ExpectMore.gov lists four rated are

ExpectMore.gov lists four rated areas of IHS: federally administered activities (moderately effective), healthcare-facilities construction (effective), resource- and patient-management systems (effective), and sanitation-facilities construction (moderately effective). All federally recognized Native American and Alaska Natives are entitled to health care. This health care is provided by the Indian Health Service, either through IHS-run hospitals and clinics or tribal contracts to provide healthcare services.[4]

IHS-run hospitals and clinics serve any registered Indian/Alaska Native, regardless of tribe or income. Tribal-contract health care facilities serve only their tribal members, with other qualified Indians/Alaska Natives being offered care on a space-available basis. This policy makes it difficult for an Indian who leaves their tribal home for education or employment to receive health care services to which they are legally entitled. An IHS fact sheet clarifies that Indians are also eligible to apply for low-income health care coverage provided by state and local governments, such as Medicaid. IHS 2007 third-party collections were $767 million, and estimated to be $780 million in 2008.[5]

Some of those who are served by the system are not satisfied with the efficiency of IHS. A contributor to Indianz.com, a website for Native American news, feels that Native Americans are "suffering" at the hands of IHS.[6] She feels IHS is underfunded, and necessary services are unavailable. Others have concerns that the restrictions of the Indian-preference policy do not allow for the hiring of the most highly qualified health professionals and administration staff, so quality of care and efficiency of administration suffer.[citation needed]

IHS also hires Native/non-Native American interns, who are referred to as "externs"; one position available every summer at area offices is the Engineering Externship. Participants are paid according to the GS pay-grade system, which is beneficial for college students. Their GS level is determined according to credit-hours acquired from an accredited college. Engineering Extern participants generally practice field work as needed and office work.

Results (English) 3:

expectmore.gov表四额定地区IHS：联邦管理活动（适度有效），医疗设施建设（有效），资源和病人管理系统（有效），卫生设施建设（适度有效）。所有联邦政府承认的印第安人和阿拉斯加土著人享有卫生保健。这种卫生保健是由印度卫生服务提供，或者通过IHS跑医院、诊所或部落的合同提供医疗服务。[ 4 ]

IHS跑医院和诊所提供任何注册印第安人/阿拉斯加原住民，无论部落或收入。部落契约的医疗设施只为他们的部落成员服务，与其他合格的印第安人/阿拉斯加当地人提供照顾的空间可用的基础上。这项政策使得一个印度人离开他们的部落家庭教育或就业，以获得医疗保健服务，他们在法律上有权是困难的。IHS的事实阐明了印度人也有资格申请低收入医疗保险由国家和地方政府提供，如医疗补助。IHS 2007个第三方收集767000000美元，并预计将在2008美元780000000。[ 5 ]

那些服务的系统不满意效率IHS。对indianz.com贡献，一个美国本土的新闻网站，认为美国人是“苦难”在IHS的手。[ 6 ]她觉得IHS是资金不足，以及必要的服务不可用。另一些人则担心，印度的偏好政策的限制，不允许雇用最高素质的卫生专业人员和管理人员，所以，服务质量和行政效率受到影响。[引文需要]

IHS还雇用本地/非美国本土的实习生，谁被称为“名”；一位可在每年夏季地区办公室是工程实习。参与者根据GS工资等级工资制度，有利于大学生。他们的GS水平是根据学分由认可大学获得的确定。工程外部参与者普遍实践领域的工作需要和办公室工作。