Electronic Publication for: Products and services guide, 2012-2013. H115-46/2013E-PDF - http://publications.gc.ca/collections/collection_2012/icis-cihi/H115-46-2013-eng.pdf

Electronic Publication for: Products and services guide, 2012-2013. H115-46/2013E-PDF - http://publications.gc.ca/collections/collection_2012/icis-cihi/H115-46-2013-eng.pdf
Products and Services Guide, 2012–2013
About CIHI
Our Vision
Better data. Better decisions.
Healthier Canadians.
Our Mandate
To lead the development and
maintenance of comprehensive
and integrated health information
that enables sound policy and
effective health system management
that improve health and health care.
Our Values
Respect, Integrity, Collaboration,
Excellence, Innovation
Table of Contents
Introduction ................................................................................................................................... 1
Theme Descriptions ...................................................................................................................... 2
Core Plan Administration .............................................................................................................. 5
Types of Care ............................................................................................................................. 11
Health Services ..................................................................................................................... 13
Primary Health Care Information and Clinical Registries ...................................................... 27
Health System Performance ....................................................................................................... 33
Health System Analysis and Emerging Issues...................................................................... 35
Spending and Health Workforce ................................................................................................. 37
Health Expenditures .............................................................................................................. 40
Health Professions ................................................................................................................ 41
Factors Influencing Health .......................................................................................................... 49
Standards and Data Submission ................................................................................................ 53
Case Mix ............................................................................................................................... 56
MIS Standards ...................................................................................................................... 62
Appendix ..................................................................................................................................... 65
Introduction
Introduction
Welcome to the Products and Services Guide, 2012–2013 from the Canadian Institute for
Health Information (CIHI). We produce this annual publication to highlight the most recent
products and services (from 2010–2011 to 2012–2013) that are available to you, our
valued customers.
Home to 27 databases, CIHI is proud to be a leading source of unbiased, credible and
comparable health information. We collect, store, analyze and disseminate health data in
accordance with one of the strongest privacy, security and data quality programs in Canada.
This enables us to protect the confidentiality and security of our collective data.
CIHI regularly develops and evaluates long- and short-term strategic plans to guide the work
we do as we support you in meeting current and future health care–sector challenges. CIHI’s
analytical plan ensures that our reports and products give you access to the type of health
information you need to make better decisions. In addition, our data plan ensures that the
quality of the information in our data holdings is suited to its intended uses and that data users
are provided with good information about data quality. In addition to our data holdings, we offer a range of reports, analyses, publications, data
standards and education workshops, all of which help inform your decisions about the health
care system and the health of Canadians.
To serve you better, we have organized the Products and Services Guide using the following
health care themes:
•
Types of Care
•
Health System Performance
•
Spending and Health Workforce
•
Factors Influencing Health
•
Standards and Data Submission
You will find a description of each theme on the next page.
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Products and Services Guide, 2012–2013
Theme Descriptions
CIHI’s products and services are organized into five major categories:
Types of Care
Focuses on primary health care, hospital care, community care (including home care,
community care and community mental health services), specialized services (including
mental health and addictions, trauma and injuries, joint replacements, organ replacements
and medical imaging), pharmaceutical care and utilization.
Health System Performance
Focuses on access to health, wait times and quality of care outcomes, or how well health care
services are provided to patients and the outcomes or results of the care that patients receive.
You’ll also find indicators of integration and continuity of care that measure the health of
Canadians and the performance of the health system in Canada.
Spending and Health Workforce
Spending focuses on spending by geography (national, provincial and regional spending) and
spending by category (physician, hospital and drug spending).
Workforce focuses on services provided by our health human resources. This includes services
provided by physicians, nurses and other health care providers.
Factors Influencing Health
Focuses on a variety of factors that influence health. This includes environmental, socioeconomic and lifestyle factors that affect the health of Canadians and our health care system.
Standards and Data Submission
Focuses on providing a framework for collecting and reporting on health information. CIHI is
pleased to continue to lead the evolution and creation of new national health information
management standards.
To make best use of this guide, please refer to our website at www.cihi.ca for more complete
information about our products and services, including availability and pricing.
2
Introduction
Privacy and Security
Privacy impact assessments (PIAs) document, evaluate and address the privacy impacts
of programs and systems. CIHI is committed to completing PIAs on all of its data holdings.
The process is under way. The present guide and our published PIAs are the main sources
of information on our data holdings. For more information, please visit the Privacy section of
CIHI’s website, accessible from the “Privacy” link in the top right-hand corner: www.cihi.ca >
Privacy (hyperlink) > Privacy and Security > Privacy > Privacy Impact Assessments (tab).
CIHI would like to thank all of the hospitals, regional health authorities, governments and health
care practitioners across the country that submit data to us and help inform our in-depth analytic
reports on Canada’s health system and the health of Canadians. Without you, our work would
not be possible.
Publications
CIHI produces a number of publications based on our extensive information holdings and data
analysis activities. These publications address subjects that are topical to a broad audience.
They are used to answer questions about Canadian health care and those factors that affect
good health; they can also act as a starting point for additional research. As well, each year,
CIHI produces Analysis in Brief documents on a wide variety of topics. You can access CIHI’s
publications from the Products section of our website. Where applicable, a listing of publications
is included within each section of this guide.
Subscriber Reports
CIHI produces a number of subscriber reports, such as electronic reports (eReports), which
are derived from our extensive information holdings and data analysis activities. These reports
contain information about data submitted to CIHI by health facilities. Subscribers such as health
facilities predominantly use subscriber reports to review, assess and manage their resources.
These reports are available to Core Plan subscribers on CIHI’s secure website under
Applications > Interactive Tools/Databases. For more information, please see the section
Core Plan Administration in this guide.
Education
CIHI is committed to helping customers use our health information products more effectively.
Our education programs utilize different learning media and methods to enable you to keep
ahead of evolving coding standards, access CIHI’s latest health information, support CIHI’s data
collection and data quality, and interpret and apply information to make informed administrative
and clinical decisions. Further information regarding education is included in each section of the
guide, as applicable. For more information about CIHI’s courses and how to register, please
refer to CIHI’s online Learning Centre at https://learning.cihi.ca.
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Products and Services Guide, 2012–2013
Corporate Electronic Newsletter
Once a month, CIHI publishes Land, our corporate electronic newsletter. Simple to use, it
presents you with CIHI’s latest news and information online and at a glance. Land is meant to
start a conversation; it is about what you need to know—not just what we want to say. To
subscribe, please visit www.cihi.ca/land/Subscription/form/ENEWSLETTER_SUBSCRIPTION.
4
Core Plan Administration
Core Plan Administration
Core Plan and Pricing
Most Canadian health facilities have access to a set of CIHI’s information products and services.
These products and services are part of a Core Plan subscription with CIHI, which is provided
through bilateral agreements between CIHI and ministries of health. In addition, CIHI offers a
number of products and services through the Core Plan at no additional charge to regional
health authorities (or similar) and ministries of health.
In this guide, Core Plan products are designated with CORE. Under the plan, facilities receive
the set of products and services for a fixed price. Customers who are not covered through the
Core Plan pay on a price-per-service basis. Prices are listed on CIHI’s website as either Price A
or Price B. Price A applies to Canadian health facilities, governments, not-for-profit health
agencies, universities, health professionals and researchers from the public sector. Price B
applies to private commercial operations (including but not limited to software vendors and
consultants), foreign customers and others who do not qualify for Price A.
Core Plan subscribers generally have unlimited access, via our website, to standards-related
products that are in PDF and HTML formats. For non–Core Plan customers, prices for these
formats will normally be discounted, compared with the equivalent paper product.
To further increase public awareness of Canada’s health system, CIHI’s publications and
reports containing national health information, available in PDF format on our website, are
offered to all customers at no charge.
Distribution Approach
Health facilities access quantities of Core Plan products and services according to their size
(small, medium or large), which is determined on the basis of the health facility type, the total
number of beds and the annual volume of case abstracts. Some Core Plan products and
services are subject to confidentiality and privacy restrictions.
Facilities can pool resources to improve their access to Core Plan products and services.
This enables any facility in the pool that has been assigned online access to that pool to order
products and services. For example, one pool could consist of one regional health authority,
one large acute care facility, one medium long-term care facility and one small long-term care
facility. With just one username and password, an authorized person from the health authority
or any of the facilities in the pool could log in and place orders for publications or register staff
from any facility in the pool for education sessions. Note that facilities can order a maximum
number of CIHI products and services under Core Plan Pooling; the maximum is equal to the
sum of the Core Plan entitlements for each participating facility. Classroom sizes will also affect
availability. The person placing the order or registering for education sessions can determine
how to best utilize the Core Plan entitlements for each facility. If your organization is interested
in establishing a Core Plan pool, please contact us at [email protected]
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Products and Services Guide, 2012–2013
Core Plan—Acute Care Hospitals
The size of a hospital is based on the total number of beds and the volume of case abstracts
submitted to any one of the following CIHI data holdings: the Discharge Abstract Database
(DAD), the National Ambulatory Care Reporting System (NACRS), the National Rehabilitation
Reporting System (NRS) and the Continuing Care Reporting System (CCRS). Under the
Core Plan, hospitals receive products and services relevant to these data holdings, as
well as other health information publications and reports of general interest. For hospitals
participating in selected data holdings, the size of a hospital is determined on the basis of
the total number of beds and the volume of case abstracts submitted to the program(s) in
which the hospital participates.
•
Small hospitals: hospitals with 1 to 199 beds and a volume of no more than
50,000 case abstracts annually.
•
Medium hospitals: hospitals with 200 to 399 beds and a volume of no more than
100,000 case abstracts annually OR hospitals with 1 to 199 beds and a volume
of 50,001 to 100,000 case abstracts annually.
•
Large hospitals: hospitals with 400 or more beds or more than 100,000 case
abstracts annually.
Core Plan—Continuing and Home Care/Rehabilitation Facilities
The size of a continuing care/rehabilitation facility is based on the total number of
beds (as an indication of volume of case abstracts). Under the Core Plan, continuing
care/rehabilitation facilities receive products and services relevant to CCRS and NRS data
holdings, as well as other health information publications and reports of general interest.
•
Small facilities: facilities with 1 to 30 beds.
•
Medium facilities: facilities with 31 to 99 beds.
•
Large facilities: facilities with 100 or more beds.
Education Administration
Hospitals, regional health authorities (or similar) and provincial and territorial ministries of health
covered by the Core Plan receive core education sessions at no additional charge. See the
distribution table for the number of participants that can attend from each facility/organization.
For all other registrations (for example, non–Core Plan customers), please refer to the Pricing
and Information section of CIHI’s online Learning Centre at https://learning.cihi.ca, or contact
the Education department by sending an email to [email protected]
6
Core Plan Administration
CIHI delivers its education programs via the following methods:
•
Web conferences: live, web-based interactive presentations with discussion;
•
Workshops: face-to-face, interactive sessions at locations across the country; and
•
Self-study products:
–
Interactive, online learning courses;
–
Downloadable, reuseable documents; and
–
Online web conference recordings with learning assessments, where applicable.
In-House Education Services
CIHI offers in-house education services to help individual facilities and their staff better use
CIHI’s various tools for effective management. This unique service allows you to focus on
facility-specific education needs and to create an agenda that will target specific areas where
detailed education is needed. Please note that all of CIHI’s regularly scheduled workshops can
be presented as in-house sessions.
Note that scheduling of in-house sessions is subject to CIHI’s availability.
For more information about CIHI’s education products and services, please visit CIHI’s Learning
Centre at https://learning.cihi.ca, or contact us at [email protected]
CIHI Vendor Licence Agreements
CIHI’s vendor licence agreement gives software developers (vendors) the right to receive the
CIHI products they require to develop and support software that meets electronic-submission
requirements for CIHI’s data holdings and/or the use of ICD-10-CA/CCI in non-CIHI software.
This enables CIHI to automatically distribute products as they become available, establish
terms and conditions regarding use of the products for commercial and non-commercial purposes,
protect CIHI and third-party proprietary rights in the products and maintain the integrity of
CIHI’s products. The licence agreements include data-collection specifications, ICD-10-CA/CCI
products and grouping-methodology specifications, such as those for Case Mix Group+/
Comprehensive Ambulatory Classification System (CMG+/CACS), expected length of stay
(ELOS) and Resource Intensity Weight (RIW). Over time, CIHI may add additional products as
development projects arise. Vendors must renew this licence each year to receive the listed
products from CIHI. Vendor licence fees vary according to the product. For some products,
additional licence fees may be required for authorized use by end users. For further information,
please contact us at [email protected]
Data Requests and Analyses
You may request permission to perform your own analysis of CIHI’s data or data files. CIHI’s
principles and policies for the protection of health information govern data disclosure. Upon
request, we can provide you with quotes of cost estimates for consultation and production time.
For more information, please visit www.cihi.ca/requestdata.
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Products and Services Guide, 2012–2013
Graduate Student Data Access Program
Through the Graduate Student Data Access Program (GSDAP), qualified graduate students can
access CIHI’s data at no cost to undertake policy-relevant research related to health and health
services or to fulfill graduate or medical residency program requirements. More information is
available at www.cihi.ca/GSDAP.
Ordering
You can order products and services by mail, by fax or online. Payment, as applicable, must
accompany all orders.
CIHI Order Desk
495 Richmond Road, Suite 600
Ottawa, Ontario K2A 4H6
Phone: 613-241-7860
Fax: 613-241-8120
Mail/Fax
You can order publications and products by completing an online order form. Please visit
www.cihi.ca, click the “Contact Us” hyperlink at the top of the page, click the “Order online”
hyperlink found under Publications and Products, then at the top of the page click “Order Form.”
Please print the form and fax it to the number indicated on the form.
Online Order/Registration Desk
You can order publications and products or register for workshops online, 24 hours a day,
7 days a week. Please visit www.cihi.ca, click the “Contact Us” hyperlink at the top of the page,
then click either the “Order online” hyperlink found under Publications and Products or the
“Register online” hyperlink found under Education.
Shipping and Handling
Please allow 10 days for delivery. All orders within Canada include shipping and handling.
Orders outside of Canada are subject to a shipping and handling charge.
Returns and Refunds
To return any item, simply indicate the reason for your return, include a copy of the invoice and
send the package to CIHI’s Toronto office. We will issue a credit note once we have received
and processed the returned item(s). Returns or claims for refunds must be initiated within
15 days of delivery of the product.
8
Core Plan Administration
Please contact any CIHI office for more information about our products or services.
CIHI Ottawa
495 Richmond Road, Suite 600
Ottawa, Ontario K2A 4H6
Phone: 613-241-7860
Fax: 613-241-8120
CIHI Toronto
4110 Yonge Street, Suite 300
Toronto, Ontario M2P 2B7
Phone: 416-481-2002
Fax: 416-481-2950
CIHI Victoria
880 Douglas Street, Suite 600
Victoria, British Columbia V8W 2B7
Phone: 250-220-4100
Fax: 250-220-7090
CIHI Montréal
1010 Sherbrooke Street West, Suite 300
Montréal, Quebec H3A 2R7
Phone: 514-842-2226
Fax: 514-842-3996
CIHI St. John’s
140 Water Street, Suite 701
St. John’s, Newfoundland and Labrador A1C 6H6
Phone: 709-576-7006
Fax: 709-576-0952
9
Types of Care
Types of Care
Health Services
Primary Health Care CORE
Data
The Primary Health Care Data and Information program collaborates with key stakeholders
across Canada to address priority primary health care (PHC) data and information needs.
Our goal is to strengthen and improve the PHC data available to clinicians and health system
decision-makers. Our focus is helping our stakeholders in their efforts to measure, manage
and improve PHC by delivering standards, data, insight and knowledge. This program of work
includes both data and information solutions.
Analysis
Publications
•
Pan-Canadian Primary Health Care Indicators Update (2012)
•
Pan-Canadian Primary Health Care Practice-Based Survey Tools (2012)
•
Pan-Canadian Primary Health Care Indicators, Implementation Guide (2012)
•
Draft Primary Health Care (PHC) Electronic Medical Records Content Standard,
Version 2.0, Business View (2011)
•
Draft Pan-Canadian Primary Health Care (PHC) Electronic Medical Records Content
Standard, Version 2.0, Data Extraction Specification (2011)
•
Draft Pan-Canadian Primary Health Care (PHC) Electronic Medical Records Content
Standard, Version 2.0, Implementation Guide (2011)
•
Primary Health Care (PHC) Electronic Medical Records Content Standard, Options Analysis
and Recommendations for Priority Clinical Value Sets (2011)
•
Primary Health Care Voluntary Reporting System (PHC VRS) Data Submission Guide (2011)
•
Primary Health Care (PHC) Voluntary Reporting System Privacy Impact Assessment (2011)
•
Seniors and the Health Care System: What Is the Impact of Multiple Chronic Conditions? (2011)
Understanding and Use
Education
This program is intended for health system planners and managers, PHC providers,
researchers, e-health experts, electronic medical record vendors and other individuals
responsible for coordinating or administering PHC and for chronic disease prevention and
management. Information will be shared through conferences, workshops, comparative
feedback and analytical reports, information sheets, frequently asked questions, presentations,
bulletins and CIHI’s website.
Contact
[email protected]
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Products and Services Guide, 2012–2013
National Ambulatory Care Reporting System CORE
Data
The National Ambulatory Care Reporting System (NACRS) is a data collection and reporting
tool designed to capture information on client visits to hospital- and community-based
ambulatory care. NACRS currently collects data on day surgery, emergency department
use and other ambulatory care visits.
Resources and Standards
•
File layout documents
•
Vendor specifications
•
Submission Status Reports
•
NACRS Manual
•
Canadian Emergency Department Diagnosis Short-List (CED-DxS)
•
Presenting Complaint List (PCL) for Emergency Departments
•
NACRS Data Quality Reports
•
NACRS Management Reports
•
NACRS Outstanding Rejected Records Reports
•
Canadian Coding Standards for Version 2012 ICD-10-CA and CCI (see details on page 55)
•
Comprehensive Ambulatory Classification System (CACS) Directory
•
Data Quality Documentation for External Users: National Ambulatory Care Reporting
System (formerly Data Quality Documentation, National Ambulatory Care Reporting
System—Executive Summary)
•
Data quality reabstraction studies of NACRS
X See details regarding the CACS grouping methodology on page 58.
Analysis
•
Selected statistics are available for this database on CIHI’s website under Quick Stats.
•
Health Indicators (annual publication)
•
Wait Times in Canada—A Comparison by Province
Understanding and Use
Subscriber Reports
14
•
eNACRS reports, refreshed monthly
•
Emergency Department Wait Time Indicator Reports, refreshed monthly
Types of Care
Education
The NACRS education program is designed to reach a broad spectrum of participants who are
interested in learning about NACRS. This includes staff involved in collecting and submitting
data, such as health information management professionals. Ministry of health leaders,
decision-support and utilization management staff, clinicians and finance/MIS personnel
also benefit from the NACRS education program.
Participants should refer to the course descriptions for details on course content. While most
courses are applicable to all data types (day surgery, emergency department and other
ambulatory care), selected courses may be applicable to emergency department data only.
Data Requests
CIHI responds to custom data requests on a cost-recovery basis. For information on custom
data requests, refer to the Request Data web page, which provides more detail on media
requests, graduate student requests and research/other requests.
Contact
[email protected]
Discharge Abstract Database CORE
Data
The Discharge Abstract Database (DAD) is a data collection and reporting tool that captures
administrative, clinical and demographic information on hospital discharges from facilities in all
provinces and territories, except Quebec. Discharge data from acute care facilities in Quebec is
submitted through a different process and is combined with a subset of discharge data from the
DAD to create the Hospital Morbidity Database (HMDB) and complete the national picture. The
DAD also captures day surgery interventions from all provinces and territories except Alberta,
Ontario, Quebec and Nova Scotia. Alberta, Ontario and Nova Scotia submit all day surgery
interventions to the National Ambulatory Care Reporting System (NACRS); Quebec day surgery
data is not included in the DAD or the HMDB.
Resources and Standards
•
File layout documents
•
Vendor specifications
•
Submission Status Reports
•
DAD Abstracting Manual
•
DAD Management Reports
•
DAD Outstanding Hard Error Reports
15
Products and Services Guide, 2012–2013
•
Canadian Coding Standards for Version 2012 ICD-10-CA and CCI (see details on page 55)
•
Case Mix Group (CMG+) Directory
•
Comprehensive Ambulatory Classification System (CACS) Directory
•
Data Quality Documentation for External Users: Discharge Abstract Database
•
Data quality reabstraction studies of the DAD
X See details regarding the CMG+ and CACS grouping methodologies on pages 56 and 58.
Analysis
•
Selected statistics are available for this database on CIHI’s website under Quick Stats.
•
Profiling Acute Inpatient Care for Sparsely Populated Areas in Western Canada
•
Highlights of 2009–2010 Selected Indicators Describing the Birthing Process in Canada
•
In Due Time: Why Maternal Age Matters
•
Wait Times in Canada—A Comparison by Province
•
Health Care in Canada
•
Health Indicators (annual publication)
•
HSMR report series
•
CJRR analytical reports
•
H1N1 in Canada—A Context for Understanding Patients and Their Use of Hospital Services
•
The Impact of the H1N1 Pandemic on Canadian Hospitals (November 2010)
Understanding and Use
Subscriber Reports
•
electronic Hospital Specific Reports (eHSR), offered monthly, quarterly and annually
•
eDAD Reports (previously called electronic Comparison of Hospital Activity Program
[eCHAP]), refreshed monthly
Education
The DAD education program is designed to reach a broad spectrum of participants who are
interested in learning about the DAD. This includes staff involved in collecting and submitting
data, such as health information management professionals. Ministry of health leaders,
decision-support and utilization management staff, clinicians and finance/MIS personnel
also benefit from the DAD education program.
Participants should refer to the course descriptions for details on course content.
16
Types of Care
Data Requests
CIHI responds to custom data requests on a cost-recovery basis. For information on custom
data requests, refer to the Request Data web page, which provides more detail on media
requests, graduate student requests and research/other requests.
Contact
[email protected]
Therapeutic Abortions Data CORE
Data
CIHI captures administrative, clinical and demographic data on induced abortions performed in
Canadian hospitals through the Discharge Abstract Database (DAD) and National Ambulatory
Care Reporting System (NACRS). Aggregate information on abortions performed in Quebec
hospitals is provided by the ministère de la Santé et des Services sociaux du Québec. Data is
also received from clinics across Canada on a voluntary basis.
Analysis
National abortion statistics for 2006 and earlier are available from Statistics Canada. Data for
2007 and onward is available from CIHI’s website under Quick Stats.
Contact
[email protected]
Continuing Care Reporting System CORE
Data
The Continuing Care Reporting System (CCRS) collects and reports information about residents
of continuing care facilities, both hospital- and residential-based, in Canada.
Resources and Standards
•
Resident Assessment Instrument (RAI) RAI-MDS 2.0 User’s Manual, Canadian Version,
September 2010
•
CCRS assessment and tracking forms
•
Medication List Used in Continuing Care
•
Common ICD-10-CA Codes Used in Continuing Care
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Products and Services Guide, 2012–2013
•
HCC Language Codes (for submission to the Home Care Reporting System, Home Care
Reporting System—Contact Assessment and CCRS)
•
Continuing Care Reporting System Data Submission Specifications Manual
•
Continuing Care Reporting System RAI-MDS 2.0 Output Specifications
•
Clinical Assessment Protocols (CAPs) Manual: For Use With Community and Long-Term
Care Assessment Instruments
RUG-III (44-Group)
•
Resource Utilization Groups III (RUG-III 44-Group) Grouping Methodology: Flow Charts,
SAS Code and CMI Values, CCRS Version
This product includes
–
SAS code and detailed flowcharts for the RUG-III (44-group) logic (PDF format for the
flowcharts, PDF and text formats for the code);
–
Test data as a comma-separated value (CSV) file; and
–
The RUG-III (44-group) Case Mix Index (CMI) values as a CSV file.
•
CCRS Ontario RWPD Technical Document
•
CCRS Interpreting Ontario RWPD Reports (complex continuing care facilities, 2011–2012)
•
CCRS How RUG-III (44-Group) CMIs Are Calculated
RUG-III (34-Group)
•
Resource Utilization Groups III (RUG-III 34-Group) Grouping Methodology: Flow Charts,
SAS Code and CMI Values, CCRS Version
This product includes
–
SAS code and detailed flowcharts for the RUG-III (34-group) logic (PDF format for the
flowcharts, PDF and text formats for the code);
–
Test data as a CSV file; and
–
The RUG-III (34-group) CMI values as a CSV file.
•
CCRS Ontario RWPD Technical Document
•
CCRS Interpreting Ontario RWPD Reports (long-term care facilities, 2011–2012)
X See details regarding the RUG-III grouping methodology on page 60.
Analysis
18
•
Caring for Seniors With Alzheimer’s Disease and Other Forms of Dementia
•
Depression Among Seniors in Residential Care
•
Selected statistics are available for this database on CIHI’s website under Quick Stats.
Types of Care
Understanding and Use
Subscriber Reports
•
CCRS eReports, updated quarterly
Education
The CCRS education program is intended for educators and staff involved in clinical
assessment and data collection, as well as managers, RAI coordinators and others responsible
for case management, quality improvement, program evaluation and decision support.
Contact
[email protected]
National Rehabilitation Reporting System CORE
Data
The National Rehabilitation Reporting System (NRS) contains client data from participating adult
inpatient rehabilitation facilities and programs across Canada.
Resources and Standards
•
Rehabilitation Minimum Data Set Manual, February 2012 Edition
•
FIM® Video: Assessing Function With FIM® instrument (English only)
•
Rehabilitation Patient Group (RPG) Grouping Methodology and Weights: Flowcharts and
SAS Code, 2012–2013 Version
•
NRS Refresher Series (three-part web conference)
•
NRS Data Submission (eLearning module)
•
NRS for Trainers (eLearning modules and web conference or workshop)
•
ICD-10-CA for the NRS (archived web conference)
X See details regarding the Rehabilitation Patient Group methodology on page 57.
Analysis
•
Selected statistics and analyses are available for this database on CIHI’s website
under Quick Stats.
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Products and Services Guide, 2012–2013
Understanding and Use
Subscriber Reports
•
NRS eReports (data uploaded quarterly)
•
NRS data in CIHI Portal (data uploaded quarterly)
•
eNRS Record-Level RPG Files (data uploaded quarterly)
•
eNRS Submission Reports
Education
The education program is intended for representatives from facilities that have an end-user
license agreement and an eServices agreement with CIHI for the NRS. Those participating
in the collection and submission of rehabilitation data, as well as rehabilitation clinicians,
administrators, and decision-support and utilization staff interested in program evaluation
and process improvement, would find this education valuable.
•
NRS eReports Manual: User Guide and Report Interpretation Guidelines
(not available in print)
•
Working With the NRS eReports: The Fundamentals (web conference)
•
Working With the NRS eReports: Intermediate Users (web conference)
•
NRS Indicators and Report Interpretation (workshop or three-part web conference)
Contact
[email protected]
Home Care Reporting System CORE
Data
The Home Care Reporting System (HCRS) collects and reports information on clients who
receive publicly funded home care in Canada. HCRS now includes a separate module to
capture information from the interRAI Contact Assessment.
Resources and Standards
20
•
RAI–Home Care (RAI-HC) User’s Manual, Canadian Version, September 2010
•
RAI-HC Assessment Form (Minimum Data Set Home Care [MDS-HC] Canadian Version)
•
Coding Standards for RAI-HC in Hospital Settings
•
interRAI Contact Assessment (CA) Screening Level Assessment for Emergency Department
and Intake From Community/Hospital, User’s Manual, September 2010
Types of Care
•
interRAI Contact Assessment (CA), Canadian Version, Screening Level Assessment for
Emergency Department and Intake From Community/Hospital, Assessment Form
•
HCC Medication List (for Use With CCRS and HCRS), 2012–2013
•
Common ICD-10-CA Codes Used in Home Care, 2012–2013
•
HCC Language Codes (for Use With CCRS, HCRS and HCRS-CA), 2012–2013
•
Home Care Reporting System Data Submission Specifications Manual, 2012–2013
•
Home Care Reporting System RAI-HC Output Specifications, 2012–2013
•
Home Care Reporting System—Contact Assessment Data Submission Specifications
Manual, 2012–2013
•
Home Care Reporting System—Contact Assessment Administrative Data Elements Coding
Manual, 2012–2013
•
Home Care Reporting System—Contact Assessment Output Specifications
Manual, 2012–2013
•
interRAI Clinical Assessment Protocols (CAPs) Manual: For Use With Community and LongTerm Care Assessment Instruments, March 2008
•
RAI-Home Care (RAI-HC) User’s Manual, Canadian Version, Addendum—Original Client
Assessment Protocols (CAPs)
•
Resource Utilization Group III Home Care (RUG-III-HC) Grouping Methodology: Flowcharts
and SAS Code, HCRS Version
X See details regarding the RUG-III-HC grouping methodology on page 61.
Analysis
•
Supporting Informal Caregivers—The Heart of Home Care
•
Caring for Seniors With Alzheimer’s Disease and Other Forms of Dementia
•
Selected statistics are available for this database on CIHI’s website under Quick Stats.
Understanding and Use
Subscriber Reports
•
HCRS eReports, updated quarterly
Education
The education program for HCRS is intended for educators and staff involved in clinical
assessment and data collection, as well as managers, RAI coordinators and others responsible
for case management, quality improvement, program evaluation and decision support.
Contact
[email protected]
21
Products and Services Guide, 2012–2013
Hospital Morbidity Database CORE
Data
The Hospital Morbidity Database (HMDB) captures administrative, clinical and demographic
information on hospital inpatient events. Discharge data is received from acute care facilities in
Quebec and is combined with a subset of discharge data from the Discharge Abstract Database
(DAD) to complete the national picture.
Resources and Standards
•
Discharge Abstract Database Abstracting Manual
•
Data Quality Documentation for External Users, Hospital Morbidity Database, 2010–2011
Analysis
•
Selected statistics are available for this database on CIHI’s website under Quick Stats.
•
Surgery for Pancreatic and Esophageal Cancer in Canada: Hospital Experience and
Care Centralization
•
CJRR analytical reports
Understanding and Use
Data Requests
CIHI responds to custom data requests on a cost-recovery basis. For information on custom
data requests, refer to the Request Data web page, which provides more detail on media
requests, graduate student requests and research/other requests.
Contact
[email protected]
Ontario Mental Health Reporting System
Data
The Ontario Mental Health Reporting System (OMHRS) contains client data from Ontario
facilities with designated adult inpatient mental health beds.
Resources and Standards
•
22
Ontario Mental Health Reporting System (OMHRS) Resource Manual, 2012–2013
–
Module 1: Clinical Coding
–
Module 2: Technical Specifications and Data Submission
Types of Care
•
interRAI Mental Health Clinical Assessment Protocols (CAPs)
•
Ontario Mental Health Reporting System Guide to Interpreting Quarterly Comparative Reports
•
Ontario Mental Health Reporting System Quarterly Data Quality Reports Companion Document
•
Ontario Mental Health Reporting System Data Quality Documentation
•
Ontario Mental Health Reporting System: Interpreting SCIPP Weighted Patient Day
Reports, 2010–2011
•
System for Classification of In-Patient Psychiatry (SCIPP) Grouping Methodology:
Flowcharts and SAS Code, OMHRS Version
•
System for Classification of In-Patient Psychiatry (SCIPP) Grouping Methodology:
Case Mix Index (CMI) Values, OMHRS Version
•
OMHRS Data Quality Documentation, 2009–2010
•
Introduction to eOMHRS (archived web conference)
X See details regarding the SCIPP grouping methodology and SCIPP Weighted Patient Day
(SWPD) products on page 59.
Analysis
•
Restraint Use and Other Control Interventions for Mental Health Inpatients in Ontario
•
Exploring Hospital Mental Health Service Use in Ontario
•
Depression in Ontario: What Predicts a First Mental Health Rehospitalization?
•
Selected statistics and further analyses are available for this database on CIHI’s website
under Quick Stats, under Hospital Mental Health Database.
Understanding and Use
Subscriber Reports
•
OMHRS Comparative Reports, offered quarterly
•
eOMHRS Submission Reports
•
Facility SWPD Report
•
Comparative SWPD Report
•
OMHRS Quarterly Comparative Reports
•
OMHRS Quarterly Data Quality Reports
Education and Support
The education and client support program for OMHRS is intended for representatives of Ontario
facilities, such as designated site coordinators, database contacts, mental health educators
and clinicians involved in clinical assessment, as well as managers and others responsible
for quality improvement, program evaluation and decision support in mental health.
23
Products and Services Guide, 2012–2013
•
ABCs of OMHRS Clinical Coding (eLearning course)
•
OMHRS–SCIPP Methodology and SCIPP Weighted Patient Day (SWPD) Report
Interpretation (workshop)
•
Understanding and Using OMHRS Reports and Outputs
Contact
[email protected]
Hospital Mental Health Database CORE
Data
The Hospital Mental Health Database (HMHDB) contains data for hospital mental health
services across Canada. Data sources for the HMHDB include the Discharge Abstract
Database, the Ontario Mental Health Reporting System, the Hospital Mental Health Survey
and the Hospital Morbidity Database.
Resources and Standards
•
Hospital Mental Health Database Data Dictionary for Fiscal Year 2006–2007 to 2008–2009
•
Hospital Mental Health Database Data Quality Document for Fiscal Year 2006–2007
to 2008–2009
Analysis
•
Hospital Mental Health Services in Canada (historical annual report)
Understanding and Use
•
Indicators for hospital mental health services in Canada and regional hospital mental health
services are available on CIHI’s website under Quick Stats.
These indicators include diagnoses, lengths of stay, separation rates and readmission rates
for hospital mental health services in both general and speciality psychiatric hospitals
across Canada.
Contact
[email protected]
24
Types of Care
National Trauma Registry CORE
Data
The National Trauma Registry (NTR) provides national statistics on injury-related
hospitalizations in Canada.
The NTR has two data sets:
•
The Minimum Data Set (MDS) includes demographic, diagnostic and procedural information
on all patients hospitalized in Canada due to injury.
•
The Comprehensive Data Set (CDS) contains data on patients hospitalized with major
trauma in participating facilities.
Resources and Standards
•
National Trauma Registry (NTR) Data Dictionary
Analysis
•
National Trauma Registry Report: Major Injury in Canada
–
•
The NTR MDS eReporting system contains up-to-date information on injury
hospitalizations in Canada.
Selected statistics are available for the NTR MDS data set on CIHI’s website under Quick Stats.
Understanding and Use
Understanding and use products are not available at this time.
Contact
[email protected]
25
Products and Services Guide, 2012–2013
Ontario Trauma Registry
Data
The Ontario Trauma Registry (OTR) identifies, describes and quantifies trauma injury–related
hospitalizations in Ontario.
The OTR has two data sets:
•
The Comprehensive Data Set (CDS) contains detailed data on patients hospitalized in
the 11 lead trauma hospitals in Ontario due to major trauma, including demographics,
pre-hospital and hospital care, and patient outcomes.
•
The Death Data Set (DDS) contains data on all deaths in Ontario due to injury, including
demographic data, cause of death, injury details, motor vehicle crash information and
factors contributing to death (such as alcohol).
In addition, Ontario-specific data is available through the National Trauma Registry Minimum
Data Set eReporting system.
Resources and Standards
•
Ontario Trauma Registry (OTR) Data Dictionary
Analysis
•
Ontario Trauma Registry Report: Major Injury in Ontario
•
Selected statistics are available for this database on CIHI’s website under Quick Stats.
Understanding and Use
Education
Data analyst training workshops are intended for new trauma data analysts and designated site
coordinators to ensure consistent and accurate capture of trauma hospitalization information.
Contact
[email protected]
26
Types of Care
Primary Health Care Information and
Clinical Registries
Canadian Joint Replacement Registry (CJRR)
Data
The Canadian Joint Replacement Registry (CJRR) captures information on primary and revision
hip and knee joint replacement procedures performed in facilities across Canada. CJRR is a
registry that collects information directly from participating orthopedic surgeons, regions and
facilities across Canada.
Resources and Standards
•
Data element documentation and definitions
•
Web-based submission user manual
•
CJRR Electronic Data Submission Requirements for Vendors
Analysis
•
Selected statistics are available for this database on CIHI’s website under Quick Stats.
•
Analysis in Brief reports
•
CJRR Comparative Reports, available to surgeons who participate in CJRR
•
Custom data requests
Understanding and Use
•
Data Quality Documentation for Users is available on the website at www.cihi.ca/cjrr.
Contact
[email protected]
27
Products and Services Guide, 2012–2013
Canadian Organ Replacement Register CORE
Data
The Canadian Organ Replacement Register (CORR) records, analyzes and reports on the level
of activity and outcomes of vital organ transplantation and renal dialysis activities in Canada.
Resources and Standards
•
Transplant Recipient and Organ Donor Information—Instruction Manual
•
Chronic Renal Failure Patients on Renal Replacement Therapy—Instruction Manual
•
Canadian Organ Replacement Register Directory
•
Electronic Submission Standards (Dialysis)
•
Canadian Organ Replacement Register Data Dictionary (in progress)
Analysis
•
Canadian Organ Replacement Register Report
•
Centre-specific comparison indicator reports for quality assurance purposes, offered annually
•
Selected statistics are available for this database on CIHI’s website under Quick Stats
and e-Statistics.
Understanding and Use
Education
The CORR education program is intended for nephrologists, managers of dialysis, clinical
nurses, research assistants and data coordinators in dialysis units across Canada.
Contact
[email protected]
28
Types of Care
Medical Imaging Technologies Database CORE
Data
The Medical Imaging Technologies Database contains the results from the National Inventory
of Selected Medical Imaging Equipment, which is conducted annually. In 2011, the survey
captured information on the number, distribution and key characteristics of six selected imaging
technologies in Canada.
Additional information, which varies depending on the type of equipment, is also captured:
•
Configuration (for example, SPECT-CT—spiral/non-spiral; MRI—closed bore/open bore);
•
Level of technology (for example, CT—number of slices; MRI—field strength); and
•
Number of exams (CT and MRI only).
Analysis
•
Medical Imaging in Canada
Understanding and Use
Understanding and use products and services are not available at this time.
Contact
[email protected]
National Prescription Drug Utilization Information System
Database CORE
Data
The National Prescription Drug Utilization Information System (NPDUIS) Database houses panCanadian information related to public program formularies, drug claims, policies and population
statistics. It provides information that supports accurate, timely and comparative analytic and
reporting requirements to establish sound pharmaceutical policies and effectively manage
Canada’s public drug benefit programs.
Analysis
•
The Use of Select Psychotropic Drugs Among Seniors on Public Drug Programs in Canada,
2001 to 2010
29
Products and Services Guide, 2012–2013
Understanding and Use
•
NPDUIS Plan Information Document
This document, updated annually, provides high-level information regarding the design and
policies of public drug programs to assist in the interpretation of drug utilization information.
•
NPDUIS Plan Information: Summary of Changes
This document, updated annually, summarizes changes to plan information over time (as
highlighted in the NPDUIS Plan Information Document).
Contact
[email protected]
National System for Incident Reporting CORE
The National System for Incident Reporting (NSIR) collects data from participating Canadian
hospitals on all medication and IV fluid problems that occur during the medication-use process,
including rare event and near-miss incidents.
Resources and Standards
•
National System for Incident Reporting Minimum Data Set
•
National System for Incident Reporting Batch Submission Specifications Document
•
External Field Review Results for the National System for Incident Reporting, August 2009
•
National Pilot Test Report for the National System for Incident Reporting:
Executive Summary
•
National System for Incident Reporting Long-Term Care Pilot Test Report: Executive Summary
Education
The education program is intended for staff at health care facilities who are involved in the
submission and analysis of medication incident data. The NSIR education series is divided into
four parts and teaches individuals how to prepare for NSIR implementation and collect, submit,
analyze and use NSIR medication incident data.
Contact
[email protected]
30
Types of Care
CIHI Portal
If you’re in the health sector and need data for your decisions or research—CIHI Portal is the
tool for you.
CIHI Portal enables you to view, analyze, report and share important health care data and
information across multiple levels of your organization, as well as with other organizations
across Canada that participate in Portal. The result is that you can evaluate performance and
best practices and better inform your management and decision-making processes.
•
Pricing is based on the number and type of users; we offer a variety of packages.
•
CIHI provides ministries of health with one registration for an analyst. Ministries can choose
to offer this complimentary registration to an analyst on staff or to an analyst at any facility
within their jurisdiction. CORE
Data
The CIHI Portal includes information on inpatient care, day surgery, ambulatory care and
inpatient rehabilitation, and financial data for the hospital sector, population count and
neighbourhood income data.
Analysis
Different levels of access provide different levels of analytical functionality:
•
Analyst level—users can create new reports using the Portal business intelligence suite.
•
Information consumer level—users can access reports created by analysts and can build
reports using reporting templates.
•
Report reader level—users are able to view reports on the latest analytical findings and
monitor key performance indicators.
Understanding and Use
Education
Included in your subscription to CIHI Portal is a comprehensive education program that ranges
from a start-up package to more in-depth education. You can also participate in facilitated
communities of practice and share reports with other registered users.
Contact
[email protected]
31
Health System Performance
Health System Performance
Health System Analysis and Emerging Issues
Using data from CIHI and other sources, CIHI produces a broad array of analytical products to
support health and health system decision-making.
Health System/Special Reports CORE
Data
CIHI produces analytical products for a broad range of health system policy- and decisionmakers, system managers and researchers. These products are developed using data from
across CIHI’s data holdings, as well as selected external sources, and are designed to highlight
relevant, appropriate and actionable analyses. The findings build on the existing body of health
and health system knowledge and inform decision-making.
Analysis
•
Wait Times in Canada—A Comparison by Province (annual report)
•
Pathways of Care for People With Stroke in Ontario (2012)
•
Health Care in Canada, 2011: A Focus on Seniors and Aging (December 2011)
•
In Due Time: Why Maternal Age Matters (September 2011)
•
Seniors and the Health Care System: What Is the Impact of Multiple Chronic Conditions?
(January 2011)
•
Health Care in Canada, 2010 (December 2010)
•
The Impact of the H1N1 Pandemic on Canadian Hospitals (November 2010)
•
Have Health Card, Will Travel (March 2010)
•
H1N1 in Canada—A Context for Understanding Patients and Their Use of Hospital Services
(February 2010)
Understanding and Use
Your Partner in Health Research Online is an online tool for researchers to further their
understanding of how CIHI’s data can meet their research needs.
Health Data Users Conference
Contact
[email protected]
35
Products and Services Guide, 2012–2013
Health Indicators CORE
Data
Health indicators are standardized measures used to monitor health status and health system
performance and characteristics among different jurisdictions and hospitals in Canada.
Health indicators reported by CIHI are produced using various CIHI data holdings.
Analysis
•
Health Indicators (annual report)
•
Health Indicators e-publication
•
Health Indicators Technical Notes
•
Injury Hospitalizations and Socio-Economic Status (Analysis in Brief)
•
Hospital standardized mortality ratio (HSMR) tables (updated annually)
•
HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada
Understanding and Use
Subscribers Reports
•
HSMR eReporting service
•
Cumulative electronic Hospital Standardized Mortality Ratio (eHSMR) Reports, offered
through electronic Hospital Specific Reports (eHSR)
•
Health Indicators Annex
Education
The health indicators education program is intended for those individuals responsible for
assessing health status and health system performance in their jurisdictions and developing
and/or using health indicators for their facility, region or province/territory.
The health indicators education program includes workshops, web conferences and
eLearning courses.
Contact
[email protected]
[email protected]
36
Spending and Health Workforce
Spending and Health Workforce
Canadian MIS Database CORE
Data
The Canadian MIS Database (CMDB) contains financial and statistical information on hospitals
and regional health authorities across Canada.
Resources and Standards
•
Standards for Management Information Systems in Canadian Health Service Organizations
(MIS Standards)
X See details regarding the MIS Standards on page 62.
Analysis
•
Canadian MIS Database, Hospital Financial Performance Indicators
•
Selected statistics are available for this database on CIHI’s website under Quick Stats
under Spending.
•
Patient Cost Estimator
•
Financial indicators are also reported in the Canadian Hospital Reporting Project.
Understanding and Use
Subscriber Reports
•
CMDB e-Reports (available in early 2012)
•
CMDB Submission Reports
Education
The MIS education program is primarily intended for managers, directors and facility/regional
MIS coordinators who are responsible for coordinating or administering the financial and
statistical information necessary for effective decision-making.
Contact
[email protected]
39
Products and Services Guide, 2012–2013
Health Expenditures
OECD Health Database (Canadian Segment) CORE
Data
The OECD Health Database contains information on health care spending, health care services
and health status for member countries of the Organisation for Economic Co-operation and
Development (OECD) (www.oecd.org). CIHI and Statistics Canada maintain the Canadian
segment of the OECD Health Database.
Analysis
The OECD produces an annual electronic publication, OECD Health Data, which in 2011 was
released for the first time on OECD.Stat (http://stats.oecd.org/Index.aspx), as well as a biennial
paper publication, Health at a Glance. CIHI will respond to research and analysis requests
based on the Canadian segment supplied to the OECD.
Understanding and Use
Understanding and use products and services are not available at this time.
Contact
[email protected]
National Health Expenditure Database CORE
Data
The National Health Expenditure Database (NHEX) provides an overview of total health care
spending in Canada, by spending category and source of finance.
Analysis
•
National Health Expenditure Trends (annual report)
•
Selected statistics are available for this database on CIHI’s website under Quick Stats.
Understanding and Use
Understanding and use products and services are not available at this time.
Contact
[email protected]
40
Spending and Health Workforce
Health Professions
Health Personnel Database CORE
Data
The Health Personnel Database (HPDB) contains aggregate, supply-based trend information by
province/territory and year for 24 health occupations in Canada.
Resources and Standards
•
Health Personal Database Technical Report
Analysis
•
Canada’s Health Care Providers—2010 Provincial Profiles
•
Guidance Document for the Development of Data Sets to Support Health Human Resources
Management in Canada
•
Distribution and Internal Migration of Canada’s Health Care Workforce
Understanding and Use
Data Requests
CIHI responds to custom data requests on a cost-recovery basis. For information on custom
data requests, refer to the Data Requests web page, which provides more detail on media
requests, graduate student requests and research/other requests.
Contact
[email protected]
National Physician Database CORE
Data
The National Physician Database (NPDB) contains data on physician payments and services
in Canada.
Resources and Standards
•
National Physician Database Data Submission Specifications Manual
41
Products and Services Guide, 2012–2013
Analysis
•
National Physician Database—Payments Data, 2010–2011
•
National Physician Database—Utilization Data, 2010–2011
•
National Physician Database, 2010–2011—Methodology Notes
•
Historical reports and analyses from this database are available on CIHI’s website.
Understanding and Use
Understanding and use products and services are not available at this time.
Contact
[email protected]
Scott’s Medical Database CORE
Data
Scott’s Medical Database (SMDB) provides information on the supply, distribution and migration
patterns (between jurisdictions and between countries) of Canadian physicians.
Analysis
•
Supply, Distribution and Migration of Canadian Physicians, 2011
•
International and Interprovincial Migration of Physicians, Canada
•
Selected statistics are available for this database on CIHI’s website under Quick Stats.
•
Historical reports and analyses from this database are available on CIHI’s website.
Understanding and Use
Understanding and use products and services are not available at this time.
Contact
[email protected]
42
Spending and Health Workforce
Nursing Database CORE
Data
The Nursing Database includes data for the three groups of regulated nursing professionals in
Canada: registered nurses (RNs), including nurse practitioners (NPs), licensed practical nurses
(LPNs) and registered psychiatric nurses (RPNs).
Resources and Standards
•
Registered Nurses System Data Dictionary and Processing Manual
•
Licensed Practical Nurses System Data Dictionary and Processing Manual
•
Registered Psychiatric Nurses Data Dictionary and Processing Manual
Analysis
•
Regulated Nurses: Canadian Trends, 2006 to 2010
•
Workforce Trends of Regulated Nurses in Canada, 2010 (data and summary tables)
•
Regulated Nursing Workforce by Health Region, 2010
Understanding and Use
Understanding and use products and services are not available at this time.
Contact
[email protected]
Physiotherapist Database CORE
Data
The Physiotherapist Database (PTDB) has been a source of timely, quality information on the
profession of physiotherapy in Canada since 2007. The PTDB aims to provide standardized
comparative data on and analysis of the demographic, education, geographic and employment
characteristics of physiotherapists in Canada.
Resources and Standards
•
Physiotherapist Database Data Dictionary
•
Physiotherapist Database Data Submission Specifications Manual
•
Physiotherapist Database Privacy Impact Assessment
43
Products and Services Guide, 2012–2013
Analysis
•
Annual publications (since 2007) are available on CIHI’s website for the PTDB.
•
Physiotherapists in Canada, 2010 (fall 2011)
Understanding and Use
•
Complementary products are available on CIHI’s website.
•
National, provincial and territorial highlights
•
Profiles
•
Data tables
•
Database guide with detailed methodology
Data Requests
CIHI responds to custom data requests on a cost-recovery basis. For information on custom
data requests, refer to the Data Requests web page, which provides more detail on media
requests, graduate student requests and research/other requests.
Contact
[email protected]
Occupational Therapist Database CORE
Data
The Occupational Therapist Database (OTDB) has been a source of timely, quality information
on the profession of occupational therapy in Canada since 2006. The OTDB aims to provide
standardized comparative data on and analysis of the demographic, education, geographic and
employment characteristics of occupational therapists in Canada.
Resources and Standards
•
Occupational Therapist Database Data Dictionary
•
Occupational Therapist Database Data Submission Specifications Manual
•
Occupational Therapist Database Privacy Impact Assessment
Analysis
44
•
Annual publications (since 2006) are available on CIHI’s website for the OTDB.
•
Occupational Therapists in Canada, 2010 (fall 2011)
Spending and Health Workforce
Understanding and Use
•
Complementary products are available on CIHI’s website.
•
National, provincial and territorial highlights
•
Profiles
•
Data tables
•
Database guide with detailed methodology
Data Requests
CIHI responds to custom data requests on a cost-recovery basis. For information on custom
data requests, refer to the Data Requests web page, which provides more detail on media
requests, graduate student requests and research/other requests.
Contact
[email protected]
Pharmacist Database CORE
Data
The Pharmacist Database (PDB) has been a source of timely, quality information on the
profession of pharmacy in Canada since 2006. The PDB aims to provide standardized
comparative data on and analysis of the demographic, education, geographic and employment
characteristics of pharmacists in Canada.
Resources and Standards
•
Pharmacist Database Data Dictionary
•
Pharmacist Database Data Submission Specifications Manual
•
Pharmacist Database Privacy Impact Assessment
Analysis
•
Annual publications (since 2006) are available on CIHI’s website for the PDB.
•
Pharmacists in Canada, 2010 (fall 2011)
45
Products and Services Guide, 2012–2013
Understanding and Use
•
Complementary products are available on CIHI’s website.
•
National, provincial and territorial highlights
•
Profiles
•
Data tables
•
Database guide with detailed methodology
Data Requests
CIHI responds to custom data requests on a cost-recovery basis. For information on custom
data requests, refer to the Data Requests web page, which provides more detail on media
requests, graduate student requests and research/other requests.
Contact
[email protected]
Medical Radiation Technologist Database CORE
Data
The Medical Radiation Technologist Database (MRTDB) is a source of information on the
profession of registered medical radiation technology in Canada. The MRTDB aims to provide
standardized comparative data and reports on the geographic, demographic, education,
certification and employment characteristics of medical radiation technologists in Canada.
Resources and Standards
•
Medical Radiation Technologist Database Data Dictionary
•
Medical Radiation Technologist Database Data Submission Specifications Manual
•
Medical Radiation Technologist Database Privacy Impact Assessment
Analysis
46
•
Medical Radiation Technologists in Canada, 2010 (early 2012)
•
Medical Radiations Technologists and Their Work Environment
Spending and Health Workforce
Understanding and Use
Understanding and use products and services are not available at this time.
Contact
[email protected]
Medical Laboratory Technologist Database CORE
The Medical Laboratory Technologist Database (MLTDB) is a source information on the
profession of registered medical laboratory technology in Canada. The MLTDB aims to provide
standardized comparative data and reports on the geographic, demographic, education,
certification and employment characteristics of medical laboratory technologists in Canada.
Data
Resources and Standards
•
Medical Laboratory Technologist Database Data Dictionary
•
Medical Laboratory Technologist Database Data Submission Specifications Manual
•
Medical Laboratory Technologist Database Privacy Impact Assessment
Analysis
•
Medical Laboratory Technologists in Canada, 2010 (early 2012)
•
Medical Laboratory Technologists and Their Work Environment
Understanding and Use
Understanding and use products and services are not available at this time.
Contact
[email protected]
47
Factors Influencing Health
Factors Influencing Health
Canadian Population Health Initiative CORE
Data
The Canadian Population Health Initiative (CPHI) works to foster a better understanding
of factors that affect the health of individuals and communities and to contribute to the
development of policies that reduce inequalities and improve the health and well-being
of Canadians.
Analysis
•
Urban Physical Environments and Health Inequalities
•
Urban Physical Environments and Health Inequalities: Scoping Review of Interventions
•
Return on Investment: Mental Health Promotion and Mental Illness Prevention
•
Obesity in Canada (with the Public Health Agency of Canada)
•
Hospitalization Disparities by Socio-Economic Status for Males and Females
Understanding and Use
•
Population Health Intervention Research Casebook (with the Institute of Population and
Public Health, Canadian Institutes of Health Research)
•
Recognizing and Exploring Positive Mental Health—Policy Dialogue: Synthesis and Analysis
•
Mental Health, Delinquency and Criminal Activity: Workshop Proceedings Report
•
Mental Health and Homelessness in Canada: Workshop Proceedings Report
•
Mentally Healthy Communities: Aboriginal Perspectives
•
Mentally Healthy Communities: A Collection of Papers
Education
The CPHI education program is designed for those who are interested in health planning and
decision-making and who want to learn more about applying population health concepts to
their work, including interdisciplinary health-planning teams, district/regional/provincial health
authorities, public health units and decision-makers beyond the health sector. The CPHI education
program includes workshop, web conference and eLearning opportunities.
Contact
[email protected]
51
Standards and Data Submission
Standards and Data Submission
ICD-10-CA/CCI CORE
Standards
International Statistical Classification of Diseases and Related Health Problems,
10th Revision, Canada (ICD-10-CA)
The International Statistical Classification of Diseases and Related Health Problems,
10th Revision (ICD-10) is an international standard for reporting clinical diagnoses that
was developed by the World Health Organization.
ICD-10-CA is a clinical modification of ICD-10 that has additional codes and specificity;
it was developed by CIHI for morbidity classification in Canada.
Canadian Classification of Health Interventions (CCI)
CCI was developed by CIHI to accompany ICD-10-CA. CCI classifies a broad range of
interventions, was designed to be service-provider and service-setting neutral and can
be used comprehensively throughout the health system.
Resources
•
ICD-10-CA/CCI Folio application: web download
•
ICD-10-CA/CCI: PDF
•
Canadian Coding Standards for Version 2012 ICD-10-CA and CCI: PDF
•
Code Title Tables: ICD-10-CA, CCI: ASCII file
•
Category/Rubric Tables: ICD-10-CA and CCI: ASCII file
•
Validation Tables: ICD-10-CA, CCI: ASCII file
•
ICD-10-CA and CCI Evolution Tables: PDF
Canadian Coding Standards for Version 2012 ICD-10-CA and CCI
The Canadian Coding Standards are for use with ICD-10-CA and CCI. They are intended to
supplement the classification rules inherent in ICD-10-CA and CCI by providing additional
information that could not be embedded into the classifications. The coding standards are
updated on the same cycle as ICD-10-CA/CCI.
The coding standards apply to all data sets submitted to the Discharge Abstract Database
(DAD) and the National Ambulatory Care Reporting System (NACRS).
The Canadian Coding Standards for Version 2012 ICD-10-CA and CCI applies to fiscal years
2012–2013, 2013–2014 and 2014–2015.
55
Products and Services Guide, 2012–2013
Understanding and Use
Education
The education program for ICD-10-CA and CCI is primarily intended for health information
management professionals who are responsible for coding patient records and submitting data
to CIHI’s DAD and NACRS databases. Other health information professionals who rely on data
and reports influenced by these classification standards and who require a sound understanding
of ICD-10-CA and CCI would also find this education beneficial.
Contact
For inquiries regarding v2012 ICD-10-CA/CCI and the Canadian Coding Standards, please
contact us at [email protected]
For inquiries related to the tables, please contact us at [email protected]
For inquiries about education, please visit our website at https://learning.cihi.ca.
www.cihi.ca/CIHI-ext-portal/internet/en/tabbedcontent/standards+and+data+submission/
standards/classification+and+coding/cihi010689
Case Mix
Case Mix Group+ CORE
Grouping Methodology
The Case Mix Group+ (CMG+) methodology is designed to aggregate acute care inpatients who
have similar clinical and resource utilization characteristics. The CMG+ methodology is updated
annually. CMG+ is designed to take advantage of the increased clinical specificity of ICD-10-CA
and CCI. This methodology, which was developed using multiple years of acute care inpatient
activity and cost records, introduces and enhances several grouping factors to improve the
ability to clinically group inpatients and to define length of stay and resource use indicators.
Resources and Standards
•
CMG+ Directory (multiple years supported)
•
DAD Resource Intensity Weights (RIWs) and Expected Length of Stay (ELOS)
X Also see the Discharge Abstract Database on page 15.
56
Standards and Data Submission
Understanding and Use
•
Case Mix Decision Support Guide
•
CMG+ Client Tables (multiple years supported)
Education
The CMG+ education program is intended for all users of health information who are exposed to
CMG+ or RIWs. See www.cihi.ca/education for details.
•
What’s New for CMG+ and CACS 2012
•
Introduction to Case Mix for DAD and NACRS
•
Introduction to CMG+
•
Introduction to Resource Indicators (RIW and ELOS) for DAD and NACRS
Contact
If you have a question, please submit it through CIHI’s online eQuery tool at www.cihi.ca/equery,
or email us at [email protected]
www.cihi.ca/casemix
Rehabilitation Patient Group CORE
Grouping Methodology
The Rehabilitation Patient Group (RPG) methodology assigns each completed episode in the
National Rehabilitation Reporting System (NRS) to one of 83 RPG groups.
Resources and Standards
•
Rehabilitation Patient Group (RPG) Grouping Methodology and Weights, NRS Version
This product includes
–
SAS code and detailed flowcharts for the RPG logic (PDF format for the flowcharts,
PDF and text formats for the code);
–
Test data as a comma-separated value (CSV) file; and
–
The RPG weights as a CSV file.
X Also see the NRS data holding on page 19.
57
Products and Services Guide, 2012–2013
Understanding and Use
Education
The RPG education program is intended for all users of health information who are exposed to
the RPG grouping methodology and weights.
X See www.cihi.ca/education for details.
Contact
[email protected]
Comprehensive Ambulatory Classification System CORE
Grouping Methodology
The Comprehensive Ambulatory Classification System (CACS) is a national grouping
methodology for ambulatory care patients. It includes emergency department, clinic and same
day surgery data submitted to the National Ambulatory Care Reporting System (NACRS) and
day procedure data submitted to the Discharge Abstract Database (DAD). This methodology
was redeveloped in 2011.
NACRS data is grouped according to the main problem (diagnosis), most resource-intensive
intervention, visit disposition or program area. DAD data is grouped to a subset of CACS cells
by the most responsible diagnosis or most resource-intensive intervention.
The anesthetic technique, age group and investigative technologies are used to assign a
Resource Intensity Weight (RIW).
Resources and Standards
•
CACS Directory (multiple years supported)
X Also see the DAD and NACRS data holdings.
Understanding and Use
58
•
CACS 2011 Information Sheet (for information on the redevelopment)
•
CACS Client Tables (multiple years supported)
Standards and Data Submission
Education
The CACS education program is intended for all users of health information who are exposed to
CACS or RIWs.
X See www.cihi.ca/education for details.
•
What’s New for CMG+ and CACS 2012
•
An Introduction to CACS for NACRS 2011: A Redeveloped Methodology (archived resource)
•
Introduction to Resource Indicators (RIW and ELOS) for DAD and NACRS
Contact
If you have a question, please submit it through CIHI’s online eQuery tool at www.cihi.ca/equery,
or email us at [email protected]
www.cihi.ca/casemix
System for Classification of In-Patient Psychiatry
Grouping Methodology
The System for Classification of In-Patient Psychiatry (SCIPP) grouping methodology is used
within the Ontario Mental Health Reporting System (OMHRS). The methodology uses RAI-MH
assessment data to assign mental health assessments to SCIPP groups.
Resources and Standards
•
System for Classification of In-Patient Psychiatry (SCIPP) Grouping Methodology: Flow
Charts and SAS Code, OMHRS Version
This product includes
•
–
SAS code and detailed flowcharts for the SCIPP logic (PDF format for the flowcharts,
PDF and text formats for the code);
–
Test data as a comma-separated value (CSV) file; and
–
The SCIPP Case Mix Index values as a CSV file.
OMHRS Interpreting SWPD Reports (2011–2012)
X Also see the OMHRS data holding on page 22.
59
Products and Services Guide, 2012–2013
Education
The SCIPP education program is intended for all users of health information who are exposed to
the SCIPP grouping methodology and SCIPP Weighted Patient Day reports.
X See www.cihi.ca/education for details.
Contact
[email protected]
Resource Utilization Group version III CORE
Grouping Methodology
The Resource Utilization Group version III (RUG-III) methodology is used within the Continuing
Care Reporting System (CCRS). The methodology assigns continuing care assessments to
Resource Utilization Groups using RAI-MDS 2.0 assessment data and appropriate Case Mix
Index (CMI) values.
CIHI supports two versions of the RUG-III grouping methodology and associated CMI values.
RUG-III (44-group) can be applied to all data in CCRS. RUG-III (34-group) is applicable to only
Ontario long-term care data in CCRS.
Resources and Standards
RUG-III (44-Group)
•
Resource Utilization Groups III (RUG-III 44-Group) Grouping Methodology: Flow Charts,
SAS Code and CMI Values, CCRS Version
This product includes
60
–
SAS code and detailed flowcharts for the RUG-III (44-group) logic (PDF format for the
flowcharts, PDF and text formats for the code);
–
Test data as a comma-separated value (CSV) file; and
–
The RUG-III (44-group) CMI values as a CSV file.
•
CCRS Ontario RUG Weighted Patient Days Technical Document
•
CCRS Interpreting Ontario RUG Weighted Patient Days Reports (complex continuing care
facilities, 2011–2012)
•
CCRS How RUG-III (44-Group) CMIs Are Calculated
Standards and Data Submission
RUG-III (34-Group)
•
Resource Utilization Groups III (RUG-III 34-Group) Grouping Methodology: Flow Charts,
SAS Code and CMI Values, CCRS Version
This product includes
–
SAS code and detailed flowcharts for the RUG-III (34-group) logic (PDF format for the
flowcharts, PDF and text formats for the code);
–
Test data as a CSV file; and
–
The RUG-III (34-group) CMI values as a CSV file.
•
CCRS Ontario RUG Weighted Patient Days Technical Document
•
CCRS Interpreting Ontario RWPD Reports (long-term care facilities, 2011–2012)
X Also see the CCRS data holding on page 17.
Understanding and Use
Education
The RUG-III education program is intended for users of health information who are exposed to
RUG-III and RUG Weighted Patient Day (RWPD) reports.
X See www.cihi.ca/education for details.
Contact
[email protected]
Resource Utilization Group version III–Home Care CORE
Grouping Methodology
The Resource Utilization Group version III–Home Care (RUG-III-HC) is the grouping
methodology applied to RAI-HC Canadian version assessment data submitted to the Home
Care Reporting System (HCRS). The RUG-III-HC methodology assigns each assessment to
one of 23 groups.
61
Products and Services Guide, 2012–2013
Resources and Standards
•
Resource Utilization Group version III–Home Care (RUG-III-HC) Grouping Methodology:
Flowcharts and SAS Code, HCRS Version
This product includes
–
SAS code and detailed flowcharts for the RUG-III-HC logic (PDF format for the
flowcharts, PDF and text formats for the code);
–
Test data as a comma-separated value (CSV) file; and
–
The RUG-III-HC Case Mix Index (CMI) values as a CSV file.
X Also see the HCRS data holding on page 20.
Understanding and Use
Education
The RUG-III-HC education program is intended for users of health information who are exposed
to the RUG-III-HC grouping methodology.
X See www.cihi.ca/education for details.
Contact
[email protected]
MIS Standards
Standards for Management Information Systems in Canadian
Health Service Organizations (MIS Standards) CORE
Standards
The MIS Standards provide a standardized framework for collecting and reporting financial
and statistical data on the day-to-day operations of health service organizations across the
continuum of care.
Resources and Standards
•
62
Standards for Management Information Systems in Canadian Health Service
Organizations (MIS Standards)
Standards and Data Submission
Format
•
CD-ROM
X Also see the Canadian MIS Database on page 39.
Understanding and Use
Education
Workshops and eLearning courses offered through the MIS Standards education program are
intended for a range of audiences, from health care personnel new to the MIS Standards to
managers, directors and facility/regional MIS coordinators who are responsible for coordinating
or administering the financial and statistical information necessary for effective decision-making.
Contact
[email protected]
63
Appendix
Appendix
Abbreviations and Initialisms
CACS—Comprehensive Ambulatory Classification System
CAP—Clinical Assessment Protocol
CCI—Canadian Classification of Health Interventions
CCRS—Continuing Care Reporting System
CDS—Comprehensive Data Set
CED-DxS—Canadian Emergency Department Diagnosis Short List
CIHI—Canadian Institute for Health Information
CJRR—Canadian Joint Replacement Registry
CMDB—Canadian MIS Database
CMG—Case Mix Group
CMI—Case Mix Index
CORR—Canadian Organ Replacement Register
CPHI—Canadian Population Health Initiative
CT—computed tomography
DAD—Discharge Abstract Database
DDS—Death Data Set
eHSR—electronic Hospital Specific Report
ELOS—expected length of stay
eNACRS—NACRS web-based comparative reporting
FIM® instrumenti—a measure of functional independence
HCRS—Home Care Reporting System
HMDB—Hospital Morbidity Database
i.
© 1997, Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.
67
Products and Services Guide, 2012–2013
HMHDB—Hospital Mental Health Database
HPDB—Health Personnel Database
HSMR—hospital standardized mortality ratio
ICD-10-CAii—International Statistical Classification of Diseases and Related Health Problems,
10th Revision, Canada
MDS—Minimum Data Set
MIS—management information system
MLTDB—Medical Laboratory Technologist Database
MRI—magnetic resonance imaging
MRTDB—Medical Radiation Technologist Database
NACRS—National Ambulatory Care Reporting System
NHEX—National Health Expenditure Database
NPDB—National Physician Database
NPDUIS Database—National Prescription Drug Utilization Information System Database
NRS—National Rehabilitation Reporting System
NSIR—National System for Incident Reporting
NTR—National Trauma Registry
OECD—Organisation for Economic Co-operation and Development
OMHRS—Ontario Mental Health Reporting System
OTDB—Occupational Therapist Database
OTR—Ontario Trauma Registry
PDB—Pharmacist Database
PHC—primary health care
PTDB—Physiotherapist Database
ii. Based on the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) © World
Health Organization, 1992–1994. All rights reserved. Modified by permission for Canadian government purposes.
68
Appendix
RAI—Resident Assessment Instrument
RAI-HCiii—Resident Assessment Instrument–Home Care
RAI-MDS 2.0iv—Resident Assessment Instrument–Minimum Data Set 2.0
RAI-MHv—Resident Assessment Instrument–Mental Health
RIW—Resource Intensity Weight
RPG—Rehabilitation Patient Group
RUG-III—Resource Utilization Group version III
RUG-III-HC—Resource Utilization Group version III–Home Care
RWPD—RUG Weighted Patient Day
SCIPP—System for Classification of In-Patient Psychiatry
SMDBvi—Scott’s Medical Database (formerly Southam Medical Database)
iii. © interRAI Corporation, 2001. Modified with permission for Canadian use under license to the Canadian Institute for
Health Information.
iv. © interRAI Corporation, Washington, D.C., 1997, 1999. Modified with permission for Canadian use under license to the
Canadian Institute for Health Information.
v. © Government of Ontario; Ontario Hospital Association; interRAI.
vi. The SMDB contains information on physicians in Canada and is maintained by Scott’s Directories, a division of Business
Information Group.
69
All rights reserved.
The contents of this publication may be reproduced unaltered, in whole or in part
and by any means, solely for non-commercial purposes, provided that the Canadian
Institute for Health Information is properly and fully acknowledged as the copyright
owner. Any reproduction or use of this publication or its contents for any commercial
purpose requires the prior written authorization of the Canadian Institute for Health
Information. Reproduction or use that suggests endorsement by, or affiliation with,
the Canadian Institute for Health Information is prohibited.
For permission or information, please contact CIHI:
Canadian Institute for Health Information
495 Richmond Road, Suite 600
Ottawa, Ontario K2A 4H6
Phone: 613-241-7860
Fax: 613-241-8120
www.cihi.ca
[email protected]
ISBN 978-1-77109-014-8
© 2012 Canadian Institute for Health Information
How to cite this document:
Canadian Institute for Health Information, Products and Services Guide, 2012–2013
(Ottawa, Ont.: CIHI, 2012).
Cette publication est aussi disponible en français sous le titre Guide des produits
et services 2012-2013.
ISBN 978-1-77109-016-2
Talk to Us
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Phone: 613-241-7860
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www.cihi.ca
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