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Isabel Tsui



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    OS05 - Mining the Gold! (ID 6)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Health Business Process
    • Presentations: 1
    • Coordinates: 5/27/2019, 10:30 AM - 11:30 AM, Pod 7
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      OS05.04 - The Last 15%: Closing the pan-Canadian Emergency Department Data Gap (ID 219)

      Isabel Tsui, Canandian Istitute for Health Information; Toronto/CA

      • Abstract

      Purpose/Objectives:
      Emergency department (ED) data is a crucial component of understanding the effectiveness and efficiency of Canada?s overall healthcare system. CIHI currently has data related to 85% of ED visits that take place across Canada. CIHI?s ED data coverage has provided our health system with valuable information on ED wait time trends at the facility, regional, provincial, peer and pan-Canadian level, as well as highly needed information to manage the opioid crisis and insights into the use/overuse of ED services. Closing the data gap on the remaining 15% of ED visits that is currently not being reported to CIHI?s National Ambulatory Care Reporting System (NACRS) will provide a fulsome picture of the valuable indicators described above, and will be an effective predictor of demand for hospital inpatient services, availability of primary and mental health services, and insights into the care being delivered in other sectors such as long-term care. This presentation will provide an in-depth look at the strategies being put in place to accomplish 100% data coverage from EDs across Canada.


      Methodology/Approach:
      CIHI is actively working with each province and territory not currently submitting 100% of their ED visit data to NACRS to design a solution for data capture that minimizes burden and leverages technologies that have been put in place within EDs or jurisdictions. This includes innovative web-based data capture tools as well as leveraging hospital and/or health authority/provincial data warehouses with modern data extraction and transformation methods.


      Finding/Results:
      Rapid expansion and uptake of data submission requires careful planning and well-thought out processes to navigate unforeseen circumstances. The learnings from successes CIHI has had in bringing in ED data from Quebec and other provinces/territories will be described during this presentation.


      Conclusion/Implications/Recommendations:
      CIHI has been focusing on designing solutions that meet the needs of data submitters and minimize submission burden to get at the last 15% of ED visits not currently being reported, and expand on the data that is currently submitted to gain more clinical insights, notably the clinical diagnoses and procedures taking place in EDs. Key areas of focus from CIHI?s strategy to expand ED coverage and success stories will be described during this presentation.


      140 Character Summary:
      Flexible strategies and solutions to gather valuable emergency department data across Canada