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Health System Performance (HSP) Framework

  • 2. Health System Inputs and Characteristics
  • 3. Health System Outputs
  • 4. Health System Outcomes
Indicators categorized under the Health System Outputs dimension of the Health System Performance framework, can be further categorized under Areas of Need. Health System Output sub-dimensions and Areas of Need categories are independent.

Areas of Need

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Reporting Levels

Indicator HSP Framework Areas of Need Equity National Prov./ Terr. Region Facility
30-Day Acute Myocardial Infarction In-Hospital Mortality 3.4 B
30-Day Acute Myocardial Infarction Readmission 3.4 B
30-Day Readmission for Mental Illness 3.2 C
30-Day Stroke In-Hospital Mortality 3.4 B
Administrative Expense 2.3 -
Age-Adjusted Public Spending per Person 2.2 -
All Patients Readmitted to Hospital 3.4 B
Ambulatory Care Sensitive Conditions 3.4 C
Assisted Delivery Rate (Overall) Among Vaginal Deliveries 2.4 -
Asthma Emergency Department Visits: Volume and Median Length of Stay 3.4 C
Average Gross Clinical Payment per Physician 2.2 -
Average Number of Drug Classes Used by Seniors on Public Drug Programs 3.4 C
Avoidable Deaths 4.1 -
Avoidable Deaths From Preventable Causes 4.1 -
Avoidable Deaths From Treatable Causes 4.1 -
Breastfeeding Initiation 3.4 A
Caesarean Section Rate 3.4 B
Cardiac Revascularization Rate 2.2 -
Children Vulnerable in Areas of Early Development 4.1 -
Coronary Artery Bypass Graft (CABG) Rate 2.2 -
Cost of a Standard Hospital Stay 3.5 B
Days Waiting for Admission to Inpatient Rehabilitation 3.1 B
Emergency Department Wait Time for Inpatient Bed (Hours, Percentile) 3.1 B
Emergency Department Wait Time for Physician Initial Assessment (Hours, Percentile) 3.1 B
Epidural Rate for Vaginal Deliveries 2.4 -
Experiencing Pain in Long-Term Care 3.4 C
Experiencing Worsened Pain in Long-Term Care 3.4 C
Falls in the Last 30 Days in Long-Term Care 3.3 C
Have a Regular Doctor 3.1 B
Heavy Drinking 1.2 -
Hip Fracture Surgery Within 48 Hours 3.1 B
Hip Replacement Rate (All Types) 2.2 -
Hospital Deaths Following Major Surgery 3.4 B
Hospital Deaths (HSMR) 3.4 B
Hospitalized Heart Attacks 4.1 -
Hospitalized Hip Fracture Event 3.4 A
Hospitalized Strokes 4.1 -
Hysterectomy Rate 2.2 -
Improved Physical Functioning in Long-Term Care 3.4 C
Incidence of End-Stage Kidney Disease (ESKD), by Age Group, Sex, Province, Rate per Million Population 4.1 -
Incidence of End-Stage Kidney Disease (ESKD), by Primary Diagnosis 4.1 -
Inflow/Outflow Ratio 3.2 B
Influenza Immunization for Seniors 3.4 A
In-Hospital Sepsis 3.3 B
Injury Hospitalization 4.1 -
Joint Replacement Wait Times 3.1 B
Knee Replacement Rate (All Types) 2.2 -
Length of Stay Efficiency 3.5 B
Life Expectancy at Age 65 4.1 -
Life Expectancy at Birth 4.1 -
Low Birth Weight Rate (<2,500 Grams, Excluding <500 Grams) 4.1 -
Low-Risk Caesarean Sections 3.4 B
Medical Patients Readmitted to Hospital 3.4 B
Mental Health General Hospital Inpatient Separations as a Percentage (Pan-Canadian) of All General Hospital Inpatient Separations, by Province, Diagnosis Category, Sex and/or Age Group 2.2 -
Mental Illness Hospitalization 3.2 C
Mental Illness Patient Days 3.2 C
Midwives per 100,000 Population 2.2 -
Obesity 1.2 -
Obstetric Patients Readmitted to Hospital 3.4 B
Obstetric Trauma (With Instrument) 3.3 B
Pan-Canadian Age-Standardized (or Crude) Mental Illness Separations per 100,000 Population, by Province and/or Region 2.2 -
Pan-Canadian Percentage of Total Days Stayed in General Hospitals for Mental Illness, by Province, Diagnosis Category, Sex and/or Age Group 2.2 -
Patient Flow for Hip Replacement 3.2 B
Patients 19 and Younger Readmitted to Hospital 3.4 B
Perceived Health 4.1 -
Percentage of Claims Accepted by Public Drug Programs for Generic Drugs 2.3 -
Percentage of Prescribed Drug Spending Financed by Public Sector 2.2 -
Percentage of Public Drug Program Spending on Generic Drugs 2.3 -
Percentage of Residents Who Had a Newly Occurring Stage 2 to 4 Pressure Ulcer 3.3 C
Percentage of Residents Whose Behavioural Symptoms Improved 3.4 C
Percentage of Residents Whose Behavioural Symptoms Worsened 3.4 C
Percentage of Residents Whose Bladder Continence Worsened 3.4 C
Percentage of Seniors on Public Drug Programs With Accepted Claims 2.5 -
Percentage Rate of Chronic Beers Drug Use Among Seniors on Public Drug Programs 3.4 C
Percutaneous Coronary Intervention Rate 2.2 -
Physical Activity During Leisure Time 1.2 -
Physicians per 100,000 Population, by Specialty 2.2 -
Potentially Inappropriate Medication Prescribed to Seniors 3.4 C
Potentially Inappropriate Use of Antipsychotics in Long-Term Care 3.2 C
Prescribed Drug Spending per Capita 2.2 -
Proportion of Physicians in Rural Areas 2.2 -
Radiation Treatment Wait Times 3.1 B
Repeat Hospital Stays for Mental Illness 3.2 C
Restraint Use in Long-Term Care 3.2 C
Self-Injury Hospitalization 4.1 -
Small for Gestational Age Rate 4.1 -
Smoking 1.2 -
Specialist Wait Times 3.1 B
Surgical Patients Readmitted to Hospital 3.4 B
Time in Emergency Department Until Disposition Decision (Hours, Percentile) 3.1 B
Total Time Spent in Emergency Department for Admitted Patients (Hours, Percentile) 3.1 B
Total Time Spent in Emergency Department for Non-Admitted Patients (Hours, Percentile) 3.1 B
Total Time Spent in Emergency Department (Hours, Percentile) 3.1 B
Transplants, by Organ Type 2.2 -
Wait Times for Bypass Surgery 3.1 B
Wait Times for Cataract Surgery (Percentage Meeting Benchmark) 3.1 B
Wait Times for Cataract Surgery (Percentiles) 3.1 B
Wait Times for CT Scan 3.1 B
Wait Times for Hip Fracture Repair: From ED Registration (Percentage Meeting Benchmark) 3.1 B
Wait Times for Hip Fracture Repair: From ED Registration (Percentiles) 3.1 B
Wait Times for Hip Fracture Repair: From Inpatient Admission (Percentage Meeting Benchmark) 3.1 B
Wait Times for Hip Fracture Repair: From Inpatient Admission (Percentiles) 3.1 B
Wait Times for Hip Replacement (Percentage Meeting Benchmark) 3.1 B
Wait Times for Hip Replacement (Percentiles) 3.1 B
Wait Times for Knee Replacement (Percentage Meeting Benchmark) 3.1 B
Wait Times for Knee Replacement (Percentiles) 3.1 B
Wait Times for MRI Scan 3.1 B
Wait Times for Radiation Therapy (Percentiles) 3.1 B
Worsened Depressive Mood in Long-Term Care 3.4 C
Worsened Physical Functioning in Long-Term Care 3.4 C
Worsened Pressure Ulcer in Long-Term Care 3.3 C