Increase the proportion of tribal communities that have a health improvement plan — PHI‑08 Data Methodology and Measurement

About the National Data


Baseline: 32 percent of tribal health organizations had developed a community health improvement plan within the last five years in 2019

Target: 36.7 percent


Number of tribal health organizations with a health improvement plan created within the last 5 years


Total number of tribal health organizations responding to the survey

Target-setting method

Percentage point improvement

Target-setting method details
Percentage point improvement from the baseline using Cohen's h effect size of 0.10.
Target-setting method justification

Trend data were not available for this objective. A percentage point improvement was calculated using Cohen’s h effect size of 0.1. This method was used because the Healthy People 2030 Workgroup Subject Matter Experts viewed this as an ambitious, yet achievable target based on the current levels of activity in tribal health organizations.


Methodology notes

The National Indian Health Board (NIHB), through partnership and support from a cooperative agreement with the Centers for Disease Control and Prevention (CDC) completed the Public Health in Indian Country Capacity Scan (PHICCS) to describe the current state of public health services as a valuable tool for Indian Country to identify needs and strengths of Tribal public health to measure progress over time, to allocate staff and resources where they are most needed, and to provide data for decision making related to infrastructure, programs, and resources for the system overall.

The PHICCS questionnaire included 129 questions of various types, aimed at collecting information on the overall capacity of the public health system and infrastructure in Indian Country. The questions are themed and categorized according to five key areas: Tribal public health authority, Tribal public health activities, Tribal public health assessment, performance improvement and accreditation activities, Tribal public healh workforce, and Tribal public health priorities and needs.

A critical aspect of public health infrastructure assessment is monitoring the status of health improvement plans at the State, territorial, local and Tribal levels. The PHICCS survey used the same question language for and definition of “health improvement plan” as did surveys to state, local, and territorial health departments, so that this is defined in a consistent way: “A health improvement plan is a long-term, systematic effort to address health problems on the basis of the results of a community needs assessment. This plan is used by health and other governmental education and human service agencies, in collaboration with community partners, to set priorities and coordinate and target resources.”

Tribal health organizations that responded “yes within the past five years” to the survey question were counted in the numerator. The denominator is determined by the number of respondents to this item of the survey.


Comparable HP2020 objective

Related, which includes objectives that have the same or a similar intent to either a measurable or developmental/archived objective in HP2020.

Revision History

This objective was recategorized from developmental objective PHI-D06 to a core objective in 2022.