December 16, 2015 — New data on a number of health system performance indicators is now available in the interactive Your Health System web tool created by the Canadian Institute for Health Information (CIHI). This one-of-a-kind tool allows users to access an array of health system data on hospitals, long-term care (LTC) facilities and the health of Canadians across the country.
Today’s release includes updated results for important measures under 6 themes: access, safety, appropriateness and effectiveness, social determinants, health status and spending.
Users of Your Health System can access results for hospitals and LTC homes at the provincial, regional and facility levels and see whether these organizations are performing above or below the Canadian average. The information available in the tool helps people understand where a facility is doing well, where improvement is needed and how performance has changed over time. Population health indicators are reported provincially and regionally.
Emergency department indicators
- The Total Time Spent in Emergency Department for Admitted Patients indicator measures the maximum time in hours that 90% of patients admitted from the emergency department (ED) spend in the ED.
- In 2014–2015, the national rate was 30 hours, 2 hours longer than the previous year.
- The Emergency Department Wait Time for Physician Initial Assessment indicator has remained relatively stable since 2010.
- 9 out of 10 patients spent 3.1 hours or less in the ED in 2014–2015, compared with 3.4 or less in 2010–2011.
Hospital Deaths indicator
- After a steady decline in hospital deaths from 2010 onward, there was no significant improvement to the national results between 2013–2014 and 2014–2015.
- Stroke, heart failure and chronic obstructive pulmonary disease (COPD) continue to be the top 3 diagnoses that together account for more than half of in-hospital mortality.
- These 3 diagnoses have remained unchanged since 2009.
- CIHI has updated the methodology used to calculate this indicator to ensure that it remains useful as a measure and to encourage further progress in reducing in-hospital deaths across the country. Information about the new methodology is available on CIHI’s website.
Long-term care indicators
- CIHI continues to report improvements in several LTC indicators:
- The rate of Potentially Inappropriate Use of Antipsychotics in Long-Term Care improved to 27.5% in Canada, compared with 34.1% in 2010–2011.
- Restraint Use in Long-Term Care continued to decline. The national average in 2014–2015 was 8.7%, compared with 15.4% in 2010–2011.
- Residents Experiencing Pain in Long-Term Care also trended downward from 13.8% in 2010–2011 to 9.6% in 2014–2015.
- Your Health System: In Depth now includes LTC information at the provincial level for Saskatchewan and Newfoundland and Labrador.
Population health indicators
- The percentage of Canadians reporting daily or occasional cigarette smoking has been declining for more than a decade.
- In 2014–2015, national smoking rates were 18.1%, compared with 23% in 2003–2004.
- The national rate of obesity continued to rise steadily to 20.2% in 2014–2015, compared with 15.3% in 2003–2004.
- Males reported higher rates of obesity (21.8%) than females (18.7%).
“The indicators available in Your Health System aim to strengthen public reporting and support efforts within the health system to improve care and the health of Canadians. They also give the public an opportunity to see and understand how their own communities measure up compared with the rest of the country.”
— Kathleen Morris, Vice President, Research and Analysis, CIHI
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