Home care is a rapidly growing and critical component of an effective health care system. In Canada, home care programs deliver a wide range of services, including
- Short-term care to those recovering from surgery or acute medical conditions
- Long-term care and support to allow people with chronic conditions to continue living in the community
- Other specialized programs, such as end-of-life care and rehabilitation
Home care is delivered in the community in private homes and residential care settings, as well as in hospitals and ambulatory clinics.
CIHI collects and reports on clinical, administrative and resource utilization data from publicly funded home care programs in Canada. We also collect information on transitions of home care clients to and from hospitals or emergency rooms.
As part of the Shared Health Priorities project, the federal/provincial/territorial ministers of health committed to work collectively and with CIHI to develop a focused set of common indicators to measure pan-Canadian progress toward improving access to mental health and addictions services, and home and community care.
We welcome your feedback and questions
- Contact us at firstname.lastname@example.org.
Have a data inquiry or research question? Make a custom data request.
Are you a RAI assessor or educator? Visit the Resources for Home Care interRAI Assessors page
Home care information
Download any of these CIHI reports and analyses:
- Seniors in Transition: Exploring Pathways Across the Care Continuum (July 2017)
- Seniors and Alternate Level of Care: Building on Our Knowledge (Nov 2012)
- Supporting Informal Caregivers—The Heart of Home Care (Aug 2010)
Home Care Reporting System
The Home Care Reporting System (HCRS) contains demographic, clinical, functional and resource utilization information on clients served by publicly funded home care programs in Canada.
The clinical data standards for HCRS were developed by interRAI External link, opens in new window, an international research network, and modified with its permission for Canadian use. The interRAI Resident Assessment Instrument—Home Care (RAI-HC)© is used to identify the preferences, needs and strengths of long-term home care clients. The interRAI Contact Assessment (interRAI CA)© captures a brief profile of all people served through screening or home care intake processes.
Client information is entered into a computer at the point of care. Real-time reports flag resident risks and inform care planning. The information then flows to CIHI. With no additional collection effort, evidence is available to guide care and system-wide planning as well as quality improvement.
Integrated interRAI Reporting System
CIHI’s Integrated interRAI Reporting System (IRRS) accepts information from the new version of the home care assessment, the interRAI Home Care (interRAI HC). The interRAI HC informs and guides comprehensive care and service planning in community-based settings. It focuses on the person’s functioning and quality of life by assessing needs, strengths and preferences, and it facilitates referrals when appropriate. The interRAI HC can be used to assess persons with chronic needs for care as well as those with post-acute care needs (e.g., after hospitalization, in a hospital-at-home situation). This new version is part of an integrated suite of assessment instruments and includes increased commonality and standardized language across multiple care settings. Using this kind of integrated approach makes it easier to follow a person’s health care information across settings, encouraging continuity of care and increasing the chances of improved health outcomes.
Metadata is information about data. It helps users understand and interpret data from a specific source.
Find out more about the following data sources:
- Using the interRAI Assessment System (video)External link, opens in new window
- Following the Flow of Health Care Data (video) External link, opens in new window
- CIHI Home and Continuing Care Reporting Systems: Bringing evidence to support your decisions (video) External link, opens in new window
- The interRAI Contact Assessment: Supporting your community and emergency department decisions (video) External link, opens in new window
Other useful items from CIHI include information sheets, manuals and educational material.
Home care information sheets
- CIHI's New Integrated interRAI Reporting System (Oct 2019) (PDF)
- Home Care Quality Indicators (Sep 2017) (PDF)
- Home Care Reporting System and interRAI Contact Assessment (Jun 2017) (PDF)
- Home Care Reporting System and RAI–Home Care (Jun 2017) (PDF)
- Understanding and Using interRAI Assessment Information (Apr 2016) (PDF)
Home care user manuals
- RAI–Home Care (RAI-HC) User’s Manual (includes assessment form)
- interRAI Contact Assessment (CA) Assessment Form and User’s Manual
- interRAI Clinical Assessment Protocols (CAPs) Manual
- Associated documents
Home care specifications manuals
- Home Care Reporting System (HCRS) Data Submission Specifications Manual
- Home Care Reporting System (HCRS) RAI-HC Output Specifications Manual
- Home Care Reporting System-Contact Assessment (HCRS-CA) Data Submission Specifications Manual
- Home Care Reporting System-Contact Assessment (HCRS-CA) Output Specifications Manual
- Home Care Reporting System-Contact Assessment (HCRS-CA) Administrative Data Elements Coding Manual
Home care education
- CIHI Learning and Development interRAI in Home Care (2019) (PDF)
- To access a complete list of CIHI’s courses, visit the CIHI Learning Centre.