- Backgrounder: Indicator Highlights
June 10, 2015 — Your Health System, a groundbreaking web tool created by the Canadian Institute for Health Information (CIHI) on how health systems across the country compare with one another, has released 9 new performance indicators from the long-term care (LTC) sector, which includes more than 1,000 nursing homes and other LTC facilities.
This is the first time that CIHI has made LTC indicators publicly available at the level of individual residences. The new indicators measure the safety, quality of life and general health of LTC residents, and are calculated at the national, provincial/territorial, regional and facility levels.
“The integration of the LTC indicators into the Your Health System web tool represents a major milestone in measuring the health care performance in this growing sector,” said CIHI’s president and CEO, David O’Toole. “We have worked collaboratively with organizations across Canada to set data standards, collect their health data and analyze it, so that each facility, region and province can learn from one another to improve the quality of care being delivered to residents.”
Variation across the country
With more than 1,000 LTC facilities included in this release, the results vary from coast to coast. CIHI has been gathering and sharing data results with the LTC sector for 10 years, but this is the first public reporting of pan-Canadian results that has been issued.
“When looking at the numbers, it is important to consider that each province, region and facility faces its own unique social, economic and environmental circumstances and challenges,” said Brent Diverty, Vice President of Programs. “Our data can help identify what practices work well, and where there may be opportunity to consider these best practices to improve the health of residents living in long-term care facilities. Many facilities have been using this data in their quality improvement initiatives and have seen promising results, before this public report was issued today.”
1 of the 9 new indicators released today is Potentially Inappropriate Use of Antipsychotics in Long-Term Care, a measurement now also being used by the Canadian Foundation for Healthcare Improvement (CFHI) to track improvements in resident care.
“Comparative performance information allows organizations to learn from those that are doing well and improve care for residents and their family members,” said Maureen O’Neil, CFHI’s president. “CFHI is bringing together more than 50 long-term care facilities across Canada to take a close look at their data to identify gaps in the quality of resident care and implement more appropriate use of antipsychotics. Building on the success of previous CFHI-supported initiatives with the Winnipeg Regional Health Authority, several teams have already lowered rates of inappropriate antipsychotic medication and have seen improvements in resident health and experience of care.”
New data on time spent in emergency for admitted patients
The Your Health System web tool has 2 components:
- In Depth is intended for managers in both acute and now LTC facilities to identify areas for improvement; and
- In Brief is intended for the public to review how their health system is performing within a Canadian city, region, province or territory in terms of health care access, quality, cost, outcomes and promotion.
The majority of the many indicators in Your Health System: In Brief and In Depth were updated today to reflect 2014 data.
A significant new indicator has been added — Total Time Spent in Emergency Department for Admitted Patients — providing a more complete picture of emergency department wait times for care across the country and within provinces, territories and regions.
Value of public reporting
CIHI provides health care data and analysis privately to hospitals and LTC facilities, allowing for detailed comparison reporting and quality improvement. Adding a layer of public reporting through tools such as Your Health System enhances this work by improving accessibility to the data and providing greater transparency.
All indicators available through Your Health System are a part of CIHI’s larger health system performance initiative aimed at strengthening public reporting and supporting jurisdictional efforts in improving care and the health of Canadians.
CIHI collects and analyzes information on health and health care in Canada and makes it publicly available. Canada’s federal, provincial and territorial governments created CIHI as a not-for-profit, independent organization dedicated to forging a common approach to Canadian health information. CIHI’s goal: to provide timely, accurate and comparable health information. CIHI’s data and reports inform health policies, support the effective delivery of health services and raise awareness about the factors that contribute to good health and health care.
For more examples of how CIHI data is helping support quality care initiatives in featured health care facilities, visit the most recent success stories on our YouTube channel.