Lecture 5 Flashcards
Midterm 1
What is CIHI
- independent, non-profit corporate structure
- BoD with reps from government and non-government
- Funding comes from government sale of service (funds for research and product development)
- Services in TWO languages
What is the role of CIHI
- provide health information for sound health policy, effective management of Canadian health system, generate public awareness about good health
- Advise deputy Ministers of health on health information matters
- Guidance to statistics Canada in health statistics
- Develop and maintain national databases
What are some CIHI stakeholders
- CIHI collects info from and supports the information needs of many stakeholders
- ie regional health authorities, advocates, researchers, professionals associations, media and the public, Health Canada, Statistics Canada, Ministries of Health
Administrative and clinical databases at CIHI
Administrative: DAD, (acute impatient) NACRS (ambulatory care) and CMDB (financial and statistical workload)
Clinical: CCRS (inpatient continuing care), NRS (impatient rehab), and OMHRS (inpatient mental health)
DAD Background (discharge abstract database)
- data captured from the patient record
- standards for data capture
- since 1960s
- data submitted to the CIHI electronically
- More than 3 million records annually
- Maintained by HIM professionals
- demographics, admission and discharge data, service and provider data, diagnosis and interventions
NACRS (national ambulatory care reporting system)
- focuses on health services provided in non impatient setting
- facilitate national, provincial and regional comparisons
- evaluates care, outcomes and changes in practice patterns
- support evidence based decision making
population of interest with NACRS
-emergency, medical day/night care, clinics, surgical day/night care, private clinics
differences between NACRS and DAD
- Department identification
- ambulance call number
- triage information
- time of physician assessment
- injury indicators
CCRS
- residents in designated continuing care beds
- clinical database with longitudinal profile of residents
- health care providers conduct assessments of individuals
- resident assessment instrument (RAI) and minimum data set (MDS) modified by CIHI for CCRS use
What characteristics does RAI provide
-physical function, quality of life, cognition and mental health, clinical management
NRS Background
- functional independence measure (FIM)
- 1998 recommended this methodology
- clinical database
- longitudinal record with multiple assessments
Scope of NRS Reporting
- patients who meet the working definition of rehabilitation
- goal oriented
- time limited
- persons with impairments to identify and reach optimal mental, physical and social function
- partnership to accommodate limitation or lack of function
- focuses on social integration and independence
Purpose of OMHRS
- collect, process and analyze data on adult impatient mental health services
- support management decision making at the facility, regional and provincial levels
- for comparative reporting
- support approved research
OMHRS Background
- RAI for mental health
- assists in evaluating the needs, strengths and preferences of psychiatric patients in institutional settings
- longitudinal record with multiple assessments
