Recent research conducted by CIHI, the Ontario Ministry of Health and Long-Term Care and the Ontario Joint Policy and Planning Committee (JPPC), identified unusual changes in reported acute care patient discharge abstract data for individual hospitals. The magnitude of some of these changes, particularly with respect to weighted cases, and the increasing use of Resource Intensity Weights or RIW weighted cases for hospital funding, has raised the question as to whether these changes reflect:
- changes in the clinical complexity of patients seen in hospital, or
- changes in comprehensiveness and quality of clinical documentation, or
- changes in hospital health records coding and abstracting practices.
The Ontario experience has prompted CIHI to closely examine its coding standards and grouping methodologies and to conduct a broader investigation of the potential variations in the comprehensiveness and comparability of the data in the Discharge Abstract Database (DAD). The quality assurance processes applied to the DAD are described in a recent CIHI publication (CIHI, Quality Assurance Processes Applied to the Discharge Abstract and Hospital Morbidity Databases, August 2002) and the results of the 2-year CIHI DAD re-abstraction study were recently published (CIHI, Discharge Abstract Database Data Quality Re-Abstraction Study. Combined Findings for Fiscal Years 1999/2000 and 2000/2001, December 2002). This report presents the results of the parallel investigation of variations in the DAD data.
|Language||Media Type||Price A/B||Details||Action|
The price you pay for an item depends on the type of organization to which you belong. Until you sign in, we do not know which price applies to you.
No. Regardless of the language in which the publication itself is available, the series screen provides a general description of the publications in that series and, for each edition, gives you the option of choosing the language and the media type (for example, paper or PDF) of the publication that you want. CIHI often publishes reports in both English and French, though there is sometimes a delay between the publication of the English version and the availablility of the French version. The series information will always be available in both English and French, even if the report itself is only available in one language.
If you want the downloadable version of an available publication and the price is free, as is often the case, you can simply download the file (usually a PDF) by clicking the Download link. If your browser does not support PDFs and you do not have a PDF viewer, you can download Adobe Acrobat Reader free of charge at Adobe.com. If the publication is not available in a downloadable media type or the price is not free, you will have to add it to your cart so that you can order it. You must be signed in before adding an item to your cart, so if you have not already done so, you will be redirected to the sign in screen.
If you wish to get more information about a publication before deciding to add it to your cart, click the View link under the Details column for the version of the publication that interests you. This will give you more detailed information about that particular publication.
The History link only appears on the top menu bar once you have signed in. To sign in, enter your username and password in the top-right corner of your screen.