Drug Use Among Seniors on Public Drug Programs in Canada, 2012 – Canadian Institute for Health Information – 1 May 2014

Posted on May 5, 2014. Filed under: Aged Care / Geriatrics, Pharmacy | Tags: , |

Drug Use Among Seniors on Public Drug Programs in Canada, 2012 – Canadian Institute for Health Information (CIHI) – 1 May 2014

“Most seniors in Canada are taking at least 5 drugs—and that number increases dramatically for older seniors and those living in long-term care facilities, according to a new report from the Canadian Institute for Health Information (CIHI).

Drug Use Among Seniors on Public Drug Programs in Canada, 2012 found that nearly two-thirds of seniors (those age 65 and older) are taking 5 or more prescription drugs. Drug use increases with age, with more than 40% of Canadians age 85 and older taking more than 10 drugs. Additionally, seniors living in long-term care facilities take more medications than those who are living in the community; nearly two-thirds are taking at least 10 drugs.”

Report

“Although seniors those age 65 and older account for only 15% of the Canadian population, they are estimated to account for 40% of all spending on prescribed drugs and 60% of public drug program spending. Seniors take more drugs than younger Canadians because, on average, they have a higher number of chronic conditions. Although taking multiple medications may be necessary to manage these conditions it is important to consider the benefits and risks of each medication and the therapeutic goals of the patient. Drug use is also important to monitor from a spending perspective, as increased drug utilization has been found to be the biggest driver of drug spending in Canada.”

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Measuring the Level and Determinants of Health System Efficiency in Canada – Canadian Institute for Health Information – 10 April 2014

Posted on April 23, 2014. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: |

Measuring the Level and Determinants of Health System Efficiency in Canada – Canadian Institute for Health Information – 10 April 2014

“This study measures health system efficiency in Canada to gain insight into factors that help explain variations in efficiency at the health region level. The study builds on findings from the CIHI report Developing a Model for Measuring the Efficiency of the Health System in Canada and examines questions such as why some of Canada’s health regions are more efficient than others.”

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Measuring the Level and Determinants of Health System Efficiency in Canada – Canadian Institute for Health Information – 10 April 2014

Posted on April 14, 2014. Filed under: Health Economics, Health Systems Improvement | Tags: , , |

Measuring the Level and Determinants of Health System Efficiency in Canada – Canadian Institute for Health Information – 10 April 2014

Public summary: Health system efficiency in Canada: A closer look

Press release: More efficient health system would save lives, money

“…the Canadian Institute for Health Information (CIHI) released a new study on the efficiency of the Canadian health system. Measuring the Level and Determinants of Health System Efficiency in Canada examines why health system efficiency varies across Canada, what could be done about it, and what a perfectly efficient health system might look like.

The study estimates the average level of inefficiency to be between 18% and 35%. This means that up to 24,500 premature deaths could be prevented every year—without additional spending.”

… continues on the site

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Regulated Nurses, 2012 – report from the Canadian Institute for Health Information – 8 October 2013

Posted on October 11, 2013. Filed under: Nursing, Workforce | Tags: , |

Regulated Nurses, 2012 – report from the Canadian Institute for Health Information – 8 October 2013

“Regulated Nurses, 2012 highlights current trends in nursing practice across a variety of demographic, education, mobility and employment characteristics. This series highlights data from the three groups of regulated nursing professionals in Canada: registered nurses (RNs, including nurse practitioners or NPs), licensed practical nurses (LPNs) and registered psychiatric nurses (RPNs).”

Problematic trends for registered nurse workforce, report reveals – Canadian Nurses Association – 8 October 2013

 

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Leaving Against Medical Advice: Characteristics Associated With Self-Discharge – Canadian Institute for Health Information (CIHI) – 1 October 2013

Posted on October 2, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Emergency Medicine, Medicine | Tags: , |

Leaving Against Medical Advice: Characteristics Associated With Self-Discharge – Canadian Institute for Health Information (CIHI) – 1 October 2013

“People who leave the hospital or an emergency department against medical advice tend to do so before their treatment is complete and often end up returning within a short time frame.

A new study from the Canadian Institute for Health Information (CIHI) shows that, compared with people who completed their treatment, those who left inpatient care against medical advice were more than twice as likely to be readmitted to hospital within a month and three times as likely to visit an emergency department within a week.

Leaving Against Medical Advice: Characteristics Associated With Self-Discharge also found that more than three out of five people who left inpatient care and returned to an emergency department within a week were admitted to inpatient care upon their return.”

… continues on the site

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Compromised Wounds in Canada – Canadian Institute for Health Information – 29 August 2013

Posted on August 30, 2013. Filed under: Chronic Disease Mgmt, Clin Governance / Risk Mgmt / Quality, Diabetes | Tags: , , |

Compromised Wounds in Canada – Canadian Institute for Health Information – 29 August 2013

“People with diabetes admitted to hospitals are nearly six times more likely than other patients to have wounds that don’t heal properly, reports the Canadian Institute for Health Information (CIHI).

In fact, diabetes doubles the risk of infections after operations and makes patients nearly 40 times more likely than other patients to develop wounds due to poor blood circulation.

This chronic illness was linked to more than 2,000 foot amputations in 2011–2012, many of which could have been avoided if proper wound care management and prevention had been in place.

CIHI’s unique study looked at persistent or “compromised” wounds—not only those infected or otherwise not healing, but also bed sores—among Canadians in hospitals, receiving home care and in long-term care during that same period.

“Compromised wounds are a burden to our health system,” said Kathleen Morris, CIHI’s Director of Health System Analysis and Emerging Issues. “They can be extremely painful and cause mobility problems and distress for patients.”

While any Canadian can be subject to a poorly healing wound, Compromised Wounds in Canada highlights the increased risks associated with chronic illnesses such as diabetes. It also reveals clear opportunities to reduce the frequency of occurrence.”

… continues on the site

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Nine out of 10 emergency visits take 7.5 hours or less [Canada] – Canadian Institute for Health Information – 20 June 2013

Posted on June 21, 2013. Filed under: Emergency Medicine | Tags: , |

Nine out of 10 emergency visits take 7.5 hours or less [Canada] – Canadian Institute for Health Information – 20 June 2013

“Nine out of 10 hospital emergency department (ED) visits were 7.5 hours or less in 2011–2012. The median (average) time spent—from time of registration to time the patient left the ED—was 2.4 hours, according to the Canadian Institute for Health Information (CIHI). This information is based on available data covering more than half of the ED visits in Canada, including all of those in Ontario, Alberta and Yukon.

Complex patients can expect to spend more than twice as long in the ED as minor/uncomplicated patients. Nine out of 10 of the complex patients spent 10.5 hours or less in the ED in 2011–2012. In comparison, 9 out of 10 of the minor/uncomplicated patients spent 4.2 hours or less in the ED.”

… continues

 

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Health Indicators 2013 – Canadian Institute for Health Information (CIHI) – 23 May 2013

Posted on May 29, 2013. Filed under: Health Status | Tags: , , , |

Health Indicators 2013 – Canadian Institute for Health Information (CIHI) – 23 May 2013

“As the last in a series of 14 annual reports, Health Indicators 2013 provides an overview of the joint CIHI-Statistics Canada Health Indicators reporting project and describes CIHI’s new program of work in health system performance reporting. This publication also contains the most recently available health indicators data and features an In Focus section that highlights the expanded reporting of health indicators by socio-economic status.”

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Lifetime Distributional Effects of Publicly Financed Health Care in Canada – Canadian Institute for Health Information – 14 May 2013

Posted on May 15, 2013. Filed under: Health Economics | Tags: , , |

Lifetime Distributional Effects of Publicly Financed Health Care in Canada – Canadian Institute for Health Information – 14 May 2013

“Public funding of health care has a redistributive effect on the incomes of Canadians, but this is reduced when a life course perspective is considered, according to a new report from the Canadian Institute for Health Information (CIHI).

Lifetime Distributional Effects of Publicly Financed Health Care in Canada looks at estimated lifetime per capita health care costs in the public sector—including doctors, hospitals and some drugs—as well as the portion of household taxes that would be required to pay for these services.

The analysis found that average lifetime health care costs are $237,500 for Canadians in the lowest-income group and $206,000 for Canadians with the highest incomes. However, the difference is much larger when looking at only a single year (2011).

Similarly, while tax payments to finance health care are higher for more-affluent Canadians, differences between income groups are muted when examining costs over a lifetime, rather than in one specific year. The most-affluent Canadians contribute the equivalent of 8% of their average annual income toward publicly funded health care, and the least-affluent contribute 6% of theirs.

The report provides insight into what affluence and poverty would look like in Canada without the existence of publicly financed health care. For example, health care costs for members of the highest-income group are equivalent to 3% of their average income; however, costs for those in the lowest-income group are equivalent to 24% of their average income.”

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Adverse Drug Reaction-Related Hospitalizations Among Seniors, 2006 to 2011- Canadian Institute for Health Information (CIHI) – 26 March 2013

Posted on March 27, 2013. Filed under: Aged Care / Geriatrics, Patient Safety, Pharmacy | Tags: , |

Adverse Drug Reaction-Related Hospitalizations Among Seniors, 2006 to 2011- Canadian Institute for Health Information (CIHI) – 26 March 2013

This analysis examines hospital discharge data for seniors in all Canadian provinces and territories from 2006-2007 to 2010-2011 to provide an overview of the prevalence of hospitalizations related to adverse drug reactions ADRs. The relationship between various potential risk factors and the likelihood of being hospitalized for an ADR were examined for Alberta, Manitoba and P.E.I.

Media release: Seniors five times more likely to be hospitalized for adverse drug reactions

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Regulated nurses: Canadian trends, 2007 to 2011 – Canadian Institute for Health Information – 10 January 2013

Posted on January 11, 2013. Filed under: Nursing, Workforce | Tags: , |

Regulated nurses: Canadian trends, 2007 to 2011 – Canadian Institute for Health Information – 10 January 2013

full report 

“More than 360,000 regulated nurses were employed in Canada in 2011, representing an increase of more than 8% since 2007. This growth rate was nearly twice the rate of population growth, according to the Canadian Institute for Health Information (CIHI) annual report on the nursing workforce. However, the number of registered nurses per 100,000 remains below the peak reached in the early 1990s.

There is a positive trend in the renewal of the nursing profession. Over the last five years, the proportion of regulated nurses younger than age 35 increased from 20.9% to 23.7% of the workforce.

More than 56% of employed nurses were working full time in 2011. Similarly, more than 50% of all younger nurses are finding full-time employment within the first five years of working.

The number of nurse practitioners (NPs) doubled from 1,344 to 2,777 between 2007 and 2011, due in part to increased provincial/territorial investment in NPs and in part to additional jurisdictions submitting NP data to CIHI. NPs are advanced practice registered nurses who have additional education in health assessment and diagnosis and management of illness and injury, and who can order tests and prescribe drugs. More than half of NPs work outside hospitals, in areas such as community practice.”

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Seniors and Alternate Level of Care: Building on our Knowledge Core – Canadian Institute for Health Information – 29 November 2012

Posted on November 30, 2012. Filed under: Aged Care / Geriatrics | Tags: , , |

Seniors and Alternate Level of Care: Building on our Knowledge Core – Canadian Institute for Health Information – 29 November 2012

“Executive Summary

This study provides an in-depth look at transitions from acute care to the community. It showcases three Canadian Institute for Health Information (CIHI) data holdings that inform health system planning about the care needs of elderly Canadians who wait in hospitals for placement in the community. These individuals no longer require acute care services but wait in acute care beds for placement in a more appropriate setting such as home or residential care. This population, referred to as “alternate level of care (ALC),” is expected to grow substantially as the Canadian population ages. Evidence suggests that seniors in acute care awaiting discharge may experience decline in their overall health and well-being.”

… continues

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Health Outcomes of Care: An Idea Whose Time Has Come – Canadian Institute for Health Information (CIHI) and Statistics Canada – 16 August 2012

Posted on August 17, 2012. Filed under: Health Status, Patient Participation | Tags: , , |

Health Outcomes of Care: An Idea Whose Time Has Come – Canadian Institute for Health Information (CIHI) and Statistics Canada – 16 August 2012

“Learning about gains in Canadians’ health status—especially from patients themselves—would provide a more comprehensive picture of population health and health care services, according to a report by the Canadian Institute for Health Information (CIHI) and Statistics Canada.

There is currently little clear connection between processes of care and outcomes—important information in determining the value obtained from health care investments. Although there are no standard, comprehensive, repeated measures of health status at the population level in Canada that could be used to assess outcomes of care, the country has seen progress:

In home and continuing care, the Resident Assessment Instrument (RAI) system allows care providers to gauge individuals’ progress.
In rehabilitation, the FIM® instrument helps care providers assess patients’ physical and cognitive status.

Both of these tools feed into CIHI databases, allowing our reports to inform decisions at multiple levels in the health care system.

By providing the patient’s perspective and adding information on quality of life, patient-reported outcome measures (PROMs) would provide further insight to help assess how the health care system is:

… continues on the site

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All-Cause Readmission to Acute Care and Return to the Emergency Department – Canadian Institute for Health Information – 14 June 2012

Posted on June 18, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Emergency Medicine | Tags: , , , |

All-Cause Readmission to Acute Care and Return to the Emergency Department – Canadian Institute for Health Information – 14 June 2012

“One in 12 patients readmitted to Canadian hospitals within 30 days
Study examines who is returning and why

June 14, 2012—Soon after their discharge from hospital, more than 180,000 Canadians were readmitted to acute care in 2010, reveals a study from the Canadian Institute for Health Information (CIHI). In those jurisdictions where detailed emergency department (ED) data was available—Alberta, Ontario and Yukon—nearly 1 in 10 acute care patients returned to the ED within seven days of hospital discharge. The study, All-Cause Readmission to Acute Care and Return to the Emergency Department, included more than 2.1 million hospitalizations across the country. It looked at surgical, medical, pediatric and obstetric patients to better understand who returned to acute care after discharge and for what clinical reason.

“Better understanding of the factors influencing readmission rates is an important step for improving the quality of care for Canadians,” says Jeremy Veillard, Vice President of Research and Analysis at CIHI. “Although readmissions cannot always be avoided, research suggests that in many cases they may be prevented.”

Reasons for readmission varied by patient group”

… continues

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Health Indicators 2012 – Canadian Institute for Health Information – 24 May 2012

Posted on May 28, 2012. Filed under: Health Status, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Health Indicators 2012 – Canadian Institute for Health Information – 24 May 2012

“The rate of deaths that could potentially be avoided through timely and effective health care and disease prevention dropped from 373 per 100,000 Canadians in 1979 to 185 per 100,000 Canadians in 2008. Health Indicators 2012, the most recent edition of the report produced annually by the Canadian Institute for Health Information (CIHI) and Statistics Canada, includes updates on more than 40 measures for Canadian regions, including a suite of new avoidable mortality indicators.

“When we look into pan-Canadian results for avoidable deaths,” says Jeremy Veillard, Vice President, Research and Analysis, CIHI, “we can determine the respective impact of prevention efforts and of health care improvements.”

The report reveals that the rate of deaths that could be avoided by preventing disease from developing or an injury from occurring has decreased by 47% over a 30-year period. The rate for Canadians went from 225 per 100,000 in 1979 to 119 per 100,000 in 2008.

Meanwhile, deaths that could have been avoided through timely and effective health care intervention were reduced by 56%. This rate went from 149 per 100,000 Canadians in 1979 to 66 per 100,000 in 2008.”

… continues

Health Indicators 2012 is the 13th in a series of annual reports containing the most recently available health indicators data from the Canadian Institute for Health Information and Statistics Canada. In addition to presenting the most recent indicator results, this year’s report introduces a suite of new acute-care readmission indicators, as well as three new indicators focusing on avoidable mortality. An in depth analysis of Avoidable mortality indicators is presented in the In-Focus section of the report.”

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A Snapshot of Health Care in Canada as Demonstrated by Top 10 Lists, 2011 – Canadian Institute for Health Information – 2012

Posted on May 8, 2012. Filed under: Health Mgmt Policy Planning | Tags: , |

A Snapshot of Health Care in Canada as Demonstrated by Top 10 Lists, 2011 – Canadian Institute for Health Information – 2012

“The purpose of this publication is to provide an overview of health care use and resource demands. As questions rise about the sustainability of our health care systems in Canada, it is important to identify what our uses and needs are. By analyzing current health care data, we can ensure resources are being used in the best way possible.”

Table of Contents
Acknowledgements
Quiz Yourself
Introduction
Hospital Care
Reason for Hospitalization
Inpatient Procedures
Day Surgery
External Causes of Injury
Infectious Diseases
Cancer
Rehabilitation
Organ Transplants
Emergency Department Care
Main Problem for Visit
Mental Health Visits
Fracture Sites
Primary Care
Chronic Conditions
Caregiver Distress
Drugs
Total Expenditure
Rate of Use
Costs
Total Health Expenditure
Out-of-Pocket Payments
Inpatients
Physician Compensation
Health Personnel
Concluding Remarks
Definitions
CIHI Data Sources Used
Other Sources
Our Strategic Plan

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Drug Expenditure in Canada, 1985 to 2011 – Canadian Institute for Health Information – 3 May 2012

Posted on May 4, 2012. Filed under: Health Economics, Pharmacy | Tags: , |

Drug Expenditure in Canada, 1985 to 2011 – Canadian Institute for Health Information – 3 May 2012

“Drug spending continues to increase in Canada; overall annual growth has slowed to its lowest rate in 15 years.

Drug Expenditure in Canada, 1985 to 2011 updates trends in drug spending in Canada, primarily from retail establishments, in total, by public and private payers, and by type of drug (prescribed and non-prescribed). Provincial/territorial and international comparisons are included.”

Media release

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Canadian Hospital Reporting Project (CHRP) – Canadian Institute for Health Information

Posted on April 5, 2012. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , , |

Canadian Hospital Reporting Project (CHRP) – Canadian Institute for Health Information

“The Canadian Hospital Reporting Project (CHRP) is a national quality improvement initiative from the Canadian Institute for Health Information (CIHI). CHRP’s web-based, interactive tool gives hospital decision-makers, policy-makers and Canadians access to indicator results for more than 600 facilities from every province and territory in Canada.

CIHI selected 21 clinical and 9 financial indicators for CHRP, based on their relevance to performance measurement and quality improvement. The selected indicators measure:

Clinical effectiveness;
Patient safety;
Appropriateness of care;
Accessibility; and
Financial performance.

These indicators were chosen after reviewing existing hospital performance indicators and collaborating with experts in the field. The goal of CHRP is to foster quality improvement, learning and action.”

… continues on the site

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Disparities in Primary Health Care Experiences Among Canadians With Ambulatory Care Sensitive Conditions – Canadian Institute for Health Information – March 2012

Posted on March 13, 2012. Filed under: Chronic Disease Mgmt, Primary Hlth Care | Tags: |

Disparities in Primary Health Care Experiences Among Canadians With Ambulatory Care Sensitive Conditions – Canadian Institute for Health Information – March 2012

“This report uses the 2008 Canadian Survey of Experiences With Primary Health Care to fill an important gap in our knowledge of primary health care for individuals who have ambulatory care sensitive conditions. An examination of differences in access, use and appropriateness of care
according to income, geography, health conditions and sex reveals the following:

Individuals with ambulatory care sensitive conditions in the lowest income group, in rural areas or with multiple chronic conditions were twice as likely to report that their last visit to an emergency department was for a condition that they perceived as being treatable by their primary health care provider.
Women with ambulatory care sensitive conditions were less likely than men to report receiving all four recommended tests for chronic disease monitoring, to have medication side effects explained or to be provided with tools to self-manage their condition.
Compared with those in the highest income group, individuals with ambulatory care sensitive conditions in the lowest income group were less likely to report that their primary health care physician involved them in clinical decisions or helped them make a treatment plan to manage their conditions.”

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Health Indicators 2011 – Canadian Institute for Health Information and Statistics Canada – 8 June 2011

Posted on June 13, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Health Indicators 2011  – Canadian Institute for Health Information and Statistics Canada – 8 June 2011
Extract from the Executive summary:

“Health Indicators 2011, the 12th in a series of annual flagship reports, presents the most recent data from the Canadian Institute for Health Information (CIHI) and Statistics Canada on a broad range of measures. This report seeks to answer two fundamental questions: “How healthy are Canadians?” and “How healthy is the Canadian health system?”

The indicators were selected based on directions provided at three National Consensus Conferences on Health  Indicators.1–3 Each indicator falls into one of the five dimensions of the internationally recognized4 Health Indicator Framework:

• Health status—provides insight into the health of Canadians, including well-being, human function and selected health conditions.
• Non-medical determinants of health—reflects factors outside of the health system that affect health.
• Health system performance—provides insight into the quality of health services, including accessibility,  appropriateness, effectiveness and patient safety.
• Community and health system characteristics—provides useful contextual information, rather than direct measures of health status or quality of care.
• Equity—provides insight into health disparities.

In addition to presenting the latest indicator results, this year’s report introduces three new indicators that are focused on mental health. In Canada, as in many countries, mental illnesses are among the 20 leading causes of disability5 and are associated with death by suicide.6–8 Seventy percent of mental illnesses develop at a young age,  they often persist over time and they affect people of all cultures and socio-economic status.8–11 They are also costly to the health system. In Canada, when taking into account costs associated with the reduction in health-related quality of life, loss of productivity in the workplace and direct costs of mental health services and supports, the economic impact of mental illnesses was estimated to be $52 billion in 2006 by the Institute of Health Economics.”

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Seniors and the Health Care System: What Is the Impact of Multiple Chronic Conditions? – Canadian Institute for Health Information (CIHI) – 27 January 2011

Posted on January 28, 2011. Filed under: Aged Care / Geriatrics, Chronic Disease Mgmt | Tags: , |

Seniors and the Health Care System: What Is the Impact of Multiple Chronic Conditions? – Canadian Institute for Health Information (CIHI) – 27 January 2011

“The number of health care services seniors use is determined more by the number of chronic conditions they have than by their age, according to a new study from the Canadian Institute for Health Information (CIHI). The study found that older seniors (85 and older) with no chronic conditions made less than half the number of health care visits as younger seniors (65 to 74) with three or more chronic conditions, such as diabetes, hypertension and heart disease.

CIHI’s study Seniors and the Health Care System: What Is the Impact of Multiple Chronic Conditions? examines how seniors not living in institutions access health services and what kind of care they receive. According to the study, three out of four Canadians age 65 and older reported having at least one chronic condition, while one in four seniors reported having three or more.”

…continues on the website

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Treatment of End-Stage Organ Failure in Canada, 2000 to 2009 – Canadian Institute for Health Information (CIHI) – 20 January 2010

Posted on January 21, 2011. Filed under: Nephrology | Tags: , |

Treatment of End-Stage Organ Failure in Canada, 2000 to 2009 – Canadian Institute for Health Information (CIHI) – 20 January 2011

“The number of Canadians living with kidney failure, otherwise known as end-stage renal disease (ESRD), has been steadily increasing for 20 years, but rates now appear to be stabilizing, according to a new report from the Canadian Institute for Health Information (CIHI).

The Canadian Organ Replacement Registry annual report, Treatment of End-Stage Organ Failure in Canada, 2000 to 2009, reveals that close to 38,000 Canadians were living with kidney failure in 2009—more than triple the number (11,000) living with the disease in 1990. The largest increase occurred in older age groups, with prevalence rates escalating by more than 500% for those age 75 and older. Patients in this age group account for 20% of all kidney failure cases.”

…continues on the site

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Falls in seniors – Ontario Trauma Registry 2009 Report: Major Injury in Ontario – November 2010

Posted on January 10, 2011. Filed under: Aged Care / Geriatrics | Tags: , |

Falls the leading cause of severe injury for Ontario seniors

“What: Ontario Trauma Registry 2009 Report: Major Injury in Ontario
Advisory – November 9, 2010 – Falls are by far the most common cause of major injury hospitalization for Ontario seniors, responsible for more than 850 hospital admissions to specialized trauma facilities in 2008, or about one-fifth (20%) of all severe injury admissions to trauma facilities across all age groups in the province. According to new data from the Canadian Institute for Health Information (CIHI) the number of admissions to trauma facilities for severe injuries from falls in seniors increased by 20% over the five-year period from 2004.” … continues on the site

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Health Care in Canada 2010 – December 2010

Posted on January 10, 2011. Filed under: Health Mgmt Policy Planning, Health Status | Tags: |

Health Care in Canada 2010 – December 2010

Health Care in Canada 2010: Evidence of progress, but care not always appropriate Regional variations highlight potentially unnecessary surgical procedures.

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Canada – Use of MRI and CT exams varies greatly among provinces – July 2010

Posted on July 23, 2010. Filed under: Radiology | Tags: |

Canada – Use of MRI and CT exams varies greatly among provinces – July 2010 – Canadian Institute for Health Information

Canada performs fewer diagnostic imaging scans relative to population size than OECD average

“July 22, 2010—Diagnostic tests, such as magnetic resonance imaging (MRI) and computed tomography (CT) scans, are more commonly used on patients in some provinces than in others, according to new data released today by the Canadian Institute for Health Information (CIHI). For example, in 2009, rates of MRI exams performed in Alberta or New Brunswick were more than twice as high as those in Prince Edward Island or Newfoundland and Labrador, varying from highs of 54 exams per 1,000 people in Alberta and 51 per 1,000 in New Brunswick to lows of 23 per 1,000 in P.E.I. and 24 per 1,000 in Newfoundland and Labrador.

Similarly, the data shows significant variation among the provinces in the rates of CT exams performed on patients. New Brunswick and Nova Scotia had the highest rates of CT use (193 and 155 per 1,000 people, respectively) while P.E.I. and British Columbia had the lowest rates of use (104 and 106 exams per 1,000 people, respectively).”

…continues

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Medical Laboratory Technologists and Their Work Environment – Canadian Institute for Health Information – 3 June 2010

Posted on June 11, 2010. Filed under: Pathology | Tags: |

Medical Laboratory Technologists and Their Work Environment – Canadian Institute for Health Information – 3 June 2010
Pages: 106
ISBN 978-1-55465-747-6 (PDF)

This report is based on data collected in two of CIHI’s databases, the Medical Laboratory Technologist Database (MLTDB) and the Canadian MIS Database (CMDB). Specifically, this report provides information on medical laboratory technologists as a distinct healthcare provider group and their work environment in public-sector hospital clinical laboratory services.

Full Report
Download Medical Laboratory Technologists and Their Work Environment (PDF) 1663 KB

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Health Indicators 2010 – Canadian Institute for Health Information – 27 May 2010

Posted on May 28, 2010. Filed under: Health Status | Tags: , |

Health Indicators 2010 – Canadian Institute for Health Information – 27 May 2010

Pages: 105
Date published: May 27, 2010
ISBN 978-1-55465-738-4 (PDF)

“Health Indicators 2010 is the 11th in a series of annual reports containing the most recently available health indicators data from the Canadian Institute for Health Information and Statistics Canada. In addition to presenting the latest indicator data, this year’s report focuses on health disparities, the fifth dimension in the framework. The in-focus section of the report examines disparities in the health system using the two most common reasons for hospitalization—heart attacks and hysterectomies. In addition, two health status indicators—heart attack events and injury hospitalizations—are presented by neighbourhood income quintile for each of the provinces along with two summary measures—disparity rate ratio and potential rate reduction.”

Download Health Indicators 2010 (PDF) 1778 KB

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Canadian MIS Database (CMDB), Hospital Financial Performance Indicators, 1999-2000 to 2008-2009 – published 13 May 2010

Posted on May 26, 2010. Filed under: Health Economics | Tags: , , |

Canadian MIS Database (CMDB), Hospital Financial Performance Indicators, 1999-2000 to 2008-2009

Canadian Institute for Health Information     Pages: 23

“Understanding how hospital financial information changes over time is critical to evaluating hospital performance. Canadian MIS Database, Hospital Financial Performance Indicators, 1999-2000 to 2008-2009 reports on regional level hospital performance using 2008-2009 data. This report is an update to information previously reported in Canadian MIS Database, Hospital Financial Performance Indicators 1999-2000 to 2008-2009. CIHI will continue to monitor the ongoing feasibility of using data from the CMDB in the future to produce and report any additional indicators

The indicators that are used in this report are:

Total Margin
Current Ratio
Administrative Expense as a Percentage of Total Expense
Information Systems as a Percentage of Total Expense
Cost per Weighted Case
Unit-producing Personnel Worked Hours for Patient Care Functional Centres as a Percentage of Total Worked Hours
Nursing Inpatient Services Unit-producing Personnel Worked Hours per Weighted Case
Diagnostic Services Unit-producing Personnel Worked Hours per Weighted Case
Clinical Laboratory Unit-producing Personnel Worked Hours per Weighted Case
Pharmacy Unit-producing Personnel Worked Hours per Weighted Case
Average Age of Equipment ”

Full Report
Download Canadian MIS Database (CMDB), Hospital Financial Performance Indicators, 1999-2000 to 2008-2009 (PDF) 561 KB

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Seniors’ Use of Emergency Departments in Ontario, 2004–2005 to 2008–2009 – Canadian Institute for Health Information – 18 February 2010

Posted on February 26, 2010. Filed under: Emergency Medicine | Tags: |

Seniors’ Use of Emergency Departments in Ontario, 2004–2005 to 2008–2009 – Canadian Institute for Health Information – 18 February 2010

“In 2008–2009, seniors made more than 960,000 visits to emergency departments (EDs) in Ontario, an increase of more than 100,000 visits over five years. According to a new analysis released by the Canadian Institute for Health Information (CIHI), the increase in utilization rate was smaller for seniors age 65 and older (1.5%) than for adults age 20 to 64 (2.6%); much of the increase in the number of visits can be attributed to the increasing population of seniors.

Seniors’ Use of Emergency Departments in Ontario, 2004–2005 to 2008–2009 provides a focused look at changes in seniors’ ED visit volumes, triage levels and acute care admission rates from 2004–2005 to 2008–2009. Highlights from the study include the following:

  • While the number of seniors coming to EDs increased over the study period, the rate of hospital admissions through EDs for seniors decreased from 28% to 25% over the five years. An increasing proportion of these seniors was either discharged home or transferred to another medical facility, such as long-term care.
  • The average cost of an ED visit in 2007–2008 was higher for seniors than for all ages (seniors included), at $386 and $260, respectively.
  • All patients visit EDs 24 hours a day; however, the percent of visits increased from 6 a.m. until it peaked at 10 a.m. When compared to adults 64 and younger, a greater percentage of seniors’ ED visits were made between 9 a.m. and 3 p.m.
  • In 2008–2009, ambulatory care sensitive conditions accounted for 9% of ED visits among seniors, and 48% of seniors who visited EDs with these conditions were hospitalized. These are chronic conditions that can potentially be managed or controlled in the community, potentially avoiding hospital care. Among ambulatory care sensitive conditions, the analysis found chronic obstructive pulmonary disease (COPD) to be the most common reason for an ED visit by a senior, followed by heart failure and pulmonary edema.”
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H1N1 in Canada—A Context for Understanding Patients and Their Use of Hospital Services – 11 February 2010

Posted on February 15, 2010. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , |

“H1N1 patients required more intensive hospital care than typical flu patients

February 11, 2010—When compared to a typical flu, the H1N1 virus resulted in a higher proportion of patients requiring specialized hospital services—and affected younger people more—according to a new study released today by the Canadian Institute for Health Information (CIHI).

The study, H1N1 in Canada—A Context for Understanding Patients and Their Use of Hospital Services,is the first of its kind to examine at a pan-Canadian level how hospitalizations for H1N1 differed from hospitalizations associated with a typical flu. It compares Public Health Agency of Canada FluWatch analysis from April to December 2009 with CIHI hospital statistics for the baseline year 2007–2008. The comparison group included patients with influenza and/or pneumonia, the most common complication of influenza.

“The H1N1 pandemic was met with an unprecedented response from public health officials. As the spread of the virus subsides, it is important to pause and look at how H1N1 compares to a typical flu season,” says Jean-Marie Berthelot, Vice President of Programs at CIHI. “Our study shows that proportionately more H1N1 patients needed specialized and intensive hospital services than what we’ve come to expect in a typical flu season.”

Specifically, the study found that from April 12, 2009, to January 2, 2010, the proportion of hospitalized H1N1 patients requiring intensive care was 50% higher than for those admitted to hospital with influenza or pneumonia in the baseline year—with almost one in six H1N1 hospitalized patients admitted to an intensive care unit (ICU). In addition, an estimated 1 in 10 patients admitted to hospital with H1N1 required ventilation to assist with breathing; proportionally, this was more than double the influenza/pneumonia group.”

…continues on the website

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Health Care in Canada 2009: A Decade in Review – October 2009

Posted on October 30, 2009. Filed under: Health Status, Health Systems Improvement, Public Hlth & Hlth Promotion | Tags: , |

Health Care in Canada 2009: A Decade in Review

About the review – information copied from Health Edition

10-year retrospective produced by CIHI
October 30, 2009

“The Canadian Institute for Health Information published the 10th edition of its Health Care in Canada report this week – an annual snapshot of the state of health care in the country. This anniversary edition takes the opportunity to look back at what has happened in health care and some of the issues that lie ahead.

Health care funding is one of the subjects discussed in the 120-page report, and it says that while there is an abundance of information about health expenditures there is no method yet in place to know what value is created.

“We can readily describe how much money goes where in many different ways. Interpretation, however, is far more difficult and contentious because there is no standard approach to linking volumes and activity to clinical and population health outcomes. Nor is there a method for comparing observed to ‘ideal’ efficiency, or otherwise assessing value for money. All we can say for sure is that the system got a good deal more costly during the past decade.”

The lack of health outcomes data is mentioned a number of times in the report. CIHI expects to produce a report on this subject next spring. It will propose short- and long-term options for upgrading the availability of health care outcomes information.

CIHI says the emergence of new information technologies, like electronic health records (EHRs), promise a veritable “treasure trove” of data to help answer a number of key questions about Canadian health care, and delve into the interconnection between health status, health care needs, services and outcomes. However, it says much depends on whether privacy rules will permit this depth of analysis and if the necessary technical capability is built into new EHR systems.

The democratization of health-care information, accessible through the Internet, has been another major development of the last decade that is yet to demonstrate its full impact especially if the current policy focus on patient-centred care grabs hold.

“In that event, one can envision interactive EHRs, intense measurement and reporting on the patient experience, and portals that allow the public to view, and even analyze, previously inaccessible data. Vigorously pursued, these developments would stand the system on its head,” the report says.

Health Care in Canada 2009: A Decade in Review can be found at http://www.cihi.ca.”

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Health Indicators 2009 – Canadian Institute for Health Information – 11 June 2009

Posted on June 16, 2009. Filed under: Health Status | Tags: |

Health Indicators 2009 – Canadian Institute for Health Information – 11 June 2009
Pages: 138
ISBN 978-1-55465-539-7 (PDF)

“Health Indicators 2009 is the tenth in a series of annual reports containing the most recently available health indicators data from the Canadian Institute for Health Information and Statistics Canada. In view of the 10-year anniversary, this issue of the report also presents national trends over time for selected indicators focusing on the following six themes: heart attacks and cardiac revascularization; stroke; women’s health and men’s health—selected surgical procedures; hip fractures; joint replacements; and preventing hospital admissions. The aim of this information is to assist stakeholders and decision makers in the use and interpretation of the indicator data.”

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