Health Indicators
Health system performance

Acceptability

Patient satisfaction (and quality rating of services received)

Definition:
Population aged 15 and over receiving health services in the past 12 months who rate their level of satisfaction with those services as either "very satisfied" or "somewhat satisfied". Perceived rating of the quality of services received rated as "excellent" or "good" is another component of this indicator. ‘Health services’ are broken down as follows: Overall health care services; hospital care; physician care, community-based care; and telephone health line or tele-health services.

Source:
Statistics Canada, Canadian Community Health Survey.

Data tables:
Table: 13-10-0448-01 Patient satisfaction with any health care services received in the past 12 months, by age group and sex, household population aged 15 and over, Canadian Community Health Survey (CCHS 1.1, 2.1 and 3.1), Canada, provinces and territories

Table: 13-10-0449-01 Patient satisfaction with most recent hospital care received in the past 12 months, by age group and sex, household population aged 15 and over, Canadian Community Health Survey (CCHS 1.1, 2.1 and 3.1), Canada, provinces and territories

Table: 13-10-0450-01 Patient satisfaction with most recent family doctor or other physician care received in the past 12 months, by age group and sex, household population aged 15 and over, Canadian Community Health Survey (CCHS 1.1, 2.1 and 3.1), Canada, provinces and territories

Table: 13-10-0632-01 Patient satisfaction with community-based health care received in the past 12 months, by age group and sex, household population aged 15 and over, Canadian Community Health Survey (CCHS 1.1, 2.1 and 3.1), Canada, provinces and territories

Table: 13-10-0633-01 Patient satisfaction with telephone health line services in the past 12 months, by age group and sex, household population aged 15 and over, (CCHS 2.1 and 3.1), Canada, provinces and territories

Accessibility

Influenza immunization

Definition:
Population aged 12 and over who reported when they had their last influenza immunization (flu shot). The 2009 data on flu shots may include H1N1 vaccines received in the Fall of 2009. In 2010, the word "seasonal" was added to the questions in order to collect the two types of vaccines separately.

Source:
Statistics Canada, Canadian Community Health Survey.

Data tables:
Table: 13-10-0451-01 Health indicator profile, annual estimates, by age group and sex, Canada, provinces, territories, health regions (2013 boundaries) and peer groups

Table: 13-10-0452-01 Health indicator profile, two year period estimates, by age group and sex, Canada, provinces, territories, health regions (2013 boundaries)

Table: 13-10-0464-01 Health indicator profile, two-year period estimates, by age group and sex, Canada, provinces, territories, census metropolitan areas and influence zones

Mammography

Note: this indicator was changed in June 2009 to include all reasons for mammography because the questionnaire does not allow a specific reason to be associated with the most recent mammogram. Most reasons provided in the response categories however are associated with screening

Definition:
Women aged 50 to 69 who reported when they had their last mammogram within the last 2 years for routine screening or other reasons.

Screening mammography is an important strategy for early detection of breast cancer.

Source:
Statistics Canada, Canadian Community Health Survey.

Data tables:
Table: 13-10-0460-01 Mammogram obtained within the last 2 years, by age group, females aged 50 to 69 years, Canada, provinces, territories, health regions (2007 boundaries) and peer groups

Pap (Papanicolaou) test

Definition:
Women aged 18 to 69 who reported when they had their last Pap smear test.

Pap tests detect pre–malignant lesions before cancer of the cervix develops.

Source:
Statistics Canada, Canadian Community Health Survey.

Data tables:
Table: 13-10-0658-01 Pap smear, by age group, females aged 18 to 69 years, Canada, provinces, territories, health regions (June 2005 boundaries) and peer groups, 2005

Table: 13-10-0491-01 Pap smear, females aged 18 to 69 years, Canada, provinces and territories, 1994-2005

Colorectal cancer screening

Definition:
Population aged 50 and over who reported they had a fecal occult blood test (FOBT) in past two years or colonoscopy or sigmoidoscopy in past five years.

Screening using the fecal occult blood test (FOBT) or colonoscopy or sigmoidoscopy is an important early screening strategy for colorectal cancer.

Source:
Statistics Canada, Canadian Community Health Survey.

Data tables:
Table: 13-10-0459-01 Fecal occult blood test (FOBT) obtained in past 2 years or, colonoscopy or sigmoidoscopy obtained in last 5 years, by age group and sex, aged 50 or older, Canada, provinces, territories, health regions (2007 boundaries) and peer groups

Regular medical doctor

Definition:
Population aged 12 and over who reported that they have a regular medical doctor. In 2005 and 2003, the indicator in French only included “médecin de famille”. Starting in 2007, this concept was widened to “médecin régulier”, which includes “médecin de famille”.

For many Canadians, the first point of contact for medical care is their doctor. Being without a regular medical doctor is associated with fewer visits to general practitioners or specialists, who can play a role in the early screening and treatment of medical conditions.

Source:
Statistics Canada, Canadian Community Health Survey.

Data tables:
Table: 13-10-0096-01 Canadian health characteristics, annual estimates, by age group and sex, Canada (excluding territories) and provinces

Table: 13-10-0113-01 Canadian health characteristics, two year period estimates, by age group and sex, Canada, provinces, territories and health regions

Table: 13-10-0805-01 Canadian health characteristics, two-year period estimates, by age group and sex, Canada, provinces, territories, census metropolitan areas and population centres

Hip fracture surgery within 48 hours

Definition:
Risk-adjusted proportion of hip fracture patients age 18 and older who underwent hip fracture surgery within 48 hours of admission to hospital.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD) and National Ambulatory Care Reporting System (NACRS).

Data tables:
CIHI’s Health Indicators Interactive Tool

Appropriateness

Caesarean section

Definition:
Crude rate of all Caesarean sections, per 100 deliveries.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD) and Hospital Morbidity Database (HMDB).

Data tables:
CIHI’s Health Indicators Interactive Tool

Patients with repeat hospitalizations for mental illness

Definition:
Risk-adjusted percentage of individuals who had 3 or more episodes of care for a mental illness among all those who had at least 1 episode of care for a mental illness in general or psychiatric hospitals within a given year.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), Ontario Mental Health Reporting System (OMHRS), Hospital Morbidity Database (HMDB) and National Ambulatory Care Reporting System (NACRS).

Data tables:
CIHI’s Health Indicators Interactive Tool

Continuity

30-day readmission for mental illness

Definition:
Risk-adjusted rate of readmission following discharge for a mental illness.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), Ontario Mental Health Reporting System (OMHRS), National Ambulatory Care Reporting System (NACRS), and Hospital Morbidity Database (HMDB).

Data tables:
CIHI’s Health Indicators Interactive Tool

Effectiveness

Ambulatory care sensitive conditions

Definition:
Age-standardized acute care hospitalization rate for conditions where appropriate ambulatory care prevents or reduces the need for admission to hospital, per 100,000 population younger than age 75.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), and Hospital Morbidity Database (HMDB).

Data tables:
CIHI’s Health Indicators Interactive Tool

30-day acute myocardial infarction in-hospital mortality rate

Definition:
The risk-adjusted rate of all-cause in-hospital death occurring within 30 days of first discharge from an acute care hospital with a diagnosis of acute myocardial infarction (AMI).

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD) and Hospital Morbidity Database (HMDB).

Data tables:
CIHI’s Health Indicators Interactive Tool

30-day stroke in-hospital mortality rate

Definition:
Risk-adjusted rate of all–cause in–hospital death occurring within 30 days of first discharge from an acute care hospital with a diagnosis of stroke.

Please visit CIHI’s Indicator Library for more information.

Source:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD).

Data tables:
CIHI’s Health Indicators Interactive Tool

30-day acute myocardial infarction (AMI) readmission

Definition:
Risk-adjusted rate of urgent readmission following discharge for acute myocardial infarction (AMI).

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), Hospital Morbidity Database (HMDB) and National Ambulatory Care Reporting System (NACRS).

Data tables:
CIHI’s Health Indicators Interactive Tool

30-day obstetric readmission

Definition:
Risk-adjusted rate of urgent readmission for obstetric patients.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), Hospital Morbidity Database (HMDB) and National Ambulatory Care Reporting System (NACRS).

Data tables:
CIHI’s Health Indicators Interactive Tool

30-day pediatric readmission

Definition:
Risk-adjusted rate of urgent readmission for pediatric patients.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), Hospital Morbidity Database (HMDB) and National Ambulatory Care Reporting System (NACRS).

Data tables:
CIHI’s Health Indicators Interactive Tool

30-day surgical readmission

Definition:
Risk-adjusted rate of urgent readmission for surgical patients.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), Hospital Morbidity Database (HMDB) and National Ambulatory Care Reporting System (NACRS).

Data tables:
CIHI’s Health Indicators Interactive Tool

30-day medical readmission

Definition:
Risk-adjusted rate of urgent readmission for medical patients.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), Hospital Morbidity Database (HMDB) and National Ambulatory Care Reporting System (NACRS).

Data tables:
CIHI’s Health Indicators Interactive Tool

Self-injury hospitalization

Definition:
Age-standardized rate of hospitalization in a general hospital due to self-injury, per 100,000 population.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), Hospital Morbidity Database (HMDB), Ontario Mental Health Reporting System (OMHRS) and National Ambulatory Care Reporting System (NACRS).

Data tables:
CIHI’s Health Indicators Interactive Tool

Potentially avoidable mortality rate

Definition:
Premature deaths that could potentially have been avoided through all levels of prevention (primary, secondary, tertiary). Premature deaths are those that occur among individuals younger than age 75. Expressed as the age-standardized mortality rate and age-standardized potential years of life lost (PYLL) per 100,000 population.

Refer to the List of Causes of Deaths for Avoidable Mortality Indicators for more details.

Source:
Statistics Canada, Vital Statistics, Death Database.

Data tables:

Table: 13-10-0753-01 Premature and potentially avoidable mortality, three-year average, Canada, provinces, territories, health regions (2108 boundaries) and peer groups

Table: 13-10-0743-01 Premature and potentially avoidable mortality, three-year average, Canada, provinces, territories, health regions and peer groups

Table: 13-10-0744-01 Premature and potentially avoidable mortality, Canada, provinces and territories

Table: 13-10-0390-01 Preventable and treatable mortality by remoteness

Rate of avoidable mortality from preventable causes

Definition:
Premature deaths that could potentially have been prevented through primary prevention efforts. Mortality from preventable causes is a subset of potentially avoidable mortality. Expressed as the age-standardized mortality rate and age-standardized PYLL per 100,000 population.

Refer to the List of Causes of Deaths for Avoidable Mortality Indicators for more details.

Source:
Statistics Canada, Vital Statistics, Death Database.

Data tables:

Table: 13-10-0753-01 Premature and potentially avoidable mortality, three-year average, Canada, provinces, territories, health regions (2108 boundaries) and peer groups

Table: 13-10-0743-01 Premature and potentially avoidable mortality, three-year average, Canada, provinces, territories, health regions and peer groups

Table: 13-10-0744-01 Premature and potentially avoidable mortality, Canada, provinces and territories

Table: 13-10-0390-01 Preventable and treatable mortality by remoteness

Rate of avoidable mortality from treatable causes

Definition:
Premature deaths that could potentially have been avoided through secondary or tertiary prevention. Mortality from treatable causes is a subset of potentially avoidable mortality. Expressed as the age-standardized mortality rate and age-standardized PYLL per 100,000 population.

Refer to the List of Causes of Deaths for Avoidable Mortality Indicators for more details.

Source:
Statistics Canada, Vital Statistics, Death Database.

Data tables:

Table: 13-10-0753-01 Premature and potentially avoidable mortality, three-year average, Canada, provinces, territories, health regions (2108 boundaries) and peer groups

Table: 13-10-0743-01 Premature and potentially avoidable mortality, three-year average, Canada, provinces, territories, health regions and peer groups

Table: 13-10-0744-01 Premature and potentially avoidable mortality, Canada, provinces and territories

Table: 13-10-0390-01 Preventable and treatable mortality by remoteness

Safety

Hospitalized hip fracture event

Definition:
Age-standardized rate of new hip fractures admitted to an acute care hospital, per 100,000 population age 65 and older. A new event is defined as a first-ever hospitalization for hip fracture or a subsequent hip fracture occurring more than 28 days after the admission for the previous event in the reference period.

Please visit CIHI’s Indicator Library for more information.

Sources:
Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD), and Hospital Morbidity Database (HMDB).

Data tables:
CIHI’s Health Indicators Interactive Tool