CIHI s Data In Action: Enabling Uses and Informing Decisions
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1 CIHI s Data In Action: Enabling Uses and Informing Decisions Brent Diverty Vice President, Programs Canadian Institute for Health Information November 18, 2014 Health Data Users Day, Halifax 2014
2 Today s focus About CIHI Enabling uses and informing decisions: Interactive data and information Visualization tools Making information accessible Building capacity On our horizon 2
3 CIHI Mandate To lead the development and maintenance of comprehensive and integrated health information that enables sound policy and effective health system management that improve health and health care. 3
4 CIHI s Vision Better data. Better decisions. Healthier Canadians. 4
5 Celebrating 20 years! 5
6 Data coverage Jurisdictional coverage of CIHI databases as of Sep
7 HSP Measurement Framework 7
8 Enabling use through: Interactive data and information 8
9 Your Health System 1 2 In Brief In Depth Audience: General public Audience: Ministry, facility, regional decision-makers (available publicly) 9
10 Your Health System: In Brief An interactive health system performance reporting website designed for the general public Initial launch on November 7, 2013 Reports on 15 indicators over 5 themes selected based on results of public engagement Identifies top results for 6 of the 15 indicators Compares provincial, health region and facility results where available Includes infographics and contextual information Based on extensive engagement with the general public (online and focus groups) across the country Results updated and site rebranded as Your Health System: In Brief, September 18, ehealthcare Leadership Award winning website 10
11 In Brief Access and Quality Indicators for NS 11
12 Your Health System: In Depth An interactive health system performance reporting website designed for Ministry, facility, regional decisionmakers 37 indicators to related to improving quality/delivery of health services and outcomes 25 contextual measures to help understand health system performance results at a population and organizational level hospital, regional, provincial and national results Developed with guidance and advice from target users and expert groups 12
13 In Depth In-Hospital Sepsis in NL 13
14 Patient-Cost Estimator: Highest cost groups in NS 14
15 Enabling use through: Visualization 15
16 Enhanced Interactive Maps Drill down from provincial level data to regional and facility level data 16
17 Infographics 17
18 Enabling use through: Making information accessible 18
19 Publically accessible Interactive analytical tools Quick Stats and downloadable tables Analytical publications Ourhealthsystem.ca Interactive Data Examples Wait-time Table 2A: Age-Standardized Rate (per 100,000) for All Hip Replacements (Age 20 and Older), by Jurisdiction, HMDB, to Jurisdiction Data tables Newfoundland and Labrador Prince Edward Island
20 Exporting Capability Ability to export and create Reports: Visuals into PPT, PDF, Excel Data into excel formal 20
21 Other options to access CIHI data E-Reports Accessible to Data submitters and corresponding ministries Portal Data Requests Data Liberation Initiative Registered users, including data submitters and corresponding ministries Health managers and policy makers, researchers, and graduate students Researchers and students at post-secondary institutions 21
22 Indicator Library Updated in June and September, 2014 Addition of ~40 more indicators to the library. Now includes metadata for over 100 indicators Support new indicators in the long-term care performance reporting. 22
23 Enabling use through: Building capacity 23
24 Capacity building modes In-class sessions Self-study Web conferences Health system performance school Case mix funding school Data Users Days Client support (content) Client support (access to CIHI tools) 24
25 What are my Overall Results? 25
26 How do I compare to others? 26
27 What is the trend over time for my results? Ability to export, share and print Ability to add new comparator organizations 27
28 How do I compare within my region or province? Ability to export, share and print 28
29 Who can I Learn from? 29
30 On our horizon 30
31 Long-term care performance reporting The first public pan-canadian report of facility-level LTC performance for health region and facilities Reports on 9 performance indicators at the facility level To support health region and LTC executives in performance improvement Includes the data visualization and benchmarking tools Planned launch June 2015 in Your Health System 31
32 Indicators Under Development Align CIHI s indicator development agenda with the health system performance improvement priorities of provinces/ territories and develop further collaborations with research partners to address these needs. Suite on Infections In-hospital infection rate ( superbugs C.Difficile, MRSA, VRE) In-hospital sepsis rate and sepsis in-hospital mortality rate Surgical site infection rate In-Hospital Patient Safety High Users of Inpatient Acute Care Services
33 Consensus Conference 2014 Priority Themes for Indicator Development Outcomes of Care Value for Money Cost compared to outcomes Transitions/Trajectories Integrated/coordinated care Multi-morbidities Community Care Mental Health Upstream Investments Prevention and interventions such as Primary Care 33
34 Patient-reported experience measures The Canadian Patient Experiences Reporting System (CPERS) under development. Operational in April 2015, enabling reporting of standardized patient experience measures. Five jurisdictions have committed (BC, AB, MB, ON, NB). May extend to other sectors (e.g. emergency departments, long-term care facilities). Taking the lead in developing a Pan- Canadian LTC Patient Experiences Survey at the request of jurisdictions 34
35 Patient-reported outcome measures Interest in using PROMs to achieve health system goals Disjointed approach to PROMs across Canada Standardized collection and reporting of PROMs important CIHI hosting a pan-canadian PROMs forum in Feb
36 Population risk adjustment grouper CIHI developing population grouping methodology Uses patient information from multiple health sectors Predictive analysis: Uses historical information to produce risk indicators (e.g. expected cost) in the prospective year 36
37 Other key undertakings 37
38 Strategic Directions Building on the current strategic plan Ensuring continued ability to meet stakeholders needs Focus-group discussions Understanding and addressing key trends in our changing environment Fiscal challenges Ageing Patient-centred care Information technologies Health Workforce 38
39 What will the next 20 years look like? 39
40 Thank You Brent Diverty, Vice President, Programs v: e: 40
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