Hospital care is a vital part of the health care system. Typically, the federal government establishes the national health care standards that jurisdictions must meet. However, in most parts of the country, provincial and territorial governments are responsible for providing hospital and acute care services.
At CIHI, we collect and report on clinical, administrative and financial data from hospitals providing inpatient and outpatient hospital care in Canada.
Emergency and ambulatory care
Medical care delivered on an outpatient basis. It is one of the largest-volume patient activities in Canada, making it a key component of the continuum of health services in Canada.
Acute inpatient care provides necessary treatment for a disease or severe episode of illness for a short period of time, with the goal of discharging patients as soon as they are stable.
Serves people who may not be ready for discharge from hospital but who no longer need acute care services. Also known as extended care, chronic care or complex continuing care, this type of hospital care provides ongoing professional services to a diverse population with complex health needs.
Care for both short-stay and long-stay rehabilitation patients.
Each year, CIHI and registered organizations collect and analyze data related to the health of Canadians and the Canadian heath care system. To facilitate improved access to timely data, CIHI offers data-submitting organizations a reporting tool. It enables registered organizations to electronically submit and access their data through a secure website.
Applications available through Client Services eReporting are
A web-based analytical environment that gives clients access to enriched, facility-identifiable data from several of our data holdings. Through a dynamic bundle of content and functionality, CIHI Portal enables decision support and planning by providing the tools for customized comparative reporting.
CIHI Portal integrates four distinct services
Secure and fast access to submission reports for the Continuing Care Reporting System (CCRS), the Home Care Reporting System (HCRS), the National Rehabilitation Reporting System (NRS), the Discharge Abstract Database (DAD), and the National Ambulatory Care Reporting System (NACRS).
Get answers to your questions. Use eQuery to search for an answer or to submit your questions about CIHI’s programs and products, including Classifications, Case Mix, DAD, NACRS, CCRS, HCRS, OMHRS, NRS and CIHI Portal.
An interactive tool developed by CIHI to estimate the average cost of various services provided in hospitals.
This tool provides information nationally, by jurisdiction and by patient age group. The cost estimates represent the estimated average cost of services provided to the average patient. They include the costs incurred by the hospital in providing services but exclude physician fees, since physicians are normally paid directly by the jurisdiction and not by the hospital.
NACRS is the National Ambulatory Care Reporting System at the Canadian Institute for Health Information (CIHI). Ambulatory care is one of the largest-volume patient activities in Canada. Recognizing the need for data about this sector, CIHI developed the NACRS database. NACRS provides hospitals and community-based organizations with a standard data collection and reporting tool to capture data for ambulatory care visits, including day surgery, outpatient clinics and emergency departments. Data are available from 2001 onwards.
Just over 685,000 children made more than one million visits to EDs in Ontario in 2005–2006. Newborns and babies up to one year of age had the highest proportion of ED visits (802 per 1,000 children). This high visit rate reflects that 42.6% of newborns and babies up to one year of age came to the ED more than once in the year. The lowest rate of ED visits—279 per 1,000—was for children aged 10 to 14 years.
While most children made only one ED visit in the year, almost one-third (31.8%) made two or more visits. Almost one-quarter (23.5%) of children that made more than one visit to the ED in the year returned to the ED within 72 hours of their previous visit. Of these 218,106 children, we found that: • 34.1% were aged 1 to 4; • 45.7% had been triaged as requiring less- or non-urgent care at their initial visit; • 48.7% had registered between 4 p.m. and 12 a.m. during their initial visit; and • 12.6% had left the ED prior to their completing their initial visit.
ED patients are triaged based on a protocol which is designed to systematically ensure that those who need the most immediate care are assessed by physicians first. For our analyses, the five-level triage rating was used as a proxy to describe the severity of illness or acuity. More than half (55.1%) of children were triaged as requiring less urgent (level IV) or non-urgent (level V) care and less than 1% (0.3%) were triaged as requiring resuscitation (level I). While less than 1% of all children who visited EDs in Ontario were triaged as level I, PAHSCs saw the largest percentage of patients triaged as level I (0.6%). This was nearly three times the percentage seen in low-volume EDs (0.2%) and double that seen in high-volume EDs (0.3%).
Approximately 8 in 100 Canadians were hospitalized in acute care hospitals in 2006–2007, compared to 11 in 100 Canadians 12 years ago. This represents a decrease of 27.8% since 1995–1996 and a decrease of 4.2 % since 2005–2006 (figures adjusted for age and sex).