Update to existing YHS indicators

A number of indicators and contextual measures in the Your Health System (YHS) web tool will be updated to reflect the most recent year of data available. Here are some milestones to keep in mind:

  • Embargo release: November 8
  • Media embargo release: November 29
  • Public release: November 30

New for the fall 2017 release

  • 9 Acute Care indicators will be released 6 months earlier than usual (in the fall instead of the spring): a suite of 5 Readmission indicators and the indicators Hospital Deaths Following Major Surgery, Hip Fracture Surgery Within 48 Hours, Obstetric Trauma With Instrument and In-Hospital Sepsis.
  • CIHI is continuing to align its products and indicators. As part of this, the methodology for the Hip Fracture Surgery Within 48 Hours indicator was revised to include patients age 18 and older, to align with the similar indicator reported in the Wait Times tool. While the impact on indicator results is minimal, 5 years of data (2012–2013 to 2016–2017) will be available to allow trending over time. Updated technical documentation will be available in the Indicator Library on October 27, 2017.
  • Please note that medical assistance in dying (MAID) cases are included in Hospital Standardized Mortality Ratio (HSMR) calculations for 2016–2017. Work is under way to adjust the methodology to remove these cases for the spring release. The impact of MAID cases on 2016–2017 HSMR results is minimal.

Updates to the indicator table 

Please note the following updates to the indicator table provided on September 7, 2017. The updated indicator table includes the following changes.

  • Provincial/territorial and regional results for the following indicators are reported by the patient’s place of residence, not by place of service as previously communicated:
    • Medical Patients Readmitted to Hospital
    • Surgical Patients Readmitted to Hospital
    • Obstetric Patients Readmitted to Hospital
    • Patients 19 and Younger Readmitted to Hospital
    • Hip Fracture Surgery Within 48 Hours
  • Potentially Inappropriate Medication Prescribed to Seniors will be updated in the spring.
  • Life Expectancy at Birth and Life Expectancy at Age 65 will not be available from Statistics Canada in time for the fall release; they will be updated in YHS in the spring.
  • The most recent data for Emergency Department (ED) indicators will be released both in YHS and in the 2016–2017 National Ambulatory Care Reporting System (NACRS) ED Quick Stats. Results for 2 ED indicators, Emergency Department Wait Time for Physician Initial Assessment (90% Spent Less, in Hours) and Total Time Spent in Emergency Department for Admitted Patients (90% Spent Less, in Hours), will be available in YHS, while the NACRS ED Quick Stats will provide information on time spent in the ED by age group, triage level and other breakdowns.

Health Indicators e-Publication

The Health Indicators e-Publication will also be updated on November 30.

  • 4 Readmission indicators will be refreshed with 2016–2017 data: Medical Patients Readmitted to Hospital; Surgical Patients Readmitted to Hospital; Obstetric Patients Readmitted to Hospital; and Patients 19 and Younger Readmitted to Hospital.
  • 5 years of data (2012–2013 to 2016–2017) will be added to the revised Hip Fracture Surgery Within 48 Hours indicator. The existing indicator for patients age 65 and older will not be updated and will be marked as a terminated series.

Indicator Library

To support the upcoming fall release, the Indicator Library will be refreshed on October 27, 2017.

Contact information

If you have any questions or need any further information, please send an email to hsp@cihi.ca.