Hospital-based continuing care serves individuals who may not be ready for discharge from hospital but who no longer need acute care services. Also known as extended care, chronic care or complex continuing care, it provides ongoing professional services to a diverse population with complex health needs. Facilities may be free-standing or co-located with acute and/or rehabilitation services within one hospital.
CIHI collects and reports on clinical, administrative and financial data from hospitals providing continuing care in Canada. We also collect information on transitions of continuing care hospital patients to and from acute care.
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Have a data inquiry or research question? Make a custom data request.
Are you a RAI assessor or educator? Visit the Resources for Continuing and Residential Care interRAI Assessors page.
Continuing care information
- 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)
- Resident Safety: Characteristics Associated With Falling in Ontario Complex Continuing Care (Feb. 2007)
Continuing Care Reporting System
The Continuing Care Reporting System (CCRS) contains demographic, administrative, clinical and resource utilization information on individuals who receive 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 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) (PDF)
- RAI-MDS 2.0 Decision-Support Tools for Clinicians and Managers (Feb. 2012) (PDF)
- CCRS and HCRS eReports (Apr. 2012) (PDF)
Continuing and residential care user manuals
- Resident Assessment Instrument (RAI) RAI-MDS 2.0 User’s Manual (includes assessment form) (Mar. 2012)
- Continuing Care Reporting System (CCRS) Data Submission User Manual (Apr. 2016)
- interRAI Clinical Assessment Protocols (CAPs) Manual (May 2008)
- Associated documents
Continuing and residential care specifications manuals
Continuing and residential care quality indicators
Continuing and residential care education
- Continuing Care Learning Pathway (June 2016) (PDF)
- To access a complete list of CIHI’s courses, visit the Learning Centre.