Home care

Home care jtseng_master

CIHI collaborates with federal, provincial/territorial, regional and other stakeholders to identify and address home and long-term care (LTC) information needs and priorities. We support the development, reporting and use of timely and comparable data related to this topic.

Home care is delivered in the community in private homes and residential settings, as well as in hospitals and ambulatory clinics. Home care programs deliver a wide range of health and home support services, including

  • Short-term care for those recovering from surgery or acute medical conditions
  • Long-term home care and support to allow people with chronic conditions to continue living in the community
  • Other specialized programs, such as end-of-life care and rehabilitation

CIHI collects and reports on clinical, administrative and resource utilization data from publicly funded home care programs in Canada.

Resources for home care interRAI assessors

Featured material

Measuring access to priority health services

Explore the latest products related to new pan-Canadian indicators about access to home and community care and to mental health and substance use services.

1 in 3 unpaid caregivers in Canada are distressed

Take a closer look at the role unpaid caregives play in our health systems. The high rates of caregiver distress may signal a need for more effective and appropriate services and supports.

Home care: Reports and releases

Home care: Reports and releases jtseng_master

This page lists home care reports, stories, infographics and release summaries.

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Shared Health Priorities

Working with the federal/provincial/territorial governments, CIHI is developing indicators to measure access to services for mental health and substance use, and home and community care.

Measuring access to priority health services

Explore the latest products related to new pan-Canadian indicators about access to home and community care and to mental health and substance use services.

Palliative care in Canada inconsistent, patients say

3 Canadian women share their experiences with palliative care and compare them with some of the findings of CIHI's new report Access to Palliative Care in Canada. Read their stories.

Access to palliative care in Canada

Access to palliative care has improved in Canada, but gaps remain. Read CIHI's latest report to see the status of palliative care in the home, and in community and hospital settings.

Access to Palliative Care in Canada, 2023 (PDF)

​​Access to palliative care has improved in Canada, but gaps remain. Read CIHI’s latest report on the status of palliative care in the home, and in community and hospital settings.

Home care: Data tables

Home care: Data tables jtseng_master

This page lists data tables that provide information about home care.

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Home care: Indicators

Home care: Indicators jtseng_master

This page lists CIHI’s indicators on home care.

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Caregiver Distress

This indicator provides the percentage of long-stay home care clients whose unpaid caregivers experience distress in a 1-year period.

Home Care Services Helped the Recipient Stay at Home

Percentage of households where at least one member received home care services in the past 12 months and reported that services were very helpful in allowing the recipient(s) to stay at home.

Wait Times for Home Care Services

This indicator provides the median number of calendar days that clients waited for their first home care service.

Home care: Tools

Home care: Tools jtseng_master

This page lists CIHI’s performance reporting tools that contain home care data.

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Interim IRRS HC Secure reporting tool

The interim Integrated interRAI Reporting System Home Care (IRRS HC) Secure Reporting tool aggregates data from publicly funded home care programs in Canada.

Quick Stats

Quick Stats are a series of free, publicly available reports that provide aggregate-level data about health care in Canada.

Home care: Data holdings

Home care: Data holdings jtseng_master

The clinical data standards used for the reporting systems are developed by interRAI, an international research network, and modified, with its permission, for Canadian use. The following clinical data standards are currently in use across Canada:

  • interRAI Resident Assessment Instrument–Home Care (RAI-HC): Identifies the preferences, needs and strengths of home care clients
  • interRAI Contact Assessment (interRAI CA): Captures a brief profile of all people served through screening or home care intake processes
  • interRAI Home Care (interRAI HC) (NEW): Focuses on the individual’s functioning and quality of life by assessing needs, strengths and preferences, and facilitates referrals when appropriate 
  • interRAI Contact Assessment (interRAI CA) (NEW): Supports health care professionals in the community and in hospitals to capture a brief profile of all people served through screening or home care intake processes

CIHI supports reporting systems for home care data. Client information is entered into a computer at the point of care. Real-time reports flag client risks and inform care planning. The information then flows to CIHI’s reporting systems. With no additional collection effort, evidence is available to guide care and system-wide planning, as well as quality improvement.

CIHI is moving to the Integrated interRAI Reporting System (IRRS), and it’s time to retire our legacy home care and long-term care systems

CIHI is excited to announce that IRRS will be the new standard and reporting system for long-term care (LTC) and home care data. This change is being made in response to stakeholder interest and in alignment with CIHI’s mission to provide comparable and actionable information to accelerate improvements in health care, health system performance and population health across the continuum of care. As a result, CIHI will decommission the previous reporting systems for home care (HCRS and HCRS-CA) by March 2025, and the reporting system for LTC (CCRS) by March 2026. 

Please contact us at specializedcare@cihi.ca with any questions regarding this announcement.

Home Care Reporting System

The Home Care Reporting System (HCRS) contains demographic, administrative, clinical, functional and resource utilization information on individuals served by publicly funded home care programs in Canada.

HCRS accepts information from interRAI’s RAI-HC and interRAI CA.

Integrated interRAI Reporting System

The new Integrated interRAI Reporting System (IRRS) contains demographic, administrative, clinical and resource utilization information on individuals who receive home care and long-term care services in Canada.

IRRS accepts information from 2 home care assessments: the interRAI HC and the new interRAI CA.

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Commonwealth Fund metadata

Source, data coverage, data availability, data elements and data quality of The Commonwealth Fund (CMWF).

Home Care Reporting System Metadata

Source, data coverage, data availability, data elements and data quality of the Home Care Reporting System (HCRS).

Home care: News and podcasts

Home care: News and podcasts jtseng_master

This page contains media releases, bulletins and podcast episodes about home care.

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Frailty in Canada — Dr. Kenneth Rockwood

On this episode of the CHIP, host Avis Favaro speaks with Dr. Kenneth Rockwood, clinical research professor of frailty and aging at Dalhousie University, about the risks of frailty.

Palliative Care in Canada — Bernard Lapointe and Philippe Miquel

In this episode of the CHIP, host Alya Niang speaks with McGill University professor Bernard Lapointe and documentary filmmaker Philippe Miquel about the state of palliative care in Canada and why it is such a critical part of health care.

Important Information for CCRS, HCRS, IRRS, OMHRS and NRS

Information to help clients prioritize assessment and data submission activities (in long-term care, home care, complex continuing care, inpatient mental health and inpatient rehabilitation settings).

Home care: Education resources

Home care: Education resources jtseng_master

Through our Learning Centre, CIHI provides opportunities for health professionals to understand our evolving reporting systems and the application of our standards, data and analytics. We offer many courses and resources for a variety of audiences, including clinicians, assessors, data submitters and analysts, decision-makers, policy planners and researchers.

Courses and resources are available in a variety of formats, including eLearning modules, PDF and page-based documents, live and recorded web conferences, and videos.

 

Learning opportunities

Resources offered through the Learning Centre include the following: 

 

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Browse our catalogues

With 300 learning products in a variety of areas, we’re sure to have something that meets your needs — and our online courses will always fit your schedule.

Visit the Education page 

Other education resources

Resources offered through CIHI include the following:

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Mapping COVID-19 Codes: ICD-10-CA to WHO’s Base ICD-10

​This job aid provides information about mapping codes in version 2022 ICD-10-CA to codes in version 2019 of the World Health Organization’s base ICD-10, plus code titles for COVID-19.

interRAI HC: Decision-Support Tools (PDF)

​​A summary of the decision-support algorithms and scales that are available from an interRAI Home Care (HC) assessment.