Integration and Continuity of Care
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
- How different components of the health care system work together
- How well and how often patients transition between various services
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
All-Cause Readmission to Acute Care and Return to the Emergency Department (June 2012)
Alternate Level of Care, 2009 (Jan. 2009)
Clients Returning to Inpatient Rehabilitation (Oct. 2007)
Clients Transitioning From Inpatient Rehabilitation to Complex Continuing Care or Home (Apr. 2007)
Have Health Card, Will Travel: Out-of-Province/
-Territory Patients (Mar. 2010)
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
- Discharge Abstract Database (DAD)
- Hospital Morbidity Database (HMDB)
- National Ambulatory Care Reporting System (NACRS)
- National Physician Database (NPDB)
- National Health Expenditure Database (NHEX)
Request data or information from one or more of CIHI’s databases.
FAQ
- Did you know? Out-of-province hospitalizations
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.
- What are the characteristics of people diagnosed with schizophrenia who are readmitted to hospital?
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.
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