The Continuing Care Reporting System (CCRS), launched in 2003–2004, contains demographic, clinical, functional and resource utilization information on individuals receiving continuing care services in hospitals or long-term care homes in Canada.
Clinicians use the information
- To support front-line care planning and quality improvement at the point of care.
- To support planning, quality improvement, funding and accountability at the management and policy-making levels.
Information on facility characteristics that supports comparative reporting and benchmarking is also captured.
Nursing staff and other health providers conduct assessments of individuals in two types of participating publicly funded facilities:
- Hospitals with continuing care beds, commonly known as extended, auxiliary, chronic or complex care beds.
- Residential care facilities, commonly known as nursing homes, personal care homes or long-term care facilities.
Coverage includes detailed clinical, functional and service information that identifies residents’ preferences, needs and strengths, and provides a snapshot of the services they use.
As of 2017–2018, the following provinces/territories were participating partially or completely in CCRS:
- British Columbia
- New Brunswick
- Nova Scotia
- Newfoundland and Labrador
(* both hospital and residential care sectors)
Historical data coverage varies. Details are available on request. Please complete a data request form.
Longitudinal data is available from 2003 onwards.
Prior to 2003, limited data is available for Ontario hospitals only. Please complete a data request form.
Data is primarily collected using the Resident Assessment Instrument Minimum Data Set (RAI-MDS 2.0), a clinical assessment instrument developed by interRAI.
The RAI-MDS 2.0 contains more than 500 data elements that document clinical and functional characteristics of residents, including
- Cognitive function
- Psychosocial well-being
- Health conditions
- Skin condition
- Mood and behaviour
- Physical function
- Disease diagnosis
- Nutritional/oral status
- Activity patterns
The RAI-MDS 2.0 assessment instrument also automatically populates
- Clinical Assessment Protocols, used by clinicians to identify risk and support care planning
- Outcome scales that summarize function in areas such as cognition, physical function and frailty/instability
- RUG-III case mix methodology and risk-adjusted quality indicators
More detailed information about the CCRS data elements can be found in the Resident Assessment Instrument (RAI) MDS 2.0 User's Manual.
CIHI ensures that the quality of the information in our data holdings is suited to its intended uses and that data users are provided with accurate information about data quality. Read more about our Data and Information Quality Program.
The following data quality documentation is available:
- Continuing Care Reporting System Data Users Guide 2018-2019
- Continuing Care Reporting System Data Users Guide 2017–2018