. Many of the details included in the IT Dashboard are based on the agency’s Exhibit 300 (also known as a Business Case), submitted to the Office of Management and Budget. Access this document by clicking View Exhibit 300. Performance Metrics established by the agency can also be viewed here.
The agency CIO evaluates every investment and assigns a score from 1-5. Visit the FAQs for details on the factors CIOs use to rate an investment.
Cost variance is calculated as the variance between the actual costs of an investment’s activities and their planned costs to date in dollars as a percentage of the activities’ total costs. Visit the FAQs for details on how the IT Dashboard calculates Cost variance.
Schedule variance is calculated as the variance between the investment’s planned and actual progress so far, in days as a percentage of the scheduled work so far. Visit the FAQs for details on how the IT Dashboard calculates Schedule variance.
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