Hawke's Bay DHB planning and performance general manager Andrew Lesperance said the DHB had worked with Health Hawke's Bay to improve on targets.
"There have been some gains, which we and Health Hawke's Bay are pleased with, but there is a long way to go particularly around identifying smokers and offering them advice to quit," he said.
Mr Lesperance said vaccination figures had dropped slightly, which was probably due to the seasonal variance of the summer months, because fewer people got vaccinated than during the winter months.
Overall the region was performing well with vaccination rates and the DHB was one of the top-performing district health boards in the country for the vaccination levels of its 2-year olds, he said.
"A concerted effort to improve on these results with a strong DHB and PHO focus on the overall health and wellbeing of our community should see a trend upwards in vaccinations, cardiovascular risk assessments and helping smokers quit."
Mr Ryall said the league tables showed PHOs were supporting GPs to improve the health of New Zealanders, and where improvements were needed.
He said releasing the league tables provided "healthy competition" for the country's PHOs.
"What we've found with releasing the health targets of district health boards is performance has improved and patients are benefiting from better health services.
"There is nothing like a bit of healthy competition to improve results."
PHOs are funded by district health boards to provide health care services through general practices to patients who are registered with them.