Rehabilitation care includes a comprehensive range of inpatient and outpatient services and complex continuing care for adults who experience debilitating illness or injury. We facilitate the collection of standardized information on inpatient clients, mainly through the National Rehabilitation Reporting System (NRS).
For more information on the processes involved in participating in the NRS, please refer to the Easy Reference Guide to the National Rehabilitation Reporting System.
Our reports and indicators provide stakeholders with information to
- Assess changes in and maintenance of client outcomes
- Examine access to inpatient rehabilitation
- Evaluate programs and services
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Reports and analyses
Databases and data sources
About the NRS
- Ontario stroke care: A look at data collected using the AlphaFIM® instrument (Aug 2017)
- Rehabilitation Intensity in Ontario: What Do We Know So Far? (Aug 2017)
- Trends in Canadian Inpatient Rehabilitation Outcomes Following Traumatic Brain Injury (Feb 2017)
- An Examination of Post-Stroke Inpatient Rehabilitation Clients Whose Rehabilitation Goals Were Not Met (Sep 2015)
- Factors Predicting Return Home From Inpatient Rehabilitation Following Hip Fracture Surgery (Jul 2015)
- Outcomes From Inpatient Rehabilitation Following Traumatic Brain Injury in Canada (Jan 2014)
- Effect of Body Mass Index on Inpatient Rehabilitation Outcomes After Stroke (Oct 2013)
- Informing Decisions: Data Improves Rehabilitation Services in Canada (Mar 2013)
- Factors Predicting Discharge Home From Inpatient Rehabilitation After Stroke (May 2009)
- Clients Returning to Inpatient Rehabilitation (Oct 2007)
Quick Stats are a series of free, publicly available reports that provide aggregate-level data about health care in Canada. The following NRS Quick Stats are available:
- Median Length of Stay in Inpatient Rehabilitation
- Inpatient Rehabilitation Clients Reporting an Improvement of Pain at Discharge
- Days Waiting for Admission to Inpatient Rehabilitation
- Length of Stay and Length of Stay Efficiency of Inpatient Rehabilitation Clients
- Demographic Characteristics of Inpatient Rehabilitation Clients
- Function Scores of Inpatient Rehabilitation Clients
- Distribution of Days Waiting for Admission to Inpatient Rehabilitation
- Primary Services Referred to After Discharge From Inpatient Rehabilitation
The NRS contains client data collected from participating adult inpatient rehabilitation facilities and programs across Canada. These include specialized facilities as well as hospital rehabilitation units, programs and designated rehabilitation beds. The minimum data set contains clinical data on functional status based on the 18-item FIM® instrument and additional cognitive elements. Private online eReports are updated on a quarterly basis for participating facilities and other authorized users
Facilities collect client data on admission and discharge from the inpatient rehabilitation program. They send the data directly to us on an ongoing basis for inclusion in comparative reports. There is an option to collect additional information in a follow-up assessment conducted 80 to 180 days after a client completes his or her rehabilitation stay. Collecting this information provides an opportunity to assess the sustainability of functional outcomes gained during rehabilitation.
Metadata is information about the data. It helps users understand and interpret data from a specific source.
Find out more about the metadata for the NRS.
National Rehabilitation Reporting System Newsletter
Training, tips for NRS coders and changes in coding standards
You can access NRS resources in the CIHI Learning Centre. These resources are developed for stakeholders who are responsible for collecting, submitting, managing and analyzing NRS data, including NRS facility coordinators, NRS trainers and other facility staff involved in the NRS.
- NRS standards
- Reference guides
- Tip sheets for completing NRS assessments
- Electronic files to support NRS assessor training
- An overview of NRS education offerings
- And more!
CIHI has been promoting health information standards for hospital-based inpatient rehabilitation services since 1995, when we initiated a national pilot study to develop and evaluate indicators, a minimum data set and a related case-mix grouping methodology.
NRS pilot study and prototype
The NRS pilot study involved more than 2,000 adult rehabilitation clients and collected information on the characteristics and effectiveness of rehabilitation services in 6 provinces. A national prototype reporting system for inpatient rehabilitation services was implemented in April 2000, based on the results of the pilot study. The first data was submitted to CIHI in December 2000.
NRS minimum data set
The NRS minimum data set contains clinical data on functional status based on the 18-item FIM® instrument and additional cognitive elements. Socio-demographic, administrative and health characteristics information is also collected for each rehabilitation client. Facilities collect client data on admission and discharge from the inpatient rehabilitation program and send the data directly to CIHI on a quarterly basis to be included in comparative reports.
There is an option to collect additional information in a follow-up assessment, conducted between 80 and 180 days after a client completes a rehabilitation stay. Collecting this information provides an opportunity to assess the sustainability of functional outcomes gained during rehabilitation.
NRS data is released quarterly in secure online eReports for participating facilities and other authorized users. These reports are available 8 weeks after the end of the fiscal quarter. These rehabilitation reports and indicators provide facilities with information to assess changes in and maintenance of client outcomes, to examine access to inpatient rehabilitation and to evaluate programs and services.
Sample indicators include
- Average Admission/Discharge Function Scores
- Average Length of Stay by Rehabilitation Client Group
- Average Days Waiting for Admission/Discharge to/From Rehabilitation
The focus is on adult rehabilitation clients who have a time-limited episode of service, individualized and documented rehabilitation plans, predicted discharge dates and expected improvements in functional status. There are 17 Rehabilitation Client Groups (RCGs), which include those with impairments, activity limitations and/or participation restrictions associated with various types of conditions:
- Brain Dysfunction
- Neurological Conditions
- Spinal Cord Dysfunction
- Amputation of Limb
- Pain Syndromes
- Orthopedic Conditions
- Cardiac Conditions
- Pulmonary Conditions
- Congenital Deformities
- Other Disabling Impairments
- Major Multiple Trauma
- Developmental Disabilities
- Medically Complex
At this time, the NRS data set is primarily targeted at adult clients (age 18 and older). The rehabilitation services are provided either in specialized rehabilitation facilities or in general hospitals with rehabilitation units, programs or designated rehabilitation beds. Clients reported in the NRS include those with a primary health condition that is physical in nature. The term "rehabilitation" in the context of NRS reporting does not included people receiving rehabilitation for a mental health condition or for drug or alcohol addiction.
Rehabilitation Client Groups (RCGs) adapted with permission from UDSMR impairment codes. Copyright © 1997 Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc., all rights reserved.