Integration and continuity of care relates to the many ways that care is provided and that patients flow through the health system.
CIHI provides a wealth of health services data. We are uniquely positioned to explain
By collecting data across many sectors of care, we are building a pan-Canadian view of continuity of care across sectors. This access to a multitude of data sources ensures that government bodies, hospitals, health authorities and other stakeholders have the information they need to provide high-quality services efficiently. CIHI’s interest and work in this area are expanding.
Key reports and analyses
Databases and data sources
CIHI’s many databases are used to calculate our large number of clinical, financial and other indicators across the health system and for populations. Our databases include
The median ALC length of stay in 2007–2008 was 10 days, which was similar to the previous two years. Some patients were classified as ALC for only a short time, while others spent several months in hospital as ALC after their acute treatment was complete. Fifteen percent of patients had only one or two ALC days, while 59% had more than a week and 20% had more than a month of ALC days. Some had very long ALC stays: 4% were more than 100 days. The long-stay patients did not differ from the shorter-stay patients on demographic variables (gender and age) but were more likely to be in the hospital for reasons related to dementia.
In 2007–2008, more than 50,000 Canadians were hospitalized outside of the province or territory that issued their health cards, representing 2% of all hospitalizations in Canada. According to a new study issued by the Canadian Institute for Health Information (CIHI), nearly one in four (23%) out-of-province/-territory hospitalizations involved childbirth or newborns. Almost two-thirds of those hospitalizations relating to pregnancy and childbirth were planned admissions.
Short-term readmissions represented the largest single category, with almost 12% of individuals being readmitted within 30 days of discharge from hospital. This is also demonstrated in Figure 1, which allows for an examination of the hospital readmission rate for schizophrenia over a one-year period. After one week, more than 4% of individuals diagnosed with schizophrenia had been readmitted to hospital for a mental illness. The proportion rises most quickly within the first 30 days of follow-up, and then more gradually to about 28% at 180 days and about 38% after one year.