Health system performance products
Following are descriptions of CIHI’s planned products that measure health system performance using a structured approach to assess how well health systems are functioning and to understand where improvements could be made. They are scheduled to be released between April 1, 2024, and March 31, 2026.
Shared Health Priorities, 2023
In February 2023, federal, provincial and territorial (FPT) governments agreed to work together to improve care in priority areas,Footnote i including working with CIHI on the development and reporting of common indicators. CIHI worked with FPT governments to select a set of indicators that focus on new shared health priorities to improve health care for Canadians, and CIHI is working with data partners (Statistics Canada, Canada Health Infoway and Integrated Youth Services) to develop the indicators.
Primary Health Care indicators
- Canadians With a Regular Health Provider
- Canadians Who Reported Being Able to See a Health Provider When They Were Sick or Concerned (on the Same Day or Next Day)
- Canadians With Access to a Primary Care Health Team
- Canadians Who Were Satisfied or Very Satisfied With the Wait Time to Access a Health Provider When They Were Sick or Concerned
- Canadians Who Reported Being Treated With Dignity and Respect Regarding Culture, Language, Gender and Sexual Orientation by a Health Provider
- Ambulatory Care Sensitive Conditions Hospitalizations
Health Workforce and Surgeries indicators
- Family Physicians Entering and Leaving the Workforce
- Nurse Practitioners Entering and Leaving the Workforce
- Nurses Entering and Leaving the Workforce
- Annual Change in Surgical Volumes Since Start of COVID-19 Pandemic
- Joint Replacement Wait Times
- Hip Fracture Surgery Within 48 Hours
- Overtime Hours Worked by Nurses in Hospital
Mental Health and Substance Use indicators
- Canadians With a Mental Health Disorder Who Have an Unmet Need for Mental Health Care
- Youth Age 12 to 25 Who Accessed Integrated Youth Services for Mental Health, Substance Use and Well-Being Support
- Wait Times for Community Mental Health Counselling
- Wait Times for Substance Use Services
- Follow-Up After a Hospital Stay for Mental Health or Substance Use
Electronic Health Information indicators
- Canadians Who Access Health Records Electronically
- Health Providers Who Share Patient Health Information Electronically
- Health Providers Routinely Using Health Information Being Shared Electronically From Other Settings
- Digital Health Literacy Among Canadians
- Digital Health Literacy Among Providers
Aging With Dignity indicators
- Falls in the Last 30 Days in Long-Term Care
- Potentially Inappropriate Use of Antipsychotics in Long-Term Care
- Proportion of Long-Term Care Residents Who Die on the Day of Transfer to Hospital
- Residents Actively Engaged in Their Daily Life and Care Activities
- Overtime Hours Worked by Nurses in Publicly Funded Long-Term Care Facilities
- Supply of Personal Support Workers
In addition, CIHI is working with partners to develop indicators on aging with dignity, and with the Indigenous-led Cultural Safety Measurement Collaborative to select, develop and report on a set of cultural safety indicators.
Taking the pulse: Measuring shared priorities for Canadian health care, 2024
Released: October 2024 Next anticipated update: Fall 2025
The second report in this series offers current-state data with relevant context on the common indicators that measure progress in 4 Shared Health Priorities:
- Expanding family health services and improving access to primary health care
- Increasing the supply of the health workforce and decreasing wait times for surgeries
- Improving access to mental health and substance use services
- Modernizing health care information systems and digital tools for secure sharing of electronic health information
The 2024 release also includes updates on work in other priority areas, including aging with dignity and Indigenous health.
Who this is for
This report can be used by the public, FPT governments, health system planners and other stakeholders.
Related resources
Quality and safety
Ambulatory Care Sensitive Conditions Hospitalizations
Released: October 2024
Next anticipated update: Fall 2025
This indicator measures the age-standardized acute care hospitalization rate for conditions where appropriate ambulatory care prevents or reduces the need for admission to hospital.
This indicator is part of a set of common indicators to measure progress on the priority areas to improve health care announced by FPT governments in 2023.
Who this is for
This indicator can be used to inform the public, FPT governments, health system planners and other stakeholders.
Related resources
Annual Change in Surgical Volumes Since Start of COVID-19 Pandemic
Released: October 2024
Next anticipated update: Fall 2025
This indicator measures the change in surgeries completed in Canada during and after the COVID-19 pandemic, tracked by volume and percentage change.
This indicator is part of a set of common indicators to measure progress on the priority areas to improve health care announced by FPT governments in 2023.
Who this is for
This indicator can be used to inform the public, FPT governments, health system planners and other stakeholders.
Related resources
Joint Replacement Wait Times
Released: October 2024
Next anticipated update: July 2025
This indicator measures the percentage of patients in a province who received planned total joint replacements within 26 weeks (182 days) from the date they were ready to be treated.
This indicator is part of a set of common indicators to measure progress on the priority areas to improve health care announced by FPT governments in 2023.
Who this is for
This indicator can be used to inform the public, FPT governments, health system planners and other stakeholders.
Related resources
Hip Fracture Surgery Within 48 Hours
Released: October 2024
Next anticipated update: July 2025
This indicator calculates the proportion of hip fractures surgically treated within 48 hours of a patient’s initial admission to an acute care hospital, among patients age 18 and older.
This indicator is part of a set of common indicators to measure progress on the priority areas to improve health care announced by FPT governments in 2023.
Who this is for
This indicator can be used to inform the public, FPT governments, health system planners and other stakeholders.
Related resources
Measuring patient harm in Canadian hospitals: A Hospital Harm data update
Released: October 2024
The Hospital Harm measure looks at unintended occurrences of harm in acute care hospitals that could have been potentially prevented by implementing evidence-informed practices. The data tables and infographic provide information on the overall rate, as well as counts and rates by category and clinical group of hospital harm for the most recent year of data.
Who this is for
This information can be used to inform the public, FPT governments, health system planners and quality improvement initiatives.
Related resources
Value for money
Using patient-reported data to better assess quality of care for hip and knee replacements
Released: June 2024
For the first time, CIHI has combined patient-reported data with clinical outcomes and costing data on hip and knee replacements. This provides a synergistic analysis across data sources for a holistic picture of outcomes and patient experiences related to hip and knee replacements in Canada.
Who this is for
The inclusion of patient-reported measures is a way for health providers to understand how well health care systems deliver patient-centred care, namely by measuring outcomes that are meaningful to patients.
Related resources
International
How Canada Compares: Results From the Commonwealth Fund’s 2024 International Health Policy Survey of Older Adults
Anticipated release: June 2025
Next anticipated update: March 2026
The 2025 release of results from the 2024 Commonwealth Fund International Health Policy Survey will focus on the views and experiences of seniors age 65 and older in 10 high-income countries. The products from the survey provide an important perspective on individuals’ experiences with their health care systems in Canada and internationally, and where improvements could be made.
The 2026 release of results from the 2025 Commonwealth Fund International Health Policy Survey will focus on the views and experiences of primary care physicians in 10 high-income countries.
Who this is for
This product can be used to inform the public, FPT governments, health system planners and other stakeholders.
Related resources
Footnote
i.
On March 27, 2024, Quebec signed the Canada–Quebec agreement on federal funding to support Quebec’s health priorities. Efforts relating to this agreement are currently underway, and data from Quebec will be integrated into future reports.
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