Researchers have raised a number of questions about whether student achievement data can be used fairly or accurately for purposes of teacher evaluation. Others have noted that achievement data alone cannot provide teachers with the information they need to improve their practice. Recognizing these limitations, the federal government and many…

Six Indian Health Service (IHS) units, chosen in a non-random manner, were evaluated via a quality assessment methodology currently under development by the IHS Office of Research and Development. A set of seven health problems (tracers) was selected to represent major health problems, and clinical algorithms (process maps) were constructed for…

Describing the methodology by which the quality of ambulatory health care in the Indian Health Service (IHS) might be measured, this report presents a brief review of the literature; discusses design decisions basic to the methodology; presents a pilot study; and presents examples of process maps, indicators and adult criteria, and data collection…