The community residential care sector encompasses a range of living options for people, primarily seniors, with different support needs. With varying terminology across the country, residential care facilities can include lodges, assisted living, supportive housing and long-term care homes. Other terms across Canada are nursing and personal care homes.
These facilities offer different levels of care and may be free-standing or co-located with other types of care or hospitals.
CIHI collects and reports on clinical, administrative and resource utilization data from long-term care homes in Canada. These facilities serve diverse populations who need access to 24-hour nursing care, personal care and other therapeutic and support services.
We also collect information on transitions of long-term care home residents to and from hospitals or emergency rooms.
We welcome your feedback and questions
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Are you a RAI assessor or educator? Visit the Resources for Continuing and Residential Care interRAI Assessors page.
Residential care information
- A Snapshot of Advance Directives in Long-Term Care: How Often Is “Do Not” Done? (June 2016)
- Health Spending - Nursing Homes (Nov. 2014)
- When a Nursing Home Is Home: How Do Canadian Nursing Homes Measure Up on Quality? (Jan. 2013)
- Seniors and Alternate Level of Care: Building on Our Knowledge (Nov. 2012)
- Health Care in Canada, 2011: A Focus on Seniors and Aging (Nov. 2012)
- Depression Among Seniors in Residential Care (May 2010)
- Caring for Seniors With Alzheimer’s Disease and Other Forms of Dementia (Aug. 2010)
- Patient Pathways: Transfers From Continuing Care to Acute Care (Jan. 2009)
Public reporting of long-term care indicators
CIHI is working diligently to make long-term care information available through Your Health System, an easy-to-use, interactive web tool. In spring 2016, a number of facility-level long-term care indicators were be integrated into the In Depth section of the tool.
Find out more about long-term care indicators on Your Health System.
Continuing Care Reporting System
The Continuing Care Reporting System (CCRS) contains demographic, clinical, functional and utilization information. This data refers to individuals receiving continuing care services in hospitals or long-term care homes in Canada. Participating organizations also provide information on facility characteristics to support comparative reporting and benchmarking.
The clinical data standard for CCRS was developed by interRAI, an international research network. It was modified with permission by CIHI for Canadian use. Clinicians assess their residents using interRAI’s Resident Assessment Instrument–Minimum Data Set (RAI-MDS 2.0)©.
The 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.
Metadata is information about data. It helps users understand and interpret data from a specific source.
Find out more about metadata in the following data source:
- Using the interRAI Assessment System (video)
- Following the Flow of Health Care Data (video)
- CIHI Home and Continuing Care Reporting Systems: Bringing evidence to support your decisions (video)
- CIHI Data Helps Battle Depression (video)
- CIHI Data Helps Put Philosophy Into Practice (video)
- CIHI Data Helps Change Practice (video)
Continuing and residential care information sheets
- CIHI/interRAI Update: A new interRAI reporting system for CIHI (November 2016) (PDF)
- Understanding and Using interRAI Assessment Information (April 2016) (PDF)
- CIHI/interRAI Update: Moving forward with the new interRAI suite (October 2015) (PDF)
- CCRS Overview (Sept. 2011)
- RAI-MDS 2.0 Decision-Support Tools for Clinicians and Managers (Feb. 2012) (PDF)
- CCRS and HCRS eReports (PDF)
Continuing and residential care user manuals
- Resident Assessment Instrument (RAI) RAI-MDS 2.0 User’s Manual (includes assessment form) (Feb. 2012)
- Continuing Care Reporting System (CCRS) Data Submission User Manual (Apr. 2016)
- interRAI Clinical Assessment Protocols (CAPs) Manual
- Associated documents
Continuing and residential care specifications manuals
Continuing and residential care quality indicators
- CCRS Quality Indicators Risk Adjustment Methodology (Jan. 2013) (PDF)
- What does “adjusted” mean?: a demonstration of quality indicator calculation in nursing homes (PDF)
Continuing and residential care education