A joint effort to provide real-time and standardized patient data related to nursing care

Canadian Health Outcomes for Better Information and Care (C-HOBIC) is an innovative initiative that is leading the collection of standardized clinical outcomes data that reflects nursing practices across Canada. Sponsored and managed by the Canadian Nurses Association, the initiative is funded with contributions from Canada Health Infoway and other provincial partners.

What is C-HOBIC?

C-HOBIC introduces a structured language for use in patient assessment and is focused on collecting standardized evidence-based clinical outcome data for inclusion in electronic health records in Canada. This data set includes terminology in the following areas:

  • Functional status and continence
  • Symptoms: pain, nausea, fatigue, laboured breathing
  • Safety outcomes: falls, pressure ulcers
  • Readiness for discharge

How does standardized data help?

There are many benefits of collecting and standardizing this type of data for patients as they move across the health care system. It provides decision-makers with real-time reports that can easily be linked with staffing, financial and clinical data. These reports can help assess organizational performance and may help to improve clinical outcomes and better prepare patients for discharge.

C-HOBIC data also provides health care administrators with access to real-time information about the effect and outcome of nursing care on patients, and offers researchers standardized data to support investigations into how well the health system is working to meet the health care needs of Canadians.

In addition, the collection of this data will allow for comparative analysis within organizations and for industry benchmarking. It will also provide the necessary information to evaluate operational decisions and resource allocation and will support continuity of care across the health care system.

What does this mean for CIHI?

The C-HOBIC data set is being incorporated into CIHI’s Discharge Abstract Database (DAD), which captures administrative, clinical and demographic information on hospital discharges. During this implementation period, the C-HOBIC team is piloting the collection of data in 2 acute care sites from 2015 to 2017.

Learn more about CIHI’s role in C-HOBIC.