National Rehabilitation Reporting System metadata

Overview

The National Rehabilitation Reporting System (NRS) collects data from participating adult inpatient rehabilitation facilities and programs across Canada.

Data source

Service providers in participating facilities collect data in several ways:

At the time of admission to inpatient rehabilitation
At the time of discharge from inpatient rehabilitation
Through an optional process following discharge from inpatient rehabilitation

Facilities that participate in the NRS sign an end-user licence agreement with CIHI.

Data coverage

The NRS collects data from participating adult inpatient rehabilitation facilities and programs in 9 provinces across Canada.

Facilities and programs that participate in the NRS may include

Specialized facilities
Hospital rehabilitation units
Hospital rehabilitation programs
Designated rehabilitation beds

The minimum data set contains clinical data on functional status. This is based on the 18-item FIM® instrument and additional elements that measure cognitive function and performance of instrumental activities of daily living (IADLs).

Facilities collect client data on admission and discharge from the inpatient rehabilitation program. They send the data directly to CIHI on a quarterly basis so it can be included in online comparative reports.

There is an option to collect additional information in a follow-up assessment 80 to 180 days after a client completes their rehabilitation stay. Collecting information at this stage provides an opportunity to assess whether functional outcomes gained during rehabilitation have been sustained.

Data availability

NRS data is available from 2000–2001 to the most recently completed fiscal quarter. NRS data is released quarterly in secure online eReporting for participating facilities and other authorized users. These reports are available 8 weeks after the end of the fiscal quarter.

8 NRS indicators are reported publicly on an annual basis.

To obtain data outside of eReports and CIHI’s Quick Stats, please complete a data request form.

Classification

The NRS uses an ICD-10-CA pick-list for data elements such as

Most Responsible Health Condition
Pre- and Post-Admit Comorbid Health Conditions
Service Interruption Reason
Transfer or Death Reason

The NRS uses Canadian Classification of Health Interventions (CCI) codes to capture Pre-Admit Comorbidity Procedure or Intervention. Functional outcome measures are captured primarily using the FIM® instrument.

Rehabilitation Client Groups

Within the NRS, a client is categorized into 1 of 17 health condition groups known as Rehabilitation Client Groups (RCGs). The RCG selected for a particular client is based on the condition that best describes the primary reason for their admission to the inpatient rehabilitation unit or facility, such as a stroke or a limb amputation. For a full list of RCGs used in the NRS, send an email to specializedcare@cihi.ca.

Rehabilitation Client Groups (RCGs) referenced herein are adapted, with permission, from the impairment codes, which are the property of Netsmart Technologies, Inc. Copyright 1997 Netsmart Technologies, Inc. All Rights Reserved.

Data elements

The NRS data elements are organized under the following categories:

Socio-demographic information
Administrative data
Health characteristics
Activities and participation
Interventions

These elements are used to calculate indicators, including wait times and client outcomes.

Complete specifications and coding guidelines for the NRS are published in the Rehabilitation Minimum Data Set Manual. Access to the manual is restricted to licensed users. To order the manual, visit eStore.

Data quality

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:

NRS request form: Special-Purpose Licence (SPL) agreement

If you do not submit to the NRS and are interested in obtaining a licence to use the FIM® instrument at your facility, you will need a Special-Purpose Licence (SPL) agreement.

To request an SPL for NRS, please contact specializedcare@cihi.ca.

Privacy impact assessment

Privacy impact assessments (PIAs) evaluate and address the privacy impacts of programs and systems.

Go to the Privacy and security page to read the PIA, which contains further information about the purposes, data elements and data sources for this data holding.

Contact us

For further information, please email

help@cihi.ca