eDAD and eNACRS Reports User Guide
Contents
1. A j a ob Ni W E 1 eDAD and eNACRS Reports User Guide Canadian Institute for Health Information Institut canadien d information sur la sant Standards and Data Submission SE mn ll Our Vision Better data Better decisions Healthier Canadians Our Mandate To lead the development and maintenance of comprehensive and integrated health information that enables sound policy and effective health system management that improve health and health care Our Values Respect Integrity Collaboration Excellence Innovation oe Table of Contents A A oies ina 1 121 SOV CIVIC W ae 1 1 2 eDAD and eNACRS Reports Education Products 2 1 3 eReports and Other CIHI Online Reporting Products aannannnnnnennennnnnnnnnnnnnnnnnnnnenne 3 1 4 Gaining Permission to Access the Reports 3 129 AGCESSING Me REPO Sel ld 4 2 How the Products Are Structured sise 5 2 1 How the Products Are Structured VV 5 22 HOM e e Manica step 5 23 RODO INOG seen ee een ten et eee eee 6 o What the Repons Nollet ta 6 31 EDAD RODA SS on 6 82 A ee ee 9 4 HOW IO USE Me IRODOMS oa 12 4 1 Navigating and Running Reports ura ae 12 4 2 Optimizing Performan E evoca da adria 16 4 3 USNI OU FISIO LIST dia ete 16 4 4 Changing Language Settings sisas RE 17 49 PrINUNG and EXPONO REDONS ct 17 nn EE ee ane AS 19 eDAD and eNACRS Reports User Guide BN2. 1 Introduction 1 1 Overview Welcome to the eDAD and eNACRS Reports User Guide This document will guide you through the process of accessing and generating eDAD and eNACRS Reports and provide a high level overview of the information and types of reports included in the product Available in English and French the reports are accessible to all Core Plan members through a web based tool built in the leading business intelligence software MicroStrategy The Discharge Abstract Database DAD includes approximately 75 of all acute inpatient separations in Canada Quebec does not submit data to the DAD Over time the DAD has also been used to capture data on day surgery procedures long term care rehabilitation and other types of care Ambulatory care is one of the largest volume patient activities in Canada and jurisdictions continue to join the National Ambulatory Care Reporting System NACRS It is estimated that NACRS will have more than 60 coverage of all emergency department ED visits in Canada as of 2012 2013 The expanded and improved eNACRS Reports maintain the features of the original reports while adding many enhancements that allow for the dynamic utilization of the tool Reports for each database will provide you with comparative statistics based on data submitted to both the DAD and NACRS at the Canadian Institute for Health Information CIHI The DAD is a national database for information on separations from acute care inst
3. Report How long did patients stay in my hospital compared with other hospitals The LOS Summary by Hospital Report includes a Quick Report with associated Default Trend and Comparison Views and a Custom Report You can view ALC acute and ELOS information for groups of patients for each institution by case mix methodology year discharge fiscal year province territory peer group MCC and CMG Drill to explore and compare LOS trends by specific metrics Customize the report by using prompts to filter the data and add attributes Resource Indicators Report What are the resource indicators for patients from my hospital compared with patients in other hospitals The Resource Indicators Report includes a Quick Report with associated Default Trend and Comparison Views and a Custom Report The Resource Indicators Report allows you to view the impact of case mix factors comorbidities flagged interventions and intervention events on resources for groups of patients for each institution by case mix methodology year discharge fiscal year province territory peer group MCC and CMG Drill to explore and compare trends in resource use by specific metrics Customize the report by using prompts to filter the data and add attributes MM eDAD and eNACRS Reports User Guide Inpatient Day Surgery Comparison Report How many day surgery procedures were done in an inpatient setting at my hospital compared with other hospitals The Inpatient Da
4. include three categories Dashboards Quick Reports and Custom Reports Figure 1 High Level Picture of eDAD Reports Home Page Dashboards Length of Stay at a Glance Summary Report Index Inpatient LOS Summary Resource Alternate Level LOS Summary Day S _ by Hospital Indicators a of Care Profile by Catchment mn Default Default Default Default Area Default Quick View Quick Quick View Quick View ick ven Quick View Quick View Reports Comparison Comparison Comparison Comparison Comparison View View View View View LOS Summary Resource Alternate Level 7 Summaly Ontario by Catchment HIG by Hospital Indicators of Care Profile Bes um Custom Custom View Custom View Custom View Custom View Custom View Further Custom Further Custom Further Custom Further Custom Further Custom Views Views Views Views Views Reports Portal Reports Portal Users Ad Hoc Access to Data Note HIG Health Based Allocation Model Inpatient Group eDAD and eNACRS Reports User Guide BN The eDAD Reports contain two informational Dashboards to help you navigate the product the Home Page and Report Index and one data displaying business Dashboard to provide quick and easy access to a snapshot of length of stay LOS data Business Dashboards provide visually compelling executive views into key performance measures enabling quick insights into real data At the bottom of Figure 1 is a s
5. products that support both new and existing users Table 1 below describes all of the eDAD and eNACRS Reports education products and where to find them You are strongly encouraged to use this table as a reference because some of the education products listed below contain more detailed information on certain topics than is included in this user guide All education products will be available in English and French Table 1 Summary of eDAD and eNACRS Reports Education Products Product User Guide Recorded Live Demo Home Page Dashboard MicroStrategy Help Link eDAD eNACRS Supporting Links Updates eDAD eNACRS Supporting Links Education eDAD eNACRS Supporting Links FAQ eDAD eNACRS Supporting Links Support Description A summary to guide users through the process of accessing and generating the reports The user guide provides a high level overview of the information and types of reports included in the suite of eDAD and eNACRS Reports Introduces the reports and provides a step by step demonstration for new users highlighting the functionality of the reports and how to navigate them An overview and tour of eDAD and eNACRS Reports The Home Page Dashboards contain all of the supporting links described below Help videos to learn how to effectively use MicroStrategy 9 Topics include getting to the reports working with the reports and running reports A table listing all of the updates and enhancement
6. treatments The report allows you to explore where people go for treatment and to view LOS admission and discharge information for each institution by case mix methodology year discharge fiscal year province territory region MCC and CMG Drill to explore and compare LOS and service use trends by specific metrics Customize the report by using prompts to filter the data and add attributes Ontario HIG Comparative Reports What are the Ontario HIG resource indicators for patients from my hospital compared with other hospitals The HIG Comparative Reports which are specific to Ontario include a Quick Report with associated Default and Comparison Views and a Custom Report The HIG Comparative Reports allow Ontario facilities to view their Health Based Allocation Model Inpatient Group HIG resource indicators and the impact of HIG weighting factors such as home care flag and special care unit flag on resources for groups of patients for each institution by HIG methodology year discharge fiscal year region peer group and HIG Drill to explore and compare trends in resource use by specific metrics Customize the report by using prompts to filter the data and add attributes eDAD and eNACRS Reports User Guide BN 3 2 eNACRS Reports As shown in Figure 2 below eNACRS Reports include three categories Dashboards Quick Reports and Custom Reports Figure 2 High Level Picture of eNACRS Reports Dashboard My ED Wait Times My ED Wa
7. Discharge Fiscal Year 2011 2012 0p8n Institution Province Territory l i ES gt 2 GE 2 2 44 i 2245 of S6pages b M Datarows 1 500f2795 Data columns 12 ALC ALC AcwleLOS ALCLOS TotalLOS ALCLOS ELOSin Acute LOS and AcuteLOS ALCLOS TotalLos Metrics Cases Cases Cases inDays in Days in Days inDays Days ELOS nDays inDays in Days SUM SUN fs SUR SUM SUM Sch SUM Variance AVG AWG TAWG Ri Case Institution Type Examples of Page By options in eNACRS Reports include the following e Facility Province Territory e Triage Level Group e Triage Level e Visit Disposition Group e CACS Age Group e ED Wait Time Indicator PAGE BY Registration Fiscal Year Cadlity Province Territory Visit Disposition Group Dall Visit Dispositions E Triage Levels Including Unknown ONTARIO Triage Level Group LAN Triage Level Groups Including Unknow Cv Triage Level dd CACS Age Group bh Ages ED Wait Time Indicator Time To Disposition u eng D EE Tip For descriptions of the Page By options per report see the associated report decoder Exploring the different views of a given report is simple For example while viewing any eDAD or eNACRS Report you can click on the breadcrumb trail at the top of the report screen to return to the Home Page Dashboard or to any of the suites of Quick or Custom Reports Click on Discharge Abstract Database shown below or National Ambulato
8. RS Reports Home Page Discharge Abstract Database DAD This project allows authorized users access to inpatient and day surgery information from the Discharge Abstract Database holding at CIHI National Ambulatory Care Reporting System NACRS This project allows authorized users access to emergency day surgery and clinic information from the National Ambulatory Care Reporting System database holding at CIHI Note Links will be available for only the database s your facility submits to Step 6 Select the desired database project folder to go to the product s Home Page More information on the contents of the Home Page and the structure of the reports follows in Section 2 eDAD and eNACRS Reports User Guide MN 2 How the Products Are Structured 2 1 How the Products Are Structured eDAD and eNACRS Reports include three categories Dashboards Quick Reports and Custom Reports Dashboards Provide quick visual representations of the data for fast uptake Provide compelling executive views into key performance measures Quick Reports e Provide underlying data in grid and or graph view with some flexibility e Answer common business questions about the data in DAD NACRS m Custom Reports e Provide options to customize Quick Reports e Provide flexibility with additional selections Provide ability to customize peer groups comparisons Both eDAD and eNACRS Reports are structured around Quick Reports that answer c
9. ating in an eNACRS Report For more information on how to do this please see Section 4 1 MM eDAD and eNACRS Reports User Guide My ED Wait Times at a Glance Have my ED wait times improved changed over time These reports include a Dashboard Quick Report and Custom Report Key ED indicators available in these reports include ED Length of Stay ED LOS for admitted and non admitted patients Time to Physician Initial Assessment TPIA Time to Disposition TtoD and Time Waiting for Inpatient Bed TWIB The reports identify changes in ED wait time indicators for the selected facility region province or peer group for the current month of data in comparison with previous months These reports can help identify whether process improvement initiatives have had an effect or whether changes in managing the flow of ED patients are warranted Drill to explore and compare ED wait time trends by specific metrics Customize the reports by using prompts to filter the data which can help identify if acuity clinical populations or age groups have an effect on ED wait times My ED Wait Time Targets What volume and percentage of patients are attended to within specific ED wait time indicator targets These reports include a Dashboard Quick Report and Custom Report Key ED indicators available in these reports include ED LOS for admitted and non admitted patients TPIA TtoD and TWIB The reports provide the number of cases and percentage of ED pat
10. ble for selection are ED day surgery clinic and diagnostic imaging and other ambulatory care This report can help identify the busiest times and assist with appropriate staffing eDAD and eNACRS Reports User Guide Hil Top 25 Reports These five Quick Reports include the top 25 most frequent main diagnoses main interventions and Comprehensive Ambulatory Classification System CACS groups for your selected population and your selected time frame up to a maximum of two years The types of ambulatory care that are available for selection are ED day surgery clinic and diagnostic imaging and other There are also top 25 reports specific to ED visits that use the ED Discharge Diagnoses Pick List and the ED Presenting Complaint List PCL The reports are available in both grid and graph views and each can be broken down by various clinical and demographic features for example age gender and the outcome disposition of the visit The top 25 reports dynamically update depending on the attribute values selected Top 25 Main Problems This report describes the patient population for a given organization level province region facility or Canadian Hospital Reporting Project CHRP peer group using the main problem A single main problem is assigned to each NACRS record representing the condition that required the most resources to treat Top 25 Main Interventions This report describes the patient population for a given organization l
11. choose one of the following actions Check status again Show document details Cancel When you have finished your other tasks you can go to the History List and open the stored results of the completed report without having to wait The History List allows quick access to previously executed report data As reports are created a copy is automatically saved to your History List Occasionally you will be required to clear your History List To do this in the History List click the box to the right of the report name then click Remove at the top of the column You must limit the number of reports stored in the History List to fewer than 50 to avoid access interruptions tt SharedReports MyReports History Lis Preferences Search Help Logout A e gt National Ambulatory Care Reporting System NACRS gt History List X a Close Name Status Message Creation Time Y n 3 Top 25 CACS Emergency Visits Report Ready mark as unread 3 21 12 2 01 12 PM a O abl eDAD and eNACRS Reports User Guide BN 4 4 Changing Language Settings Changing the language settings in eDAD or eNACRS Reports is a simple process as outlined in the steps below Step 1 Click on the Preference link found at the top of the page to display all categories of user preferences Step 2 To change the language setting from English to French click on the drop down arrow beside Language and choose Fr
12. containing additional options Once you ve made your selections click Export in the bottom right corner Glossary Term ALC attribute CACS CHRP CMG drilling eCHAP eHSR ELOS HBAM HIG MCC metric RIW RIW atypical cases eDAD and eNACRS Reports User Guide BN Description alternate level of care Data associated with one or more columns in a database table Examples of attributes are province gender and discharge fiscal year Comprehensive Ambulatory Classification System Canadian Hospital Reporting Project Case Mix Group Allows you to explore different levels of information within a report For example if you run a report at the level Total CHRP Peer Groups you can drill to one of five specific CHRP peer groups electronic Comparison of Hospital Activity Program electronic Hospital Specific Report expected length of stay calculated for a typical case as adjusted for CMG and factors Health Based Allocation Model HBAM Inpatient Group major clinical category A calculated expression comprising facts and or functions Examples of metrics include number of cases average length of stay sum and Resource Intensity Weight Resource Intensity Weight A group of cases based on the RIW atypical codes Production of this report is made possible by financial contributions from Health Canada and provincial and territorial governments The views expressed herein do not necessarily represent the vie
13. ection called Portal Reports If you are also a Portal user you can explore the eDAD Reports data further without having to leave eDAD Reports and log in to Portal This linkage allows you to maintain the parameters of the data you were originally investigating in an eDAD Report For more information on how to do this please see Section 4 1 Length of Stay Summary at a Glance Dashboard The LOS Summary at a Glance Dashboard displays the top five Case Mix Groups CMGs per major clinical category MCC for typical cases only based on the cases with the greatest positive variance between the acute LOS and the expected LOS ELOS The Length of Stay at a Glance Dashboard may inspire you to seek more detailed information in the Length of Stay Summary by Hospital Quick Reports and Custom Reports Five graphs for each CMG are presented horizontally in the Dashboard displaying various metrics in relation to LOS such as acute average LOS average alternate level of care ALC LOS and average ELOS in days Double click on any graph to enlarge the image a legend will appear describing each line in the graph including Institution Value Peer Value Region Value and Provincial Value The time frame will appear at the bottom of the graph Hovering over the data points in the graph will reveal the values If your institution s value does not appear in the graph it is because fewer than 10 cases were identified Length of Stay Summary by Hospital
14. ench Step 3 Next click on Show advanced options and change the selections for Metadata Date Number and Date Format and Intelligence Server to French Step 4 Click on Apply at the bottom of the page Log out of the eReporting application Your changes will take effect the next time you log in 4 5 Printing and Exporting Reports To print a report follow the steps below Step 1 Click on the arrow on the Home tab found in the upper left corner of the report From the drop down menu click Print A new window will open containing print options Step 2 Once you ve made your selections click on the button at the bottom right labelled Show Printable Version The report will now appear in PDF format Step 3 Click on the PDF printer icon in the upper right corner to print your report You also have the option of saving your report to your computer or another location while in this view To do so click on the save icon located to the right of the printer icon A Save a copy dialogue box will open Create a name for your file and identify a location Click Save To export a report follow the steps below Step 1 Click on the arrow on the Home tab found in the upper left corner of the report From the drop down menu click Export and select one of the following choices PDF CSV file format Excel with formatting HTML or plain text Step 2 A new window will appear
15. et Suite 600 Victoria British Columbia V8W 2B7 Phone 250 220 4100 Canadian Institute for Health Information www cihi ca At the heart of data Institut canadien d information sur la sant
16. evel province region facility or CHRP peer group using the main intervention A single main intervention is assigned to each NACRS record representing the most resource intensive and impacting intervention of all those applied during the visit Top 25 CACS This report describes the patient population for a given organization level province region facility or CHRP peer group using a visits CACS cell assignment One CACS cell is assigned to each record to allow for a categorization of records Visits in the same CACS cell have broadly similar features and are treated as groups in costing exercises The costing aspect of the assignment is held in the Resource Intensity Weight RIW of the visit The RIW can be adjusted by factors of the visit so that one CACS cell may have more than one RIW value Also provided is the sum of RIW values for the records used in the count and the average RIW of those records Top 25 ED Discharge Diagnoses This report describes the patient population for a given organization level province region facility or CHRP peer group using the ED discharge diagnosis The ED Discharge Diagnosis Pick List provides a subset of ICD 10 CA codes making assignment of diagnoses simpler in the ED Up to three ED discharge diagnoses can be captured for each NACRS record but only one that most frequently observed relative to the entire data set is reported on Top 25 Presenting Complaints This report describes the patien
17. ients that were attended to within and above specific time targets including less than or equal to 4 6 8 and 10 hours These reports can help identify whether provincial regional facility targets are being achieved Drill to explore and compare ED wait time trends by specific metrics Customize the reports by using prompts to filter the data which can help identify if acuity clinical populations or age groups have an effect on ED wait times Comparing My ED Wait Times to Others How do my ED wait times compare with those in other hospitals in Canada These reports include a Dashboard Quick Report and Custom Report Key ED indicators available in these reports include ED LOS for admitted and non admitted patients TPIA TtoD and TWIB The reports provide the opportunity to make ED wait time comparisons between the selected population and the province and region based on the 90th percentile Drill to explore and compare ED wait time trends by specific metrics Customize the reports by using prompts to filter the data which can help identify if acuity clinical populations or age groups have an effect on ED wait times Ambulatory Activity Summary When are we the busiest based on average volumes of time and day This Quick Report provides average volumes of patients by time of day hour increments and day of week for your selected population and your selected time frame up to a maximum of two years The types of ambulatory care that are availa
18. in style across the suite of CDAD and eNACRS Reports For example most reports will require you to select the CACS methodology year or fiscal year to be used in the report Similarly you will always need to select an institution or population to be reported on The example below depicts the eDAD prompt for selecting an institution Select the institutions or institution geography you want to include in the report Move the selection to the right panel by clicking on the add arrow separating the Available and Selected boxes Alternatively double click on the selection to move it to the right Click Run Report 2 Filter by Institutions Select the institutions or institution geography to report on Custom selections can be saved and loaded 25 Load Answers using the options on the right pS C Save this answer when report is run Match case Available vee Selected El A Institution A Hg Institution El 8 Institution Province Territory H Cg Institution Region 8 CHRP Peer Group Gg CHAP Peer Group H Kg Analytical Institution Type E E eDAD and eNACRS Reports User Guide BN eNACRS Reports allow you to select a population of interest in the same manner as shown below Tip If you regularly use the same comparison group for reporting check the box Save this answer when report is run in eDAD Reports or Remember this answer in e NACRS shown below The selections made in prom
19. it Comparing My ED Wait at a Glance Times Targets Times to Others My ED Comparing My Wait Times MyED Wat M Ep Wait Times CACS j Ontario CACS t a Cl Time Targets to Oth Comparative Comparative aD Quick View nn Quick View Quick View Quick Quick View Quick View Reports Ambulatory Top 25 Top 25 Top 25 Activity Main ED Discharge Presenting una Interventions Diagnoses Complaints Quick qn Top 25 Main Problems Comparing My My ED Wait CACS Ontario CACS an Mesa Time Targets Comparative Comparative Custom ait Times Custom View Custom View Custom View Reports Custom View Further Custom Views Further Custom Views Further Custom Views Further Custom Views Portal Reports Portal Users Ad Hoc Access to Data Note CACS Comprehensive Ambulatory Classification System The eNACRS Reports contain two informational Dashboards to help you navigate the product Home Page and Report Index and three data displaying business Dashboards pertaining to ED wait times Business Dashboards provide visually compelling executive views into key performance measures enabling quick insights into real data At the bottom of Figure 2 is a section called Portal Reports If you are also a Portal user you can explore eNACRS Reports data further without having to leave eNACRS Reports and log in to Portal This linkage allows you to maintain the parameters of the data you were originally investig
20. ition and define the condition that will be applied to the report For example you can limit the number of cases included in a report VIEWFILTER Add Condition X ClearAl Y Auto Apply changes ALC Cases SUM Greater than or equal to v 100 x gt Select Metric MM eDAD and eNACRS Reports User Guide 4 2 Optimizing Performance System performance is related to the amount of data generated in a Quick or Custom Report Limiting the number of rows returned in a report will increase the speed at which your results are returned An example of limiting the number of rows returned would be replacing fiscal years of data with fiscal quarters The technical requirements for eDAD and eNACRS Reports are e Microsoft Internet Explorer version 6 0 2 6 0 3 7 0 or 8 0 and e Adobe Flash Player version 10 1 or higher 4 3 Using Your History List Selecting Add to my History List allows the report to keep running while you perform other tasks with eDAD or eNACRS Reports When a new report is run a window will appear Click on Add to my History List Processing request Document name 3 Top 25 CACS Emergency Visits Report Current status Running datasets Document description This report will provide Length of Stay and CACS RIW data for your ED Peer Group grouped by each of the 25 most frequent CACS groups for the most recent 3 years for unscheduled visits only Please wait or
21. itutions including discharges deaths sign outs and transfers NACRS is a national database that contains data for hospital based ambulatory care including day surgery procedures outpatient clinics and EDs Data in the eDAD and eNACRS Reports is collected from each database during an open fiscal year April 1 to March 31 eDAD and eNACRS Reports are flexible and timely with data refreshed monthly They include current fiscal year data in addition to five years of regrouped historical data This allows you to view five year trends with the same underlying methodology The data from the DAD and NACRS is transferred to a data mart that populates the respective eReports The deadline for including data in the monthly update is the third business day of each month All data received by this deadline will be included in the refreshed eDAD and eNACRS Reports available on the 15th business day of the month Please note that corrections are made to open year data until the database closes on July 31 Whether you are an executive looking for a quick high level summary a manager investigating improvement opportunities or an analyst seeking details CIHI s eReports offer an innovative means to explore comparative data in the DAD and NACRS with only a few clicks of the mouse MM eDAD and eNACRS Reports User Guide 1 2 eDAD and eNACRS Reports Education Products To make the most of your eDAD or eNACRS Reports take advantage of the various education
22. ommon business questions about the data in the DAD and NACRS The underlying data in certain Quick Reports is also presented as a Dashboard for quick and easy interpretation When the nature of the data permits Custom Reports provide additional flexibility to view the underlying data in the Quick Reports Adding prompt selections for attributes Such as facility or peer group and metrics Such as averages and totals allows you to explore different levels of information within a report 2 2 Home Page The Home Page is a Dashboard that serves as your starting point once you launch the eDAD and eNACRS Reports It contains an educational tour of the product in the selections on the left hand menu bar The Home Page is a useful source for updates and supporting links You can navigate among the other Dashboards via the tabs at the top of the screen MM eDAD and eNACRS Reports User Guide 2 3 Report Index The Report Index is also presented as a Dashboard Similar to other Dashboards it can be accessed via the tabs at the top of the screen The Report Index provides an easy way to navigate all available reports views in the eDAD and eNACRS Reports The left hand column presents the common business question addressed by each report while links to the various view options Dashboards Quick Reports and Custom Reports are available in the right hand column 3 What the Reports Include 3 1 eDAD Reports As shown in Figure 1 below eDAD Reports
23. pt 2 will automatically appear the next time a report is created 2 Select Population of Interest Required Create a custom Population of Interest by selecting Province or Region or Facility or Peer Group Remember this answer This prompt allows only one condition Match case Available Selected El A Organizational hierarchy 8 Facility Province Territory H Gg CHRP Peer Group Once you have made your prompt selections click at the bottom left hand side of the screen Once you have run a report you can return to the prompt page while maintaining previous selections by clicking the Re Prompt button from the Home tab on the report page To change the way data in certain reports is aggregated click on the drop down arrow in the Page By options and make your selection Examples of Page By options in eDAD Reports include the following e Discharge Fiscal Year e Institution Province Territory e CHRP Peer Group e MCC MM eDAD and eNACRS Reports User Guide z de E V1 Length of Stay Summary by Hospital MicroSbrat fie Page Ch Tools gt Shared Reports My Reports History List Create Report Preferences Search Hap Logout Discharge Abstract Database DAD gt Shared Reports gt eDAD Reports gt Quick Reports gt QU Length of Stay Summary by Hospital Home Tools Data Grid Format Last update 1 19 12 9 47 09 AM A
24. readily accessible and meaningful to support our clients as they make informed decisions that improve the health of Canadians The different eReporting products available to CIHI s three user groups are shown below in Table 2 All eReporting products at CIHI are available online at www cihi ca The Patient Cost Estimator and Quick Stats are available to the public eReporting tools such as eNACRS and eDAD Reports and others provide flexible yet focused access to information from different databases and are available only to Core Plan members through a secure login Portal members automatically have access to all eReporting tools in addition to ad hoc access to all CIHI databases via Portal itself which is available on a cost sharing basis Table 2 CIHI eReporting Products Public Core Plan Members Portal Members e Patient Cost Estimator eDAD Reports e Access to all eReports available e Quick Stats eNACRS Reports to Core Plan members eMIS Reports e Ad hoc accesss to all databases CHRP Others Notes eMIS electronic Management Information Systems in Canadian Health t CHRP Canadian Hospital Reporting Project 1 4 Gaining Permission to Access the Reports As described in the previous section eDAD and eNACRS Reports are available to Core Plan members only As such access to the reports is restricted and a secure personal user account and password are required If you were an existing eDAD eNACRS and or Portal user you automa
25. ry Care Reporting System to return to the Home Page Dashboard A E x 3 Discharge Abstract Database DAD gt Shared Reports gt eDAD Reports gt Custom Reports gt CL Length of Stay Summary by Hospital Alternatively click on eDAD Reports or eNACRS Reports shown below to access folders for Dashboards Quick Reports or Custom Reports eDAD and eNACRS Reports User Guide BN My Reports History List My Subscriptions Create Report Create Document Preferences Ei QA National Ambulatory Care Reporting System NACRS gt Shared Repor s gt eNACRS Reports 1 Dashboards 2 Quick Reports Owner Administrator Owner Administrator Modified 4 30 12 10 33 20 AM Modified 5 2 12 11 57 10 AM These reports provide an overview of demographic and clinical features and indicators at the facility and Peer Group level These reports replace and enhance the eNACRS Standard Reports 3 Flexible Reports Owner Administrator Modified 5 1 12 4 21 40 PM These reports allow combinations of facilities demographic and clinical features indicators Peer Groups and specification of comparison population These reports replace and enhance the eNACRS Custom Reports If you are a Portal user you can link from eDAD or eNACRS Reports directly to Portal providing further ad hoc access to the database In other words you do not have to leave the eDAD or eNACRS Reports and log in to Portal The parameters of the da
26. s made to eDAD or NACRS Reports after their launch date A list of currently available DAD or NACRS education workshops Also has links to the Education home page on CIHI s website Frequently asked questions about eDAD or eNACRS Reports Will be updated over time as more questions arise Decoders for the content of each Quick and Custom Report including descriptions of metrics attributes and views Also includes details on multiple case mix methodology years and peer groups The report decoders provide detailed information on eDAD and eNACRS Reports including report methodology indicator and metric calculations special instructions and a glossary of terms Where to Find lt eDAD eNACRS Supporting Links Support CIHI Education home page also accessed via Supporting Links Education The first page when you log in to eDAD or eNACRS Reports In the upper right corner of any eDAD or eNACRS screen In the lower left corner of any eDAD or eNACRS Dashboard In the lower left corner of any eDAD or eNACRS Dashboard In the lower left corner of any eDAD or eNACRS Dashboard In the lower left corner of any eDAD or eNACRS Dashboard eDAD and eNACRS Reports User Guide BN 1 3 eReports and Other CIHI Online Reporting Products eDAD and eNACRS Reports are part of a larger suite of online reporting products offered by CIHI These products are growing and evolving as CIHI continues to invest in making data holdings
27. t population for a given organization level province region facility or CHRP peer group using the PCL code The PCL is a pick list used in EDs to capture how the client describes his or her reason for attending the ED MM eDAD and eNACRS Reports User Guide CACS Comparative Reports These include the CACS Comparative Quick and Custom Reports and the Ontario Specific CACS Comparative Quick and Custom Reports The CACS Comparative Reports provide information using indicators such as CACS and RIW for any facility or selected region against an optional comparison population Data is available for submission level 3 only over the most recent two years The Ontario specific reports contain similar information but use Ontario specific weights rather than the national RIW values Customize the reports by using prompts to filter the data 4 How to Use the Reports 4 1 Navigating and Running Reports You will begin on the Home Page Dashboard once you launch the eDAD or eNACRS Reports To navigate all available reports views click on the Report Index Dashboard at the top of the page Alternatively eDAD Reports allow you to access both Quick Reports and Custom Reports by using the links in the column on the left hand side of the Home Page Dashboard Reports available as Dashboards can be selected from the tabs at the top of the page When you are ready to run a report you will first need to make selections from a prompt page Prompts are similar
28. ta investigated in eDAD and eNACRS will be maintained in the Portal application Click on the design icon at the top of the eDAD or eNACRS Report page to link to Portal Format gaa a x You can further customize a report s appearance by using the User Preferences link at the top of the report page In the grid display select 14 for maximum columns in grid This will ensure that all columns of data are condensed to fit on one page Limiting the maximum number of rows in the grid to 50 will mean less scrolling to display all rows Also in the grid display options is the Show pivot buttons selection Select this option if you prefer to use buttons to re arrange report objects rather than the drag and drop method CHAP Peer Group cua In the graph display you can choose to view graphs and grids together by selecting Show graph reports by default in grid and graph view mode Click Apply at the bottom of the page to change your preferences Once a report has been generated you can save it Click on the Home tab and select Save As or click on the save icon below the Home tab A Save As dialogue box will appear Create a name for the report and a description In Save in click on My Reports Click OK While viewing one of the Quick or Custom Reports use the Add Condition feature located at the top of the report to further refine information Click on Add Cond
29. tically received access to the new suite of eDAD and eNACRS Reports If you are a new Core Plan member you can request access by sending an email to ccsp cihi ca It normally takes two to three business days to set up your account and give you access to the reports MM eDAD and eNACRS Reports User Guide If you want to access the eDAD and or eNACRS Reports in French by default you can indicate this during your correspondence with CIHI during the sign up process If you are currently an eDAD and or eNACRS Reports user and the reports default to English but you would prefer French please contact us at ccsp cihi ca You can also toggle between French and English by following the steps in Section 4 4 1 5 Accessing the Reports Once you have permission for eDAD or eNACRS Reports accessing them is a simple process as outlined in the steps below Step 1 Visit CIHI s home page at www cihi ca Step 2 On the header of the page click on plications be taken to the Applications page From here you will nteractive Tools Databases Step 3 Select the eReporting link from the Applications page or click on CIHI Portal if you are a Portal user This will open a new window where you can fill in your login details Username Password Step 4 Read the Terms and Conditions of Use and click on Agres Step 5 You will now be on the projects list page Click on the database project folder to open the eDAD or eNAC
30. ws of Health Canada or any provincial or territorial government All rights reserved The contents of this publication may be reproduced unaltered in whole or in part and by any means solely for non commercial purposes provided that the Canadian Institute for Health Information is properly and fully acknowledged as the copyright owner Any reproduction or use of this publication or its contents for any commercial purpose requires the prior written authorization of the Canadian Institute for Health Information Reproduction or use that suggests endorsement by or affiliation with the Canadian Institute for Health Information is prohibited For permission or information please contact CIHI Canadian Institute for Health Information 495 Richmond Road Suite 600 Ottawa Ontario K2A 4H6 Phone 613 241 7860 Fax 613 241 8120 www cihi ca copyright cihi ca 2012 Canadian Institute for Health Information Cette publication est aussi disponible en francais sous le titre French Title Talk to Us CIHI Ottawa CIHI Montr al 495 Richmond Road Suite 600 1010 Sherbrooke Street West Suite 300 Ottawa Ontario K2A 4H6 Montr al Quebec H3A 2R7 Phone 613 241 7860 Phone 514 842 2226 CIHI Toronto CIHI St John s 4110 Yonge Street Suite 300 140 Water Street Suite 701 Toronto Ontario M2P 2B7 St John s Newfoundland and Labrador A1C 6H6 Phone 416 481 2002 Phone 709 576 7006 CIHI Victoria 880 Douglas Stre
31. y Surgery Comparison Report includes a Quick Report with associated Default Trend and Comparison Views The report shows how many patients had an intervention performed in an inpatient setting versus a day surgery setting at one hospital compared with other hospitals as well as the resources that were consumed in each setting This report can help you analyze cases that could potentially be moved from an inpatient to a day surgery setting Alternate Level of Care Profile Report How many patients occupied a bed in my hospital but did not need the intensity of resources provided in that care setting The Alternate Level of Care Profile Report includes a Quick Report with associated Default Trend and Comparison Views and a Custom Report You can view ALC acute and ELOS information for groups of patients for each institution by case mix methodology year discharge fiscal year province territory peer group MCC and CMG Drill to explore and compare LOS trends by specific metrics Customize the report by using prompts to filter the data and add attributes Length of Stay Summary by Catchment Area Report What hospitals are people from my area going to for treatment and for what medical services The Length of Stay Summary by Catchment Area Report includes a Quick Report with associated Default and Trend Views and a Custom Report This report identifies how long patients from a selected geographical area stayed in hospital and for what medical
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