Health care dollars are almost always in short supply, and in tough economic times they are increasingly scarce. Whatever the climate, stakeholders and taxpayers want to know that these dollars are being well spent.
To track how money is being spent, we maintain these databases:
- National Health Expenditure Database (NHEX), the primary source of health spending information in Canada
- Canadian MIS Database (CMDB), the primary source of information on staffing, cost, workload and provision of health services
- Canadian Patient Cost Database (CPCD), the data source used to estimate costs by patient group
Combined, these data sources help us provide our stakeholders with trend analyses and short-term forecasts on health spending in Canada. They also track hospital financial performance and spending related to patient care.
We welcome your feedback and questions
Contact us at these email addresses:
- Canadian MIS Database (CMDB): email@example.com
- Canadian Patient Cost Database (CPCD): firstname.lastname@example.org
- MIS Standards: email@example.com
- National Health Expenditure Database (NHEX): firstname.lastname@example.org
- Organisation for Economic Co-operation and Development (OECD) Health Database (Canadian Segment): email@example.com
Have a data inquiry or research question? Make a data request.
Information on Health Spending Data
- National Health Expenditure Trends, 1975 to 2015 (Oct 2015)
- Prescribed Drug Spending in Canada 2013 Report (May 2015) (formerly Drug Expenditure in Canada)
- Health Spending - Nursing Homes (Nov 2014)
- The CMDB Hospital Financial Performance Indicators (HFP) report has been removed. 2 indicators from the report, Administrative Expense (%) and Cost of a Standard Hospital Stay, can be accessed in CIHI’s Your Health System web tool.
National Health Expenditure Database
The National Health Expenditure Database (NHEX) collects, processes and analyzes summary data on all health spending in Canada. It has a wealth of data, extending back to 1975. The data tables are updated annually and are available free of charge.
The information facilitates provincial/territorial, national and international comparative reporting and also supports policy planning, decision-making and research. It helps answer questions about
- How much is spent on health care every year
- What the money is used for and whom it is spent on
- Where that money comes from
Canadian MIS Database
The Canadian MIS Database (CMDB) is the national data source for financial and statistical information about hospitals and other health service organizations.
The information in the CMDB can potentially be used to cost the activities of health service organizations. It forms the basis of management reporting, including annual general purpose financial statements, financial ratio analysis and operational budgeting.
Canadian Patient Cost Database
The Canadian Patient Cost Database (CPCD) contains patient-level data from more than 60 organizations in British Columbia, Ontario and Alberta. Costs relate to the individual encounter level for inpatient, outpatient, long-term care, complex continuing care, mental health and rehabilitation services.
Organisation for Economic Co-operation and Development (OECD) Health Database (Canadian Segment)
The OECD Health Database (Canadian Segment) is a result of the collaboration between CIHI and Statistics Canada. It processes a consistent series of internationally comparable data for most of the 1,200 variables contained in the OECD database.
The database supports policy planning, decision-making and research, and facilitates international comparative reporting. The OECD Health Database is divided into 11 categories and can be downloaded from the OECD’s website.
Metadata is information about data. It helps users understand and interpret data from a specific source.
Find out more about the following data sources:
Data for NHEX is extracted from public documents, including national and provincial/territorial public accounts and other financial reports. Other sources include:
- private insurance companies
- the firm AC Nielsen Canada
- Statistics Canada.
Our methodology for reporting on trends in health spending, including how spending is categorized, is available in our annual report.
The CMDB records financial and statistical information based on a standardized chart of accounts. Hospitals and other health service organizations are expected to submit MIS Standards–compliant financial and statistical data relating to health services to the CMDB including health regions. Most health service organizations submit their data through their respective ministries of health.
Most Canadian data for the OECD Health Database originates from
- Databases maintained by CIHI and Statistics Canada, such as the health expenditures, health services and health professionals database
- Demographic and vital statistics databases at Statistics Canada