188:
555:(IPC) published in a 2008 report allayed some of these concerns and largely supported CIHI's assertion that the organization's security policies, procedures and protocols ensure high standards of privacy protection. According to the report, the "IPC is satisfied that CIHI continues to have in place practices and procedures that sufficiently protect the privacy of individuals whose personal health information it receives and that sufficiently maintain the confidentiality of that information," and that as of October 31, 2008, the IPC was satisfied that CIHI met the requirements of the Personal Health Information Protection Act.
471:(EHR) data definitions and standards in Canada. Infoway led the development of EHR Solution standards and acted as the overall program manager for EHR standards-related work, whereas CIHI's operated as the preferred partner in the development of these standards. CIHI's role also encompassed continued responsibility for data definitions, content standards and classification systems because of CIHI's widely recognized role as leader in the development of health informatics standards and records, and its record of successful collaborations with other health organizations in Canada. This initiative was aimed mainly at improving
487:. The PHC EMR CS consists of 106 data elements that are commonly found in EMRs, used to support both primary uses of EMR data, such as reminders and alerts for patients with chronic conditions, and health system uses, such as a jurisdictional diabetes management registry. Moving forward, CIHI and its partners' plans include establishing more products and services that facilitate the adoption and implementation of the PHC EMR CS in addition to enacting strategies and plans for the longer-term governance and maintenance of the PHC EMR CS so that it remains clinically and technically relevant in the future.
520:(DAD) with information found in a range a smaller clinically focused databases. According to findings of the researches, CIHI's DAD data compared favourably with the other databases and proved accurate for many of the diagnoses/procedures examined. The authors of the report concluded by supporting the use of the data in the CIHI DAD for national perinatal surveillance and research, with a caveat that appropriate inference rest on an understanding of clinical practice and the use of sensitivity analyses to identify robust findings.
248:
requests only), governments, not-for-profit health agencies, universities (except for students through the
Graduate Student Data Access Program), health professionals and researchers from the public sector (Price A clients), OR $ 320 an hour for private commercial operations (including but not limited to software vendors and consultants), foreign clients (Price B clients) and others not qualifying for Price A.
421:
the
Ontario Mental Health Reporting System (OMHRS), an Ontario exclusive database. Under the OMHRS, "hospitals collect and submit information to CIHI. CIHI collects and processes MDS-MH data and provides... outcome measures and quality indicators reports to the hospitals". This provincial reporting system is "scalable designed for pan-Canadian usage and expansion... to other Canadian jurisdictions".
500:, CIHI's scope of research and data tracking is wide-ranging and broad. In a 2000 interview, Alvarez said of CIHI: "You name it, we track it," including subjects such as physician migration patterns, availability of nurses, supply and demand of organs, and survival rates for transplant patients. For example, in 2000 CIHI determined that the rate of
143:) is an independent, not-for-profit organization that provides essential information on Canada's health systems and the health of Canadians. CIHI provides comparable and actionable data and information that are used to accelerate improvements in health care, health system performance and population health across Canada.
447:
which reduce inequities and improve the health and well-being of
Canadians. CPHI achieves these goals mainly through funding population health research, gathering and analyzing population health data, and providing the public and policy-makers alike with numerous reports, presentations, and other publications.
459:
its history. From 2004 to 2007, CPHI reporting focused mainly on the issues of obesity, place and health, and youth health. Between 2007 and 2010, CPHI's priority themes included mental health, gaps and inequalities in health care services, geographical disparities in health, and promoting healthy weights.
187:
550:
could potentially be leaked from CIHI's databases if proper security practices were not in place. The article also surmised that the greatest danger to patient and research subject privacy was the possibility of CIHI's health information being compromised through involvement with commercial entities.
159:
CIHI is governed by a 16-member Board of
Directors that links federal, provincial and territorial governments with non-governmental health groups. Board members represent all health sectors and regions of Canada. The membership of the Board is dominated by Deputy Ministers of Health, although it does
535:
CIHI ensures the confidentiality, integrity and availability of its health information through a comprehensive and integrated privacy and security program. Its
Privacy and Security Framework outlines how the organization approaches data governance, and maintains privacy and security protection. CIHI
274:
Students must be conducting research and can access data through the various databases that fall under the following subject headings, health services, health spending and health human resources. Their research must fall in line with CIHI's mandate "to provide accurate and timely information that is
225:
Submission reports provide feedback to those providing the data, ensuring that the data provided meets the technical requirements of the MIS standards, these are private reports that can only be viewed by a selected representative. The CJRR web based data submission tool allows those included in the
458:
an e-newsletter that was launched in
February 2004 in conjunction with the organization's flagship series. In addition to these regular reports, CPHI has also released numerous other publications and products covering a range of topics that have been identified by CPHI as priority issues throughout
446:
as part of the
Roadmap I project. CPHI's specific focus is expanding the public's knowledge of population health issues by accomplishing two main goals: fostering a better understanding of factors that affect the health of individuals and communities; and contributing to the development of policies
420:
CIHI also plays a role in provincial database management. Although the
Ontario Case Costing Initiative (OCCI) is a Ministry of Health and Long-Term Care (MOHLTC) database, it depends on "methodology... based on the Canadian Institute for Health Information (CIHI) MIS Guidelines". CIHI also manages
247:
Researchers, decision-makers and health managers can request specific data from one or more of CIHI's databases. Data can be retrieved at an aggregate or record level. CIHI responds to data requests on a cost-recovery basis, which costs $ 160 an hour for
Canadian health care facilities, media (data
411:
Each CIHI database record is accompanied by Data
Quality Documentation that considers coverage, collection and response, and general data limitations. This documentation is informed by the CIHI Data Quality Framework, which outlines a data quality work cycle, dimensions of data quality (Accuracy,
210:
CIHI tracks data in the different provinces with the help of information that is provided by hospitals, regional health authorities, medical practitioners and government bodies. This information is used by these various bodies to assess the various facets of our health care system and use it as a
479:
are intended to assist in ensuring that PHC clinicians have timely and relevant information necessary to deliver, coordinate and administer care. Additionally, EMR information generated at the point of service can also be used to support quality improvement initiatives, such as clinical program
198:
Stakeholders use the broad range of health system databases, measurements and standards, together with evidence-based reports and analyses, in their decision-making processes. CIHI protects the privacy of Canadians by ensuring the confidentiality and integrity of the health care information.
155:
in 1994. Federal, provincial, and territorial governments created CIHI as a "not-for-profit, independent organization dedicated to forging a common approach to Canadian health information". CIHI has a unique mandate to make health information "publicly available" to Canadians.
1051:
495:
CIHI uses data from governments and hospitals across Canada to determine comparative statistics and costing algorithms that are available for use by healthcare ministries, hospital boards and the general public. According to former CIHI president and CEO
218:(eDSS), a data transmission tool, is used by institutions and organizations (such as hospitals) to submit data files securely to CIHI. eDSS requires a registered client access codes that provides a user the ability to submit data to CIHI.
545:
article expressed fears that large health information vendors like CIHI could potentially leak the private health information of Canadians. The article suggested that the identities of individuals who had abortions and profiles of the
504:
in different regions of the country varied from a low of 12% to a high of 28%. This CIHI generated information was then used by hospital boards to measure themselves against the national and international benchmark (15% in 2000).
433:
and other databases; "vendors providing... data collection software to participating facilities must be licensed with CIHI". These databases depend on CIHI's Vendor Licensing Agreement. Vendors must renew their license annually.
913:
238:
tool allows clients to see a web-based snapshot of all of their data submissions to six of CIHI's data holdings. Users can also access summaries of their submissions, statistics on error rates and timeliness.
260:(GSDAP) that provides qualifying graduate students with access to CIHI's data at no cost whatsoever. Graduate students may only use this program in order to fulfill academic requirements of their program.
943:
1175:
Report of the information & privacy commissioner/Ontario - review of the Canadian institute for health information: A prescribed entity under the personal health information protection act'
195:
CIHI's core mandate is to deliver comparable and actionable information to accelerate improvements in health care, health system performance and population health across the continuum of care.
798:
1201:
750:
1246:
1024:
856:
467:
In 2003 Canada Health Infoway Inc. and the CIHI signed a Memorandum of Understanding that formalized a partnership to develop and maintain standards required in support of
596:
921:
442:
The Canadian Population Health Initiative is a significant component of CIHI's outreach strategy. The CPHI was created and integrated with CIHI in 1999 with funding from
47:
552:
1052:"Canada Health Infoway and the Canadian Institute for Health Information formalize relationship to work together on standards for electronic health record systems"
412:
Timliness, Comparability, Usability, Relevance), and guidelines for data quality assessment reports. Each database is also subject to a Privacy Impact Assessment.
524:
562:(PHIPA). Prescribed entity status gives an organization access to personal health data from government health information custodians, without patient consent.
539:
In the past, some news media outlets have raised concerns about the safety of personal health records in large medical/science databases like CIHI. In 2001, a
234:(HCRS) submission report provides those authorized with secure and timely access to reports generated by through from the data that is provided by HCRS. The
270:
To increase awareness of CIHI and CIHI's data holdings, and the importance of data quality and privacy, as graduate students pursue health service careers.
951:
559:
1138:
Josephs, K., & Fahey, J. (2009). Validation of perinatal data in the discharge abstract database of the Canadian Institute for Health Information.
993:
806:
1198:
758:
1266:
586:
1032:
864:
523:
The CIHI DAD is used to identify patients admitted for hip fracture surgery to any acute care hospital in Canada between 2003 and 2012 in the
480:
management, research, and monitoring the health of the population, as well as to improve the efficiency of the health care system overall.
673:
1174:
965:
606:
581:
536:
enacts numerous policies and practices to prohibit personal identification, one key policy being strict levels of data suppression.
625:
1218:
Review of the Canadian Institute for Health Information: A Prescribed Entity under the Personal Health Information Protection Act
275:
required for sound health policy, effective management of the health care system and public awareness of health determinants."
1251:
257:
46:
227:
215:
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176:
838:
517:
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378:
231:
1271:
468:
878:
820:
1004:
61:
1256:
576:
235:
211:
planning tool. There are several different submission applications available, some being system specific.
1119:
1078:
591:
994:"Canadian Population Health Initiative brief - The commission on the future of health care in Canada"
772:
472:
1217:
475:(PHC) in Canada, the most commonly experienced type of health care among Canadians. Interoperable
222:
1079:"Draft pan-Canadian primary health care electronic medical record content standard, version 2.0"
360:
Organization for Economic Co-operation and Development (OECD) Health Database (Canadian Segment)
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601:
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648:
430:
1205:
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CIHI led the project and achieved a major milestone in 2011 with the establishment of the
57:
1181:
230:
to enter and submit data and produce various reports over the internet in real time. The
821:"Data Quality Documentation for External Users: Discharge Abstract Database, 2010-2011"
695:
1240:
443:
202:
CIHI produces various reports to support policy makers and health systems research.
547:
541:
966:"Improving the health of young Canadians - Canadian Population Health Initiative'"
485:
Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard
1123:
267:
To build the capacity of graduate students to undertake health service research;
1107:
513:
626:"Background Information on the Canadian Institute for Health Information"
172:
1156:
Hamilton, T. (2001, January 8). Up for sale: Your secret health files.
164:
31:
168:
87:
1216:
Information & Privacy Commissioner of Ontario. (2005, October).
721:
283:
CIHI manages a number of Canadian health databases. These include:
17:
886:
558:
Since 2005, CIHI has maintained prescribed entity status under the
357:
National Prescription Drug Utilization Information System (NPDUIS)
186:
71:
Health care, health indicators, biostatistics, health informatics
1199:
CIHI gets stamp of approval from Ontario's privacy commissioner.
676:. Canadian Institute for Health Information. October 29, 2010
1197:
Canadian Institute for Health Information. (2012, Jan. 18).
450:
CPHI reports are released regularly in its main publication
286:
1228:
396:
Canadian Management Information System Database (CMDB)
333:
Canadian Management Information System Database (CMDB)
722:"About CIHI | Information on Canada's health systems"
399:
Canadian Multiple Sclerosis Monitoring System (CMSMS)
191:
A medical record folder being pulled from the cabinet
126:
1025:"Canadian Population Health Initiative - About CPHI"
551:
However, the findings of a three-year review by the
658:
About the Canadian Institute for Health Information
650:
About the Canadian Institute for Health Information
160:add a small number of academics to its associates.
121:
111:
103:
93:
83:
75:
67:
53:
597:Canadian and American health care systems compared
30:"CIHI" redirects here. For the radio station, see
633:Government of New Brunswick: Department of Health
363:National Ambulatory Care Reporting System (NACRS)
1247:Medical and health organizations based in Canada
1134:
1132:
317:Medical Laboratory Technologist Database (MLTDB)
553:Information and Privacy Commissioner of Ontario
429:CIHI furthermore provides vendor licensing for
314:Medical Radiation Technologist Database (MRTDB)
1108:"Who's who in healthcare: Government category"
375:Ontario Mental Health Reporting System (OMHRS)
354:National Rehabilitation Reporting System (NRS)
1019:
1017:
918:Ontario Ministry of Health and Long-Term Care
883:Ontario Ministry of Health and Long-Term Care
525:Canadian Collaborative Study of Hip Fractures
8:
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644:
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438:Canadian Population Health Initiative (CPHI)
39:
1152:
1150:
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384:National Health Expenditure Database (NHEX)
336:National Health Expenditure Database (NHEX)
1073:
1071:
1069:
1067:
1065:
1046:
1044:
1042:
560:Personal Health Information Protection Act
387:Canadian Organ Replacement Register (CORR)
366:Canadian Joint Replacement Registry (CJRR)
45:
38:
1086:Canadian Institute for Health Information
1029:Canadian Institute for Health Information
973:Canadian Institute for Health Information
948:Canadian Institute for Health Information
920:(Report). January 4, 2012. Archived from
861:Canadian Institute for Health Information
843:Canadian Institute for Health Information
825:Canadian Institute for Health Information
755:Canadian Institute for Health Information
137:Canadian Institute for Health Information
40:Canadian Institute for Health Information
1101:
1099:
1097:
1095:
1001:Canadian Institute of Health Information
908:
906:
904:
803:Canadian Institute of Health Information
221:Other applications include the Canadian
656:Statistics Canada. (2011, October 25).
617:
393:Hospital Mental Health Database (HMHDB)
390:Continuing Care Reporting System (CCRS)
914:Ontario Mental Health Reporting System
799:"Graduate Student Data Access Program"
587:Indian Health Transfer Policy (Canada)
311:Occupational Therapist Database (OTDB)
372:Therapeutic Abortions Database (TADB)
7:
258:Graduate Student Data Access Program
252:Graduate Student Data Access Program
27:Canadian not-for-profit organization
228:Canadian Joint Replacement Registry
302:National Physician Database (NPDB)
263:The objective of the GSDAP is to:
216:Electronic Data Submission Service
25:
839:"The CIHI Data Quality Framework"
607:Health Evidence Network of Canada
582:Canada Health and Social Transfer
452:Improving the Health of Canadians
351:Discharge Abstract Database (DAD)
305:Registered Nurses Database (RNDB)
151:CIHI was incorporated under the
99:David O'Toole, President and CEO
879:Ontario Case Costing Initiative
320:Physiotherapist Database (PTDB)
1173:Cavoukian, A. (October 2008).
416:Provincial database management
369:National Trauma Registry (NTR)
328:CIHI health spending databases
323:Scott's Medical Database (SMD)
1:
1267:1994 establishments in Canada
857:"Discharge Abstract Database"
296:The Health Personnel Database
885:(Report). nd. Archived from
773:"Make a Data Request | CIHI"
508:A 2009 study in the journal
1112:Canadian Healthcare Manager
696:"CIHI's vision and mandate"
518:Discharge Abstract Database
379:Hospital Morbidity Database
346:Health services information
107:Health Information, Reports
1293:
1140:Chronic Diseases in Canada
516:information in the CIHI's
510:Chronic Diseases in Canada
232:Home Care Reporting System
29:
463:Electronic health records
308:Pharmacist Database (PDB)
44:
1180:(Report). Archived from
469:Electronic Health Record
1231:retrieved on 2012/02/12
1204:April 29, 2012, at the
1056:Canadian Health Infoway
206:Data sharing agreements
171:as well as branches in
153:Canada Corporations Act
1031:, 2012, archived from
1003:, 2002, archived from
975:, 2005, archived from
950:, 2012, archived from
863:, 2012, archived from
805:, 2012, archived from
757:, 2012, archived from
577:Canada Health Transfer
192:
1229:General, O Reg 329/04
592:Health care in Canada
456:Health of the Nation,
190:
163:CIHI has offices in:
1252:Government of Canada
982:on December 14, 2010
954:on February 22, 2012
867:on February 22, 2012
809:on November 13, 2011
761:on February 22, 2012
728:. September 11, 2017
531:Privacy and security
236:e-Management Reports
1010:on October 26, 2006
473:primary health care
147:Historical overview
113:Number of employees
41:
1277:Health informatics
1106:Bauer, G. (2000),
944:"Vendor Licensing"
924:on January 4, 2012
491:As a research tool
256:CIHI has set up a
193:
1262:Statistics Canada
889:on April 16, 2012
751:"Data Submission"
602:Medicare (Canada)
572:Canada Health Act
408:
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133:
132:
16:(Redirected from
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1187:on May 12, 2015.
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1035:on April 2, 2015
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502:caesarean births
425:Vendor licensing
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21:
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1272:Medical records
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1206:Wayback Machine
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779:. June 30, 2017
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702:. March 7, 2017
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548:mentally ill
542:Toronto Star
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84:Headquarters
54:Company type
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783:December 6,
777:www.cihi.ca
732:December 6,
726:www.cihi.ca
706:December 6,
700:www.cihi.ca
635:, June 2019
127:www.cihi.ca
1241:Categories
613:References
454:alongside
95:Key people
1124:205825183
1118:(6): 39,
680:March 11,
514:perinatal
512:compared
279:Databases
1202:Archived
1120:ProQuest
566:See also
177:Victoria
173:Montreal
104:Products
68:Industry
183:Mandate
165:Toronto
122:Website
76:Founded
58:Private
32:CIHI-FM
1122:
1088:, 2011
845:, 2009
827:, 2011
674:"CIHI"
661:(CIHI)
653:(CIHI)
403:
381:(HMDB)
175:, and
169:Ottawa
88:Canada
1185:(PDF)
1178:(PDF)
1082:(PDF)
1008:(PDF)
997:(PDF)
980:(PDF)
969:(PDF)
629:(PDF)
431:OMHRS
930:2012
895:2012
785:2017
734:2017
708:2017
682:2017
477:EMRs
214:The
167:and
141:CIHI
135:The
117:700+
79:1994
18:CIHI
1243::
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