As the population ages, more Canadians need home care or services in the community to help them manage their health conditions and live safely at home. As well, Canadians of all ages need timely access to mental health and addictions services, which is an area of growing concern.

Federal, provincial and territorial (FPT) governments recognize these challenges as shared priorities to improve Canadians’ access to home and community care, and to mental health and addictions services. In 2017, FPT governmentsReferencei endorsed A Common Statement of Principles on Shared Health Priorities (PDF)External link, opens in new window, accompanied by an $11 billion federal investment over 10 years to lead to improvements in these areas. The following year, they endorsed a common set of 12 pan-Canadian indicators to measure progress on improving access to these areas of health care.

CIHI is working with FPT governments, sector stakeholders, measurement experts and the public to develop and report on the indicators. In 2019, CIHI reported results for the first 3 indicators, and we are working toward reporting results for 3 new indicators each year. Indicator results are updated annually, and over time these indicators will tell a clearer story about access to care across the country, identify where there are gaps in services and help to make meaningful changes in order to improve the experiences of Canadian patients and their families.

Featured material

Want to know more about the latest indicator results? View results and the 2020 companion report for the following new indicators:

  • Self-Harm, Including Suicide
  • Caregiver Distress
  • New Long-Term Care Residents Who Potentially Could Have Been Cared for at Home

Find out more in the latest release

Explore updated results for our previously released indicators:

The 2019 companion report provides additional context for interpreting these indicators.

View 2019 report (PDF)

How we work

Our role

We have long-standing programs of work that measure health system performance. Given our experience, CIHI is well-positioned to facilitate the selection and development of indicators to measure access in these areas.

This work aligns with our mandate to deliver meaningful, comparable information that will accelerate improvement in health care, the performance of health systems and the overall health of the population. The focus on home and community care and on mental health and addictions also aligns with CIHI’s strategic plan.

Shared Health Priorities Advisory Council

The Shared Health Priorities Advisory Council provides strategic guidance on indicator development, in order to represent jurisdictional interests and to support public messaging and outreach.

  • Council members include representatives from provinces, territories, Health Canada, Statistics Canada and CIHI.
  • Council observers include representatives from the ministère de la Santé et des Services sociaux du Québec, the Canadian Home Care Association, the Mental Health Commission of Canada and the Canadian Centre on Substance Use and Addiction.

Shared Health Priorities indicators

The 12 pan-Canadian indicators include the following:

Indicators for access to mental health and addictions services

  • Hospital Stays for Harm Caused by Substance Use
  • Frequent Emergency Room Visits for Help With Mental Health and/or Addictions
  • Self-Harm, Including Suicide
  • Wait Times for Community Mental Health Counselling
  • Navigation of Mental Health and Addictions Services
  • Early Identification for Early Intervention in Youth

Indicators for access to home and community care

  • Hospital Stay Extended Until Home Care Services or Supports Ready
  • Caregiver Distress
  • New Long-Term Care Residents Who Potentially Could Have Been Cared for at Home
  • Wait Times for Home Care Services
  • Home Care Services Helped the Recipient Stay at Home
  • Death at Home/Not in Hospital

Related resources

Contact us

If you have any questions or would like more information, email sharedhealthpriorities@cihi.ca.

Footnotes

i.
Back to Reference i in text
The federal government agreed to an asymmetrical arrangement with Quebec, distinct from the Common Statement of Principles.