Health Information Resources in Canadaihwc.royalcollege.ca/imwc/9_slade.pdf · Health Information...

Health Information Resources in CanadaSteve SladeCanadian Institute for Health Information Canada

International Medical Workforce Collaborative9th Conference, Melbourne, AustraliaNovember 2005

10-15 minutes on:

• What is going on in Canada in relation to medical and health datasets (supply and demand) – Overview of health information data sources – Efficient processes and timeliness

• How the data marries into workforce planning processes

• Future thinking about needs and likely directions

Health Information Data Sources(leaning toward physicians and physician services)

CIHIBroad range, pan-Canadian

Health Information

Statistics CanadaCensus, CCHS,

Labour Force Surveys

National Physician SurveyCMA, CFPC, RCPSC,

HC, CIHI

CaRMSCdn Resident

Matching Service

CAPERCdn. Post-M.D.

Education Registry

BC Linked HealthDatabase

MCHPManitoba Centre for

Health Policy

ICESInstitute for ClinicalEvaluative Sciences

OPHRDCOntario PhysicianHuman Resource

Data Centre

P/T Licensing

AuthoritiesMoH

Administrative Systems

Decision Support Systems

Professional Membership Databases

e.g., CMA, CFPC, RCPSC

Hospitals

Universities

P/T Colleges of Physicians and Surgeons maintain databases of licensed physicians


Health Information




HC, CIHI

CaRMSCdn Resident

Matching Service

CAPERCdn. Post-M.D.

Education Registry



Health Policy



Data Centre

P/T Licensing

AuthoritiesMoH



MoH





Hospitals

Universities

•Most offer online “Find a Doctor” services, with user-defined search criteria.

•New Brunswick’s entire registry can be downloaded.


Health Information




HC, CIHI

CaRMSCdn Resident

Matching Service

CAPERCdn. Post-M.D.

Education Registry



Health Policy



Data Centre

P/T Licensing

AuthoritiesMoH



MoH





Hospitals

Universities

Saskatchewan MSB Annual Report

Canadian Medical Association Physician Statistics


Health Information




HC, CIHI

CaRMSCdn Resident

Matching Service

CAPERCdn. Post-M.D.

Education Registry



Health Policy



Data Centre

P/T Licensing

AuthoritiesMoH



MoH





Hospitals

Universities

Jurisdiction specific data repositories offer value-added information for research and analysis.


Health Information




HC, CIHI

CaRMSCdn Resident

Matching Service

CAPERCdn. Post-M.D.

Education Registry



Health Policy



Data Centre

P/T Licensing

AuthoritiesMoH



MoH





Hospitals

Universities

MCHP Report on Supply, Availability and Use of Family Physicians in Winnipeg. D. Watson, et al., 2003

Health Information Data Sources(leaning toward physicians and physician services)


Health Information




HC, CIHI

CaRMSCdn Resident

Matching Service

CAPERCdn. Post-M.D.

Education Registry



Health Policy



Data Centre

P/T Licensing

AuthoritiesMoH





Hospitals

Universities

CaRMS and CAPER

CIHIBroad Spectrum Health Information

CIHIBroad Spectrum Health Information• Health Human Resources Databases• Health Services Information Databases• Health Spending Databases

HHR Database Development Project

• Develop national, supply-based databases and reporting systems for five regulated health professions

• Phased development – five databases to be developed between 2004 and 2009

• Selected Professions: Occupational Therapists Pharmacists, Physiotherapists, Medical Laboratory Technologists, Medical Radiation Technologists

Databases 1 and 2:

Occupational Therapists: Jan 2005 – Oct 2007

Pharmacists: Jan 2005 – October 2007

Database 3

Physiotherapists: Jun 2005 – Apr 2008

Databases 4 and 5:

MLTs: Sept 2006 – July 2009

MRTs: Sept 2006 – July 2009

HHR DDP Phased Development: 2004-2009

CIHIPhysician Databases• Southam Medical Database

– Supply, Distribution and Migration of Canadian Physicians, 1968-2004

• National Physician Database, 1972-2002– Average Payment Per Physician– Full-Time Equivalent Physicians– National Grouping System Categories– Reciprocal Billing– Physician Services Benefit Rates– Alternative Payment Programs and the NPDB

Average Payment Per Fee-For-Service Physician, 2002-2003

$0

$50,000

$100,000

$150,000

$200,000

$250,000

$300,000

NL PE NS NB QC ON MB SK AB BC

Average Pay/Physician >=$60K Average Pay/FTE PhysicianSource: NPDB, CIHI.

Physician Fee Schedule Indices, 2002-2003

$0

$5

$10

$15

$20

$25

$30

$35

$40

$45

$50

NL PE NS NB QC ON MB SK AB BC

Ben

efit

Rat

e

0

20

40

60

80

100

120

140

Inde

x

Weighted Average Benefit Rates Benefit Rate Indices

Source: NPDB, CIHI.

Number of Physicians and FTE Physicians, by Age Groups, 2002-2003

02,0004,0006,0008,000

10,00012,00014,00016,00018,000

20–29 30–39 40–49 50–59 60–69 70–79 80+

Number of Physicians Number of FTE Physicians

Source: NPDB, CIHI.

47.02% 27.15% 12.24% 6.91% 15.39% 43.07% 63.82%% difference

-30.9%

-7.6%

-42.8%-32.4% -28.5%

57.4%

19.4%

32.9%

87.9%

35.0%

-50.0%-40.0%-30.0%-20.0%-10.0%

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

Per

cent

Cha

nge,

200

1 C

ompa

red

to 1

992

Participation Rate Average number of services provided

SurgicalAssistance

AdvancedProcedures

Obstetrics Surgery Anaesthesia

NGS Analysis of Family Physician Work Activity, 1992 vs 2001

CIHI Data Quality Framework

• Database evaluation tool for assessing data quality based on five dimensions– Accuracy– Timeliness– Comparability– Usability– Relevance

• 58 criteria in all

Some thoughts on the future

• Fill Gaps– Physician alternative payments– Health care teams

• Assess data quality• Continue to work to link supply and demand• Continue work to link health care services and

outcomes• Explore how health information translates into

health system change

Health Information Resources in Canadaihwc.royalcollege.ca/imwc/9_slade.pdf · Health Information...

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