Indian Health Service (IHS) 2009 National Healthcare Quality and Disparities ReportsThe National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness. Data Sources—Indian Health Service (IHS)National Patient Information Reporting System (NPIRS)SponsorU.S. Department of Health and Human Services, Indian Health Service.DescriptionNPIRS is the national data repository for all IHS health care data on all patient registration and all visit encounters. NPIRS data are derived from various government and commercial health care information systems that are largely transaction-based systems used to support patient care. � The National Data Warehouse (NDW) is an upgraded version of NPIRS.Primary ContentAll registration records (all dates) and all encounter records (dated October 1, 2000, to the present). Registration tables contain patient information, including name, demographic data, medical chart data, aliases, and insurance eligibility data. Encounter tables contain encounter information, including location of treatment, clinic, provider, medications, and diagnosis codes.Population TargetedNPIRS collects data on approximately 1.9 million American Indians and Alaska Natives who belong to 562 federally recognized tribes in 35 States.Demographic DataAge, gender, and Indian status.Years Collected1997 to present.ScheduleAnnual.Geographic EstimatesNational IHS service area estimates (Aberdeen, Alaska, Albuquerque, Bemidji, Billings, Nashville, Navajo, Oklahoma, Phoenix, and Tucson, excluding Portland and California service areas).NotesSince no IHS inpatient facilities are located in either the Portland or California service areas, hospitalizations from these regions are not present in the data; the denominator was correspondingly reduced.Contact InformationAgency home page: http://www.ihs.gov. Current as of March 2010 Internet Citation: Indian Health Service (IHS): 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/datasources/ihs.html