NRS - Update

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NRS eReporting - Updates

Updates

The following table lists the modifications that have been made to the NRS eReports since the system was launched in July 2009. This table can also be found in Appendix C of the NRS eReports Manual: User Guide & Report Interpretation Guidelines. Questions about any of these modifications can be directed to nrs@cihi.ca. For more information about the NRS, please visit the NRS homepage at www.cihi.ca/nrs.

Modification

Location

Implementation Date

MicroStrategy Version 9 implemented. Includes improved functionality and minor changes to appearance.

Throughout

Jan 2010

Created two "Peer Information" (RCG) reports to assist with picking of peer groups

NRS eReports folder

May 2010

Added "Active Rehab Length of Stay Efficiency" metrics to various reports

CR-OD#5, CR-RU#5, AR-OD, AR-OF, AR-RU#1&2

June 2010

Added "Active Rehab Length of Stay, Mean" metric to CR-RU#5

CR-RU#5

June 2010

Added "Clients Discharged Home that Were Home Prior to Admission, Count" and "..., Percent" metrics

AR-OD

June 2010

Added all Case Mix related metrics (for both "Current" and "Original" methodologies, except "Case Mix Index" metric) previously found in the CR-RU#3&4 reports to the AR-RU#1&2 reports. Additionally added new metrics "Outlier Cases, Short Stay, Count of Clients" and "Outlier Cases, Long Stay, Count of Clients"

AR-RU#1&2

June 2010

Added ability to drill from Fiscal Year to Fiscal Quarter for Quick Indicator reports (except QI#10)

QI#1-9

June 2010

Changed methodology slightly for QI#2-4 to include only clients that have Total Function Score at both Admission and Discharge. Previously, these reports included any client having Total Function Score at Discharge, with or without an equivalent Admission score. (Change affected only one client in database, but done to improve the reports' logic.)

QI#2-4

June 2010

Changed methodology slightly for CR-RU#5 to filter out clients that do not have a complete Total Function Score at Discharge. Also changed metric displayed in the first column of the report from "Clients Discharged, Count" to "Clients with a Complete Discharge FIM(tm) Instrument Assessment, Count" as this is the population on which the remaining metrics are based.

CR-RU#5

June 2010

Added "Rehabilitation Patient Group (RPG)" and "Rehabilitation Group (RG)" attributes to the prompt screens of all Analytical Reports (previously only available for AR-RU reports).

AR-AP, AR-OD, AR-OF

July 2010

Added "Clients Reporting Worsening of Pain, Count" and "..., Percent" metrics

CR-OD#3, AR-OD, AR-OF

Sept 2010

Added "Weight" and "Body Mass Index (BMI)" metrics.

(Only calculated for fiscal years 2009-2010 and later due to changes in database specifications.)

CR-OD#1, AR-AP, AR-OD, AR-OF, AR-RU

Sept 2010

Added "Body Mass Index (BMI)" as an attribute. Composed of the four standard BMI groupings, plus "Not Able to Calculate". (Only calculated for fiscal years 2009-2010 and later due to database changes.)

AR-AP, AR-OD, AR-OF, AR-RU

Sept 2010

Added the latest 2010-2011 MOH-LTC Cost Weight values (weights & trim points) to the eReports. These values will be applied to all fiscal years in any "Current Methodology" Case Mix report, but only to 2010-2011 data in any "Original Methodology" Case Mix report.

CR-RU#3&4, AR-RU#1&2

Sept 2010

Changed methodology slightly, based on discussions with Case Mix group, for assignment of RPGs 2700 "Burns" and 3000 "Ventilator-Dependent Respiratory Disorders". These two RPGs are now assigned to any clients with RCG = 11.1 or 17.51, respectively, regardless of whether or not they have complete admission FIM® scores. For all other RPGs, only clients with complete admission FIM® scores will be considered for classification; all others will be assigned to the "Not Applicable" category.

Throughout

Sept 2010

Launched NRS Portal ad-hoc reporting environment, available to clients subscribing to CIHI Portal product. NRS eReports included in Portal environment.

N/A

Jan 2011

Moved all reports from "Shared Reports" folder to "NRS eReports" folder.

Shared Reports

Jan 2011

Changed naming format of all metrics. For example, "Onset Days, Mean" changed to "Onset Days (AVG)", and "Clients Discharged, Count" changed to "Clients Discharged (COUNT)".

Throughout

Jan 2011

Changed naming convention for functional assessment metrics. Each such metric now has "A", "AD" or "ADF" included in its name, to identify the client population on which the metric is based. See section 14.3 for a more thorough description.

Throughout

Jan 2011

New Case Mix methodology. Introduction of per diem short-stay cost weights and short-stay trim points that vary depending on RPG, new rehab cost weights and long-stay trim values.

RU Reports

Apr 2011

LOS and Case Mix LOS metrics changed to accommodate same-day admit/discharge episodes. Clients admitted and discharged on the same day receive an LOS of 1 day instead of 0 days.

Throughtout

Apr 2011

New "User-Defined NRS eReports" folder added, allowing NRS eReports users to create, save and share reports with other users.

Shared Reports

Sept 2011

Two new regional case mix reports introduced.

CR-RU#6, CR-RU#7

Sept 2011

Rehab Client Subgroup ID code added to eReports. When drilling from RCG to RC Subgroup, can now see the numeric code as well as the subgroup name.

Throughout

Dec 2011

Calculation of Active Rehab LOS changed to include all discharged clients, rather than only those for whom Date Ready for Discharge was coded. For those with Date Ready for Discharge not coded, date assumed to be the same as Discharge Date.

CR-OD#5, CR-RU#5, AR-OD, AR-OF, AR-RU

Dec 2011

Added MEDIAN metrics for Function Score Change indicators. Previously unavailable.

AR-OD, AR-RU

Dec 2011

Introduced COUNT metrics for Total Service Interruption Days and LOS indicators. Previously not available.

AR-OD, AR-RU

Dec 2011

Added Post-Discharge Living Arrangements to the list of available attributes in discharge analytical reports.

AR-OD

Dec 2011

Added Active Rehab LOS (AVG) metric to resource utilization reports.

AR-RU

Dec 2011

Added the new version of the eReports manual.

Support Link

Jan 2012

Added an NRS RPG FAQ Bulletin.

Support Link

Jan 2012

Added an NRS Reasons for Waiting for Discharge Bulletin.

Support Link

Jan 2012

Added the new versions of the RPG Case Mix methodology for 2011-2012

Support Link

Jan 2012

Legend: AR = Analytical Reports; CR = Comparative Reports; QI = Quick Indicators; AP = Admission Profile reports; OD = Outcomes at Discharge reports; OF = Outcomes at Follow-up reports; RU = Resource Utilization reports

 

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