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Program Data

Government Performance and Results Act (GPRA)

The Government Performance and Results Act, known as GPRA, was enacted by Congress in 1993. GPRA mandates that federal agencies clearly define annual program goals and objectives and publish an Annual Performance Report showing actual results compared to each annual performance goal. In order to be in compliance with the GPRA, the Children’s Hospitals Graduate Medical Education (CHGME) Payment Program collects information on a series of measures in its annual performance plan. For the CHGME Payment Program the focus has been on three measures: (1) an outcome measure to maintain the number of FTE residents in GME training to ensure a supply of physicians that will provide medical care to children; (2) a process measure designed to ensure continued assessments of the number FTE residents being claimed for the Federal GME support; and (3) an efficiency measure designed to capture the fact that the Federal GME payments are made on time.  The outcome data associated with these measures are published each year as part of the President’s Budget.

Since the inception of the CHGME Payment Program, freestanding children’s hospitals have increased the number of FTE residents receiving GME training in their institutions.  The following table summarizes the data provided by these hospitals as part of their reporting for GPRA in FY 2011.  The data shows that there are three groups of residents being trained:  pediatric residents with a focus on primary care, residents training in pediatric subspecialties and non-pediatrics residents.  Non-pediatric residents are training in these children’s hospitals to gain exposure to and acquire clinical skills associated with the care of children.

From FY 2001 to FY 2011, the CHGME Payment Program has seen a significant increase in the number of FTE residents supported by or rotating in freestanding children’s hospitals.  From FY 2001 to FY 2011 there has been a 18.6 percent increase in pediatric residents, an 36 percent increase in subspecialty pediatric residents, and a 62 percent increase in the number of non-pediatric residents. The largest numbers of residents are training in the field of primary care (pediatrics).

Residents Enrolled in Approved Residency Programs Supported by or Rotating at the Children’s Hospital from
FY 2001 to FY 2011