Electronic Publication for: Products and services guide, 2013-2014. H115-46/2014E-PDF - http://publications.gc.ca/collections/collection_2013/icis-cihi/H115-46-2014-eng.pdf

Electronic Publication for: Products and services guide, 2013-2014. H115-46/2014E-PDF - http://publications.gc.ca/collections/collection_2013/icis-cihi/H115-46-2014-eng.pdf
Products and Services Guide, 2013–2014
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
Supporting Our Work ................................................................................................................. 3
Core Plan Administration ........................................................................................................... 5
Types of Care ...........................................................................................................................11
Health Services .....................................................................................................................13
Clinical Registries ..................................................................................................................27
Health System Performance .....................................................................................................33
Health System Analysis and Emerging Issues .......................................................................35
Spending and Health Workforce ...............................................................................................39
Health Expenditures ..............................................................................................................42
Health Professions ................................................................................................................43
Factors Influencing Health ........................................................................................................51
Standards and Data Submission ...............................................................................................55
Case Mix ...............................................................................................................................58
MIS Standards .......................................................................................................................64
Appendix ...................................................................................................................................65
Introduction
Introduction
Welcome to the Products and Services Guide, 2013–2014 from the Canadian Institute for
Health Information (CIHI). This publication is a yearly look at our most recent and upcoming
products and services that are available to you, our valued customers.
Now home to 28 valuable databases, CIHI is proud to continue its tradition of delivering
unbiased, credible and comparable health information. We collect, store, analyze and
disseminate pan-Canadian 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 creates strategic plans to guide our work through the current and future
challenges that affect the Canadian health care sector. CIHI’s analytical plan ensures that our
reports and products give you access to the specific health information you need to make better
decisions. Our data plan, meanwhile, ensures that the data quality is high and our data holdings
are optimally suited to the needs of data users.
In addition to our data holdings, CIHI produces a wealth of reports, analyses, publications, data
standards and education workshops. They are all in keeping with our mission of helping inform
decision-making, strengthening the health care system and improving the health of Canadians.
You will find the Products and Services Guide divided into the following five health care themes:
• Types of Care
• Health System Performance
• Spending and Health Workforce
• Factors Influencing Health
• Standards and Data Submission
A description of each theme follows on the next page. We hope you find this guide useful;
please do not hesitate to contact CIHI with any questions, concerns or general comments. To
make best use of this guide, please visit www.cihi.ca for more complete information about our
products and services, including availability and pricing.
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Products and Services Guide, 2013–2014
Theme Descriptions
CIHI’s products and services fall within five major categories:
Types of Care
These are primary health care, hospital care, community care (including home care, community
care and community mental health services), specialized services (including mental health and
addictions, joint replacements and organ replacements), pharmaceutical care and utilization.
Health System Performance
An area of great focus at CIHI, health system performance focuses on access to health, wait
times and quality of care outcomes—in other words, how well health care services are provided
to patients and the outcomes (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 expenditures by geography (national, provincial and regional) and by
category (physician, hospital and drugs).
Workforce focuses on services provided by our health human resources, including physicians,
nurses and other health care providers.
Factors Influencing Health
These important factors fall within environmental, socio-economic and lifestyle categories,
which affect the health of Canadians and our health care system.
Standards and Data Submission
This helps provide 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.
2
Introduction
Supporting Our Work
Privacy and Security
Privacy impact assessments (PIAs) document and evaluate the privacy impacts of programs and
systems. CIHI is committed to completing PIAs on all of its data holdings; further information can
be found in this guide and our published PIAs. For information, visit the Privacy section of CIHI’s
website, accessible via the Privacy link in the upper right-hand corner.
CIHI would like to thank all hospitals, regional health authorities, governments and health care
practitioners across the country that submit data and help inform our in-depth analytical reports
on Canada’s health system and the health of Canadians. Without you, our work would not
be possible.
Publications
CIHI produces many publications based on our extensive information holdings and data analysis
activities. These publications address subjects relevant 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, CIHI produces annual Analysis
in Brief documents on a wide variety of topics. You can access CIHI’s publications from the
Products section of our website. You will find a list of publications in each section of this guide,
where applicable.
Subscriber Reports
CIHI produces many 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 who create a user profile on CIHI’s secure
website under Applications > Interactive Tools/Databases. For more information, please see
Core Plan Administration in this guide.
Education
CIHI is committed to helping customers use our health information products 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. You’ll find notes on education throughout this guide. For more information
on registering for courses, visit https://learning.cihi.ca.
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Products and Services Guide, 2013–2014
Monthly e-Publication: Land
CIHI publishes Land, our electronic publication that lives online at www.cihi.ca/land, 10 times a
year. Simple to navigate, it delivers CIHI’s latest news and reports, as well as feature stories
that dive beneath the data. Land is meant to start a conversation; it is about what you need to
know—not just what we want to say.
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 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 many 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 online access to standards-related products 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 increase public awareness of Canada’s health system, CIHI’s publications and reports
containing national health information are available (in PDF format) for free online to all
customers. Some of our products are also now available in electronic format and can be
accessed from our website.
Distribution
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 with 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 members for education sessions.
The maximum number of CIHI products and services under Core Plan pooling 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, 2013–2014
Core Plan: Acute Care Hospitals
Hospital size is based on the total number of beds and the volume of case abstracts submitted
to any one of these 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: 1 to 199 beds and a volume of no more than 50,000 case
abstracts annually
• Medium hospitals: 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: 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: 1 to 30 beds
• Medium facilities: 31 to 99 beds
• Large facilities: 100 or more beds
Education
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 Learning Centre at https://learning.cihi.ca, or contact the
Education department at [email protected]
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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 Canada
• Self-study products:
– Interactive, online learning courses
– Downloadable documents
– 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
specific education needs and create an agenda that will target specific areas where detailed
education is needed. Please note that all of CIHI’s regularly scheduled workshops may be
presented as in-house sessions, subject to CIHI’s availability.
For more information about CIHI’s education products and services, visit https://learning.cihi.ca
or send an email to [email protected]
CIHI Vendor Licence Agreements
CIHI’s vendor licence agreement gives software developers (vendors) the right to receive CIHI’s
products that 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 around commercial and non-commercial use, 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 groupingmethodology 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.
A vendor licence agreement is valid for a period of three years (2013–2014 to 2015–2016).
After this period, vendors must renew their licence to receive the listed products from CIHI. The
list of products must be completed and returned to CIHI each year. 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, 2013–2014
Graduate Student Data Access Program
Through the Graduate Student Data Access Program, 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 Contact Us at the top of the page, click Order online 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
You can order publications and products or register for workshops online at any time. Please
visit www.cihi.ca, click Contact Us at the top of the page, then click either Order online under
Publications and Products or Register online 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. Returns or claims for refunds must be initiated within 15 days
of delivery of the product.
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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
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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
• Using Primary Health Care Voluntary Reporting System (PHC VRS) Electronic Medical
Record (EMR) Data to Assess the Burden of Multiple Chronic Conditions (2013)
• Primary Health Care Voluntary Reporting System (PHC VRS) Privacy Impact
Assessment (2013)
• Primary Health Care Voluntary Reporting System (PHC VRS) Data Validation Study (2013)
• Pan-Canadian Primary Health Care (PHC) Practice-Based Survey Tools (2013)
• Primary Health Care Voluntary Reporting System (PHC VRS) Data Submission Guide (2012)
• Pan-Canadian Primary Health Care (PHC) Indicators Update (2012)
• Draft Pan-Canadian Primary Health Care (PHC) Electronic Medical Records Content
Standard, Version 2.1, Data Extraction Specification (2012)
• Draft Pan-Canadian Primary Health Care (PHC) Electronic Medical Records Content
Standard, Version 2.1, Implementation Guide (2012)
• Disparities in Primary Health Care Experiences Among Canadians With Ambulatory Care
Sensitive Conditions (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)
• Seniors and the Health Care System: What Is the Impact of Multiple Chronic
Conditions? (2011)
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Products and Services Guide, 2013–2014
Understanding and Use
Client Support and Training
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]
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 57)
• 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
 See details regarding the CACS grouping methodology on page 60.
14
Types of Care
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
• eNACRS Reports, refreshed monthly
Education
The NACRS education program is designed to reach a broad spectrum of participants who are
interested in learning about this reporting system. 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 can also benefit from the NACRS education program.
For more information about NACRS courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca. While most courses are applicable to all data types (day surgery,
emergency department and other ambulatory care), some 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 Data Requests web page for details on media requests, graduate
student requests and research/other requests.
Contact
c[email protected]
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Products and Services Guide, 2013–2014
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 outside 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
• Canadian Coding Standards for Version 2012 ICD-10-CA and CCI (see details on page 57)
• 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
 See details regarding the CMG+ and CACS grouping methodologies on pages 58 and 60.
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
• Induced abortions tables
16
Types of Care
• H1N1 in Canada—A Context for Understanding Patients and Their Use of Hospital Services
• The Impact of the H1N1 Pandemic on Canadian Hospitals
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
may also benefit from the DAD education program.
For more information about DAD courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
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 for details on media requests, graduate
student requests and research/other requests.
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 (in both hospitals and communities) across Canada.
Resources and Standards
• Resident Assessment Instrument (RAI) RAI-MDS 2.0 User’s Manual, Canadian Version,
February 2012
• CCRS assessment forms
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Products and Services Guide, 2013–2014
• HCC Medication List, 2013–2014 (for Use With CCRS and HCRS)
• Common ICD-10-CA Codes Used in Continuing Care, 2013–2014
• HCC Language Codes (for Use With CCRS, HCRS and HCRS-CA), 2013–2014
• Continuing Care Reporting System Data Submission User Manual, 2013–2014
• Continuing Care Reporting System RAI-MDS 2.0 Output Specifications, 2013–2014
• Resident Assessment Instrument (RAI) MDS 2.0 User’s Manual, Canadian Version,
Addendum—Original Resident Assessment Protocols (RAPs)
• Clinical Assessment Protocols (CAPs) Manual: For Use With Community and Long-Term
Care Assessment Instruments, March 2008
RUG-III (44-Group)
• Resource Utilization Groups III (RUG-III 44-Group) Grouping Methodology: Flowcharts,
SAS Code and CMI Values, CCRS Version, 2013–2014
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: Flowcharts,
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)
 See details regarding the RUG-III grouping methodology on page 62.
Analysis
• Seniors and Alternate Level of Care: Building on Our Knowledge
• When a Nursing Home Is Home: How Do Canadian Nursing Homes Measure Up on Quality?
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Types of Care
• 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.
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.
For more information about CCRS courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
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
• National Rehabilitation Reporting System, Data Quality Documentation, 2011–2012
• Rehabilitation Minimum Data Set Manual
– Rehabilitation Minimum Data Set Manual, Module 1—Technical Specifications and Data
Submissions, 2013–2014
– Rehabilitation Minimum Data Set Manual, Module 2—Clinical Coding and NRS Training,
2013–2014
• Rehabilitation Patient Group (RPG) Grouping Methodology and Weights: Flowcharts and
SAS Code, 2013–2014 Version
• NRS eReports Manual: User Guide and Report Interpretation Guidelines (English only;
available electronically only)
 See details regarding the Rehabilitation Patient Group methodology on page 59.
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Products and Services Guide, 2013–2014
Analysis
• Selected statistics and analyses are available for this database on CIHI’s website under
Quick Stats.
Understanding and Use
Subscriber Reports
• NRS eReports (data uploaded quarterly)
• NRS data in CIHI Portal (data uploaded quarterly)
• Operational Reports: Record-Level RPG Files (data uploaded quarterly)
• Operational Reports: Submission Reports
• eManagement Reports: Data submission monitoring
Education
The education program is intended for representatives from facilities that have an end-user
license agreement and an eService 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, may find this program valuable.
• NRS for Assessors—Assessing Client Function With the FIM® instrument (eLearning)
• NRS for Assessors—Additional Functional Measures and Follow-up Assessment (eLearning)
• NRS for Coders—Capturing Health Characteristics (eLearning)
• ICD-10-CA for the NRS (archived web conference)
• NRS for Trainers (eLearning plus web conference or workshop)
• NRS Refresher Series (web conference series)
• NRS Data Submission (eLearning)
• Building and Using Your NRS eReports Strategically (workshop)
• Building Your eReports (web conference)
• Using NRS Reports: Case Studies (web conference)
For more information about NRS courses, client must sign into CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
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Types of Care
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
• 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)
• interRAI Contact Assessment (CA) Screening Level Assessment for Emergency Department
and Intake From Community/Hospital Assessment Form and User’s Manual, September 2010
• HCC Medication List, 2013–2014 (for Use With CCRS and HCRS)
• Common ICD-10-CA Codes Used in Home Care, 2013–2014
• HCC Language Codes (for Use With CCRS, HCRS and HCRS-CA), 2013–2014
• Home Care Reporting System Data Submission Specifications Manual, 2013–2014
• Home Care Reporting System RAI-HC Output Specifications, 2013–2014
• Home Care Reporting System—Contact Assessment: Data Submission Specifications
Manual, 2013–2014
• Home Care Reporting System—Contact Assessment: Administrative Data Elements Coding
Manual, 2012–2013
• Home Care Reporting System—Contact Assessment: Output Specifications
Manual, 2013–2014
• 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, 2010–2011
 See details regarding the RUG-III-HC grouping methodology on page 63.
Analysis
• Seniors and Alternate Level of Care: Building on Our Knowledge
• 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.
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Products and Services Guide, 2013–2014
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.
For more information about HCRS courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
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 appended to the acute care 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
22
Types of Care
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 for details 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
mental health facilities with designated adult inpatient beds.
Resources and Standards
• Ontario Mental Health Reporting System (OMHRS) Resource Manual, 2013–2014
– Module 1: Clinical Coding
– Module 2: Technical Specifications and Data Submission
• Ontario Mental Health Reporting System Guide to Interpreting Quarterly Comparative
Reports, 2013–2014
• Ontario Mental Health Reporting System Quarterly Data Quality Reports Companion
Document, 2013–2014
• Ontario Mental Health Reporting System Data Quality Documentation, 2011–2012
• Ontario Mental Health Reporting System: Interpreting SCIPP Weighted Patient Day
Reports, 2013–2014
• System for Classification of In-Patient Psychiatry (SCIPP) Grouping Methodology:
Flowcharts and SAS Code, OMHRS Version, 2013–2014
• System for Classification of In-Patient Psychiatry (SCIPP) Grouping Methodology:
Case Mix Index (CMI) Values, OMHRS Version, 2013–2014
 See details regarding the SCIPP grouping methodology and SCIPP Weighted Patient Day
(SWPD) products on page 61.
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Products and Services Guide, 2013–2014
Analysis
• Restraint Use and Other Control Interventions for Mental Health Inpatients in Ontario (2011)
• Exploring Hospital Mental Health Service Use in Ontario, 2007–2008
• Depression in Ontario: What Predicts a First Mental Health Rehospitalization? (2010)
• 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
Available quarterly to participating facilities
• 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, managers and others responsible for quality
improvement, program evaluation and decision support in mental health may find it valuable.
• Introduction to Operational Reports for OMHRS (eLearning course)
• OMHRS Clinical Coding: Laying the Foundation (workshop)
• Ontario Mental Health Reporting System: Data Submission (eLearning course)
For more information about OMHRS courses, clients must sign into CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
24
Types of Care
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 Years 2006–2007 to 2010–2011
• Hospital Mental Health Database, 2010–2011: User Documentation
• Data Guide for Mental Health and Addictions at the Canadian Institute for Health Information
Analysis
• Hospital Mental Health Services in Canada (report)
• Impact of Concurrent Mental Health and Substance-Use Disorders on Use of Hospital Services
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
Canadian psychiatric hospitals, both general and specialty.
Contact
[email protected]
National Trauma Registry
Data
The National Trauma Registry (NTR) provides national statistics on injury-related hospitalizations
in Canada. The final data year is 2012–2013. No new data will be collected in the future; however,
historical data is available.
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.
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Products and Services Guide, 2013–2014
Resources and Standards
• National Trauma Registry (NTR) Comprehensive Data Set Data Dictionary
• National Trauma Registry (NTR) Comprehensive Data Set—Data Submission Specifications
Analysis
• National Trauma Registry Report: Major Injury in Canada
• The NTR MDS eReporting system contains information on injury hospitalizations in Canada.
• Selected statistics are available for the NTR MDS data set on CIHI’s website under Quick Stats.
Contact
[email protected]
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
Ontario’s lead trauma hospitals 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).
Resources and Standards
• Ontario Trauma Registry (OTR) Comprehensive Data Set Data Dictionary
Analysis
• Ontario Trauma Registry Report: Major Injury in Ontario
• In addition, Ontario-specific data is available through the National Trauma Registry Minimum
Data Set eReporting system.
• Selected statistics are available for this database on CIHI’s website under Quick Stats.
Contact
[email protected]
26
Types of Care
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 across the country. The registry collects
information directly from participating facilities, regions and orthopedic surgeons.
Resources and Standards
• Canadian Joint Replacement Registry Minimum Data Set Manual
• CJRR Electronic Data Submission Requirements for Use by Software Developers Only
• Web-based submission user manual and video tutorial
Analysis
• CJRR Report: Hip and Knee Replacements in Canada
• Selected statistics are available for this database on CIHI’s website under Quick Stats.
• Analysis in Brief reports
• Custom data requests
Understanding and Use
• Data Quality Documentation for Users is available on the website at www.cihi.ca/cjrr.
Education
The education program for CJRR is intended for individuals responsible for entering or preparing
CJRR data and submitting it to CIHI. This may include orthopedic research and clinical staff,
health records personnel or other persons involved in CJRR data capture and submission.
For more information about CJRR courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
27
Products and Services Guide, 2013–2014
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 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
• e-Directory of Canadian Dialysis Centres Accepting Visitors
• Electronic Submission Standards (Dialysis)
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.
For more information about CORR courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
28
Types of Care
Medical Imaging Technologies Database
Data
The Medical Imaging Technologies Database contains results from the annual National Inventory
of Selected Medical Imaging Equipment. In 2012, the final year of data collection, the survey
captured information on the number, distribution and key characteristics of nine 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.
Analysis
• Medical Imaging in Canada
• Data for 2012 is available on CIHI’s website under Quick Stats.
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. Its information supports accurate, timely and comparative analytic and reporting
requirements to establish sound pharmaceutical policies and effectively manage Canada’s
public drug benefit programs.
Analysis
• Hospitalization Due to Adverse Drug Reactions Among Seniors, 2006 to 2011
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Products and Services Guide, 2013–2014
Understanding and Use
• NPDUIS Database Plan Information Document
This document, updated annually, provides high-level information regarding the design and
policies of public drug programs to help interpret drug utilization information.
• NPDUIS Database Plan Information: Summary of Changes
This document, updated annually, summarizes changes to plan information over time (as
highlighted in above document).
Contact
[email protected]
National System for Incident Reporting CORE
Data
The National System for Incident Reporting (NSIR) collects data from participating Canadian
health care facilities on all medication and IV fluid problems that occur during the medicationuse process, including near misses and rare events.
Resources and Standards
• National System for Incident Reporting Minimum Data Set
• National System for Incident Reporting—Introduction to the Minimum Data Set Resource Manual
• National System for Incident Reporting—System User Guide
• National System for Incident Reporting—Batch Submission Specifications Document
Education
The education program is intended for staff at health care facilities who are involved in the
submission and analysis of medication incident data. This education series consists of three
self-study courses that focus on the minimum data set, system functionality and analysis and
use of NSIR medication incident data.
For more information about NSIR courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
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, with a variety of packages available.
• 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, emergency care, ambulatory
care, inpatient rehabilitation, 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 build reports
using reporting templates.
• Report reader level: users can 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
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 CIHI’s
widespread 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.
Analytical Plan Projects
The following is a list of recently or soon-to-be released analyses and special studies in CIHI’s
priority theme areas. For a broader list of upcoming releases, please consult the Analytical Plan
2012 to 2014.
Cancer
• Mastectomy and Breast-Conserving Surgery in Canada (October 2012)
• Hospital Use at End of Life by Cancer Patients Who Die in Hospital (anticipated April 2013)
Bridging Population Health and Health Services
• Disparities in Primary Health Care Experiences Among Canadians With Ambulatory Care
Sensitive Conditions (March 2011)
• Obesity in Canada (June 2011)
• Avoidable mortality: special focus of Health Indicators 2012 (June 2012)
• Hospital Care for Heart Attacks in First Nations, Inuit and Métis (anticipated February 2013)
• End-Stage Renal Disease Among Aboriginal Peoples in Canada: Treatment and Outcomes
(anticipated February 2013)
• Redistributive Impact of the Health Care System (anticipated March 2013)
Access
• Seniors and the Health Care System: What Is the Impact of Multiple Chronic Conditions?
(January 2011)
• Wait Times in Canada—A Comparison by Province, 2012 (March 2012)
• Pathways of Care for Patients With Stroke in Ontario (July 2012)
• Seniors and Alternate Level of Care (November 2012)
• Health Care in Canada, 2012: A Focus on Wait Times (November 2012)
• Giving Birth in Rural and Remote Canada (anticipated March 2013)
• Wait Times in Canada—A Comparison by Province, 2013 (anticipated March 2013)
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Products and Services Guide, 2013–2014
International
• Learning From the Best: Benchmarking Canada’s Health System (November 2011)
Quality and Patient Safety
• Health Indicators 2011: A Focus on Mental Health Indicators (June 2011)
• Restraint Use and Other Control Interventions for Mental Health Inpatients in Ontario
(August 2011)
• In Due Time: Why Maternal Age Matters (September 2011)
• Health Care in Canada 2011: A Focus on Seniors and Aging (December 2011)
• All-Cause Readmission to Acute Care and Return to the Emergency Department (June 2012)
• Medication Reconciliation in Canada: Raising the Bar (November 2012)
• Quality and Safety in Residential Care (anticipated January 2013)
• Readmissions and Implant Survival After Metal-on-Metal Primary Hip Arthroplasty
(anticipated February 2013)
Efficiency
• Developing a Model for Measuring the Efficiency of the Health System in Canada—Policy
Review Summary (July 2012)
• Health Outcomes of Care: An Idea Whose Time Has Come (August 2012)
Understanding and Use
Your Partner in Health Research Online is an online tool for researchers to further explore how
CIHI’s data can meet their research needs.
Contact
[email protected]
[email protected]
36
Health System Performance
Health Indicators CORE
Data
Health indicators are standardized measures used to monitor health status and health system
performance and characteristics in different jurisdictions and hospitals across 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)
• In Focus: A National Look at Sepsis (2009)
• HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada
Understanding and Use
Subscriber Reports
• HSMR eReporting service
• Cumulative electronic Hospital Standardized Mortality Ratio (eHSMR) Reports, offered
through electronic Hospital Specific Reports (eHSR)
• Health Indicators Annex (TBD)
Education
The health indicators education program is intended for those 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. It includes workshops, web conferences
and self-study courses.
For more information about health indicators courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
[email protected]
37
Spending and Health Workforce
Spending and Health Workforce
Canadian MIS Database CORE
Data
The Canadian MIS Database (CMDB) contains financial and statistical information on the
country’s hospitals and regional health authorities.
Resources and Standards
• Standards for Management Information Systems in Canadian Health Service Organizations
(MIS Standards)
 See details regarding the MIS Standards on page 64.
Analysis
• Canadian MIS Database, Hospital Financial Performance Indicators
• Selected statistics are available for this database on CIHI’s website under
Quick Stats—Spending.
• Patient Cost Estimator
• Financial indicators are also reported in the Canadian Hospital Reporting Project.
Understanding and Use
Subscriber Reports
• CMDB e-Reports
• 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.
For more information about MIS courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
41
Products and Services Guide, 2013–2014
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 2012 was
released for the second time on OECD.Stat (http://stats.oecd.org), as well as a biennial paper
publication (next release in 2013), Health at a Glance. CIHI will respond to research and
analysis requests based on the Canadian segment supplied to the OECD.
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.
Contact
[email protected]
42
Spending and Health Workforce
Health Professions
Health Personnel Database CORE
Data
For 24 health occupations in Canada, the Health Personnel Database (HPDB) contains
aggregate information on regulatory environment, entry to practice, supply and demographic
trends by province/territory, as well as year and graduate trends by school and/or province/
territory and year. Data from 1988 to 2009 is available on request (depending on the occupation).
Resources and Standards
• HPDB Methodological Notes available in Canada’s Health Care Providers, 2000 to 2009:
A Reference Guide
Analysis
• Annual (provincial profiles) and biennial (reference guide) publications are available on
CIHI’s website for the HPDB (since 2005)
• Canada’s Health Care Providers—2011 Provincial Profiles (spring 2013)
• Canada’s Health Care Providers, 1997 to 2011: A Reference Guide (spring 2013)
Understanding and Use
Complementary products are available on CIHI’s website.
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 for details on media requests, graduate
student requests and research/other requests.
Contact
[email protected]
43
Products and Services Guide, 2013–2014
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
Analysis
• National Physician Database—Payments Data, 2011–2012
• National Physician Database—Utilization Data, 2011–2012
• National Physician Database, 2011–2012—Methodology Notes
• Historical reports and analyses from this database are available on CIHI’s website.
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, 2012
• 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.
Contact
[email protected]
44
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) and 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
• Annual publications (since 2002) are available on CIHI’s website for the Nursing Database.
• Regulated Nurses: Canadian Trends, 2007 to 2011 (winter 2013)
Understanding and Use
• Complementary products are available on CIHI’s website.
• Summary tables
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 for details on media requests, graduate
student requests and research/other requests.
Contact
[email protected]
45
Products and Services Guide, 2013–2014
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 Manual
• Physiotherapist Database Privacy Impact Assessment
Analysis
• Annual publications (since 2007) are available on CIHI’s website for the PTDB.
• Latest report: Physiotherapists in Canada, 2011 (fall 2012)
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 for details on media requests, graduate
student requests and research/other requests.
Contact
[email protected]
46
Spending and Health Workforce
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 Manual
• Occupational Therapist Database Privacy Impact Assessment
Analysis
• Annual publications (since 2006) are available on CIHI’s website for the OTDB.
• Latest report: Occupational Therapists in Canada, 2011 (fall 2012)
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 for details on media requests, graduate
student requests and research/other requests.
Contact
[email protected]
47
Products and Services Guide, 2013–2014
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 Manual
• Pharmacist Database Privacy Impact Assessment
Analysis
• Annual publications (since 2006) are available on CIHI’s website.
• Latest report: Pharmacists in Canada, 2011 (fall 2012)
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 for details on media requests, graduate
student requests and research/other requests.
Contact
[email protected]
48
Spending and Health Workforce
Medical Radiation Technologist Database CORE
Data
The Medical Radiation Technologist Database (MRTDB) provides 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 Reference Guide
• Medical Radiation Technologist Database Technical Notes
• Medical Radiation Technologist Database Privacy Impact Assessment
Analysis
• Medical Radiation Technologists in Canada, 2011
• Medical Radiation Technologist Database Information Sheet
• Medical Radiation Technologists and Their Work Environment
Contact
[email protected]
Medical Laboratory Technologist Database CORE
Data
The Medical Laboratory Technologist Database (MLTDB) provides 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.
Resources and Standards
• Medical Laboratory Technologist Database Reference Guide
• Medical Laboratory Technologist Database Technical Notes
• Medical Laboratory Technologist Database Privacy Impact Assessment
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Products and Services Guide, 2013–2014
Analysis
• Medical Laboratory Technologists in Canada, 2011
• Medical Laboratory Technologist Database Information Sheet
• Medical Laboratory Technologists and Their Work Environment
Contact
[email protected]
Canadian Multiple Sclerosis Monitoring System
Data
The Canadian Multiple Sclerosis (MS) Monitoring System contains administrative, demographic,
clinical, treatment, therapy and outcomes data on MS patients coast to coast.
Resources and Standards
• Canadian Multiple Sclerosis Monitoring System Resource Manual, Version 2012
– Data Dictionary Module
– Extract File Submission and Technical Specifications (ASCII and XML) Module
– Online Data Entry Submission Module
Understanding and Use
Education
The education program for the Canadian MS Monitoring System is intended for those involved
in data collection and submission.
• Canadian Multiple Sclerosis Monitoring System Data File Submission
• Canadian Multiple Sclerosis Monitoring System Online Data Entry
Contact
[email protected]
50
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. It also seeks to contribute to
the development of policies that reduce inequalities and improve the health and well-being
of Canadians.
Analysis
• Disparities in Primary Health Care Experiences Among Canadians With Ambulatory Care
Sensitive Conditions (March 2012)
• The Role of Social Support in Reducing Psychological Distress (March 2012)
• Hospital Care for Heart Attacks Among First Nations, Inuit and Métis (February 2013)
• End-Stage Renal Disease Among Aboriginal Peoples in Canada: Treatment and Outcomes
(February 2013)
Understanding and Use
• Developing a Model for Measuring the Efficiency of the Health System in Canada (June 2012)
• Self-study course—Reducing Gaps: Using Area-Based Socio-Economic Measures to
Explore Population Health (August 2012)
• Contemporary Use of Area-Based Socioeconomic Measures—special issue of the Canadian
Journal of Public Health (November 2012)
• Mental Health: Population Perspectives—special issue of the Canadian Journal of
Community Mental Health (November 2012)
Education
The CPHI education program is designed for those involved in health planning and decisionmaking who want to learn more about applying population health concepts to their work. This
includes 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.
For more information about CPHI courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
53
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 World Health Organization developed the International Statistical Classification of Diseases
and Related Health Problems, 10th Revision (ICD-10), an international standard for reporting
clinical diagnoses.
For morbidity classification in Canada, CIHI developed the ICD-10-CA, a clinical modification of
ICD-10 featuring additional codes and specificity.
Canadian Classification of Health Interventions (CCI)
CIHI developed CCI to accompany ICD-10-CA. CCI classifies a broad range of interventions,
designed to be service-provider and service-setting neutral and to 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.
57
Products and Services Guide, 2013–2014
Understanding and Use
Education
The education program for ICD-10-CA and CCI is primarily intended for health information
management professionals 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 may also find this education beneficial.
For more information about Classifications courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
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 contact us at [email protected]
Case Mix
Case Mix Group+ CORE
Grouping Methodology
The Case Mix Group+ (CMG+) methodology is designed to aggregate acute care inpatients
with similar clinical and resource utilization characteristics. Updated annually, it is designed to
take advantage of the increased clinical specificity of ICD-10-CA and CCI. This methodology,
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)
 Also see the Discharge Abstract Database on page 16.
58
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 users of health information who are exposed to
CMG+ or RIWs.
For more information about Case Mix courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
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.
 Also see the NRS data holding on page 19.
59
Products and Services Guide, 2013–2014
Understanding and Use
Education
The RPG education program is intended for users of health information who are exposed to
the RPG grouping methodology and weights.
For more information about Case Mix courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
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) as
well as day procedure data submitted to the Discharge Abstract Database (DAD). 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)
 Also see the DAD and NACRS data holdings.
Understanding and Use
• CACS 2011 Information Sheet (for information on the redevelopment)
• CACS Client Tables (multiple years supported)
Education
The CACS education program is intended for users of health information who are exposed to
CACS or RIWs.
For more information about Case Mix courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
60
Standards and Data Submission
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 MDS-MH
assessment data to assign mental health assessments to SCIPP groups.
Resources and Standards
• System for Classification of In-Patient Psychiatry (SCIPP) Grouping Methodology:
Flowcharts 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
 Also see the OMHRS data holding on page 23.
Education
The SCIPP education program is intended for users of health information who are exposed
to the SCIPP grouping methodology and SCIPP Weighted Patient Day reports.
For more information about Case Mix courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
61
Products and Services Guide, 2013–2014
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). It 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: Flowcharts, 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) CMI values as a CSV file.
• CCRS Technical Document—Ontario RUG Weighted Patient Day (RWPD) Methodology
• CCRS Interpreting RUG Weighted Patient Day Reports for Ontario Complex Continuing
Care Facilities
• CCRS How RUG-III (44-Group) CMIs Are Calculated—CCRS Technical Document
RUG-III (34-Group)
• Resource Utilization Groups III (RUG-III 34-Group) Grouping Methodology: Flowcharts,
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 Technical Document—Ontario RUG Weighted Patient Day (RWPD) Methodology
• CCRS Interpreting Ontario RUG Weighted Patient Day Reports for Ontario Long-Term
Care Facilities
 Also see the CCRS data holding on page 17.
62
Standards and Data Submission
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.
For more information about Case Mix courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
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). Its methodology assigns each assessment to one of 23 groups.
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.
 Also see the HCRS data holding on page 21.
Contact
[email protected]
63
Products and Services Guide, 2013–2014
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
• Standards for Management Information Systems in Canadian Health Service Organizations
(MIS Standards)
Format
• Files are downloadable from CIHI’s online store.
 Also see the Canadian MIS Database on page 41.
Understanding and Use
Education
Workshops and self-study courses offered through the MIS Standards education program
are intended for a range of audiences. This includes health care personnel new to the MIS
Standards as well as managers, directors and facility/regional MIS coordinators responsible
for coordinating or administering the financial and statistical information necessary for effective
decision-making.
For more information about MIS courses, please refer to CIHI’s Learning Centre at
https://learning.cihi.ca.
Contact
[email protected]
64
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® instrument i—a measure of functional independence
HCRS—Home Care Reporting System
HMDB—Hospital Morbidity Database
HMHDB—Hospital Mental Health Database
i.
© 1997, Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.
67
Products and Services Guide, 2013–2014
HPDB—Health Personnel Database
HSMR—hospital standardized mortality ratio
ICD-10-CA ii—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
RAI—Resident Assessment Instrument
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-HC iii—Resident Assessment Instrument–Home Care
RAI-MDS 2.0 iv—Resident Assessment Instrument–Minimum Data Set 2.0
RAI-MH v—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
SMDB vi—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
Production of this report is made possible by financial contributions from Health
Canada and provincial and territorial governments. The views expressed herein
do not necessarily represent the views of Health Canada or any provincial
or territorial government.
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 978-1-77109-168-8 (PDF)
© 2013 Canadian Institute for Health Information
Cette publication est aussi disponible en français sous le titre Guide des produits
et services 2013-2014.
ISBN 978-1-77109-170-1 (PDF)
Talk to Us
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Phone: 613-241-7860
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Phone: 250-220-4100
www.cihi.ca
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