Hi2013 en

Health Indicators 2013
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
Table of Contents
About the Canadian Institute for Health Information. . . . . . . . . . . . . . . . . . . . . . . . . . . iii
About Statistics Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Health Indicator Framework. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
In Focus: Health System Performance Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Reporting on Health System Performance and the Health of
Canadians: The Foundation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Setting Priorities for Indicator Development and Reporting . . . . . . . . . . . . . . . . . . 5
Leveraging Public Reporting on HealthSystem Performance . . . . . . . . . . . . . . . . 8
A Health System Performance Framework to Support
Performance Improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Whats New in This Report?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Building on Priority Areas: Disparities WithintheHealthSystem. . . . . . . . . . . . . . 19
Methodology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Applying the Disparity Lens to Provincial Indicator Rates. . . . . . . . . . . . . . . . . . . 22
References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
AppendixDefining Neighbourhood Income Quintile to Measure Disparity. . . . . . . . . 29
Health Indicators: Region by Region . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Health Region Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Health Status. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Non-Medical Determinants of Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Health System Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Equity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Community and Health System Characteristics. . . . . . . . . . . . . . . . . . . . . . . . . . . 76
General Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Indicator Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Regional Map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
About the Canadian Institute for Health Information
About the Canadian Institute

for Health Information
The Canadian Institute for Health Information (CIHI) collects and analyzes information
on health and health care in Canada and makes it publicly available. Canadas federal,
provincial and territorial governments created CIHI as a not-for-profit, independent
organization dedicated to forging a common approach to Canadian health information.
CIHIs goal: to provide timely, accurate and comparable information. CIHIs data and
reports inform health policies, support the effective delivery of health services and
raise awareness among Canadians of the factors that contribute to good health.
For more information, visit our website at www.cihi.ca.
As of March 14, 2013, the following individuals are members of CIHIs Board of Directors:
Dr. Brian Postl
Chair of the Board CIHI
Dean of Medicine
University of Manitoba
Mr. John Wright (ex officio)
President and Chief Executive Officer
CIHI
Dr. Luc Boileau
President and Director General
Institut national de sant publique du Qubec
Mr. Luc Castonguay
Assistant Deputy Minister
Planning, Performance and Quality
Ministre de la Sant et des Services sociaux du Qubec
Dr. Marshall Dahl
Consultant Endocrinologist
Vancouver Hospital and Health Sciences Centre and Burnaby Hospital
Ms. Janet Davidson
Canadian Head of the Global Healthcare Center of Excellence
KPMG
Dr. Chris Eagle
Alberta Health Services
iii
Dr. Vivek Goel

Public Health Ontario
Mr. David Hallett
Associate Deputy Minister
Ministry of Health and Long-Term Care
Ontario
Mr. John McGarry
Private Health Administration Consultant
Ms. Elaine McKnight
Chief Administrative Officer and Associate Deputy Minister
British Columbia Ministry of Health
Mr. Kevin McNamara
Deputy Minister of Health and Wellness
Nova Scotia Department of Health and Wellness
Mr. Peter Morrison
Assistant Chief Statistician
Social, Health and Labour Statistics
Statistics Canada
Mr. Paul Rochon
Associate Deputy Minister of Health
Health Canada
Dr. Marlene Smadu
Vice-President of Quality and Transformation
Regina QuAppelle Health Region
Mr. Howard Waldner
Chief Executive Officer
Vancouver Island Health Authority
iv
About Statistics Canada
About Statistics Canada

Statistics Canada produces statistics that help Canadians better understand their
countryits population, resources, economy, society and culture.
The Health Statistics Division provides information about the health of the Canadian
population, the determinants of health, and the utilization of Canadas health care
resources.The information is used to assist and support health planners and decisionmakers at all levels of government to sustain demographic and epidemiological research,
and to report to the Canadian public about their collective health and health care system.
How to Obtain More Information

For information about this product or the wide range of services and data available
from Statistics Canada, visit our website, www.statcan.gc.ca.
You can also contact us by

Email
At infostats@statcan.gc.ca
Telephone
From Monday to Friday, 8:30 a.m. to 4:30 p.m., at the following toll-free numbers:
Statistical Information Service .............. 1-800-263-1136
National telecommunications device
for the hearing impaired......................... 1-800-363-7629
Fax line.................................................. 1-877-287-4369
Depository Services Program

Inquiries line........................................... 1-800-635-7943
Fax line.................................................. 1-800-565-7757
Standards of Service to the Public

Statistics Canada is committed to serving its clients in a prompt, reliable and
courteousmanner. To this end, Statistics Canada has developed standards of
servicethat its employees observe. To obtain a copy of these service standards,
please contact Statistics Canada toll-free at 1-800-263-1136. The service standards
are also published on www.statcan.gc.ca under About us > The agency >
Providingservices to Canadians.
Acknowledgements
Acknowledgements
The Canadian Institute for Health Information (CIHI) would like to acknowledge and
thank the many individuals and organizations that contributed to the development of
this report.
In particular, the Health Indicators 2013 report benefited greatly from consultations
with our stakeholders across the country. The assistance offered by many individuals
in health regions, provinces and territories who reviewed these indicators and offered
useful suggestions is gratefully acknowledged.
We would like to acknowledge and express our appreciation to the Expert Advisory
Group for its invaluable advice on the Health Indicators 2013 In Focus section:
Adalsteinn Brown, Director
Institute of Health Policy, Management and Evaluation
Faculty of Medicine
and Dalla Lana Chair in Public Health Policy
Dalla Lana School ofPublic Health
University of Toronto
Dr. D. Douglas Miller, Dean
Faculty of Medicine and Dentistry
University of Alberta
Camille Orridge, Chief Executive Officer
Toronto Central Local Health IntegrationNetwork
Brenda Wannell, Section Chief
Integration and Analysis
Statistics Canada
Jennifer Zelmer, Senior Vice President
Canada Health Infoway
It should be noted that the analyses and conclusions in this report do not necessarily
reflect the opinions of the experts or their affiliated organizations.
vii
The following people at CIHI provided guidance, support and leadership throughout
thedevelopment and production of this report:
Jeremy Veillard, Vice President
Kira Leeb, Director
Chantal Couris, Manager
The core project team responsible for the development of this report is as follows:
Yana Gurevich, Manager
Brenda Tipper, Senior Consultant
Zeerak Chaudhary, Project Lead
Yanyan Gong, Team Lead
Liudmila Husak, Project Lead
Kathy Nguyen, Project Lead
Erin Pichora, Project Lead
Joy Wang, Project Lead
Minh Duong-Hua, Methodologist
Leslie Choy, Senior Coordinator
Luigi Vedovat, Senior Coordinator
Opeyemi Fadahunsi, Senior Analyst
Farhat Farrokhi, Senior Analyst
Viachaslau Herasimovich, Senior Analyst
Taryn Johnston, Senior Analyst
Candace Sirjoosingh, Senior Analyst
Ling Yin, Senior Analyst
Yue You, Senior Analyst
Mary Elias, Analyst
Chen Wu, Analyst
Veronika Moulton, Co-op Student
The health indicators project is a joint effort by Statistics Canada and CIHI that
produces information on a broad range of health indicators. We would like to thank
Brenda Wannell, Section Chief, Integration and Analysis, and Lawson Greenberg,
Unit Head, from Statistics Canada for contributing the indicators on health status,
non-medical determinants of health, and community and health system characteristics,
as well as the calculation of avoidable mortality indicators for the Heath Indicators
2013 report. Statistics Canada and CIHI also jointly produce the Health Indicators
e-publication, which provides additional health indicator data.
We would also like to thank the many other CIHI staff members who compiled and
validated the data; worked on the print, translation, communications, web design and
distribution; and provided ongoing support to the core team.
viii
Executive Summary
Executive Summary
Before Health Indicators moves to interactive, digital reporting in the spring of 2014,
this final report in the 14-year series presents the initial objectives of the CIHI
Statistics Canada Health Indicators project and some accomplishments in reporting
onthe performance of the health system and on the health of Canadians.
The report also introduces a new program of work that CIHI initiated to support
Canadian jurisdictions efforts to stimulate health system performance. This new
program provides structured and coordinated pan-Canadian reporting that is tailored
to the information needs of different audiences and to the development of additional
knowledge and capacities for performance improvement.
Finally, to provide some perspectives on the performance of the health system in Canada,
Health Indicators 2013 reports on 13 additional indicators by socio-economic status (SES)
at national and provincial levels:
Hospitalized stroke event

Hospitalized hip fracture event
Wait time for hip fracture surgery
30-day acute myocardial infarction in-hospital mortality
30-day stroke in-hospital mortality
Self-injury hospitalization
Ambulatory care sensitive conditions hospitalization
30-day readmission for mental illness
30-day readmissionpatients age 19 and younger
30-day obstetric readmission
30-day medical readmission
30-day surgical readmission
30-day acute myocardial infarction readmission
For these 13 indicators, as well as the 2 reported by SES in previous reports

(hospitalized acute myocardial infarction event rate and injury hospitalization rate),
twosummary measures of disparity are presented:
Disparity rate ratio, which provides the magnitude of the socio-economic disparities
for a health indicator when comparing the least affluent to the most affluent group
ina jurisdiction.
Potential rate reduction, which expressesas a percentagethe reduction

in a health indicator rate that would occur in the hypothetical scenario each
neighbourhood income group experienced the rate of the most affluent
neighbourhood income quintile.
These summary measures appear to effectively highlight the range of disparities inhealth
and health care and the potential effect of interventions aimed at reducing these disparities.
ix
The key findings derived from these new measures are the following:
Hospitalization rates for self-injury and for ambulatory care sensitive conditions (such
as diabetes, heart failure and asthma) showed the highest potential rate reduction.
Rates for these indicators would be 27% and 32% lower, respectively, ifallCanadians
experienced the same rates as those living inthe most affluent neighbourhoods.
An overall comparison ofself-injury hospitalization rates across the provinces showed

that rates were significantly higher than the national average in British Columbia,
Saskatchewan, New Brunswick and Newfoundland and Labrador in 20112012.
Among these provinces, Saskatchewan had the highest potential for rate reduction
by addressing SES-related disparities (potential rate reduction of 51%).
For hospitalization rates for ambulatory care sensitive conditions, examining the
overall rates and the disparity measures by province highlighted that provinces that
perform well overall may still have a significant potential for rate reduction related to
health system disparities. For example, Ontarios overall rate was significantly below
the national average, yet this province had the highest potential rate reduction, at 36%.
This information will allow health system managers and policy-makers to take a closer
look at disparities by SES across many dimensions of health and the health system,
and to provide information on the potential effects of interventions aimed at reducing
disparities in health and health care.
Health Indicator Framework
Health Indicator Framework
Health Status
How healthy are Canadians?
Health status can be measured in a variety of ways, including
well-being, health conditions, disability ordeath.
Well-being
Health
conditions
Human
function
Death
Non-Medical Determinants of Health

Non-medical determinants of health are known
to affect our health and, in some cases, when
and how we use health care.
Living and
working
conditions
Personal
resources
Environmental
factors
Equity
Health
behaviours
Health System Performance

How healthy is the health system?
These indicators measure various aspects
of the quality of health care.
Acceptability
Accessibility
Appropriateness
Competence
Continuity
Effectiveness
Efficiency
Safety
Community and Health System Characteristics

These measures provide useful contextual
information, but are not direct measures of
health status or the quality of health care.
Community
Health system
Resources
xi
In Focus
Health System Performance Reporting
In Focus: Health System Performance Reporting
Introduction
In early 1998, more than 500 health administrators, researchers, caregivers, government
officials, health advocacy groups and consumers came together to identify Canadas
health information needs. In response, a national vision and an action plan for
strengthening Canadas health information system was developed.1
The following priorities emerged from this conversation:
Obtain better information to track current and emerging health issues.

Reach consensus on common data and technical standards so that the research
community can more efficiently share comparable findings.
Address fragmented or incomplete data.

Improve the value of the analysis of the health information being captured.
Disseminate health information more broadly to improve the health of Canadians and
the performance of their health system.1
The national vision and the associated plan were endorsed by ministers of health
across the country at all levels and were subsequently called the Health Information
Roadmap Initiative. Soon after, the 1999 federal budget identified specific priority
projects in the health information field. An overall investment of $90 million over three
years was earmarked to implement the related work plan.1
At the time, Canadas total spending on health care was more than $80 billion a
yearthis rose to an estimated $207.4 billion in 20122but little information existed to
really understand the quality of health care services delivered to Canadians or overall
health system performance. Some argue that this problem still exists.3 Yet over the
past 15 years, there has been substantial progress in measuring and monitoring the
performance of the health system and the health of Canadians.
Through the Health Information Roadmap Initiative1 and the Health Indicators project,
Statistics Canada and CIHI have delivered more pan-Canadian information than
ever before. In addition, provincial organizations, such as health quality councils,
and pan-Canadian organizations, such as the Canadian Patient Safety Institute and
the Health Council of Canada, have stimulated conversations about how the health
system performs and how healthy Canadians are. As a result, Canadian provinces and
territories now share a more robust understanding of the performance of their health
systems and of the health of their citizens.
The Health Indicators project is now releasing its final annual report in the current format;
it will move to an electronic, interactive reporting format in 2014, with more frequent
reporting for some of the performance indicators. This evolution is an opportunity to
reflect on progress made in Canada in developing pan-Canadian indicators since 1999
and to present new ways in which we can use the high-quality performance information
available to support more meaningful performance improvement efforts inCanadian
jurisdictions. While the large amount of performance information available means it can
be challenging to use,4 efforts to align performance measurement with the improvement
priorities of jurisdictions will create a practical platform for evidence-based decisionmaking that supports health system performance improvement in Canada.
Reporting on Health System Performance

and the Health of Canadians: The Foundation
The Health Indicators project began in 1999 as a pan-Canadian health information
reporting initiative co-led by CIHI and Statistics Canada.1 At the time of the Health
Information Roadmap Initiative, a growing demand to provide Canadians with the
ability to make better-informed decisions, coupled with improving data technology,
was changing the landscape of health information reporting in Canada.1 Informed by
a large-scale consultation, the report Health Information Roadmap: Responding to
Needs highlighted the need for pan-Canadian health system reporting that was secure
and that respected Canadians privacy, but that was also consistent, relevant, flexible,
integrated, user-friendly and accessible (Figure 1).1
Responding to this need, the scope of the Health Indicators project was to identify,
develop and report on a set of performance indicators, primarily at the regional level,
with the purpose of informing the following questions:
How healthy is the health system?

How healthy are Canadians?
Figure 1: Health Indicators Project Evolution
Health
information
needs?
500+ stakeholders
consulted
CIHI
Health
Indicators
Project
Statistics
Canada
Goal: Identify and report on

a set of indicators reflecting
the health of Canadians
and the health system
Setting Priorities for Indicator Development

and Reporting
The 1999 National Consensus Conference on Population Health Indicators was the
first of three consultations to prioritize and select indicators for immediate and future
development (Figure 2).57 To achieve this, participants used the CIHIStatistics Canada
Health Indicator Framework (see page xi) as a conceptual guide to identify important
dimensions of health and health system performance for indicator development. Over
the course of the project, key priorities were to continue to be responsive to the needs
of stakeholders and to develop relevant indicators for reporting at the regional level. In
addition to the large-scale consensus conferences, advisory groups were set up to guide
the technical development of new indicators. Regional and provincial contacts were also
consulted on emerging indicator methodology and reporting. As shown in Figure 2, major
developments over the course of the project included expanding the suite of indicators,
providing more in-depth analysis on priority topics and improving access to indicator
results through online applications.814
Figure 2: Health Indicators Project Development
First
Consensus
Conference
1999
Second
Consensus
Conference
2004
Third
Consensus
Conference
2009
List of indicators selected
Indicators validated and

priorities set
Support for new equity
measures obtained
Existing indicators
and access to indicator
data evaluated
Six priority areas identified
Indicator Reporting
Indicator Reporting
New online application:

Health Indicators Interactive
Tool (2006)
First stand-alone report
released (2007)
In Focus sections on
hip fractures (2007) and
ambulatory care sensitive
conditions (2008)
10-year anniversary report

(2009)
New online applications:
Health Profile (2009) and
Health Trends (2010)
In Focus sections on
disparity (2010), mental
health (2011) and
avoidable mortality (2012)
for immediate and future

development
Health Indicator
Framework adopted
Indicator Reporting
Regional tables included
in Health Care in Canada
(2000)
New online application:
e-publication (2001)
The final consensus conference for the Health Indicators project was held in 2009.
During that conference, a number of new priority areas were identified that are related
to social determinants of health, mental health, health care outcomes, child and youth
health, healthy environments and Aboriginal peoples health.7 In subsequent years,
indicators for many of these priority areas were developed in response to these
emerging information needs (Figure 3).810
Figure 3: H
ealth Indicators Report Development Since the 2009 Consensus
Conference
Social Determinants of Health

2010
Heart attack, hysterectomy and injury

hospitalization indicators explored by SES
Summary measures of disparity developed
(see the methodology box on page 21)
Mental Health

2011
New: Mental illness readmission, repeat

hospitalization and self-injury hospitalization
indicators developed
Health Care Outcomes

2012
New: Avoidable mortality and all-cause

readmission indicators developed
Child and Youth Health

All-cause readmission rate for patients

age 19 and younger developed
Social Determinants of Health

2013
Fifteen indicators reported by SES

for Canada and for all provinces
Note
SES: socio-economic status.
Leveraging Public Reporting on

HealthSystem Performance
The Need to Reposition Health System Performance
Reporting in Canada
Despite remarkable progress in developing new comparable, standardized pan-Canadian
performance indicators that reflect the health of Canadians and the performance of the
health system, performance measurement in Canada is still largely under construction.
At a pan-Canadian level, the Health Council of Canada is mandated to monitor and make
annual public reports on the implementation of the 2003 Health Accord,15 and CIHI is
mandated to lead the development and maintenance of comprehensive and integrated
health information that enables sound policy and effective health system management.
Ata provincial level, several health (quality) councils have been established in recent years
(in New Brunswick, Quebec, Ontario, Saskatchewan, Alberta and British Columbia) with
a mandate to report to the public on health system performance.1621 Other initiatives in
Canada and internationally complicate this landscape even more: the Organisation for
Economic Cooperation and Development (OECD) and The Commonwealth Fund release
comparative performance indicators every year or every other year,2224 pan-Canadian
organizations such as the Canadian Partnership Against Cancer release performance
reports on parts of the system,25 and other national and international organizations release
their own performance reports. This large number of organizations reporting concurrently
and in an uncoordinated fashion on health system performance at various levels has led
to confusion for health system decision-makers and Canadians alike. All of these factors
have contributed to what many stakeholders in Canada are describing as a state of
indicator chaos.
Cross-country consultations recently conducted by CIHI with health care system
managers suggest that there is a need to
Clarify and better position health system performance public reporting in Canada; and
Ensure that reporting supports the performance improvement efforts of jurisdictions.
As a leading source of reliable, comparable and timely health information in Canada,

CIHI has initiated a three-year plan to strengthen its work on pan-Canadian health
system performance reporting to better support jurisdictional efforts to improve care
and the health of Canadians. Specifically, the objectives of this work are to
Provide structured and coordinated pan-Canadian reporting on health system
performance that is tailored to the information needs of different audiences,

including the general public, provincial health ministries, regional health authorities
and health care facilities (Figure 4);
Produce analytical tools and products that support provincial and territorial health
system improvement priorities;
Work with our partners in the health system to build capacity for using and
understanding performance measurement and analytical tools; and
Reduce indicator chaos in the health system by working with our partners to identify
which health indicators are most important, how they relate to each other and how
they can best support improvements to health care and the health of Canadians.
Did You Know?

This initiative builds on more than 10 years of work and experience at CIHI in reporting on health system
performance that includes
The development of a well-established set of comparable, pan-Canadian health indicators aligned with
international standards;
The development, with Statistics Canada, of a Health Indicator Framework that is internationally recognized;
Research in priority themes related to health system performance in Canada, such as quality of care,
patient safety and health system efficiency; and
Business intelligence and interactive web tools, such as the Canadian Hospital Reporting Project, that allow
health system managers to track performance over time, view peer group comparisons and identify areas
for improvement through drill-down capabilities.
CIHIs Initiative in More Detail

Addressing the Reporting Needs of Multiple Audiences
Different audiences are interested in different aspects of health system performance
and require different levels of reporting (Figure 4). A teaching hospital, for example, may
require detailed information to pinpoint which surgical programs and care processes
require improvements, whereas a provincial policy-maker may need to see performance
trends at a higher level to understand which parts of the system are working well and
which could be improved. As users and funders of the health care system, Canadians
also have a vested interest in health system performance and want to know whether
they are receiving good care relative to the public expense of providing it.
Figure 4: Tailored Health System Performance Reporting
Fewer
Number of Measures
Public
Regional
and Provincial
Authorities
Points of Care
(hospitals/long-term
care facilities/primary
health care centres)
More
10
Reporting for the general public will focus on a limited

set of comparable indicators that will be needed for
transparency purposes.
Reporting for this audience will include benchmarking reports
and tools to support best practice and knowledge sharing
among jurisdictions. It will assist regional system managers
and provincial policy-makers as they strive to be transparent,
improve performance and build capacity.
Reporting for point-of-care managers is similar to that for

regional and provincial authorities and will include enhanced
drill-down capabilities in an integrated environment.
New Information to Meet Evolving Needs

Until recently, health system performance reporting focused primarily on the acute care
(hospital) sector. This focus stemmed from the high proportion of the health budget spent
in the acute care sector (a projected 29% nationally in 2012).2 Additionally, acute care
databases are the most comprehensive data source, compared with those for other health
sectors in Canada. As such, they have greater potential to be used to develop important,
relevant indicators.
However, the situation has started to change in the past few years, with a rising demand
for quality data sources in other key health care sectors. This has led to greater investment
in data sources for primary care, palliative care, home and community-based care, and
patients experiences. As these data sources develop, they will make it possible to paint
a more complete picture of the health care system and patients experiences overall and
across the continuum of care. Along with these investments in more information, the notion
that Canada needs a true health system perspective on performance has become more
prevalent, and priority-setting for indicator development should reflect this.
Less Indicator Chaos

A national summit of measurement experts agreed that indicator chaos was a symptom
of increasing commitment to improvement and measurement that yet lacks coordinated
priorities and planning.26 A pan-Canadian repository of health system performance
indicators, with definitions and characteristics of each indicator summarized in a standard
template, can help to consolidate and standardize definitions and methodologies. This
will help cut through the chaos by reducing duplication. In addition, plans to develop new
indicators and retire indicators that are no longer useful are needed. This planning has
two benefits: it will help the health system stay focused on important measures and it will
reduce the burden of producing and reporting on ones that are not.
11
Enhanced Analytical Tools to Understand PerformanceDrivers

Information about performance must be timely, and it must be delivered in a way that
allows health system managers and care providers to clearly understand and explore
their performance results so they can focus their improvement efforts in priority areas.
Forexample, clinicians may want to understand why their facilities have high readmission
rates. They should be able to break those rates down by service area, such as medicine,
surgery, pediatrics and obstetrics. They should further be able to delve into results by
major diagnosis groups (for example, heart attack and stroke readmissions), the urgency of
the initial admission (whether it was elective), sex and age. They should even know which
specific cases resulted in urgent readmissions. The more they cananalyze granular data,
while maintaining the highest standards of privacy and confidentiality of that data,the more
effective their improvement efforts can be.
More Capacity to Use Performance Information

toImproveResults
Health system decision-makers, managers and analysts must have the skills,
competencies and abilities to use performance management data. While many
organizations have been leading the way in this regard, building their own capacities to
support skill development, we need to ensure that those responsible for performance
improvement have access to the precise information proven to deliver results and
understand how it can be used. Capacity-building activities that meet the varying
needs of stakeholders are crucial to realizing an enhanced vision of health system
performance reporting beyond 2013.
12
Table 1 below summarizes the vision that CIHI developed to support Canadian
jurisdictions in their work to stimulate health system performance improvement.
Table 1: Summary of Health System Performance Reporting Vision
Vision of Health System
Performance Reporting
Addressing the needs
ofmultiple audiences
What Can Get Us There
Public engagement in reporting priorities

Cascading performance-relevant reportsthatmeet the needs
ofrespectiveaudiences
Providing new
information to meet
evolving needs
Ensuring less
indicatorchaos
Enhancing analytical
tools to understand
performance drivers
Developing more
capacity to use
performance information
to improve results
Indicator development that reflects priorities for information

Quality data sources that span thecontinuum of care
A repository of health system performance indicators that
standardizes indicator definitions and methodologies
Plans for indicator development andretirement
An integrated analytical solution that automates indicator calculation

and supports analysis of the factors that driveperformance
Methods and tools to support benchmarking

Training and support to use performance information
tosupportimprovement
13
A Health System Performance Framework

to Support Performance Improvement
Why a New Health System Performance Framework?
The 1999 CIHIStatistics Canada Health Indicator Framework for classifying health
indicators is well-accepted nationally and is recognized internationally. Still, to support
health system performance reporting and performance improvement, a framework that
goes beyond classification is neededone that identifies specific paths for improvement.
Building on the 1999 framework, CIHI, in consultation with performance experts,
developed a dynamic framework that can support jurisdictional priorities for
improvement. The new framework reflects developments in the area since 1999,
incorporating the recent emphasis that end users and governments have placed
onvalue for money, patient safety and patient-centredness.
The World Health Organization in 2000 defined a health system as all the activities
whose primary purpose is to promote, restore, or maintain health.27 Simply put,
the goal of the health system is to improve the health of the population.28 Thus this
framework includes services provided to individuals and groups, as well as public
health services and policies. It illustrates how performance can be measured across
various dimensions in the system and how these are related to the systems ultimate
outcome goals.
Description of the New Health System

PerformanceFramework
This new framework (Figure 5) has four inter-related quadrants: health system outcomes;
social determinants of health; health system outputs; and health system inputs and
characteristics. Each quadrant contains different dimensions of performance, with
the dimension of equity spanning a number of these dimensions. The four quadrants
sit within a demographic, political, economic and cultural context. This contextual
environment influences the relationships among the dimensions of each quadrant and
also the way they interact with each other. An assessment of how well the health system
achieves its intermediate and ultimate goals is incomplete if it does not consider all
performance dimensions and contextual elements included in thisframework.
By mapping expected relationships across dimensions and quadrants, the framework
can explain performance and help us understand the potential links between system
transformations and improvements sought in outcomes.
14
Health System
Health system
resources
Leadership
and governance
Health system
innovation and
learning capacity
Adjustment
to population
health needs
Efficient
allocation
of resources
Inputs and Characteristics
Access to
comprehensive,
integrated
health services
Outputs
Health System
Efficiency and
effectiveness
of health services
Patient
experience
with
health services
Quality, safety
and
appropriateness
of health services
Health protection,
health promotion
and disease
prevention
Individual response
Demographic Context
Physical environment
Life conditions
Social position
Genetic endowment
of Health
Equity
Note
* This framework was still in development when this report was published. A final version will be available later in the year.
Politica
lC
o
n
tex
t
Social Determinants
Improve
value for money
Improve
health system
responsiveness
Improve
health status
of Canadians
Outcomes
Health System
Equity
Figure 5: CIHIs New Health System Performance Measurement Framework*
xt
ic Conte
m
o
n
Eco
15
Conclusion
In the health sector, numerous countries are releasing annual performance reports
with an increased emphasis on outcomes and value for money:
In unitary systems, provisions for public reporting include annual quality accounts
for all health care organizations in England and annual reporting on health system
performance in the Netherlands, including international comparisons.29, 30
In federal systems, the 2010 Patient Protection and Affordable Care Act in the United
States mandates quarterly public reporting of performance information by institutions
that care for Medicare patients, while in Australia, new legislation passed in 2010
mandates quarterly and annual reporting on health system performance.31, 32
In Canada, substantial progress has been made in reporting on health system

performance and on the health of Canadians in a way that allows pan-Canadian
comparisons to be made and that supports the efforts of Canadian jurisdictions to
improve the performance of their health systems. The work CIHI has undertaken with
a range ofpartners in the health system aims to do just that: further enable the health
system performance improvement efforts of policy-makers, regional health authorities,
facility managers and clinicians. This work includes producing metrics and reports
tailored to many audiences and providing information that allows stakeholders to assess
the performance of the system, including patient experiences across all sectors. It is
an initiative supported by a health system performance reporting framework that can
helpall Canadians understand the value that their health system delivers to them.
16
Whats New in This Report?
Building on Priority Areas: Disparities

WithintheHealthSystem
Improved population health and health equity are strategic priorities for many regional
health authorities across Canada.33, 34 To support their efforts to address health system
disparities, indicators reported by socio-economic status (SES) are necessaryand
add useful information to the existing body of knowledge generated through thetypical
reporting of indicators by age or sex only. In 2010, the Health Indicators project began
reporting indicators of heart attack event rates and injury hospitalizations by SES at the
national and provincial levels and provided summary measures to help quantify the impact
of SES disparity.810 Please see the methodology box on page 21 formoreinformation.
In this final edition of the Health Indicators annual report, an additional 13 indicators are
reported by SES at the national and provincial levels. Reporting these indicators by SES
highlights that considerable health system disparities exist. For example, the highest
potentials for rate reduction (that is, if all Canadians experienced the same rate as
those living in the most affluent neighbourhoods) were for hospitalizations for self-injury
(27% reduction) and ambulatory care sensitive conditions (32% reduction) (Figure 6).
Providing this type of information on an ongoing basis will allow jurisdictions to take a
closer look at disparities by SES across the many dimensions of health of their particular
populations and their health systems.
19
Figure 6: Potential Rate Reduction for Health Indicators, 20112012*

Hospitalized AMI Event
Hospitalized Stroke Event
Hospitalized Hip Fracture Event
Injury Hospitalization
Self-Injury Hospitalization
ACSCs Hospitalization
AMI Mortality
AMI Readmission
Medical Readmission
Surgical Readmission
Mental Illness Readmission
0%
10%
20%
30%
40%
50%
Potential Rate Reduction

Health System Performance Indicators
Health Status Indicators
Notes
* AMI mortality potential rate reduction is based on pooled data from 20092010 to 20112012.
AMI: acute myocardial infarction.
ACSCs: ambulatory care sensitive conditions.
represents 95% confidence intervals.
The potential rate reduction was not statistically different from 0% for all-cause readmission for
obstetric patients, all-cause readmission for patients age 19 and younger, wait time for hip fracture
surgery and stroke in-hospital mortality; therefore, these indicators are not included in the figure.
Sources
Discharge Abstract Database, National Ambulatory Care Reporting System and Ontario Mental Health
Reporting System, Canadian Institute for Health Information; Fichier des hospitalisations MED-CHO,
ministre de la Sant et des Services sociaux du Qubec; 2006 Census, Statistics Canada.
20
Methodology
Neighbourhood Income Quintile as a Measure
of Socio-Economic Status
Neighbourhood income quintile is a useful method to group people by SES and to identify related disparities within
the health system. Research has demonstrated correlations between place of residence and social determinants
of health such as income, education, crime rate, quality of community services and unemployment, to name a
few.3542 This measure is easily accessible, as it is based on the patients place of residence (postal code),
whereas SES factors such as income are not readily available at the individual level in administrative health
databases.3542 A limitation of this measure is that people with a missing or invalid postal code, and those living
ininstitutions, are not assigned a neighbourhood income quintile and therefore are not included in the summary
measures of disparity.
Neighbourhood income quintiles categorize small geographic areas into five roughly equal population groups.
Quintile 1 refers to the least affluent neighbourhoods, while quintile 5 refers to the most affluent. The quintiles
were constructed according to methods developed by Statistics Canada.
For a more detailed description of this methodology, please see the appendix on page 29.
Summary Measures of Disparity

Two summary measures can be used to capture the magnitude of health disparities in a single number. The
main difference between the measures is that potential rate reduction takes into account not only information
from the most and least affluent groups, but also from the second, third and fourth income quintiles.
Disparity rate ratio: Ratio of a health indicator rate for the least affluent neighbourhood income quintile (Q1)
to the rate for the most affluent neighbourhood income quintile (Q5). It provides a summary measure of the
magnitude of the socio-economic disparities for a health indicator when comparing the least affluent to the
most affluent group in a jurisdiction.
Potential rate reduction (PRR): Reduction in a health indicator rate that would occur in the hypothetical
scenario that each neighbourhood income group experienced the rate of the most affluent neighbourhood
income quintile, expressed as a percentage:
PRR: If the rate for all income

quintiles were equal to the rate
of the most affluent quintile, the
overall rate would be 15% lower.
300
Health Indicator Rate
250
200
26%
17%
16%
11%
Q2
Q3
Q4
15%
150
100
50
0
Q1
(Least Affluent)
Neighbourhood Income Quintile
Q5
(Most Affluent)
Overall
21
Applying the Disparity Lens to Provincial

Indicator Rates
An overall comparison of self-injury hospitalization rates across the provinces
shows that rates were significantly higher than the national average in British Columbia,
Saskatchewan, New Brunswick and Newfoundland and Labrador in 20112012 (Figure7).
By further unpacking these rates through the lens of SES-related disparities, however,
amore nuanced story emerges, showing that SES does not have the same effect
across provinces. Here we see that among the provinces with the highest overall selfinjury rates, Saskatchewan had the highest potential for rate reduction by addressing
SES-related disparities (PRR of 51%).
Figure 8 provides a similar picture for hospitalizations related to ambulatory care sensitive
conditions across provinces; while the rates of hospitalization for these conditions were
significantly lower than the national average in Ontario, BritishColumbia and Quebec,
these provinces had potential rate reductions of at least 30%.
As illustrated in these examples, SES-disparity summary measures can act as
screening tools to identify differences over time or between jurisdictions but, like other
health indicators, they cannot tell you why these differences exist. Health indicators
are intended to further our understanding of the health of Canadians, how the health
care system works and what requires further improvement. They can also be used to
inform health policy, manage the health care system, enhance our understanding of
the broader determinants of heath and identify gaps in health status and outcomes
forspecific populations.10 The addition of 13 indicators reported by SES should raise
new questions and highlight areas for future health system performance improvement.
22
Figure 7: S
elf-Injury Hospitalization Rates and Potential Rate Reductions
by Province, Canada, 20112012
Age-Standardized Rate per 100,000 Population
100
80
28%
33%
51%
60
32%
28%
26%
29%
40
56%
20
B.C.
Alta.
Sask.
Man.
Ont.
Que.
N.B.
N.S.
P.E.I.
N.L.
Province
Self-Injury Hospitalization Rate
Self-Injury Hospitalization Rate of Most Affluent Income Quintile
Notes
represents 20112012 Canada self-injury hospitalization rate.
represents potential rate reduction.
The territories were not included due to small numbers.
Nova Scotia and Newfoundland and Labrador did not have statistically significant PRRs; therefore,
thePRRs for these provinces are not displayed in this figure.
Note that denominator cases with an invalid or missing postal code, and those living in long-term
care facilities, cannot be assigned a neighbourhood income quintile and are not included in the PRR
calculation. Please see the appendix, page 29, for more information.
Sources
Discharge Abstract Database, National Ambulatory Care Reporting System and Ontario Mental Health
Reporting System, Canadian Institute for Health Information; Fichier des hospitalisations MED-CHO,
ministre de la Sant et des Services sociaux du Qubec; 2006 Census, Statistics Canada.
23
Figure 8: H
ospitalization Rates and Potential Rate Reductions for Ambulatory
CareSensitive Conditions by Province, Canada, 20112012
Age-Standardized Rate per 100,000 Population
600
500
400
300
200
30%
13%
14%
32%
33%
21%
21%
29%
36%
34%
100
0
B.C.
Alta.
Sask.
Man.
Ont.
Que.
N.B.
N.S.
P.E.I.
N.L.
Province
ACSCs Hospitalization Rate
ACSCs Hospitalization Rate of Most Affluent Income Quintile
Notes
ACSCs: ambulatory care sensitive conditions.
represents the 20112012 Canada hospitalization rate for ambulatory care sensitive conditions.
represents potential rate reduction.
The territories were not included due to small numbers.
All PRRs were statistically significant for ambulatory care sensitiveconditions.
Note that denominator cases with an invalid or missing postal code, and those living in long-term
care facilities, cannot be assigned a neighbourhood income quintile and are not included in the PRR
calculation. Please see the appendix, page 29, for more information.
Sources
Discharge Abstract Database and National Ambulatory Care Reporting System, Canadian Institute for
Health Information; Fichier des hospitalisations MED-CHO, ministre de la Sant et des Services
sociaux du Qubec; 2006 Census, Statistics Canada.
24
References
References
1. Health Canada The Canadian Institute for Health Information and Statistics
Canada. Health Information Roadmap Responding to Needs. Ottawa, ON:
CIHI;1999.
2. Canadian Institute for Health Information. National Health Expenditure Trends,
1975 to 2012. Ottawa, ON: CIHI; 2012. https://secure.cihi.ca/free_products/
NHEXTrendsReport2012EN.pdf. Accessed December 14, 2012.
3. Health Council of Canada. Measuring and Reporting on Health System
Performance in Canada: Opportunities for Improvement. Toronto, ON: Health
Council of Canada; May 1, 2012.
4. Silver N. The Signal and the Noise: Why So Many Predictions Fail - but Some
Dont. The Penguin Press; 2012
5. Canadian Institute for Health Information. National Consensus Conference on
Population Health Indicators. Ottawa, ON: CIHI; 1999. https://secure.cihi.ca/
estore/productSeries.htm?locale=en&pc=PCC66. Accessed November 8, 2012.
6. Canadian Institute for Health Information. The Health Indicators Project: The Next
5 Years. Ottawa, ON: CIHI; 2004.
7. Canadian Institute for Health Information. Report From the Third Consensus
Conference on Health Indicators. Ottawa, ON: CIHI; 2012. https://secure.cihi.ca/
estore/productFamily.htm?pf=PFC1392&locale=en&lang=EN&mediatype=0.
Accessed November 8, 2012.
8. Canadian Institute for Health Information. Health Indicators 2012. Ottawa,
ON:CIHI; 2012.
ON:CIHI; 2011.
ON:CIHI; 2010.
ON:CIHI; 2009.
ON:CIHI; 2007.
ON:CIHI; 2008.
ON:CIHI; 2000.
25
15. Health Canada. 2003 First Ministers Accord on Health Care Renewal.
http://www.hc-sc.gc.ca/hcs-sss/delivery-prestation/fptcollab/2003accord/
index-eng.php. Updated May 8, 2006. Accessed March 12, 2013.
16. New Brunswick Health Council. Mandate. http://nbhc.ca/mandate_vision_
mission_values.cfm. Updated February 28, 2013. Accessed March 13, 2013.
17. Commissaire a la Sant et au bien-tre. Mission. http://csbe.gouv.qc.ca/
index.php?id=66&L=2. Updated 2012. Accessed March 13, 2013.
18. Health Quality Ontario. Our Legislated Mandate. http://www.hqontario.ca/
about-us/our-legislated-mandate. Updated 2012. Accessed March 13, 2013.
19. Saskatchewan Health Quality Council. Our Story. http://hqc.sk.ca/about/story/.
Updated 2013. Accessed March 13, 2013.
20. Health Quality Council of Alberta. Mandate. http://hqca.ca/index.php?id=%2025.
Updated February 25, 2013. Accessed March 13, 2013.
21. British Columbia Patient Safety & Quality Council. About the Council.
http://bcpsqc.ca/about-the-council/. Updated 2013. Accessed March 13, 2013.
22. The Commonwealth Fund. U.S. Health System Scorecards. http://www.
commonwealthfund.org/Publications/Health-System-Scorecards.aspx.
Updated2013. Accessed March 13, 2013.
23. Organisation for Economic Co-operation and Development. Health at a Glance
2011. http://www.oecd.org/els/health-systems/healthataglance2011.htm. Updated
2013. Accessed March 13, 2013.
24. Organisation for Economic Co-operation and Development. OECD Health
Data2012. http://www.oecd.org/els/health-systems/oecdhealthdata2012.htm.
Updated 2013. Accessed March 13, 2013.
25. Canadian Partnership Against Cancer. System Performance Initiative. http://www.
partnershipagainstcancer.ca/resources-publications/system-performance/systemperformance-initiative/. Updated 2013. Accessed March 13, 2013.
26. Saskatchewan Health Quality Council. Think Big, Start Small, Act Now: Tackling
Indicator Chaos. Saskatoon, SK: SK HQC; 2011. http://hqc.sk.ca/Portals/0/
documents/tracking-indicator-choas.pdf. Accessed December 13, 2012.
27. World Health Organization. The World Health Report 2000. Health Systems:
Improving Performance. Geneva, Switzerland: WHO; 2000. http://www.who.int/
whr/2000/en/whr00_en.pdf. Accessed December 13, 2012.
26
References
28. Murray CJ, Frenk J. A framework for assessing the performance of health
systems. Bulletin of the World Health Organization. 2000;78(6):717-731.
http://europepmc.org/abstract/MED/10916909.
29. National Health Service. About Quality Accounts. http://www.nhs.uk/
aboutNHSChoices/professionals/healthandcareprofessionals/quality-accounts/
Pages/about-quality-accounts.aspx. Updated February 5, 2013. Accessed
March13, 2013.
30. Dutch National Institute for Public Health and the Environment. Dutch Health
CarePerformance Report. http://www.gezondheidszorgbalans.nl/algemeen/
menu/english/. Updated 2012. Accessed March 13, 2013.
31. Council of Australian Governments Reform Council. Healthcare. http://www.
coagreformcouncil.gov.au/reports/healthcare.cfm. Updated 2013. Accessed
March13, 2013.
32. H.R. 3590 (111th Congress). Patient Protection and Affordable Care Act (2010).
GovTrack. http://www.govtrack.us/congress/bills/111/hr3590. Updated 2013.
Accessed March13, 2013.
33. Neudorf C. Integrating a population health approach into healthcare service
delivery and decision making. Healthcare Management Forum. 2012;(25):155-159.
34. Denny K. Taking social determinants of health seriously: A health services
perspective. Healthcare Management Forum. 2012;(25):142-145.
35. Frohlich KL, Ross N, Richmond C. Health disparities in Canada today: some
evidence and a theoretical framework. Health Policy. December, 2006;79(2-3):
132-143. PM:16519957.
36. Orpana HM, Lemyre L. Explaining the social gradient in health in Canada:
usingthe National Population Health Survey to examine the role of stressors.
International Journal of Behavioral Medicine. 2004;11(3):143-151. PM:15496342.
37. Pampalon R, Hamel D, Gamache P. A comparison of individual and area-based
socio-economic data for monitoring social inequalities in health. Health Reports.
December, 2009;20(4):85-94. PM:20108609.
38. Sampson RJ, Morenoff JD, Gannon-Rowley T. Assessing Neighbourhood
Effects Social Processes and New Directions in Research. Annual Review
ofSociology. 2002;28:443-478.
39. Southern DA, McLaren L, Hawe P, Knudtson ML, Ghali WA. Individual-level and
neighborhood-level income measures: agreement and association with outcomes
in a cardiac disease cohort. Medical Care. November, 2005;43(11):1116-1122.
PM:16224305.
27
40. Taylor SE, Repetti RL, Seeman T. Health psychology: what is an unhealthy
environment and how does it get under the skin? Annual Review of Psychology.
1997; 48:411-447. PM:9046565.
41. Wang C, Guttmann A, To T, Dick PT. Neighborhood income and health outcomes
in infants: how do those with complex chronic conditions fare? Archives of
Pediatrics and Adolescent Medicine. July, 2009;163(7):608-615. PM:19581543.
42. Wilkins R, Berthelot J-M, Ng E. Trends in Mortality by Neighbourhood Income in
Urban Canada from 1971 to 1996. Supplement to Health Reports. 2002;13:1-27.
28
AppendixDefining Neighbourhood Income Quintile
AppendixDefining Neighbourhood
Income Quintile to Measure Disparity
Assigning Patients to Neighbourhood Income Quintiles
Each patient was assigned to a neighbourhood income quintile using Statistics Canadas
Postal Code Conversion File Plus (PCCF+).1 This software links six-character postal
codes to standard Canadian census geographic areas (such as dissemination areas,
census tracts and census subdivisions). By linking postal codes to census geography,
the file facilitates extraction of the relevant census information (for example, income) for
each geographic area.
The dissemination area (DA) is the smallest geographical unit available for analysis
in the Canadian census, with a targeted population size of 400 to 700 persons.2
Using PCCF+ (Version 5J),3 the postal code of the patients place of residence at the
time of hospitalization was mapped to the corresponding 2006 Census DA, and the
neighbourhood income quintile ofthat DA was assigned to the patient.
In the PCCF+, for postal codes that map to more than one DA, probabilistic assignment
based on population size is used, meaning that the same postal code can be mapped to
a different DA if the program is run more than once. To ensure that the same patient with
the same postal code was always assigned to the same DA, a unique combination of
encrypted health card number, birthdate and postal code was assigned to the same DA.
Construction of Income Quintiles for Dissemination Areas

The neighbourhood income quintiles available in the PCCF+ were constructed according
to the methods developed at Statistics Canada.4 A short description of themethod is
provided below.
Neighbourhood income quintiles were based on the average income per single-person
equivalent in a DA, which was obtained from the 2006 Census. This measure uses the
person weights implicit in the Statistics Canada low-income cut-offs to derive singleperson equivalent multipliers for each household size.3 For example, a single-person
household received a multiplier of 1.0, a two-person household received a multiplier of
1.24 and a three-person household received a multiplier of 1.53. To calculate average
income per single-person equivalent for each DA, the total income of the dissemination
area was divided by the total number of single-person equivalents. Income quintile for DAs
with a household population of less than 250 was imputed based on the neighbouring DAs
(where possible), because census data on income for these DAs was suppressed.
29
Next, quintiles of population by neighbourhood income were constructed separately

for each census metropolitan area, census agglomeration or residual area within each
province. DAs within each such area were ranked from the lowest average income
per single-person equivalent to the highest, and DAs were assigned to five groups,
such that each group contained approximately one-fifth of the total non-institutional
population of each area. The quintile data was then pooled across the areas. Quintiles
were constructed within each area before aggregating to the national or provincial level
to minimize the potential effect of the differences in income, housing and other living
costs across different areas in the country.
Limitations
Neighbourhood income quintiles derived from linking postal codes to the census are
less accurate in rural areas because rural postal codes cover larger geographical
areas. Another limitation is that the measure excludes people living in long-term care
facilities because income data from the 2006 Canadian Census is available only for
non-institutional residents. As a result, not all people can be included in the rates by
neighbourhood income quintile.
30
AppendixDefining Neighbourhood Income Quintile
Appendix References
1. Statistics Canada. Postal Code Conversion File Plus (PCCF+). http://www.statcan.
gc.ca/bsolc/olc-cel/olc-cel?lang=eng&catno=82F0086X. Updated 2011. Accessed
August 10, 2011.
2. Statistics Canada. 2006 Census Dictionary. [92-566-XWE]. 2007. Ottawa,
ON. Statistics Canada.
3. Wilkins R, Khan S. PCCF+ Version 5J Users Guide: Automated Geographic
Coding Based on the Statistics Canada Postal Code Conversion Files, Including
Postal Codes Through May 2011. [82F0086-XDB]. 2011. Ottawa, ON. Statistics
Canada, Health Analysis Division.
4. Wilkins R, Berthelot J-M, and Ng E. Trends in Mortality byNeighbourhood Income
in Urban Canada From 1971 to 1996. Supplement to Health Reports. 2002;13:127.
31
Health Indicators
Region by Region
Health indicators are standardized measures of various aspects of health and health
care that can be used to monitor the health status of the population and the performance
and characteristics of the health system over time and across the country. As in previous
years, the Health Indicators annual report provides uptodate comparable information
for health regions and provinces and territories. This information can be used by
jurisdictions to evaluate progress and identify areas for improvement.
Theres More on the Web

CIHI and Statistics Canada jointly produce and maintain the Health Indicators e-publication. This free web-based
product provides data for a broad range of health indicators from both CIHI and Statistics Canada in one
integrated online publication. This interactive online resource provides easy access to the most recent health
indicator results, as well as to data for all available years, maps, technical notes and other important information.
Health Indicators e-publication: to find more information on the latest readings on the health of
Canadiansregion by regionplease visit www.cihi.ca/indicators or www.statcan.gc.ca.
What Are Health Regions?

Health regions are administrative bodies, legislated by the provincial ministries of health.
They are defined by geographical areas and are responsible for providing health services
to their residents. The role of health regions in determining how resources are allocated
and their relationship with local hospitals vary by province.
For this report, data is provided for all regions with a population of at least 50,000.
Inaddition, data for the smaller regions, as well as for Nova Scotia zones and Ontario
public health units, is included in the Health Indicators e-publication (www.cihi.ca/indicators
or www.statcan.gc.ca). Please see page 98 for a map of all the health regions in Canada.
Interpreting the Indicators

Health indicators are reported based on where a patient lives, not where he or she was
hospitalized. Consequently, these figures reflect the experience of residents of a region
regardless of where they were treated, even if it was outside their own province, rather
than showing the activity of hospitals in a given region. Confidence intervals are provided
for most indicators to aid interpretation. The width of the confidence interval illustrates
the degree of variability associated with the rate. Indicator values are estimated to
be accurate within the upper and lower confidence interval 19 times out of 20 (95%
confidence interval).
34
Health Indicators: Region by Region
Symbols and Abbreviations

..
*
Figures not available

Figures suppressed due to small numbers or incomplete data
Interpret with caution
95% CI
95% confidence interval
Statistically significantly different from the national (Canada) rate(p0.05)
Statistically significant disparity measure (see page 75 for details)
ASSS
Agence de la sant et des services sociaux
HSDA
Health service delivery area
LHIN
Local health integration network
RHA
Regional health authority
35

Population
(000)
Population
Age 65+
(%)
Dependency
Ratio
2011
511
305
92
77
2011
15.8
14.6
19.5
18.3
2011
57.2
54.0
64.7
62.3
Map
Code Health Region
Newfoundland and Labrador
1011 Eastern Regional Integrated Health Authority
1012 Central Regional Integrated Health Authority
1013 Western Regional Integrated Health Authority
Legend Name
N.L.
Eastern
Central
Western
Prince Edward Island
P.E.I.
146
15.8
63.6
Nova Scotia
1211 South Shore District Health Authority
1212 South West Nova District Health Authority
1223 Annapolis Valley District Health Authority
1234 Colchester East Hants Health Authority
1258 Cape Breton District Health Authority
1269 Capital District Health Authority
N.S.
South Shore
South West Nova
Annapolis Valley
Colchester East Hants
Cape Breton
Capital
945
58
58
83
73
123
429
16.5
21.7
19.7
18.9
16.9
19.5
13.1
59.6
66.0
67.4
68.4
67.3
68.8
50.9
New Brunswick
1301 Zone 1
1302 Zone 2
1303 Zone 3
1306 Zone 6
N.B.
Zone
Zone
Zone
Zone
755
207
176
175
77
16.2
16.0
15.6
14.7
18.8
59.7
56.4
62.7
59.3
58.4
Quebec
2401 ASSS
2402 ASSS
2403 ASSS
2404 ASSS
2405 ASSS
2406 ASSS
2407 ASSS
2408 ASSS
2409 ASSS
2411 ASSS
2412 ASSS
2413 ASSS
2414 ASSS
2415 ASSS
2416 ASSS
Que.
Bas-Saint-Laurent
SaguenayLac-Saint-Jean
Capitale-Nationale
Mauricie et Centre-du-Qubec
Estrie
Montral
Outaouais
Abitibi-Tmiscamingue
Cte-Nord
Gaspsieles-de-la-Madeleine
Chaudire-Appalaches
Laval
Lanaudire
Laurentides
Montrgie
7,980
200
273
701
496
312
1,958
368
146
96
93
406
404
470
556
1,457
15.7
19.5
17.7
17.3
18.9
17.2
14.9
12.8
14.9
14.3
20.4
16.8
15.5
14.4
14.7
15.1
59.7
64.4
62.6
56.8
65.1
63.8
54.0
55.7
62.7
60.4
64.1
63.4
64.0
61.1
61.5
62.1
13,373
643
963
758
1,417
857
1,180
1,195
1,769
1,572
492
1,261
462
564
240
14.2
15.8
15.9
12.7
15.9
11.0
11.3
13.8
12.5
14.4
18.0
14.1
15.9
17.8
15.2
59.2
65.2
64.4
58.6
63.5
57.1
58.5
52.3
55.9
58.2
64.0
57.3
63.6
63.7
64.5
1,251
706
52
70
84
110
70
13.9
13.9
14.9
11.0
15.8
13.7
18.8
66.1
58.2
62.2
77.0
72.2
80.4
80.2
du Bas-Saint-Laurent
du SaguenayLac-Saint-Jean
de la Capitale-Nationale
de la Mauricie et du Centre-du-Qubec
de lEstrie
de Montral
de lOutaouais
de lAbitibi-Tmiscamingue
de la Cte-Nord
de la Gaspsieles-de-la-Madeleine
de Chaudire-Appalaches
de Laval
de Lanaudire
des Laurentides
de la Montrgie
1
2
3
6
(Moncton area)
(Saint John area)
(Fredericton area)
(Bathurst area)
Ontario
3501 Erie St. Clair LHIN
3502 South West LHIN
3503 Waterloo Wellington LHIN
3504 Hamilton Niagara Haldimand Brant LHIN
3505 Central West LHIN
3506 Mississauga Halton LHIN
3507 Toronto Central LHIN
3508 Central LHIN
3509 Central East LHIN
3510 South East LHIN
3511 Champlain LHIN
3512 North Simcoe Muskoka LHIN
3513 North East LHIN
3514 North West LHIN
Ont.
Erie St. Clair
South West
Waterloo Wellington
Hamilton Niagara Haldimand Brant
Central West
Mississauga Halton
Toronto Central
Central
Central East
South East
Champlain
North Simcoe Muskoka
North East
North West
Manitoba
4610 Winnipeg RHA
4615 Brandon RHA
4625 South Eastman Health
4630 Interlake RHA
4640 RHACentral Manitoba Inc.
4645 Assiniboine RHA
Man.
Winnipeg
Brandon
South Eastman
Interlake
Central
Assiniboine
36
Health Region Profile
Map
Code
Population
(000)
Health Region
Population
Age 65+
(%)
Dependency
Ratio
Legend Name
2011
2011
2011
Saskatchewan
4701 Sun Country Health Region
4702 Five Hills Health Region
4704 Regina QuAppelle Health Region
4705 Sunrise Health Region
4706 Saskatoon Health Region
4709 Prince Albert Parkland RHA
4710 Prairie North Health Region
Sask.
Sun Country
Five Hills
Regina
Sunrise
Saskatoon
Prince Albert
Prairie North
1,058
54
53
263
54
320
79
72
14.6
16.8
18.7
13.6
22.0
12.8
15.6
12.8
68.1
74.3
74.2
61.1
85.1
59.2
81.3
76.6
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
Alta.
South Zone
Calgary Zone
Central Zone
Edmonton Zone
North Zone
3,779
285
1,413
456
1,193
433
10.8
13.7
9.8
12.7
11.3
9.1
55.2
67.1
51.0
63.1
52.9
61.1
British Columbia
5911 East Kootenay HSDA
5912 Kootenay Boundary HSDA
5913 Okanagan HSDA
5914 Thompson Cariboo Shuswap HSDA
5921 Fraser East HSDA
5922 Fraser North HSDA
5923 Fraser South HSDA
5931 Richmond HSDA
5932 Vancouver HSDA
5933 North Shore/Coast Garibaldi HSDA
5941 South Vancouver Island HSDA
5942 Central Vancouver Island HSDA
5943 North Vancouver Island HSDA
5951 Northwest HSDA
5952 Northern Interior HSDA
5953 Northeast HSDA
B.C.
East Kootenay
Kootenay Boundary
Okanagan
Thompson/Cariboo/Shuswap
Fraser East
Fraser North
Fraser South
Richmond
Vancouver
North Shore
South Vancouver Island
Central Vancouver Island
North Vancouver Island
Northwest
Northern Interior
Northeast
4,573
81
80
353
224
287
616
727
198
669
287
375
266
121
76
145
70
15.3
16.4
18.5
20.3
17.3
14.5
11.7
17.5
12.7
11.8
15.5
17.3
20.3
17.7
12.0
12.2
8.7
57.3
60.2
62.4
66.6
62.0
64.9
49.8
70.4
50.1
41.3
57.8
54.9
66.2
63.3
62.1
57.8
58.7
Yukon
Y.T.
35
8.8
47.4
Northwest Territories
N.W.T.
44
5.6
53.9
Nunavut
Nun.
33
3.2
79.1
Canada
Canada
34,483
14.4
59.1
Population
The number of people living in a geographic area. A populations size and agesex composition may affect the health status of a region and
its need for health services. Population data also provides the denominators used to calculate rates for most health and social indicators.
Sources: Demography Division, Statistics Canada. Data is derived from the census and administrative sources on births, deaths and migration. Population
estimates for health regions in B.C. were provided by BC Stats. Population estimates for health regions in Quebec were derived from census division
population estimates provided by the Institut de la statistique du Qubec.
Dependency ratio
The ratio of the combined population age 0 to 19 and the population age 65 and older to the population age 20 to 64. This ratio is presented
as the number of dependants for every 100 people in the working-age population. Canadians age 65 and older and those younger than age
20 are more likely to be socially and/or economically dependent on working-age Canadians, and they may also put additional demands on
health services.
Source: Demography Division, Statistics Canada.
37

Self-Reported Conditions
Adult Body Mass Index (Age 18+)
(25 or Greater)
2007 to 2010
First Nations
Mtis
Inuit
Non-Aboriginal
95% CI
95% CI
95% CI
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
65.8
81.4
64.2
53.9
60.0
61.9
72.4
62.7
55.1
56.6
57.4
55.0
*
(58.373.4)
(64.298.7)
(50.877.6)
(40.267.6)
(52.167.9)
(57.466.4)
(62.582.2)
(55.370.0)
(46.763.5)
(49.963.3)
(49.065.8)
(49.460.6)
**
64.1
*
58.2
63.1
52.5
59.0
62.2
68.0
56.1
49.1
52.2
62.9
*
(54.873.3)
**
(47.868.6)
(47.778.5)
(43.861.3)
(52.665.3)
(56.068.4)
(62.273.8)
(49.962.3)
(41.856.4)
(35.469.0)
(52.273.5)
**
71.4
..
*
*
*
75.2
*
*
*
*
*
58.4
52.1
(55.986.8)
.. ..
**
**
**
(53.996.4)
**
**
**
**
**
(47.869.0)
(45.958.4)
63.4
58.6
60.5
61.7
49.3
51.6
56.4
57.7
52.8
44.3
51.5
61.4
66.0
(61.865.0)
(56.560.6)
(59.061.9)
(60.363.1)
(48.650.1)
(51.052.2)
(55.057.8)
(56.459.0)
(51.753.9)
(43.445.2)
(48.254.8)
(56.866.0)
(60.171.9)
Canada
60.6
(58.063.1)
57.8
(55.160.5)
61.7
(55.468.1)
51.2
(50.951.6)
One or More Chronic Conditions

2007 to 2010
First Nations
%
Mtis
Inuit
95% CI
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
62.6
54.0
62.1
57.9
61.0
65.1
62.1
53.7
59.1
55.8
55.7
46.1
*
(56.368.9)
(33.075.0)
(50.873.4)
(47.268.7)
(54.067.9)
(61.369.0)
(54.669.7)
(46.261.1)
(52.565.6)
(50.461.2)
(50.561.0)
(40.751.4)
**
59.2
*
64.8
77.1
61.4
63.9
58.9
55.0
53.5
59.4
49.8
44.3
*
(49.968.6)
**
(55.674.1)
(63.890.4)
(53.469.5)
(58.969.0)
(54.163.6)
(50.060.0)
(48.059.0)
(53.465.3)
(35.863.7)
(35.553.2)
**
47.4
..
*
*
*
55.1
*
*
*
91.9
*
39.5
33.1
Canada
60.4
(58.262.6)
58.9
(56.761.0)
47.6
Non-Aboriginal
95% CI
95% CI
(35.559.2)
.. ..
**
**
**
(32.877.3)
**
**
**
(81.2102.6)
**
(29.050.0)
(29.137.0)
59.8
57.2
62.9
58.7
51.2
53.8
54.5
56.4
52.1
52.1
48.3
42.9
51.0
(58.461.2)
(55.159.3)
(61.664.1)
(57.659.8)
(50.551.9)
(53.354.4)
(53.155.9)
(55.157.8)
(51.153.2)
(51.252.9)
(45.351.3)
(39.246.6)
(42.559.6)
(41.953.4)
53.3
(53.053.7)
Perceived Mental Health, Very Good or Excellent

2007 to 2010
First Nations
%
Mtis
Inuit
95% CI
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
75.1
60.3
76.6
63.2
72.1
62.9
55.5
65.8
64.0
63.2
61.4
49.3
*
(68.781.4)
(40.380.3)
(68.784.4)
(52.374.2)
(64.579.7)
(59.266.6)
(46.664.3)
(59.372.4)
(57.470.6)
(57.968.4)
(56.466.3)
(43.655.0)
**
71.8
*
67.4
54.1
63.8
66.3
65.6
68.2
67.0
66.0
80.6
60.6
*
(63.380.3)
**
(57.877.1)
(39.568.8)
(55.771.8)
(61.271.4)
(60.670.6)
(63.772.6)
(61.972.1)
(60.072.0)
(69.691.6)
(51.370.0)
**
70.9
..
*
*
*
64.0
*
*
70.5
83.5
*
49.1
63.1
Canada
64.2
(62.166.3)
66.2
(64.168.4)
65.8
38
Non-Aboriginal
95% CI
95% CI
(61.480.4)
.. ..
**
**
**
(44.383.6)
**
**
(46.494.6)
(64.4102.6)
**
(40.457.8)
(59.267.1)
76.2
75.0
73.0
69.7
76.8
74.7
72.5
72.2
74.8
71.4
75.8
72.5
76.8
(74.777.6)
(73.276.8)
(71.874.2)
(68.670.9)
(76.277.4)
(74.275.2)
(71.273.8)
(71.173.2)
(73.975.6)
(70.672.3)
(73.278.4)
(69.675.5)
(71.382.3)
(60.870.8)
74.5
(74.274.8)
Health Status
The data presented here represents a sample of a wider range of the health status
indicators that are available in the Health Indicators e-publication.
www.cihi.ca or www.statcan.gc.ca
Adult body mass index
Proportion of household population age 18 and older with a body mass index (BMI) of 25 or greater. According to
the World Health Organization and Health Canada guidelines, a BMI of 25 or greater is classified as overweight
or obese, which is associated with increased health risk. BMI is calculated from weight and height collected from
respondents by dividing body weight (in kilograms) by height (in metres) squared.
Note: Rates are based on four years of pooled data.
Source: Canadian Community Health Survey, Statistics Canada.
One or more chronic conditions
Proportion of household population age 12 and older who reported being diagnosed by a health professional as
having one or more of the following chronic conditions: asthma, arthritis (excluding fibromyalgia), back problems
(excluding fibromyalgia and arthritis), high blood pressure, migraine headaches, chronic bronchitis, emphysema,
chronic obstructive pulmonary disease, diabetes, heart disease, cancer, intestinal or stomach ulcers, effects of a
stroke, urinary incontinence, a bowel disorder, Alzheimers disease or any other dementia, a mood disorder and/or
an anxiety disorder.
Perceived mental health
Proportion of household population age 12 and older who reported perceiving their own mental health status
as being either excellent or very good. Perceived mental health provides a general indication of the population
suffering from some form of mental disorder, mental or emotional problems, or distress, which is not necessarily
reflected in self-reported (physical) health.
39

20112012
Map
Code Health Region
1011 Eastern
1012 Central
1013 Western
Age-Standardized
Rate per 100,000
95% CI
537
471
459
689
(517557)
(447495)
(413506)
(629749)
617
(578656)
Nova
1211
1212
1223
1234
1258
1269
491
546
542
511
504
575
417
(477504)
(490602)
(483602)
(463558)
(454555)
(533617)
(399436)
578
455
482
637
577
(561594)
(427483)
(451513)
(601673)
(522632)
Quebec
2401 Bas-Saint-Laurent
2402 SaguenayLac-Saint-Jean
2403 Capitale-Nationale
2404 Mauricie et Centre-du-Qubec
2405 Estrie
2406 Montral
2407 Outaouais
2408 Abitibi-Tmiscamingue
2409 Cte-Nord
2411 Gaspsieles-de-la-Madeleine
2412 Chaudire-Appalaches
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
512
632
671
481
622
648
403
443
770
568
704
512
448
489
565
534
(508517)
(598665)
(640701)
(466496)
(600643)
(620675)
(395411)
(423464)
(725814)
(520616)
(650758)
(491532)
(429467)
(469508)
(546584)
(523546)
Ontario
3501 Erie St. Clair
3502 South West
3503 Waterloo Wellington
3504 Hamilton Niagara Haldimand Brant
3505 Central West
3506 Mississauga Halton
3507 Toronto Central
3508 Central
3509 Central East
3510 South East
3511 Champlain
3512 North Simcoe Muskoka
3513 North East
3514 North West
409
415
497
404
484
338
315
364
309
335
410
387
472
636
792
(405412)
(401430)
(484511)
(391418)
(473495)
(326351)
(305325)
(354375)
(301317)
(327344)
(393426)
(376397)
(454491)
(616656)
(756827)
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
657
481
684
595
750
674
868
(643671)
(466496)
(616751)
(538652)
(690810)
(627722)
(800936)
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
1301 Zone 1 (Moncton area)
1302 Zone 2 (Saint John area)
1303 Zone 3 (Fredericton area)
1306 Zone 6 (Bathurst area)
40
Health Status
20112012
Map
Code Health Region
Age-Standardized
Rate per 100,000
95% CI
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
789
1,081
880
809
982
544
711
945
(773806)
(9961,167)
(802957)
(775842)
(8981,067)
(520568)
(650771)
(8731,017)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
706
779
554
903
636
1,055
(698714)
(747810)
(541566)
(876930)
(622650)
(1,0231,086)
British Columbia
5911 East Kootenay
5912 Kootenay Boundary
5913 Okanagan
5914 Thompson/Cariboo/Shuswap
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5941 South Vancouver Island
5942 Central Vancouver Island
5943 North Vancouver Island
5951 Northwest
5952 Northern Interior
5953 Northeast
545
792
759
638
696
630
514
478
347
399
506
503
649
648
1,067
739
702
(538551)
(732852)
(700819)
(612664)
(661730)
(603658)
(497531)
(463493)
(323372)
(385414)
(481531)
(481524)
(618680)
(602695)
(9911,142)
(694783)
(638767)
Yukon
1,159
(1,0341,285)
1,153
(1,0371,269)
871
(7351,007)
516
(514518)
Nunavut
Canada
Injury hospitalization
Age-standardized rate of acute care hospitalization due to injury resulting from the transfer of energy (excludes poisoning and other
non-traumatic injuries), per 100,000 population. This indicator contributes to an understanding of the adequacy and effectiveness of
injuryprevention efforts, including public education, product development and use, community and road design, and prevention and
treatment resources.
Sources: National Trauma Registry, Canadian Institute for Health Information; Fichier des hospitalisations MED-CHO, ministre de la Sant et des
Services sociaux du Qubec.
41

Hospitalized Acute Myocardial Infarction Event
20112012
Map
Code Health Region
Age-Standardized
Rate per 100,000

1011 Eastern
1012 Central
1013 Western
Nova
1211
1212
1223
1234
1258
1269
95% CI

20112012
Age-Standardized
Rate per 100,000
95% CI
137
144
129
97
(127147)
(130157)
(107151)
(77117)
292
312
288
237
(278307)
(292332)
(257320)
(204269)
284
(257311)
144
(125163)
253
337
303
241
277
321
185
(243263)
(293381)
(261346)
(210272)
(240314)
(289352)
(172199)
116
104
143
108
109
117
107
(109123)
(82126)
(115172)
(88128)
(85132)
(99134)
(96117)
New Brunswick
257
262
230
306
206
(245268)
(240284)
(208253)
(280333)
(176236)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
219
230
231
228
235
270
190
237
276
244
394
199
180
256
197
221
(216223)
(210249)
(214248)
(217238)
(222247)
(252287)
(184197)
(220254)
(249303)
(213276)
(357431)
(186213)
(167193)
(241271)
(185209)
(213228)
128
116
128
122
111
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
(120136)
(102130)
(112145)
(105138)
(90133)
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
198
233
207
207
228
202
146
137
147
184
200
193
226
325
309
(196200)
(222245)
(198216)
(196218)
(220236)
(191213)
(138153)
(130144)
(141153)
(177190)
(188212)
(185201)
(213240)
(310339)
(286331)
119
133
119
121
115
124
109
116
114
111
122
107
121
140
156
(117121)
(124142)
(112126)
(112129)
(109120)
(116133)
(102116)
(110122)
(109120)
(106117)
(112131)
(101113)
(111131)
(131150)
(140173)
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
230
212
115
221
253
281
209
(221239)
(201224)
(85145)
(181261)
(219287)
(248315)
(175243)
119
116
110
124
111
118
78
(112125)
(108125)
(80139)
(94154)
(88133)
(96140)
(5897)
42
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
Health Status
Hospitalized Acute Myocardial Infarction Event
20112012
Map
Code Health Region
Age-Standardized
Rate per 100,000

20112012
95% CI
Age-Standardized
Rate per 100,000
95% CI
126
123
115
128
129
131
114
145
(119133)
(95151)
(88141)
(114143)
(102156)
(118145)
(89140)
(115176)
126
124
120
129
123
143
(122130)
(111138)
(113127)
(118140)
(116130)
(129157)
119
156
130
125
128
136
125
111
111
122
117
90
107
126
167
127
123
(115122)
(127184)
(107152)
(114136)
(114142)
(122149)
(115135)
(103119)
(95126)
(113131)
(104129)
(8199)
(95118)
(107146)
(134199)
(106147)
(90156)
106
(58155)
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
200
220
271
172
234
171
247
207
(191209)
(181259)
(226316)
(155189)
(195274)
(155186)
(212282)
(171244)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
201
203
156
269
195
270
(196206)
(185220)
(149164)
(253286)
(186203)
(251289)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
165
272
282
192
187
201
149
150
115
147
161
118
175
153
208
216
213
(161169)
(237307)
(248316)
(179205)
(170204)
(184218)
(139160)
(141159)
(100131)
(137157)
(147176)
(108129)
(161189)
(132174)
(172245)
(190242)
(170255)
246
(180313)
337
(249425)
135
(83187)
130
(66195)
145
(51239)
205
(204207)
121
(119122)
Yukon
Nunavut
Canada
Hospitalized acute myocardial infarction event
Age-standardized rate of new acute myocardial infarction (AMI) events admitted to an acute care hospital, per 100,000 population age 20
and older. New event is defined as a first-ever hospitalization for an AMI or a recurrent hospitalized AMI occurring more than 28 days after
the admission for the previous event in the reference period. AMI is one of the leading causes of morbidity and death. This indicator is
important for planning and evaluating preventive strategies, allocating health resources and estimating costs.
Sources: Discharge Abstract Database, Canadian Institute for Health Information; Fichier des hospitalisations MED-CHO, ministre de la Sant et des
Age-standardized rate of new stroke events admitted to an acute care hospital, per 100,000 population age 20 and older. New event is
defined as a first-ever hospitalization for stroke or a recurrent hospitalized stroke occurring more than 28 days after the admission for the
previous event in the reference period. Stroke is one of the leading causes of long-term disability and death. This indicator is important for
planning and evaluating preventive strategies, allocating health resources and estimating costs.
Note: Rates for Quebec are not available due to differences in data collection; the Canada rate does not include Quebec.
Source: Discharge Abstract Database, Canadian Institute for Health Information.
43

Self-Reported Health Behaviours
Smoking
2007 to 2010
First Nations
%
95% CI
Mtis
%
Inuit
95% CI
Non-Aboriginal
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
28.8
33.6
22.8
40.3
36.5
41.5
51.7
54.0
43.4
32.0
51.2
51.6
*
(21.635.9)
(14.153.2)
(14.431.1)
(28.851.8)
(29.343.7)
(37.445.7)
(43.659.7)
(47.560.5)
(36.750.2)
(26.937.2)
(46.156.2)
(45.957.4)
**
36.5
*
34.4
26.6
37.3
34.5
38.0
42.4
38.8
33.2
50.9
36.7
*
(28.144.9)
**
(25.743.1)
(11.641.6)
(29.145.5)
(29.839.2)
(33.242.9)
(37.247.5)
(33.743.9)
(27.339.0)
(36.465.5)
(28.844.7)
**
40.0
..
*
*
*
39.0
*
*
*
*
*
54.5
65.2
(29.250.9)
.. ..
**
**
**
(16.361.8)
**
**
**
**
**
(47.161.9)
(61.269.2)
23.5
21.5
23.5
22.5
23.4
19.2
19.1
21.7
21.8
16.8
26.0
25.9
32.0
(22.124.8)
(19.823.2)
(22.324.7)
(21.423.6)
(22.824.0)
(18.719.6)
(17.820.3)
(20.622.9)
(20.822.8)
(16.117.5)
(22.829.3)
(22.829.0)
(24.439.7)
95% CI
Canada
40.1
(37.842.4)
36.8
(34.739.0)
49.0
(43.954.2)
20.5
(20.220.8)
Heavy Drinking
2007 to 2010
First Nations
%
95% CI
Mtis
%
Inuit
95% CI
Non-Aboriginal
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
28.6
*
17.4
23.3
20.1
25.5
25.6
26.3
30.3
21.5
38.4
35.1
*
(21.235.9)
**
(10.524.4)
(12.933.7)
(14.126.2)
(22.228.7)
(17.833.5)
(20.332.2)
(23.437.1)
(17.525.6)
(32.844.0)
(29.940.2)
**
19.9 (13.026.7)
*
**
29.8
(21.038.5)
*
**
18.2
(12.523.9)
20.7
(17.024.5)
30.9
(25.836.0)
23.3
(18.428.2)
30.7
(25.735.7)
22.0
(16.527.4)
33.6
(20.446.8)
29.2
(21.137.2)
*
**
32.3
..
*
*
*
*
*
*
*
*
*
35.3
17.7
(23.541.2)
.. ..
**
**
**
**
**
**
**
**
**
(26.044.6)
(13.422.1)
23.7
19.0
20.7
19.7
17.7
15.7
17.5
18.3
18.0
15.1
22.7
26.2
24.3
(22.325.2)
(17.420.6)
(19.521.8)
(18.720.8)
(17.218.3)
(15.316.1)
(16.318.7)
(17.319.3)
(17.118.8)
(14.515.7)
(20.025.4)
(22.729.8)
(18.630.0)
Canada
25.0
(23.126.8)
25.2
27.2
(21.133.2)
16.9
(16.617.1)
(23.227.2)
95% CI
Physical Activity During Leisure Time

(Active/Moderately Active)
2007 to 2010
First Nations
Mtis
95% CI
Non-Aboriginal
95% CI
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
52.7
64.2
49.4
55.1
49.6
56.7
39.4
43.0
49.9
60.3
46.9
41.8
*
(45.659.8)
(43.884.7)
(38.360.6)
(43.266.9)
(42.456.7)
(52.760.6)
(32.046.7)
(36.549.6)
(42.557.3)
(55.465.2)
(41.352.5)
(36.247.5)
**
54.8
*
52.9
38.1
54.8
55.9
59.7
49.0
58.6
63.6
59.1
49.7
*
(44.165.6)
**
(42.463.4)
(21.255.0)
(46.762.9)
(50.561.3)
(54.964.6)
(43.155.0)
(53.663.6)
(58.069.2)
(43.774.6)
(39.659.8)
**
47.6
..
*
*
*
54.2
*
*
*
65.6
*
38.5
47.0
(37.357.8)
.. ..
**
**
**
(31.377.1)
**
**
**
(40.091.3)
**
(30.047.0)
(41.852.2)
46.0
49.2
50.7
48.6
48.5
50.0
53.1
49.9
55.1
58.4
58.7
48.5
44.0
(44.547.5)
(47.351.2)
(49.352.2)
(47.350.0)
(47.749.3)
(49.550.6)
(51.554.7)
(48.551.3)
(54.056.3)
(57.559.2)
(56.061.4)
(44.952.0)
(36.651.5)
Canada
53.1
(50.955.4)
57.2
(55.159.4)
48.2
(42.753.7)
51.3
(50.951.7)
44
Inuit
95% CI
The data presented here represents a sample of a wider range of the non-medical
determinants of health that are available in the Health Indicators e-publication.
www.cihi.ca or www.statcan.gc.ca
Smoking
Proportion of household population age 12 and older who reported being a current smoker on either a daily or
occasional basis.
Heavy drinking
Proportion of household population age 12 and older who reported drinking five or more drinks on at least one
occasion per month in the past 12 months.
Physical activity during leisure time
Proportion of household population age 12 and older who reported active or moderately active levels of physical
activity, based on their responses to questions about the frequency, duration and intensity of their participation in
leisure-time physical activity over the past three months.
45

Self-Reported Personal Behaviours
Fruit and Vegetable Consumption
(5+ per Day)
2007 to 2010
First Nations
%
95% CI
Mtis
%
Inuit
95% CI
95% CI
95% CI
(19.336.1)
.. ..
**
**
**
(11.946.9)
**
**
**
**
**
(4.615.7)
(18.627.0)
29.7
36.8
36.1
38.6
52.3
42.4
36.9
39.1
42.7
43.7
46.5
31.2
32.1
(28.131.2)
(34.938.8)
(34.637.5)
(37.340.0)
(51.653.0)
(41.843.0)
(35.338.5)
(37.940.3)
(41.543.9)
(42.844.6)
(42.850.3)
(27.235.2)
(26.737.5)
(20.830.6)
44.2
(43.944.6)
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
35.1
(28.341.8)
42.9 (20.965.0)
37.9
(26.449.5)
35.0
(24.845.2)
46.8
(39.054.6)
34.1
(30.338.0)
22.5
(16.928.2)
27.6
(21.933.2)
36.3
(29.043.6)
39.7
(34.345.1)
34.7
(29.140.2)
20.3
(16.624.0)
*
**
32.4
(24.140.7)
*
**
33.8
(23.843.9)
51.6
(35.567.8)
47.6
(39.156.2)
40.7
(35.346.1)
33.2
(27.838.6)
37.6
(32.143.1)
33.4
(28.838.0)
42.3
(35.549.1)
42.9 (28.557.4)
25.8
(19.432.1)
*
**
27.7
..
*
*
*
29.4
*
*
*
*
*
10.2
22.8
Canada
35.4
38.0
25.7
(33.437.4)
(35.740.2)
Non-Aboriginal
Sense of Community Belonging

(Very Strong or Somewhat Strong)
2007 to 2010
First Nations
Mtis
Inuit
Non-Aboriginal
95% CI
95% CI
95% CI
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
77.8
75.2
71.6
71.4
56.3
64.5
60.9
61.4
53.5
64.5
79.1
83.2
*
(72.083.5)
(58.392.1)
(60.283.1)
(61.581.4)
(48.763.8)
(60.668.5)
(51.570.2)
(55.667.2)
(46.260.8)
(58.970.2)
(74.483.9)
(78.787.8)
**
77.9
*
69.6
53.9
58.5
66.1
63.8
60.2
57.4
63.5
62.7
82.4
*
(70.185.6)
**
(61.577.7)
(36.870.9)
(49.967.1)
(60.671.5)
(58.269.4)
(55.065.5)
(51.962.8)
(56.170.8)
(47.977.5)
(75.989.0)
**
83.6
..
*
*
*
74.3
*
*
77.6
81.5
*
85.8
87.8
(73.593.7)
.. ..
**
**
**
(56.092.5)
**
**
(55.999.3)
(61.5101.6)
**
(74.896.8)
(83.891.8)
80.3
73.5
71.5
71.0
57.3
67.0
68.4
71.9
63.1
68.9
75.7
74.8
73.0
(79.081.6)
(71.875.2)
(70.272.9)
(69.872.3)
(56.558.1)
(66.367.6)
(66.969.8)
(70.873.1)
(61.964.2)
(68.069.7)
(72.878.5)
(70.878.8)
(66.179.8)
Canada
63.6
(61.465.9)
62.4
(60.064.8)
81.7
(77.186.3)
65.1
(64.865.5)
Life Satisfaction
(Satisfied or Very Satisfied)
2007 to 2010
First Nations
Mtis
Inuit
Non-Aboriginal
95% CI
95% CI
95% CI
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
92.6
84.7
92.5
90.0
93.6
87.6
85.3
90.5
85.6
86.1
85.7
87.5
*
(89.695.5)
(70.598.9)
(87.797.4)
(84.495.7)
(90.197.1)
(85.090.2)
(77.093.6)
(86.994.0)
(80.390.9)
(81.790.5)
(82.089.5)
(84.790.3)
**
90.1
*
89.0
79.0
89.8
87.6
88.7
92.3
91.8
86.2
89.5
93.1
*
(83.297.0)
**
(83.494.6)
(65.892.3)
(85.394.3)
(82.792.5)
(85.092.4)
(89.894.7)
(89.194.5)
(81.890.7)
(80.498.5)
(88.997.3)
**
97.2
..
*
*
*
94.0
*
*
94.7
79.7
*
89.6
89.2
(94.799.8)
.. ..
**
**
**
(83.1104.9)
**
**
(81.3108.1)
(57.8101.6)
**
(83.595.6)
(86.192.4)
92.6
94.5
92.0
92.8
93.4
91.2
92.0
92.8
91.8
91.3
92.7
95.4
94.7
(91.793.6)
(93.595.4)
(91.392.7)
(92.193.5)
(93.093.8)
(90.891.5)
(91.392.7)
(92.293.4)
(91.392.4)
(90.891.8)
(91.194.3)
(94.196.7)
(91.398.2)
Canada
88.1
(86.589.6)
89.2
(87.690.8)
92.0
(89.494.5)
92.0
(91.892.2)
46
Fruit and vegetable consumption
Proportion of household population age 12 and older who reported consuming fruits and vegetables five or more
times per day, on average.
Sense of community belonging
Proportion of household population age 12 and older who reported a very strong or somewhat strong sense of
belonging to their local community. Research shows a high correlation between sense of community belonging
and physical and mental health.
Life satisfaction
Proportion of household population age 12 and older who reported being satisfied or very satisfied with their life
in general.
47
Map
Code Health Region
1011 Eastern
1012 Central
1013 Western
Potentially Avoidable Mortality

2007 to 2009
Age-Standardized
Mortality Rate
per 100,000
95% CI
Age-Standardized
PYLL per 100,000
95% CI
211
217
189
211
(204218)
(207226)
(174203)
(194229)
3,791
3,807
3,359
3,851
(3,5744,007)
(3,5254,089)
(2,8803,838)
(3,2794,424)
197
(184210)
Nova
1211
1212
1223
1234
1258
1269
202
196
207
185
204
255
185
(197207)
(177215)
(187226)
(170201)
(186222)
(240270)
(178193)
New Brunswick
191
174
206
194
163
(185196)
(164184)
(194218)
(182205)
(148178)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
183
187
193
170
198
164
181
214
223
230
232
166
157
194
193
175
(181185)
(177198)
(184203)
(164175)
(191204)
(156171)
(177184)
(206223)
(210237)
(213247)
(215248)
(159172)
(150164)
(187201)
(187200)
(171179)
173
204
189
164
198
149
131
169
124
166
208
166
193
243
252
(172174)
(198210)
(184194)
(158169)
(194202)
(144154)
(127135)
(165173)
(121127)
(163170)
(201215)
(162170)
(186200)
(236250)
(241264)
224
208
216
153
257
208
234
(220229)
(202215)
(192239)
(134171)
(237277)
(191224)
(213254)
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
48
3,372
(3,0153,730)
3,517
3,959
3,623
3,169
3,844
4,680
3,078
(3,3773,658)
(3,2794,638)
(3,0294,217)
(2,6963,642)
(3,3054,382)
(4,2075,153)
(2,8923,264)
3,520
3,456
3,608
3,491
2,793
(3,3543,686)
(3,1343,777)
(3,2643,952)
(3,1603,823)
(2,3383,249)
3,258
3,743
3,697
2,990
3,858
3,069
3,064
3,409
4,160
4,658
4,518
3,220
2,720
3,262
3,470
3,027
(3,2113,306)
(3,3914,095)
(3,4073,986)
(2,8353,146)
(3,6364,080)
(2,8313,308)
(2,9753,153)
(3,2003,617)
(3,7644,556)
(4,1075,208)
(3,9185,117)
(3,0023,438)
(2,5262,915)
(3,0723,451)
(3,2823,658)
(2,9223,132)
3,084
3,435
3,428
2,773
3,464
2,989
2,282
3,068
2,277
3,040
3,718
2,830
3,416
4,456
5,569
(3,0483,120)
(3,2733,597)
(3,2853,572)
(2,6362,909)
(3,3483,579)
(2,8413,137)
(2,1792,384)
(2,9533,183)
(2,1872,366)
(2,9333,147)
(3,5053,931)
(2,7192,940)
(3,2123,619)
(4,2394,673)
(5,1835,955)
4,502
3,954
3,607
2,762
5,046
4,178
4,957
(4,3574,647)
(3,7754,133)
(3,0314,183)
(2,2893,234)
(4,4025,690)
(3,7104,646)
(4,2695,645)

Potentially Avoidable Mortality
2007 to 2009
Map
Code Health Region
Age-Standardized
Mortality Rate
per 100,000
95% CI
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
219
187
206
209
219
197
267
268
(213224)
(166208)
(185228)
(199220)
(198241)
(188206)
(245288)
(245291)
193
209
163
226
192
242
(190195)
(199219)
(159168)
(218234)
(187197)
(233251)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
169
209
199
175
218
203
150
157
107
154
134
157
192
188
267
230
254
Yukon
Age-Standardized
PYLL per 100,000
95% CI
4,521
3,668
4,076
4,116
4,434
3,803
6,047
6,204
(4,3634,680)
(3,0384,298)
(3,4084,744)
(3,8174,416)
(3,7075,161)
(3,5464,060)
(5,3446,750)
(5,4936,914)
3,756
4,344
3,093
4,500
3,698
4,924
(3,6833,828)
(4,0534,635)
(2,9843,201)
(4,2684,733)
(3,5703,826)
(4,6835,165)
(167171)
(191227)
(182216)
(168183)
(207228)
(193212)
(144155)
(152162)
(99116)
(148159)
(126142)
(150164)
(183201)
(174201)
(245288)
(216245)
(231278)
3,127
4,146
3,517
3,315
4,374
3,651
2,500
2,929
1,840
2,864
2,476
3,033
3,920
3,593
5,106
4,129
4,884
(3,0653,188)
(3,5744,717)
(3,0144,020)
(3,0723,558)
(4,0324,717)
(3,3953,908)
(2,3572,643)
(2,7813,077)
(1,6062,075)
(2,7093,019)
(2,2422,710)
(2,8113,255)
(3,6034,238)
(3,1574,030)
(4,4955,718)
(3,7484,509)
(4,2785,490)
254
(221288)
5,043
(4,1085,978)
263
(229298)
5,723
(4,8946,551)
Nunavut
447
(382512)
9,501
(8,28010,722)
183
(182183)
3,353
(3,3303,376)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
Canada
Potential years of life lost.
Potentially avoidable mortality
Deaths before age 75 that could potentially have been avoided through all levels of prevention (primary, secondary, tertiary). Expressed as
the age-standardized mortality rate and potential years of life lost (PYLL) per 100,000 population. PYLL is the number of years of potential
life not lived when a person dies before age 75. Avoidable mortality refers to untimely deaths that should not occur in the presence of timely
and effective health care or other public health practices, programs and policy interventions. It serves to focus attention on the portion of
population health attainment that can potentially be influenced by the health system.
Note: Rates are based on three years of pooled data.
Source: Vital StatisticsDeath Database, Statistics Canada.
49
Map
Code Health Region
1011 Eastern
1012 Central
1013 Western
Age-Standardized
Mortality Rate
per 100,000
128
130
113
133

Nova
1211
1212
1223
1234
1258
1269
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
Avoidable Mortality From Preventable Causes

2007 to 2009
95% CI
Age-Standardized
PYLL per 100,000
95% CI
(123134)
(123137)
(102124)
(119147)
2,180
2,065
1,979
2,400
(2,0342,327)
(1,8862,243)
(1,6432,315)
(1,9832,816)
125
(114135)
132
140
138
119
136
161
119
(128136)
(123156)
(122155)
(107132)
(121151)
(149173)
(113125)
2,079
(1,8172,341)
2,324
2,903
2,573
2,082
2,624
3,029
1,942
(2,2152,433)
(2,3513,454)
(2,0753,071)
(1,7192,445)
(2,1883,060)
(2,6583,400)
(1,8042,081)
New Brunswick
129
118
136
132
110
(125134)
(109126)
(126145)
(122142)
(98123)
2,349
2,298
2,277
2,325
1,994
(2,2232,475)
(2,0552,541)
(2,0262,529)
(2,0712,578)
(1,6232,364)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
121
126
131
114
135
113
114
142
153
152
157
113
100
131
129
114
(119122)
(117134)
(123138)
(109118)
(130141)
(107120)
(111117)
(135149)
(142165)
(138166)
(143171)
(107119)
(94105)
(125137)
(124135)
(111117)
2,062
2,458
2,389
1,918
2,519
2,092
1,805
2,290
2,842
2,885
2,900
2,085
1,582
2,190
2,222
1,898
(2,0282,097)
(2,1902,726)
(2,1732,606)
(1,8062,030)
(2,3562,682)
(1,9072,278)
(1,7461,865)
(2,1262,455)
(2,5243,159)
(2,4873,283)
(2,4723,328)
(1,9252,246)
(1,4521,712)
(2,0412,340)
(2,0832,361)
(1,8221,975)
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
108
131
120
102
126
87
79
104
72
102
135
103
124
157
167
(107109)
(126136)
(116124)
(98107)
(123130)
(8391)
(7682)
(101108)
(7075)
(99105)
(129140)
(100106)
(119130)
(151162)
(157176)
1,804
2,164
2,071
1,680
2,122
1,545
1,241
1,795
1,189
1,673
2,335
1,653
2,152
2,756
3,756
(1,7791,828)
(2,0452,282)
(1,9712,171)
(1,5821,778)
(2,0412,203)
(1,4531,637)
(1,1751,308)
(1,7171,872)
(1,1341,244)
(1,6051,741)
(2,1822,488)
(1,5791,727)
(2,0022,302)
(2,6032,909)
(3,4544,057)
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
142
128
137
96
167
129
147
(138146)
(124133)
(118155)
(82111)
(151184)
(116141)
(130163)
2,820
2,329
2,254
1,536
3,384
2,422
3,113
(2,7112,929)
(2,2062,452)
(1,8142,694)
(1,2091,863)
(2,8593,910)
(2,0792,765)
(2,5873,639)
50
Map
Code Health Region
Age-Standardized
Mortality Rate
per 100,000
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
Avoidable Mortality From Preventable Causes

2007 to 2009
95% CI
Age-Standardized
PYLL per 100,000
142
130
133
134
136
126
176
178
(138147)
(112148)
(115151)
(126143)
(119154)
(118133)
(158194)
(159196)
128
141
107
149
127
165
(126130)
(133150)
(104111)
(142156)
(123131)
(158173)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
113
149
141
122
156
136
98
100
69
100
87
103
131
130
191
157
169
Yukon
95% CI
3,042
2,740
2,878
2,691
2,954
2,426
4,085
4,511
(2,9143,170)
(2,1873,294)
(2,2973,458)
(2,4582,924)
(2,3563,552)
(2,2312,621)
(3,5084,663)
(3,8945,128)
2,468
2,936
1,982
3,029
2,358
3,476
(2,4122,524)
(2,7033,168)
(1,9012,063)
(2,8433,215)
(2,2642,452)
(3,2763,677)
(111115)
(134164)
(126155)
(115128)
(147165)
(129144)
(94103)
(96104)
(6276)
(96105)
(8193)
(98109)
(123139)
(119141)
(172209)
(145169)
(150189)
2,098
3,055
2,689
2,321
3,258
2,519
1,605
1,853
1,136
1,819
1,665
2,021
2,730
2,416
3,846
2,891
3,250
(2,0512,145)
(2,5753,534)
(2,2393,138)
(2,1292,512)
(2,9713,545)
(2,3112,728)
(1,5011,709)
(1,7421,964)
(9721,299)
(1,7111,927)
(1,4851,846)
(1,8572,184)
(2,4752,985)
(2,0872,746)
(3,3074,385)
(2,5813,200)
(2,7783,721)
174
(146201)
3,562
(2,8144,310)
167
(140194)
3,635
(3,0094,260)
Nunavut
318
(263372)
6,790
(5,7567,825)
118
(117119)
2,097
(2,0802,114)
Canada
Avoidable mortality from preventable causes
Mortality from preventable causes is a subset of potentially avoidable mortality, representing deaths before age 75 that could potentially
have been prevented through primary prevention efforts. Expressed as the age-standardized mortality rate and potential years of life lost
(PYLL) per 100,000 population. PYLL is the number of years of potential life not lived when a person dies before age 75. This indicator
informs efforts to reduce the number of initial cases (that is, incidence reduction); through these efforts, deaths can be prevented by
avoidingnew cases altogether.
51
Map
Code Health Region
Age-Standardized
Mortality Rate
per 100,000
Avoidable Mortality From Treatable Causes

2007 to 2009
95% CI
Age-Standardized
PYLL per 100,000
95% CI
1,610
1,742
1,380
1,452
(1,4511,770)
(1,5241,961)
(1,0381,722)
(1,0591,845)

1011 Eastern
1012 Central
1013 Western
83
86
76
78
(7987)
(8192)
(6785)
(6889)
72
(6580)
1,294
(1,0501,538)
Nova
1211
1212
1223
1234
1258
1269
70
56
68
66
68
94
66
(6773)
(4666)
(5779)
(5775)
(5879)
(85103)
(6271)
1,193
1,056
1,050
1,087
1,220
1,651
1,136
(1,1051,282)
(6591,453)
(7261,374)
(7831,391)
(9031,537)
(1,3581,943)
(1,0111,260)
61
56
70
62
53
(5865)
(5162)
(6377)
(5568)
(4561)
1,171
1,158
1,331
1,167
800
(1,0631,279)
(9471,368)
(1,0961,565)
(9531,381)
(5361,064)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
62
62
63
56
62
50
67
72
70
78
75
53
57
63
64
61
(6163)
(5668)
(5868)
(5359)
(5866)
(4655)
(6569)
(6777)
(6277)
(6888)
(6584)
(4957)
(5361)
(5967)
(6068)
(5963)
1,196
1,285
1,308
1,072
1,339
977
1,258
1,118
1,318
1,773
1,617
1,135
1,138
1,071
1,248
1,129
(1,1641,229)
(1,0571,513)
(1,1151,500)
(9641,180)
(1,1881,490)
(8271,127)
(1,1921,324)
(9891,247)
(1,0811,554)
(1,3922,153)
(1,1982,037)
(9871,282)
(9931,283)
(9541,189)
(1,1211,374)
(1,0571,201)
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
65
73
69
61
72
62
52
65
52
64
73
63
69
86
86
(6466)
(6976)
(6672)
(5865)
(6974)
(5965)
(5055)
(6268)
(5054)
(6266)
(6977)
(6166)
(6573)
(8290)
(7992)
1,281
1,271
1,357
1,093
1,341
1,444
1,040
1,274
1,088
1,367
1,383
1,177
1,264
1,700
1,813
(1,2541,307)
(1,1611,381)
(1,2551,460)
(9971,188)
(1,2591,424)
(1,3281,560)
(9621,119)
(1,1881,359)
(1,0171,159)
(1,2841,450)
(1,2351,531)
(1,0941,259)
(1,1261,402)
(1,5461,854)
(1,5722,055)
83
80
79
57
90
79
87
(8086)
(7684)
(6593)
(4668)
(79101)
(6989)
(7599)
1,682
1,624
1,353
1,226
1,661
1,756
1,844
(1,5871,777)
(1,4941,755)
(9811,725)
(8851,566)
(1,2892,033)
(1,4382,074)
(1,4002,288)
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
52

Avoidable Mortality From Treatable Causes
2007 to 2009
Map
Code Health Region
Age-Standardized
Mortality Rate
per 100,000
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
76
57
74
75
83
71
91
90
(7379)
(4668)
(6186)
(6981)
(7096)
(6677)
(79103)
(77103)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
65
67
56
77
65
77
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
(1,3851,574)
(6261,229)
(8671,530)
(1,2371,614)
(1,0661,894)
(1,2091,545)
(1,5602,363)
(1,3382,046)
(6366)
(6273)
(5459)
(7281)
(6268)
(7182)
1,288
1,409
1,111
1,471
1,341
1,447
(1,2411,334)
(1,2331,584)
(1,0381,183)
(1,3311,612)
(1,2541,428)
(1,3131,581)
56
60
58
54
62
66
51
57
38
53
47
54
61
58
76
73
85
(5557)
(5169)
(5067)
(4958)
(5667)
(6172)
(4855)
(5460)
(3344)
(5057)
(4352)
(4958)
(5666)
(5065)
(6587)
(6581)
(7199)
1,029
1,091
828
994
1,116
1,132
895
1,076
705
1,045
811
1,012
1,190
1,177
1,260
1,238
1,634
(9901,069)
(7801,402)
(6021,054)
(8451,143)
(9291,304)
(9821,282)
(797993)
(9781,173)
(537872)
(9341,156)
(662960)
(8631,162)
(1,0001,380)
(8901,464)
(9721,548)
(1,0161,460)
(1,2532,016)
81
(62100)
1,481
(9202,042)
96
(75118)
129
(93165)
65
(6465)
95% CI
1,479
928
1,198
1,426
1,480
1,377
1,961
1,692
Yukon
Nunavut
Age-Standardized
PYLL per 100,000
95% CI
Canada
2,088
(1,5452,631)
2,711
(2,0623,361)
1,257
(1,2411,273)
Avoidable mortality from treatable causes
Mortality from treatable causes is a subset of potentially avoidable mortality, representing deaths before age 75 that could potentially
have been avoided through secondary or tertiary prevention. Expressed as the age-standardized mortality rate and potential years
of life lost (PYLL) per 100,000 population. PYLL is the number of years of potential life not lived when a person dies before age 75.
Theindicator informs efforts aimed at reducing the number of people who die once they have the condition, or case-fatality reduction.
53

Map
Code
Health Region

1011 Eastern
1012 Central
1013 Western
20112012
Age-Standardized
Rate per 100,000
95% CI
Risk-Adjusted Rate (%)
95% CI
85.1
85.9
87.8
80.9
(81.388.8)
(81.090.8)
(79.496.3)
(72.389.4)
(395561)
81.1
(72.989.2)
(427489)
(412649)
(295509)
(355549)
(361586)
(398562)
(376477)
79.6
89.3
*
91.7
72.4
89.8
70.4
(76.982.3)
(80.498.3)
**
(83.3100.0)
(63.481.4)
(82.697.0)
(65.775.0)
462
468
402
483
414
(427498)
(400535)
(332472)
(403562)
(313514)
85.2
90.8
82.9
76.1
89.2
(82.188.2)
(85.496.2)
(75.290.6)
(69.782.5)
(79.598.9)
403
373
363
384
368
368
440
432
369
272
342
389
472
397
399
400
(393413)
(317429)
(311415)
(352417)
(332404)
(320417)
(418462)
(375490)
(292447)
(186359)
(265419)
(344433)
(422523)
(350444)
(357442)
(374425)
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
424
479
446
463
439
339
361
391
369
389
487
438
468
488
480
(415432)
(440519)
(415476)
(423503)
(414464)
(304374)
(331392)
(364418)
(346392)
(365412)
(444529)
(409466)
(422514)
(448529)
(413547)
81.3
76.0
80.9
93.4
82.5
69.6
75.7
79.8
83.0
75.8
87.6
87.8
67.4
83.4
90.3
(80.582.1)
(72.679.5)
(78.283.6)
(90.196.8)
(80.284.8)
(65.374.0)
(72.279.1)
(77.182.6)
(80.585.5)
(73.478.2)
(84.191.1)
(85.290.4)
(63.071.7)
(79.986.8)
(84.696.0)
524
541
403
483
561
486
562
(493555)
(499583)
(278528)
(338628)
(442681)
(388583)
(449675)
85.6
84.7
*
*
92.5
78.0
91.6
(83.387.9)
(81.887.7)
**
**
(83.9100.0)
(70.085.9)
(83.999.2)
533
543
461
594
(484582)
(476610)
(365556)
(472717)
478
Nova
1211
1212
1223
1234
1258
1269
458
531
402
452
473
480
426
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
54
Wait Time for Hip Fracture Surgery

(Proportion With Surgery Within 48 Hours)
20112012

Map
Code
Health Region
20112012
Age-Standardized
Rate per 100,000
95% CI
Wait Time for Hip Fracture Surgery

(Proportion With Surgery Within 48 Hours)
20112012
95% CI
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
521
578
635
556
414
513
452
417
(488554)
(434722)
(495775)
(485627)
(307521)
(450577)
(339565)
(294541)
81.3
90.0
56.1
89.4
78.6
76.4
80.9
*
(78.883.7)
(81.198.9)
(47.564.6)
(84.694.2)
(69.388.0)
(71.581.4)
(71.290.6)
**
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
453
462
420
536
423
492
(434472)
(401523)
(389452)
(481591)
(391456)
(425559)
82.5
87.7
86.3
77.9
79.5
80.1
(80.884.2)
(82.493.0)
(83.389.4)
(73.682.2)
(76.482.6)
(74.386.0)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
443
484
555
484
482
466
477
348
329
386
433
443
545
492
498
523
556
(429458)
(373596)
(441669)
(437530)
(416548)
(406526)
(431524)
(318379)
(265393)
(346426)
(377488)
(397489)
(488602)
(401582)
(353643)
(417630)
(369742)
77.3
76.5
91.5
82.1
83.3
71.7
65.4
56.9
79.4
79.6
74.3
86.6
88.5
93.1
*
87.4
*
(76.078.6)
(66.786.3)
(83.799.3)
(78.385.8)
(77.788.9)
(66.477.1)
(61.569.3)
(53.260.6)
(71.887.0)
(75.783.5)
(69.179.6)
(82.890.4)
(84.492.6)
(85.2100.0)
**
(79.195.8)
**
848
(4471,249)
**
1,014
(6111,417)
**
**
Yukon
Nunavut
Canada
**
435
(430440)
81.1
Age-standardized rate of new hip fractures admitted to an acute care hospital, per 100,000 population age 65 and older. New event is
defined as a first-ever hospitalization for hip fracture or a subsequent hip fracture occurring more than 28 days after the admission for
theprevious event in the reference period. Hip fractures represent a significant health burden for seniors and for the health system.
As well as causing disability or death, hip fracture may have a major effect on independence and quality of life. This indicator is important
forplanning and evaluating preventive strategies, allocating health resources and estimating costs.
Proportion with surgery within 48 hours: The risk-adjusted proportion of hip fractures that were surgically treated within 48 hours of a
patients admission to hospital, among patients age 65 and older. While some hip fracture patients need medical treatment to stabilize their
condition before surgery, research suggests patients typically benefit from timely surgery in terms of reduced morbidity, mortality, pain and
length of stay in hospital, as well as improved rehabilitation. This indicator is intended to provide a comparable measure of access to care
across the country and to be used as a tool to identify opportunities for improvement, using a national data source.
55

Ambulatory Care Sensitive Conditions
20112012
Map
Code
Health Region
Age-Standardized
Rate per 100,000
95% CI
95% CI
423
374
451
518
(405440)
(352395)
(407496)
(469568)
30.6
30.8
31.4
30.0
(29.332.0)
(29.132.6)
(27.835.1)
(26.333.6)

1011 Eastern
1012 Central
1013 Western
Nova
1211
1212
1223
1234
1258
1269
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
Caesarean Section
20112012
457
(421492)
28.9
(26.531.3)
316
275
471
286
410
461
212
(305327)
(234316)
(418525)
(251320)
(365455)
(424498)
(198226)
26.5
30.2
26.2
27.5
26.1
28.5
25.2
(25.627.5)
(25.834.6)
(22.230.3)
(24.430.7)
(23.029.2)
(25.831.3)
(23.926.5)
New Brunswick
460
366
392
491
514
(445475)
(340392)
(363420)
(459523)
(466563)
27.3
28.0
20.4
29.2
27.8
(26.328.3)
(26.130.0)
(18.522.3)
(27.031.3)
(24.031.6)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
275
313
376
218
287
314
238
276
415
429
547
263
201
297
274
275
(271278)
(289336)
(353398)
(208229)
(272301)
(296333)
(231244)
(259292)
(383447)
(390468)
(503591)
(248278)
(187214)
(282312)
(261287)
(267283)
23.6
23.5
24.4
24.4
20.6
17.7
25.0
28.0
23.6
21.0
29.5
23.8
24.4
19.9
21.7
23.5
(23.323.9)
(21.525.4)
(22.726.0)
(23.425.4)
(19.521.8)
(16.319.0)
(24.425.5)
(26.629.3)
(21.625.6)
(18.523.5)
(26.232.8)
(22.625.1)
(23.125.7)
(18.821.0)
(20.622.8)
(22.824.1)
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
269
303
288
250
303
271
183
238
175
246
330
239
305
492
516
(267272)
(290316)
(278299)
(238261)
(294312)
(260282)
(175191)
(229247)
(168181)
(238254)
(315346)
(230247)
(290321)
(474509)
(487545)
28.6
26.5
23.2
26.0
28.9
31.7
27.4
29.1
29.4
30.2
27.8
29.3
31.6
30.8
24.7
(28.428.9)
(25.427.6)
(22.424.1)
(25.127.0)
(28.129.7)
(30.832.6)
(26.628.2)
(28.429.9)
(28.830.1)
(29.530.9)
(26.429.1)
(28.530.0)
(30.133.0)
(29.632.1)
(23.026.4)
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
314
205
405
229
369
349
558
(304324)
(194215)
(348461)
(192266)
(330409)
(313386)
(503613)
21.4
21.8
31.7
18.8
19.7
19.4
26.9
(20.822.1)
(20.822.7)
(28.534.9)
(16.521.1)
(17.022.4)
(17.521.3)
(23.929.9)
56

Ambulatory Care Sensitive Conditions
20112012
Map
Code
Caesarean Section
20112012
Age-Standardized
Rate per 100,000
95% CI
95% CI
454
488
517
490
711
298
387
613
(441467)
(430547)
(455579)
(463517)
(640781)
(279318)
(344431)
(555672)
23.1
24.3
27.7
23.5
27.6
22.7
18.3
24.2
(22.423.8)
(21.227.5)
(24.131.3)
(22.125.0)
(24.031.2)
(21.424.0)
(15.920.6)
(21.926.5)
313
400
235
399
259
554
(307318)
(377423)
(227244)
(380417)
(250269)
(530577)
27.4
25.0
27.6
29.3
27.3
26.6
(27.027.8)
(23.626.3)
(26.928.2)
(28.130.5)
(26.628.0)
(25.627.6)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
254
385
294
283
288
353
213
228
162
192
205
191
285
297
526
488
507
(249258)
(343428)
(256331)
(265301)
(266310)
(331375)
(201225)
(217238)
(143180)
(181203)
(189222)
(176206)
(264305)
(267327)
(473578)
(452523)
(451562)
32.0
33.4
27.7
30.3
33.4
31.9
34.5
34.0
29.4
32.0
33.2
31.8
25.8
30.9
24.2
30.4
29.7
(31.532.4)
(30.036.8)
(24.131.2)
(28.632.0)
(31.335.5)
(30.333.5)
(33.235.7)
(33.035.0)
(27.131.7)
(30.833.1)
(31.235.1)
(30.233.5)
(23.927.6)
(28.033.7)
(21.327.0)
(28.132.7)
(27.032.5)
Yukon
507
(430583)
25.0
(20.929.1)
646
(555737)
21.9
(18.825.0)
Nunavut
892
(7381,045)
11.3
(9.013.5)
290
(289292)
27.1
(26.927.2)
Health Region
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
Canada
Ambulatory care sensitive conditions
Age-standardized acute care hospitalization rate for conditions where appropriate ambulatory care prevents or reduces the need for
hospitalization, per 100,000 population younger than age 75. Hospitalizations for ambulatory care sensitive conditions are considered
to bean indirect measure of access to appropriate primary health care. While not all admissions for these conditions are avoidable,
appropriate ambulatory care could potentially prevent the onset of this type of illness or condition, control an acute episodic illness or
condition, or manage a chronic disease or condition.
Caesarean section
Proportion of women delivering babies in acute care hospitals by Caesarean section. Caesarean section rates provide information on the
frequency of surgical birth delivery relative to all modes of birth delivery. Since unnecessary Caesarean section delivery increases maternal
morbidity/mortality and is associated with higher costs, Caesarean section rates are often used to monitor clinical practices, with an implicit
assumption that lower rates indicate more appropriate, as well as more efficient, care.
57
Map
Code
30-Day Acute Myocardial Infarction

In-Hospital Mortality
2009 2010 to 20112012
95% CI

1011 Eastern
1012 Central
1013 Western
8.1
8.1
8.9
7.2
(7.29.0)
(6.99.2)
(7.110.8)
(4.89.7)
6.9
Nova
1211
1212
1223
1234
1258
1269
Health Region
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
95% CI
20.4
20.4
24.9
17.4
(18.722.1)
(18.122.6)
(21.128.7)
(12.622.3)
(5.28.6)
17.8
(14.421.3)
6.9
5.6
8.2
5.9
4.7
7.2
6.7
(6.27.5)
(3.57.8)
(5.910.5)
(3.78.0)
(2.56.9)
(5.68.8)
(5.47.9)
17.9
15.2
22.6
15.3
18.5
15.2
18.0
(16.519.2)
(10.919.6)
(18.027.2)
(11.119.6)
(13.823.2)
(11.618.7)
(15.720.4)
7.4
6.8
7.8
7.3
10.8
(6.68.1)
(5.38.4)
(6.09.5)
(5.88.9)
(8.213.4)
14.9
15.3
15.3
16.1
14.0
(13.516.4)
(12.618.1)
(12.118.5)
(12.819.3)
(9.518.5)
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
7.6
8.0
8.6
7.1
7.7
6.9
7.2
7.3
7.8
7.2
8.3
6.9
8.6
8.7
5.8
(7.47.8)
(7.28.8)
(7.89.3)
(6.28.0)
(7.28.3)
(6.07.8)
(6.48.0)
(6.58.1)
(7.18.4)
(6.67.8)
(7.49.3)
(6.27.6)
(7.69.6)
(7.99.5)
(4.67.0)
14.8
14.6
17.5
13.3
15.0
13.6
15.1
13.9
12.3
14.1
18.4
14.3
14.9
18.2
15.2
(14.515.2)
(13.216.0)
(16.318.7)
(11.714.9)
(14.016.0)
(12.015.2)
(13.816.5)
(12.715.1)
(11.213.3)
(13.115.2)
(16.820.1)
(13.115.6)
(13.116.7)
(16.719.7)
(12.717.6)
6.7
6.1
7.1
5.6
7.9
8.5
9.2
(6.17.3)
(5.46.9)
(3.710.4)
(2.48.8)
(5.710.1)
(6.510.4)
(6.611.8)
15.6
13.5
15.3
20.9
17.9
16.9
22.7
(14.516.8)
(12.015.0)
(9.521.0)
(15.526.2)
(13.222.7)
(12.820.9)
(18.127.2)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
58
30-Day Stroke
2009 2010 to 20112012
Map
Code
30-Day Acute Myocardial Infarction

2009 2010 to 20112012
Health Region
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
Yukon
30-Day Stroke
2009 2010 to 20112012
95% CI
95% CI
7.7
7.4
8.3
9.3
10.2
6.8
7.8
6.3
(7.08.4)
(3.910.8)
(5.611.0)
(7.810.8)
(7.512.9)
(5.48.1)
(5.410.2)
(3.39.3)
16.2
21.9
18.6
16.7
19.5
12.1
20.0
16.7
(14.917.4)
(16.227.5)
(13.823.5)
(14.119.3)
(15.223.9)
(9.814.3)
(15.324.6)
(11.721.7)
6.4
7.7
5.9
7.0
5.9
6.8
(5.96.8)
(6.39.1)
(5.16.8)
(5.88.1)
(5.16.7)
(5.48.2)
13.5
14.9
11.0
16.9
12.8
17.8
(12.814.3)
(12.317.4)
(9.612.4)
(14.918.9)
(11.514.1)
(15.320.3)
7.0
5.7
6.6
6.4
8.6
7.8
7.5
6.7
8.7
6.5
6.4
6.0
7.4
7.3
5.7
7.9
9.3
(6.67.4)
(3.57.8)
(4.58.7)
(5.37.5)
(7.110.0)
(6.49.2)
(6.38.7)
(5.77.7)
(6.610.8)
(5.47.6)
(5.07.9)
(4.77.4)
(6.08.7)
(4.89.8)
(2.19.3)
(5.510.2)
(5.413.1)
14.6
20.4
19.9
13.7
14.7
16.2
14.6
13.4
12.8
12.3
12.0
18.4
14.5
21.0
16.2
12.8
15.7
(14.015.2)
(15.924.9)
(16.123.8)
(12.015.4)
(12.317.1)
(13.918.5)
(12.816.3)
(11.915.0)
(9.715.8)
(10.714.0)
(9.814.3)
(16.320.4)
(12.216.7)
(17.524.4)
(10.721.8)
(8.816.8)
(8.722.8)
**
**
**
9.4
(0.718.0)
Nunavut
**
**
Canada
7.3
15.0
The risk-adjusted rate of all-cause in-hospital death occurring within 30 days of first admission to an acute care hospital with a diagnosis of
acute myocardial infarction (AMI, or heart attack). Rates are based on three years of pooled data.
The risk-adjusted rate of all-cause in-hospital death occurring within 30 days of first admission to an acute care hospital with a diagnosis of
stroke. Rates are based on three years of pooled data.
59
Map
Code Health Region
30-Day Acute Myocardial

Infarction Readmission
20112012
95% CI
11.6
11.0
13.6
9.7
(9.713.5)
(8.613.4)
(9.517.7)
(4.814.7)
11.6
(7.915.4)
Nova
1211
1212
1223
1234
1258
1269
10.4
9.7
16.2
10.2
5.5
11.8
9.3
(8.911.8)
(5.314.0)
(11.520.8)
(5.414.9)
(0.410.7)
(8.215.3)
(6.612.0)
14.2
12.8
11.1
16.7
19.4
(12.416.0)
(9.516.0)
(7.314.9)
(13.519.9)
(14.124.7)

1011 Eastern
1012 Central
1013 Western
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
10.3
11.8
10.6
9.9
9.8
10.2
10.5
9.3
12.6
14.6
13.6
9.8
7.7
8.4
12.8
9.9
(9.710.9)
(8.515.0)
(7.713.4)
(7.911.8)
(7.911.8)
(7.712.7)
(9.311.7)
(6.612.0)
(9.016.3)
(9.419.8)
(10.217.0)
(7.312.4)
(4.810.5)
(6.010.8)
(10.415.2)
(8.611.3)
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
11.9
12.1
11.4
8.7
11.7
13.2
11.2
14.4
12.1
12.2
12.3
9.2
11.4
15.4
12.3
(11.512.4)
(10.114.0)
(9.813.1)
(6.810.7)
(10.413.0)
(11.215.3)
(9.213.2)
(12.416.5)
(10.513.7)
(10.813.7)
(10.114.5)
(7.610.7)
(9.113.7)
(13.817.1)
(9.415.2)
9.1
7.6
*
12.1
9.3
10.8
14.7
(7.710.6)
(5.79.5)
**
(5.618.5)
(4.314.3)
(6.515.2)
(8.520.8)
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
60
30-Day Medical Readmission

20112012
12.7
12.4
13.7
12.2
95% CI
(12.313.2)
(11.713.0)
(12.614.7)
(11.113.3)
12.6
(11.613.6)
12.2
12.2
12.3
12.5
12.3
10.7
12.5
(11.812.6)
(10.613.7)
(10.913.7)
(11.113.9)
(10.813.8)
(9.711.7)
(11.813.3)
13.4
12.3
13.2
14.0
13.2
(13.013.8)
(11.513.1)
(12.314.1)
(13.214.8)
(12.114.4)
13.0
14.3
12.9
12.3
12.2
13.9
12.9
12.4
13.7
15.4
15.0
13.1
12.7
11.8
12.6
13.2
(12.913.1)
(13.615.0)
(12.213.5)
(11.812.8)
(11.612.7)
(13.314.5)
(12.613.2)
(11.613.2)
(12.814.6)
(14.316.5)
(14.115.8)
(12.513.7)
(12.113.4)
(11.212.5)
(12.013.2)
(12.813.5)
13.4
12.4
13.8
12.5
13.5
13.2
12.3
14.4
13.2
13.2
14.0
13.2
13.3
14.2
14.7
(13.313.5)
(11.912.9)
(13.414.2)
(12.013.0)
(13.113.8)
(12.713.7)
(11.912.8)
(14.014.8)
(12.813.5)
(12.813.6)
(13.414.5)
(12.813.6)
(12.813.9)
(13.814.6)
(14.115.3)
13.6
11.2
11.3
12.5
14.1
14.9
15.7
(13.213.9)
(10.611.8)
(9.613.0)
(10.914.2)
(12.915.4)
(13.816.0)
(14.616.8)
Map
Code Health Region
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
30-Day Acute Myocardial

Infarction Readmission
20112012
30-Day Medical Readmission

20112012
95% CI
13.6
*
12.1
15.6
15.0
11.6
10.5
12.1
(11.915.4)
**
(6.218.1)
(11.719.4)
(8.821.3)
(7.915.3)
(5.215.9)
(5.318.9)
10.9
10.1
9.3
13.5
11.3
10.6
(9.911.9)
(6.913.3)
(7.411.2)
(11.115.9)
(9.413.1)
(7.813.4)
12.4
10.6
12.2
14.2
12.4
15.2
14.0
11.3
16.5
11.3
13.0
9.8
11.8
18.3
*
11.3
*
(11.613.3)
(6.015.1)
(7.816.6)
(11.816.7)
(8.816.0)
(12.018.4)
(11.316.7)
(9.013.6)
(11.521.5)
(8.713.8)
(9.816.3)
(6.613.0)
(8.814.8)
(12.324.3)
**
(6.516.2)
**
Yukon
**
**
**
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
Nunavut
Canada
11.5
95% CI
14.7
14.8
13.8
14.8
17.3
13.7
12.8
13.7
(14.415.1)
(13.516.1)
(12.415.1)
(14.115.4)
(16.318.3)
(12.914.4)
(11.414.2)
(12.515.0)
13.4
14.5
11.9
14.3
12.9
15.0
(13.213.6)
(13.815.2)
(11.512.3)
(13.814.8)
(12.513.3)
(14.415.5)
14.2
14.5
12.5
14.2
14.2
14.4
14.0
13.9
14.3
14.8
14.3
12.2
14.7
14.2
15.3
14.9
15.7
(14.014.4)
(13.315.6)
(11.113.8)
(13.714.8)
(13.515.0)
(13.715.0)
(13.414.5)
(13.414.4)
(13.315.4)
(14.215.3)
(13.515.0)
(11.512.9)
(14.015.4)
(13.115.3)
(14.016.5)
(14.015.9)
(14.017.3)
16.0
(14.018.0)
14.2
(12.516.0)
11.6
(9.114.0)
13.4
30-day acute myocardial infarction readmission
The risk-adjusted rate of urgent readmission following discharge for acute myocardial infarction (AMI, or heart attack). Non-elective
return to an acute care hospital for any cause is counted as a readmission if it occurs within 30 days of discharge from the index episode
ofinpatient care. Readmission rates after AMI can be influenced by a variety of factors, including the quality of inpatient and outpatient
care, the effectiveness of the care transition and coordination, and the availability of appropriate diagnostic or therapeutic technologies
during the initial hospital stay. While not all urgent readmissions are avoidable, interventions during and after a hospitalization can be
effective in reducing readmission rates.
Note: Beginning with 20112012 data, this indicator was revised and is not comparable with the previously reported AMI readmission rates. Rates for
previous years, calculated using the new definition, are provided in the Health Indicators e-publication to enable comparisons over time.
Sources: Discharge Abstract Database and National Ambulatory Care Reporting System, Canadian Institute for Health Information; Fichier des
hospitalisations MED-CHO, ministre de la Sant et des Services sociaux du Qubec.
Risk-adjusted rate of urgent readmission for medical patients age 20 and older. Non-elective return to an acute care hospital for any cause
is counted as a readmission if it occurs within 30 days of discharge from the index episode of inpatient care. Urgent readmissions to acute
care facilities are increasingly being used to measure institutional or regional quality of care and care coordination. While not all urgent
readmissions are avoidable, interventions during and after a hospitalization can be effective in reducing readmission rates.
61
Map
Code Health Region
30-Day Surgical Readmission

20112012
30-Day Obstetric Readmission

20112012
95% CI

1011 Eastern
1012 Central
1013 Western
6.5
6.4
7.0
6.2
(6.16.9)
(5.86.9)
(6.07.9)
(5.17.2)
6.3
(5.57.1)
Nova
1211
1212
1223
1234
1258
1269
6.3
5.5
6.6
6.3
6.7
6.6
6.2
(5.96.6)
(4.46.6)
(5.37.8)
(5.27.3)
(5.57.8)
(5.87.4)
(5.76.7)
6.7
6.9
6.4
7.2
6.2
(6.47.0)
(6.27.5)
(5.77.1)
(6.58.0)
(5.37.2)
2.5
2.9
1.7
2.5
1.1
(2.22.8)
(2.33.5)
(1.02.3)
(1.93.1)
(0.02.2)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
6.1
6.2
6.3
5.5
6.3
6.3
6.3
5.1
7.6
7.7
7.7
5.6
6.3
5.4
6.3
6.0
(6.06.2)
(5.56.9)
(5.76.9)
(5.15.9)
(5.86.7)
(5.86.9)
(6.06.5)
(4.55.7)
(6.78.4)
(6.78.7)
(6.88.5)
(5.16.1)
(5.86.8)
(4.95.9)
(5.86.7)
(5.76.3)
1.9
2.0
2.1
1.8
1.7
1.4
2.1
1.2
1.9
2.2
2.8
1.8
2.0
2.0
2.3
1.7
(1.82.0)
(1.22.7)
(1.62.7)
(1.52.2)
(1.32.2)
(0.82.0)
(1.92.3)
(0.81.7)
(1.22.5)
(1.33.2)
(1.83.7)
(1.32.3)
(1.62.5)
(1.62.4)
(1.92.7)
(1.51.9)
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
6.8
6.4
7.3
5.5
6.7
6.6
6.9
7.0
7.1
6.2
6.8
6.7
6.6
7.4
7.9
(6.76.9)
(6.06.8)
(6.97.6)
(5.05.9)
(6.47.0)
(6.27.1)
(6.57.3)
(6.77.4)
(6.87.4)
(5.96.5)
(6.37.2)
(6.47.0)
(6.17.1)
(7.07.8)
(7.38.5)
1.7
1.1
1.5
1.8
1.7
2.0
1.4
2.0
1.7
1.9
1.5
1.9
1.8
1.5
2.7
(1.71.8)
(0.81.4)
(1.21.8)
(1.52.2)
(1.41.9)
(1.72.3)
(1.11.7)
(1.72.2)
(1.52.0)
(1.72.1)
(1.12.0)
(1.72.1)
(1.32.2)
(1.11.8)
(2.23.2)
6.0
5.3
5.6
6.2
6.2
7.8
7.5
(5.76.3)
(4.95.7)
(4.37.0)
(4.97.5)
(5.17.3)
(6.88.8)
(6.48.6)
2.8
3.2
1.5
3.0
2.3
2.8
1.2
(2.63.0)
(2.93.5)
(0.42.5)
(2.43.6)
(1.43.2)
(2.33.4)
(0.42.1)
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
62
95% CI
2.6
2.8
2.4
1.8
(2.23.0)
(2.43.3)
(1.53.4)
(0.72.8)
2.1
(1.42.8)
2.3
*
*
2.1
2.8
1.7
2.3
(2.12.6)
**
**
(1.13.0)
(1.93.6)
(0.82.5)
(2.02.7)

30-Day Surgical Readmission
20112012
30-Day Obstetric Readmission

20112012
Map
Code Health Region
95% CI
95% CI
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
7.7
7.9
7.0
7.9
8.5
6.5
7.1
7.8
(7.48.0)
(6.69.2)
(5.88.2)
(7.38.5)
(7.49.6)
(5.97.1)
(5.88.3)
(6.69.0)
2.2
2.3
1.5
1.9
2.1
2.1
2.5
2.7
(2.02.4)
(1.43.2)
(0.62.3)
(1.52.4)
(1.22.9)
(1.62.5)
(1.73.2)
(2.23.3)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
6.8
6.8
6.3
7.1
7.1
7.8
(6.77.0)
(6.27.5)
(6.06.6)
(6.67.6)
(6.87.4)
(7.38.3)
1.9
1.4
2.1
1.8
2.0
1.9
(1.82.0)
(1.01.8)
(1.92.3)
(1.52.1)
(1.82.2)
(1.62.1)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
7.2
7.6
7.1
8.1
7.5
8.0
7.2
6.9
7.5
7.1
7.4
6.0
7.1
6.9
7.3
7.4
5.6
(7.07.3)
(6.58.7)
(6.18.1)
(7.68.6)
(6.98.2)
(7.48.6)
(6.77.6)
(6.47.3)
(6.68.4)
(6.77.6)
(6.78.0)
(5.56.5)
(6.57.7)
(6.07.8)
(6.18.5)
(6.68.3)
(4.07.1)
2.3
1.7
3.9
2.4
2.8
2.8
2.6
1.8
2.4
2.2
1.3
2.1
2.7
1.6
2.3
3.0
2.4
(2.22.5)
(0.82.5)
(2.94.9)
(2.02.9)
(2.23.4)
(2.33.2)
(2.32.9)
(1.52.1)
(1.73.1)
(1.92.6)
(0.71.9)
(1.72.6)
(2.23.3)
(0.92.4)
(1.43.2)
(2.43.6)
(1.53.3)
Yukon
9.6
(7.711.6)
2.8
(1.73.9)
8.3
(6.410.2)
1.4
(0.42.4)
Nunavut
8.1
(5.710.4)
0.8
(0.11.4)
Canada
6.6
2.0
Risk-adjusted rate of urgent readmission for surgical patients age 20 and older. Non-elective return to an acute care hospital for any cause
is counted as a readmission if it occurs within 30 days of discharge from the index episode of inpatient care. Urgent readmissions to acute
Risk-adjusted rate of urgent readmission for obstetric patients. Non-elective return to an acute care hospital for any cause is counted as
areadmission if it occurs within 30 days of discharge from the index episode of inpatient care. Urgent readmissions to acute care facilities
are increasingly being used to measure institutional or regional quality of care and care coordination. While not all urgent readmissions
areavoidable, interventions during and after a hospitalization can be effective in reducing readmission rates.
63
Map
Code
30-Day Readmission
Patients Age 19 and Younger
20112012
Health Region
95% CI

1011 Eastern
1012 Central
1013 Western
5.9
6.4
5.1
4.3
(5.16.8)
(5.37.5)
(2.97.3)
(2.16.6)
5.5
Nova
1211
1212
1223
1234
1258
1269
30-Day Readmission for Mental Illness

20112012
95% CI
13.3
10.3
15.1
12.2
(11.714.9)
(7.213.4)
(11.618.6)
(9.614.9)
(3.97.1)
12.7
(10.514.8)
6.1
6.4
8.0
6.0
6.8
5.9
5.8
(5.56.8)
(3.49.5)
(5.410.7)
(3.58.5)
(4.79.0)
(4.57.4)
(4.86.9)
12.6
10.8
9.0
19.6
3.7
13.2
13.0
(11.413.8)
(4.517.1)
(4.813.2)
(14.324.9)
(1.77.7)
(10.715.8)
(10.815.1)
6.1
6.0
6.0
6.5
5.9
(5.46.7)
(4.77.2)
(4.67.4)
(5.17.9)
(4.17.6)
12.7
11.4
8.6
14.6
10.9
(11.613.7)
(9.313.6)
(5.411.8)
(12.017.1)
(7.913.9)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
6.1
4.5
6.5
6.2
5.3
6.4
6.6
6.5
6.6
6.1
5.5
7.0
6.8
5.3
5.8
5.6
(5.96.3)
(3.06.0)
(5.67.4)
(5.56.9)
(4.66.1)
(5.37.5)
(6.17.1)
(5.57.5)
(5.57.7)
(4.67.7)
(3.67.3)
(6.27.8)
(5.97.8)
(4.56.1)
(5.06.6)
(5.16.1)
11.1
11.3
13.9
7.9
10.9
17.0
8.7
7.8
10.7
9.2
12.9
12.1
9.7
11.6
9.8
11.5
(10.711.5)
(9.313.3)
(12.315.4)
(6.39.5)
(9.612.2)
(15.518.5)
(7.79.8)
(5.99.8)
(8.113.2)
(6.312.1)
(9.815.9)
(10.813.5)
(7.611.8)
(10.013.2)
(8.211.5)
(10.612.3)
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
6.8
6.5
7.6
6.6
7.1
6.1
6.1
7.1
7.3
7.1
7.5
6.0
7.4
6.4
6.4
(6.67.0)
(5.77.2)
(7.08.3)
(5.97.3)
(6.67.6)
(5.56.8)
(5.56.7)
(6.47.7)
(6.87.8)
(6.67.6)
(6.68.4)
(5.36.6)
(6.48.4)
(5.67.1)
(5.37.5)
11.7
10.4
10.5
11.8
12.0
11.1
11.3
12.7
12.3
11.3
12.6
11.4
10.8
12.5
10.7
(11.412.0)
(8.911.9)
(9.311.6)
(10.513.1)
(11.112.9)
(9.812.4)
(10.112.6)
(11.713.7)
(11.313.2)
(10.412.2)
(11.014.1)
(10.412.5)
(9.412.3)
(11.513.5)
(9.212.2)
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
6.5
6.6
2.2
5.0
5.8
5.7
4.9
(5.97.0)
(5.87.5)
(1.14.4)
(2.77.3)
(3.58.2)
(3.97.5)
(2.27.5)
8.6
8.2
7.3
10.8
6.9
6.5
12.6
(7.79.6)
(6.99.6)
(3.611.1)
(4.317.3)
(2.011.8)
(1.911.1)
(9.116.1)
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
64
Map
Code
30-Day Readmission
Patients Age 19 and Younger
20112012
Health Region
30-Day Readmission for Mental Illness

20112012
95% CI
95% CI
6.8
5.2
5.4
7.7
6.5
6.6
9.1
5.3
(6.37.2)
(3.17.3)
(3.77.2)
(6.88.5)
(4.58.4)
(5.47.7)
(7.610.7)
(3.86.7)
10.8
13.3
8.3
11.1
9.9
8.8
13.4
12.9
(9.911.8)
(8.618.0)
(4.312.2)
(9.113.0)
(5.814.0)
(6.710.9)
(10.516.4)
(10.115.7)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
6.3
5.7
6.0
6.6
6.5
6.5
(6.06.6)
(4.76.7)
(5.56.6)
(5.87.4)
(5.97.1)
(5.87.2)
9.9
10.7
9.2
8.0
9.5
12.2
(9.310.5)
(9.112.2)
(8.310.2)
(6.29.8)
(8.310.7)
(10.713.7)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
6.3
6.4
5.8
5.8
6.1
6.1
5.8
6.5
7.1
6.0
6.1
7.0
6.7
5.9
5.8
6.6
5.6
(5.96.6)
(4.28.5)
(3.58.2)
(4.77.0)
(4.77.5)
(4.97.2)
(4.86.8)
(5.77.2)
(5.38.9)
(4.97.0)
(4.77.4)
(5.88.1)
(5.58.0)
(3.78.1)
(3.87.8)
(5.08.1)
(3.08.3)
13.0
12.8
11.7
15.6
11.3
11.5
11.3
13.5
15.4
14.4
13.7
12.5
12.1
9.9
14.4
12.1
9.9
(12.613.5)
(9.416.2)
(8.914.4)
(14.216.9)
(9.413.3)
(9.913.1)
(10.112.6)
(12.414.7)
(13.217.6)
(13.315.4)
(11.915.4)
(11.014.1)
(10.313.9)
(6.613.1)
(12.116.7)
(10.114.1)
(6.912.8)
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
Yukon
5.9
(2.29.5)
8.6
(4.313.0)
9.1
(6.811.4)
13.2
(10.515.9)
Nunavut
9.0
(7.310.6)
11.0
(6.315.8)
Canada
6.5
11.6
Risk-adjusted rate of urgent readmission for patients age 19 and younger. Non-elective return to an acute care hospital for any cause is
counted as a readmission if it occurs within 30 days of discharge from the index episode of inpatient care. Urgent readmissions to acute
Risk-adjusted rate of readmission following discharge for a mental illness. A case is counted as a readmission in a general hospital if it is for
a selected mental illness diagnosis and if it occurs within 30 days of discharge from the index episode of inpatient care. High rates of 30-day
readmission could be interpreted as being a direct outcome of poor coordination of services and/or an indirect outcome of poor continuity of
services after discharge.
Sources: Discharge Abstract Database, National Ambulatory Care Reporting System and Ontario Mental Health Reporting System, Canadian Institute for
Health Information; Fichier des hospitalisations MED-CHO, ministre de la Sant et des Services sociaux du Qubec.
65

Patients With Repeat Hospitalizations
for Mental Illness
2010 2011
Map
Code
20112012
95% CI
Age-Standardized Rate
per 100,000
95% CI

1011 Eastern
1012 Central
1013 Western
11.0
5.7
8.0
18.7
(9.112.9)
(2.58.8)
(3.013.0)
(15.422.0)
86
67
91
100
(7696)
(5677)
(66117)
(71129)
12.4
(10.014.8)
57
(4271)
Nova
1211
1212
1223
1234
1258
1269
9.6
*
10.6
6.9
5.1
12.7
8.9
(8.311.0)
**
(6.314.8)
(0.813.0)
(2.610.1)
(9.815.6)
(6.711.1)
72
54
38
31
80
123
66
(6679)
(3079)
(1759)
(1745)
(54107)
(97148)
(5775)
New Brunswick
11.7
10.2
7.5
7.8
14.4
(10.512.9)
(7.912.6)
(4.210.8)
(4.910.7)
(11.217.6)
85
65
89
60
72
(7793)
(5278)
(72106)
(4774)
(4996)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
10.2
14.0
15.1
7.8
12.8
10.5
8.3
6.2
9.4
8.9
7.7
12.7
7.7
11.6
9.5
10.2
(9.810.6)
(11.816.2)
(13.316.9)
(6.29.3)
(11.414.2)
(8.712.2)
(7.39.3)
(4.28.1)
(6.712.2)
(5.911.9)
(4.510.9)
(11.214.3)
(5.59.9)
(10.013.3)
(7.811.1)
(9.211.1)
59
125
81
60
85
96
24
69
97
100
130
92
26
55
55
68
(5761)
(105145)
(6894)
(5467)
(7595)
(83110)
(2227)
(5979)
(78116)
(75124)
(100160)
(81103)
(2132)
(4763)
(4762)
(6373)
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
10.7
8.3
9.7
11.5
10.4
9.2
9.4
13.6
11.4
10.5
8.1
9.0
9.7
14.5
11.5
(10.311.0)
(6.79.9)
(8.411.0)
(10.013.1)
(9.311.4)
(7.710.7)
(8.010.8)
(12.514.7)
(10.312.5)
(9.411.5)
(6.39.9)
(7.910.2)
(8.011.4)
(13.315.6)
(9.713.4)
63
57
71
75
71
45
38
45
33
50
79
60
119
151
229
(6265)
(5064)
(6578)
(6882)
(6676)
(4050)
(3442)
(4049)
(3036)
(4654)
(6988)
(5564)
(107131)
(139164)
(205253)
10.1
9.2
10.4
7.7
7.2
7.7
14.5
(9.111.1)
(7.910.6)
(6.314.5)
(1.813.7)
(2.611.7)
(3.212.2)
(10.418.6)
68
43
84
76
50
57
68
(6273)
(3849)
(55113)
(51100)
(3069)
(4075)
(4195)
Health Region
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
66

Patients With Repeat Hospitalizations
for Mental Illness
2010 2011
Map
Code
20112012
95% CI
Age-Standardized Rate
per 100,000
95% CI
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
10.7
6.0
14.6
11.6
9.9
8.3
11.4
13.7
(9.711.8)
(1.310.7)
(10.418.8)
(9.513.7)
(5.514.3)
(6.010.6)
(8.114.8)
(10.317.1)
81
78
75
84
77
52
66
156
(7487)
(50106)
(48101)
(7197)
(45109)
(4361)
(4489)
(121190)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
9.5
11.3
10.0
9.3
7.5
10.5
(8.910.1)
(9.513.0)
(8.911.0)
(7.511.1)
(6.38.7)
(8.912.1)
59
97
40
63
55
99
(5662)
(84110)
(3644)
(5471)
(5059)
(89110)
13.2
14.6
17.3
14.9
10.6
13.9
12.7
12.0
19.0
11.8
15.3
13.4
12.6
11.2
13.7
12.8
12.7
(12.713.7)
(11.218.1)
(14.020.6)
(13.316.5)
(8.512.8)
(11.915.8)
(11.314.1)
(10.613.4)
(16.021.9)
(10.613.1)
(13.117.5)
(11.615.2)
(10.514.7)
(7.914.6)
(10.516.8)
(10.515.1)
(9.316.1)
79
105
107
126
107
118
61
72
37
42
47
66
127
88
244
98
93
(7682)
(78131)
(78136)
(112141)
(90123)
(103133)
(5468)
(6479)
(2846)
(3748)
(3857)
(5675)
(110144)
(67109)
(198290)
(79117)
(67120)
9.8
(5.214.4)
175
(124227)
16.5
(13.119.9)
210
(162258)
Nunavut
9.7
(5.014.4)
383
(310456)
Canada
10.9
67
(6668)
Health Region
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
Yukon
Patients with repeat hospitalizations for mental illness
Risk-adjusted percentage of individuals who had three or more episodes of care for a selected mental illness over all those who had at least
one episode of care for a selected mental illness in general hospitals within a given year. This indicator is considered an indirect measure
of appropriateness of care. Variations in this indicator across jurisdictions may reflect differences in the services that help individuals with
mental illness remain in the community for a longer period of time without the need for hospitalization.
Age-standardized rate of hospitalization in a general hospital due to self-injury, per 100,000 population age 15 and older. Self-injuries may
be the result of suicidal and/or self-harming behaviours. In many cases, they can be prevented by early recognition of, intervention for and
treatment of mental illnesses. While some risk factors are beyond the control of the health system, high rates of self-injury hospitalization
could be interpreted as being the result of the systems failure to prevent self-injuries that are severe enough to require hospitalization.
67

Hospitalized Acute Myocardial Infarction Event, 20112012
Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
320

Q2
Q3
Q4
95% CI
95% CI
95% CI
280
284
289
Q5
95% CI
239
Disparity Rate Ratio

95% CI
1.34
Potential Rate Reduction (%)

95% CI
15.4%
(286353)
(248312)
(253316)
(256322)
(208270)
(1.131.58)
(5.1%24.8%)
(215339)
(248383)
(225355)
(299449)
(235359)
(0.681.26)
(-15.0%21.1%)
(270320)
(252298)
(224269)
(209251)
(204249)
(1.141.48)
(2.8%18.8%)
(243296)
(233284)
(266323)
(207255)
(244301)
(0.861.14)
(-12.8%6.3%)
277
295
270
255
(247263)
242
315
275
259
235
(228242)
209
290
247
294
220
(213228)
209
374
230
231
219
(211226)
194
297
227
273
194
(187202)
170
0.93
1.30
0.99
1.31
(1.251.38)
1.42
(235248)
(203215)
(203215)
(188199)
(165175)
(1.361.48)
(309365)
(245289)
(200238)
(183221)
(171208)
(1.572.02)
(224273)
(173213)
(174211)
(168207)
(162200)
(1.191.59)
337
248
224
(211236)
192
267
193
202
(190213)
177
219
193
216
(204229)
174
202
187
214
(202227)
167
190
181
185
(174197)
145
(182201)
(168186)
(165183)
(158175)
(137153)
243
216
212
201
179
(239246)
(212220)
(208216)
(197204)
(175182)
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
1.78
1.37
1.21
(1.111.31)
1.32
(1.221.42)
*
*
*
1.36
(1.321.39)
4.3%
11.1%
-2.9%
13.8%
(10.8%16.8%)
16.9%
(14.5%19.1%)
21.6%
(14.3%28.3%)
9.5%
(0.2%18.0%)
11.1%
(5.8%16.1%)
15.0%
(10.7%19.2%)
*
*
*
15.0%
(13.6%16.5%)
Age-standardized rates per 100,000 population.

Q1 (Quintile 1) refers to the least-affluent neighbourhoods, while Q5 (Quintile 5) refers to the most affluent.
Hospitalized Stroke Event, 20112012

Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
129

Q2
Q3
Q4
95% CI
95% CI
95% CI
113
143
131
Q5
95% CI
154

95% CI
0.84
-14.9%
(107151)
(93132)
(120167)
(109154)
(129179)
(0.661.06)
(148249)
(104198)
(90176)
(136251)
(70157)
(1.102.76)
(-1.2%49.5%)
(112145)
(120154)
(97126)
(87114)
(98131)
(0.931.36)
(-9.7%15.0%)
198
129
148
151
137
137
133
111
137
194
101
118
114
115
119
1.74
1.12
1.24
(-32.0%0.5%)
27.8%
3.3%
9.6%
(129167)
(119155)
(118157)
(101135)
(101138)
(1.011.52)
(-3.8%21.7%)
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
..
143
..
127
..
120
..
114
..
109
..
1.31
(138148)
(123132)
(116125)
(110119)
(105114)
(1.241.38)
(163205)
(116146)
(93120)
(95123)
(80105)
(1.662.37)
184
164
131
130
106
124
109
113
93
104
1.98
1.58
..
11.0%
(7.9%14.0%)
25.1%
(15.2%34.1%)
18.1%
(144184)
(114146)
(109140)
(98128)
(89118)
(1.311.91)
(6.8%28.3%)
(122141)
(126144)
(126146)
(114134)
(114134)
(0.961.19)
(-2.2%11.5%)
(127142)
(123139)
(118133)
(113128)
(101115)
(1.141.36)
141
129
123
116
110
(138145)
(126133)
(120126)
(113119)
(107113)
132
134
*
*
*
135
131
*
*
*
136
125
*
*
*
124
120
*
*
*
124
108
*
*
*
1.07
1.25
*
*
*
1.28
(1.241.33)

68

95% CI
4.8%
12.9%
(7.5%18.0%)
*
*
*
11.0%
(8.7%13.2%)
Equity
Hospitalized Hip Fracture Event, 20112012
Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
449

Q2
Q3
Q4
95% CI
95% CI
95% CI
529
471
591
Q5
95% CI
471

95% CI
0.95

95% CI
6.2%
(352546)
(420638)
(375566)
(473709)
(365577)
(0.701.30)
(-15.0%24.1%)
(372779)
(407873)
(327765)
(236655)
(222569)
(0.832.56)
(-11.5%50.1%)
(386524)
(448601)
(380526)
(391528)
(365505)
(0.841.30)
(-8.0%19.4%)
(393551)
(306444)
(463665)
(394546)
(416611)
(0.711.18)
(-28.3%9.1%)
(385429)
(416462)
(389438)
(423478)
(401457)
(0.871.03)
(-6.7%5.3%)
576
455
472
407
465
640
524
375
439
421
546
453
564
414
448
446
460
470
451
435
395
435
513
429
423
1.46
1.04
0.92
0.95
1.10
24.2%
6.5%
-8.3%
-0.6%
3.6%
(445486)
(402441)
(427468)
(415455)
(403442)
(1.031.17)
(-0.5%7.5%)
(521692)
(445582)
(495635)
(378503)
(473616)
(0.921.35)
(-14.8%9.2%)
(563744)
(438580)
(370496)
(435579)
(339475)
(1.292.00)
606
654
451
(410492)
544
513
509
412
(374451)
439
565
433
459
(414504)
490
441
507
481
(434529)
426
544
407
523
(470575)
385
(508580)
(407471)
(456525)
(392460)
(353417)
468
435
453
447
431
(456481)
(423446)
(440465)
(434459)
(419444)
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
1.11
1.61
0.86
(0.750.99)
1.41
(1.271.57)
*
*
*
1.09
(1.041.13)
-2.3%
18.7%
(5.3%30.4%)
-13.1%
(-23.5%-3.4%)
16.0%
(9.4%22.1%)
*
*
*
3.5%
(0.9%6.0%)

Injury Hospitalization, 20112012

Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
542

Q2
Q3
Q4
95% CI
95% CI
95% CI
528
515
575
Q5
95% CI
549

95% CI
0.99

95% CI
-1.3%
(495589)
(481574)
(468562)
(527624)
(503595)
(0.881.11)
(636836)
(554747)
(585781)
(641851)
(487681)
(1.021.56)
(0.5%26.1%)
(497564)
(495561)
(470534)
(463527)
(460529)
(0.981.18)
(-3.1%8.9%)
736
531
640
(599682)
557
651
528
594
(554634)
547
683
502
644
(603686)
527
746
495
564
(525603)
545
584
495
561
(522600)
492
1.26
1.07
1.14
(1.041.26)
1.13
(547568)
(536558)
(516538)
(533557)
(481503)
(1.101.17)
(468485)
(411426)
(408423)
(400415)
(387402)
(1.181.24)
(1,1131,202)
(604667)
(566626)
(525585)
(504566)
(2.022.32)
477
1,157
1,205
(1,1541,255)
858
418
635
804
(764843)
711
416
596
713
(677750)
714
407
555
752
(713791)
694
394
535
729
(689769)
702
1.21
2.16
1.65
(1.541.77)
1.22
(837879)
(692730)
(694734)
(675713)
(682723)
(1.181.27)
(633666)
(577608)
(555586)
(546577)
(506539)
(1.191.29)
613
531
520
514
488
(608619)
(526537)
(515525)
(508519)
(483494)
650
*
*
*
593
*
*
*
570
*
*
*
561
*
*
*
522
*
*
*
1.24
*
*
*
1.26
(1.241.27)
(-9.1%6.1%)
14.1%
3.0%
6.7%
(0.6%12.4%)
7.8%
(5.9%9.7%)
6.6%
(5.0%8.2%)
23.2%
(19.1%27.1%)
13.2%
(8.8%17.5%)
4.6%
(2.1%7.1%)
9.8%
(7.3%12.3%)
*
*
*
8.5%
(7.6%9.4%)

69

Wait Time for Hip Fracture Surgery (Proportion With Surgery Within 48 Hours), 20112012
Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
90.4

Q2
Q3
Q4
95% CI
95% CI
95% CI
92.1
78.2
86
90.6
85.1
Q5
95% CI
79.2

95% CI
1.14

95% CI
6.7%
(81.799.1)
(83.9100.3) (70.286.3)
(76.693.6)
(70.687.8)
(0.991.32)
(-2.8%15.5%)
(67.094.7)
(67.7104.2) (71.4109.7)
(45.792.0)
(52.795.1)
(0.781.53)
(-18.1%30.4%)
(75.386.9)
(73.885.6)
(74.087.0)
(74.185.5)
(70.082.6)
(0.951.18)
(-3.3%10.9%)
(75.688.7)
(80.594.5)
(74.188.5)
(82.194.5)
(79.094.1)
(0.841.07)
(-10.0%6.3%)
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
80.9
81.1
82.2
..
80.9
79.7
87.5
..
81.4
80.5
81.3
..
82.4
68.9
79.8
88.3
..
82.1
73.9
76.3
86.6
..
79.8
1.09
1.06
0.95
..
1.01
8.8%
4.0%
-1.6%
..
1.9%
(79.282.7)
(79.683.3)
(80.684.3)
(80.283.9)
(77.981.7)
(0.981.05)
(-0.2%4.0%)
(82.593.0)
(79.989.7)
(82.892.8)
(77.388.3)
(79.890.0)
(0.951.12)
(-4.6%6.2%)
(74.984.7)
(76.687.4)
(77.989.1)
(73.884.9)
(76.589.2)
(0.871.06)
(-9.3%5.1%)
(76.483.6)
(80.287.8)
(75.984.0)
(83.191.1)
(78.086.2)
(0.911.04)
(-4.1%5.0%)
(76.581.7)
(74.179.8)
(71.176.8)
(74.480.7)
(75.682.4)
(0.951.06)
(-6.3%1.9%)
87.7
79.8
80
79.1
*
*
*
84.8
82
84
77
*
*
*
87.8
83.5
79.9
73.9
*
*
*
82.8
79.4
87.1
77.6
*
*
*
84.9
82.9
82.1
79
*
*
*
1.03
0.96
0.97
1.00
*
*
*
0.9%
-1.9%
0.5%
-2.1%
*
*
*
80.9
81.4
80.7
82
80.4
1.01
0.9%
(79.782.1)
(80.282.7)
(79.482.0)
(80.783.3)
(79.081.7)
(0.981.03)
(-0.7%2.4%)
Risk-adjusted rates (%).

Ambulatory Care Sensitive Conditions, 20112012

Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
506

Q2
Q3
Q4
95% CI
95% CI
95% CI
468
439
372
Q5
95% CI
374

95% CI
1.35
(461551)
(427509)
(396482)
(335410)
(335412)
(1.181.55)
(627847)
(473667)
(398578)
(303450)
(324488)
(1.412.33)
(387447)
(342399)
(299350)
(242290)
(260313)
(1.301.64)
737
417
667
(626709)
410
570
371
499
(463536)
310
488
324
465
(431500)
278
376
266
385
(354417)
255
406
286
377
(346409)
190
1.82
1.46
1.77
(1.591.96)
2.16
(400420)
(301319)
(269286)
(247263)
(183196)
(2.072.26)
(428445)
(299313)
(266279)
(229241)
(179190)
(2.292.46)
(605675)
(358410)
(227268)
(232273)
(220263)
(2.392.94)
437
640
814
(772857)
484
306
384
522
(488555)
354
272
248
437
(407467)
327
235
252
377
(349405)
284
184
241
358
(330387)
224
2.37
2.65
2.27
(2.062.50)
2.16
(467500)
(340369)
(313341)
(271297)
(212236)
(2.032.30)
(359385)
(281304)
(254276)
(230251)
(182202)
(1.822.06)
449
329
292
257
208
(444454)
(325334)
(288296)
(253261)
(205212)
372
*
*
*
293
*
*
*
265
*
*
*
241
*
*
*
192
*
*
*
1.94
*
*
*
2.16
(2.112.20)

70

95% CI
13.4%
(5.1%21.1%)
20.9%
(5.2%34.4%)
14.0%
(6.5%20.9%)
21.3%
(15.1%27.1%)
34.3%
(32.0%36.5%)
35.7%
(33.9%37.4%)
31.7%
(26.0%37.2%)
28.5%
(23.0%33.6%)
33.1%
(29.7%36.3%)
29.5%
(26.1%32.7%)
*
*
*
32.1%
(31.0%33.2%)
Equity
30-Day Acute Myocardial Infarction In-Hospital Mortality, 2009 2010 to 20112012
Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
9.0

Q2
Q3
Q4
95% CI
95% CI
95% CI
7.0
8.1
8.2
Q5
95% CI
8.6

95% CI
1.05

95% CI
-4.9%
(7.111.0)
(5.19.0)
(6.210.0)
(6.110.2)
(6.410.8)
(0.751.47)
(-32.1%17.7%)
(5.713.3)
(1.19.0)
(4.011.0)
(2.210.4)
(2.19.5)
(0.773.48)
(-46.4%53.7%)
(6.19.0)
(5.07.9)
(4.87.8)
(5.48.5)
(5.28.5)
(0.811.50)
(-24.6%20.0%)
(6.810.1)
(6.39.5)
(4.58.1)
(5.79.1)
(4.07.8)
(0.982.10)
(-8.8%40.2%)
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
9.5
7.6
8.5
..
8.4
5.1
6.4
7.9
..
7.6
7.5
6.3
6.3
..
7.4
6.3
7.0
7.4
..
7.4
5.8
6.9
5.9
..
6.8
1.64
1.10
1.44
..
1.23
14.9%
-0.3%
18.7%
..
10.1%
(8.08.8)
(7.28.1)
(7.07.9)
(7.07.9)
(6.37.3)
(1.131.35)
(4.1%15.8%)
(5.88.4)
(5.48.0)
(4.57.2)
(5.48.2)
(5.48.3)
(0.781.37)
(-23.9%15.2%)
(7.710.6)
(6.08.8)
(5.58.7)
(5.89.1)
(5.28.8)
(0.961.76)
(-15.0%27.7%)
(5.97.8)
(5.17.0)
(5.37.3)
(5.67.7)
(4.87.1)
(0.901.46)
(-11.2%21.7%)
7.1
9.1
6.9
7.6
6.7
7.4
6.1
6.8
5.8
7.1
6.3
7.3
6.8
7.5
6.7
7.1
6.9
7.0
6.0
5.9
(6.88.3)
(6.07.6)
(6.48.1)
(6.28.0)
(5.06.9)
8.1
7.2
7.1
7.3
6.6
(7.88.4)
(6.97.5)
(6.87.4)
(6.97.6)
(6.37.0)
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
1.04
1.30
1.14
1.28
(1.061.54)
*
*
*
1.22
(1.141.30)
-2.9%
8.4%
6.5%
15.1%
(2.3%26.5%)
*
*
*
9.0%
(4.4%13.4%)

30-Day Stroke In-Hospital Mortality, 2009 2010 to 20112012

Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
21.9

Q2
Q3
Q4
95% CI
95% CI
95% CI
23.4
18.2
19.1
Q5
95% CI
18.5

95% CI
1.19

95% CI
8.5%
(17.826.0)
(19.327.4)
(14.521.8)
(15.322.9)
(14.622.3)
(0.891.57)
(-9.9%24.5%)
(11.425.0)
(6.521.3)
(12.028.0)
(7.223.5)
(14.230.4)
(0.491.37)
(-71.1%11.8%)
(16.021.9)
(15.821.6)
(16.021.9)
(11.818.2)
(14.320.6)
(0.861.38)
(-14.6%17.6%)
(11.917.8)
(11.317.5)
(9.215.9)
(12.118.3)
(14.421.6)
(0.621.09)
(-44.8%0.0%)
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
18.2
19.0
14.9
..
15.2
13.9
18.7
14.4
..
14.7
20.0
18.9
12.6
..
14.5
15.3
15.0
15.2
..
14.4
22.3
17.4
18.0
..
15.2
0.82
1.09
0.83
..
1.00
-24.8%
2.6%
-20.8%
..
-3.0%
(14.516.0)
(13.915.4)
(13.715.3)
(13.615.2)
(14.416.1)
(0.931.07)
(-8.1%2.0%)
(14.319.3)
(12.417.2)
(13.018.1)
(15.120.6)
(10.316.0)
(0.981.66)
(-1.9%31.4%)
(14.419.8)
(13.418.5)
(11.116.6)
(15.221.0)
(12.418.7)
(0.851.42)
(-15.6%20.3%)
16.8
17.1
14.0
14.8
16.0
15.0
15.5
13.8
13.1
17.8
18.1
13.2
13.1
15.5
11.6
1.28
1.10
1.21
16.1%
3.7%
13.8%
(12.415.7)
(13.316.6)
(11.414.9)
(11.415.1)
(9.813.5)
(0.991.47)
(0.7%25.6%)
(14.717.2)
(12.515.0)
(12.815.5)
(12.715.5)
(13.116.0)
(0.971.24)
(-9.6%8.6%)
16.0
*
*
*
13.8
*
*
*
14.1
*
*
*
14.1
*
*
*
14.6
*
*
*
1.09
*
*
*
-0.2%
*
*
*
15.6
14.9
14.5
14.7
14.9
1.05
0.2%
(15.116.2)
(14.315.4)
(14.015.1)
(14.115.3)
(14.315.5)
(0.991.10)
(-3.6%3.8%)

71

Self-Injury Hospitalization, 20112012
Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
86
(64108)
91

Q2
Q3
Q4
95% CI
95% CI
95% CI
96
(72119)
72
91
75
(67114)
(5397)
73
56
Q5
95% CI
89
(67112)
28

95% CI
0.96
(0.671.39)
3.29
(43139)
(30114)
(32115)
(2190)
(946)
(1.417.67)
(84119)
(5585)
(5887)
(5486)
(5184)
(1.122.05)
(103148)
(66102)
(67104)
(66104)
(4880)
(1.452.68)
102
126
83
(7888)
101
70
84
69
(6574)
69
72
70
85
85
58
54
(5463)
(4958)
56
54
67
64
45
(4049)
49
1.51
1.97
1.87
(1.672.09)
2.07
(96105)
(6573)
(5359)
(5158)
(4552)
(1.912.25)
(118153)
(5479)
(4266)
(4569)
(3861)
(2.113.60)
(134176)
(74107)
(69101)
(5281)
(3154)
(2.684.93)
135
155
90
(8298)
117
67
90
61
(5568)
94
54
57
85
66
57
54
(5063)
(4860)
82
74
49
43
44
(3850)
57
(109126)
(86102)
(7589)
(6781)
(5164)
101
73
63
59
50
(98104)
(7075)
(6166)
(5761)
(4853)
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
2.76
3.63
2.04
(1.742.40)
2.04
(1.782.34)
*
*
*
2.01
(1.912.11)

95% CI
-2.1%
(-27.4%19.2%)
56.4%
(17.9%77.8%)
11.8%
(-9.7%29.8%)
28.4%
(10.0%43.5%)
28.5%
(22.1%34.5%)
26.0%
(21.1%30.5%)
31.6%
(15.5%45.0%)
51.2%
(37.0%62.5%)
28.3%
(19.0%36.7%)
32.5%
(24.9%39.4%)
*
*
*
27.4%
(24.5%30.2%)

30-Day Readmission for Mental Illness, 20112012

Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
12.7

Q2
Q3
Q4
95% CI
95% CI
95% CI
10.7
14.6
12.0
Q5
95% CI

95% CI
16.0
0.79
-21.5%
(9.116.4)
(7.114.3)
(10.918.3)
(8.116.0)
(12.919.2)
(0.561.12)
(-44.9%-0.8%)
(10.618.9)
(6.215.7)
(8.418.2)
(8.118.9)
(4.815.2)
(0.822.68)
(-24.9%52.0%)
(11.916.6)
(9.715.4)
(8.614.2)
(10.516.7)
(7.513.8)
(0.961.89)
(-9.1%36.7%)
(10.814.7)
(11.015.6)
(8.814.0)
(10.615.7)
(9.014.8)
(0.811.42)
(-17.7%24.7%)
14.8
14.3
12.8
12.1
11.0
12.6
13.3
10.8
13.3
11.4
11.4
11.2
13.5
13.6
13.2
10.4
10.0
10.6
11.9
9.4
1.48
1.35
1.07
1.29
21.2%
16.4%
5.5%
14.9%
(11.412.8)
(10.011.7)
(10.312.1)
(9.411.4)
(8.310.5)
(1.131.47)
(5.0%23.9%)
(11.612.6)
(10.912.2)
(10.812.3)
(10.812.3)
(10.512.1)
(0.981.17)
(-3.6%9.7%)
(6.910.1)
(7.411.6)
(6.011.0)
(5.811.3)
(4.810.1)
(0.761.71)
(-20.2%38.2%)
(9.813.1)
(8.712.9)
(7.912.3)
(7.812.7)
(8.613.4)
(0.801.36)
(-23.6%17.3%)
(8.510.5)
(10.913.4)
(7.610.4)
(7.510.5)
(7.010.4)
(0.871.37)
(-6.1%26.3%)
(13.114.6)
(13.415.2)
(11.313.3)
(11.013.3)
(10.012.4)
(1.101.39)
12.1
11.9
11.3
11.2
10.7
(11.812.4)
(11.512.3)
(10.811.7)
(10.711.6)
(10.211.2)
12.1
8.5
11.5
9.5
13.8
*
*
*
11.5
9.5
10.8
12.1
14.3
*
*
*
11.5
8.5
10.1
9.0
12.3
*
*
*
11.5
8.6
10.3
9.0
12.1
*
*
*
11.3
7.5
11.0
8.7
11.2
*
*
*
1.07
1.14
1.04
1.09
1.23
*
*
*
1.13
(1.071.20)

72

95% CI
3.3%
13.2%
-1.5%
11.4%
14.0%
(5.1%22.1%)
*
*
*
7.6%
(3.5%11.6%)
Equity
30-Day ReadmissionPatients Age 19 and Younger, 20112012
Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
5.1

Q2
Q3
Q4
95% CI
95% CI
95% CI
5.4
6.0
7.2
Q5
95% CI
5.7

95% CI
0.90

95% CI
3.8%
(3.17.2)
(3.57.3)
(4.17.9)
(5.39.1)
(3.97.5)
(0.541.51)
(-26.5%28.4%)
(1.49.0)
(3.810.4)
(1.18.5)
(1.68.7)
(0.99.0)
(0.353.13)
(-74.4%57.9%)
(4.87.5)
(5.08.0)
(3.26.3)
(4.77.7)
(5.38.2)
(0.661.23)
(-34.4%8.4%)
(5.68.2)
(4.07.0)
(3.86.8)
(4.88.0)
(4.87.7)
(0.821.50)
(-25.1%17.8%)
(5.76.7)
(5.66.6)
(5.76.7)
(5.66.5)
(5.46.4)
(0.931.17)
(-4.7%9.8%)
(6.77.4)
(6.57.3)
(5.96.7)
(6.77.4)
(6.27.1)
(0.971.15)
(-3.6%7.8%)
(6.07.9)
(5.48.1)
(4.47.3)
(4.67.3)
(4.77.5)
(0.871.48)
(-17.0%22.9%)
(6.27.9)
(5.67.7)
(5.07.4)
(5.57.6)
(6.18.5)
(0.791.18)
(-24.1%7.5%)
5.2
6.1
6.9
6.2
7.0
7.0
7.0
7.1
(6.47.7)
6.5
(5.87.3)
*
*
*
7.1
6.5
5.5
6.1
6.9
6.7
6.7
6.3
(5.67.0)
6.4
(5.77.2)
*
*
*
4.8
4.7
5.3
6.2
6.3
5.9
6.2
5.7
(5.06.4)
5.4
(4.76.1)
*
*
*
5.2
6.2
6.4
6.1
7.0
5.9
6.6
6.1
(5.46.7)
6.1
(5.46.9)
*
*
*
5.0
6.8
6.2
5.9
6.7
6.1
7.3
5.9
(5.26.7)
7.0
(6.27.7)
*
*
*
1.04
0.90
1.11
1.04
1.06
1.13
0.97
1.20
(1.031.40)
0.94
(0.801.10)
*
*
*
9.4%
-11.5%
-2.0%
2.7%
2.2%
4.7%
-7.4%
5.0%
(-6.2%15.2%)
-11.0%
(-22.5%-0.4%)
*
*
*
6.8
6.5
6.1
6.5
6.4
1.05
0.3%
(6.57.0)
(6.36.7)
(5.86.3)
(6.26.7)
(6.26.7)
(1.001.11)
(-3.3%3.8%)

30-Day Obstetric Readmission, 20112012

Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
3.3

Q2
Q3
Q4
95% CI
95% CI
95% CI
3.0
2.6
2.6
Q5
95% CI
1.5

95% CI
2.13

95% CI
40.2%
(2.44.1)
(2.23.7)
(1.83.5)
(1.83.4)
(0.72.4)
(1.163.89)
(4.0%64.0%)
(0.23.4)
(0.73.7)
(0.22.8)
(0.74.5)
(1.84.9)
(0.191.47)
(-156.7%-2.4%)
(1.72.7)
(1.93.0)
(1.62.7)
(1.93.1)
(1.73.0)
(0.651.33)
(-28.1%20.6%)
(2.13.3)
(1.83.2)
(1.12.6)
(1.63.1)
(2.03.4)
(0.721.42)
(-37.5%13.0%)
(1.92.3)
(1.82.3)
(1.62.0)
(1.62.1)
(1.62.1)
(0.971.37)
(-7.7%16.0%)
(1.82.1)
(1.51.9)
(1.72.0)
(1.41.7)
(1.41.8)
(1.061.42)
(-1.2%18.8%)
(2.73.3)
(2.53.3)
(2.23.1)
(2.03.0)
(2.33.3)
(0.871.32)
(-17.5%15.9%)
1.8
2.2
2.7
2.1
1.9
3.0
2.6
2.2
2.4
2.5
2.0
1.7
2.9
2.1
0.8
2.1
1.8
1.8
1.8
2.7
2.3
1.8
2.5
2.4
1.9
1.5
2.5
2.0
3.4
2.3
2.7
1.8
1.6
2.8
1.8
0.53
0.93
1.01
1.16
1.23
1.07
1.46
-70.8%
-1.5%
-10.2%
4.7%
9.2%
0.3%
18.9%
(2.23.0)
(1.62.5)
(1.82.8)
(1.52.5)
(1.32.3)
(1.052.02)
(-5.4%38.2%)
(1.92.4)
(1.62.1)
(1.72.2)
(1.52.0)
(1.62.2)
(0.951.37)
(-13.3%13.9%)
(2.22.8)
(2.12.6)
(1.92.4)
(2.02.5)
(2.12.7)
(0.881.23)
(-15.8%9.0%)
2.2
2.0
2.0
1.8
1.9
(2.12.3)
(1.92.1)
(1.92.1)
(1.71.9)
(1.82.0)
2.2
2.5
*
*
*
1.8
2.4
*
*
*
2.0
2.1
*
*
*
1.7
2.3
*
*
*
1.9
2.4
*
*
*
1.14
1.04
*
*
*
1.17
(1.091.26)
1.1%
-2.8%
*
*
*
4.9%
(-0.3%9.9%)

73

30-Day Medical Readmission, 20112012
Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
13.4

Q2
Q3
Q4
95% CI
95% CI
95% CI
12.3
13.2
12.7
Q5
95% CI
12.2

95% CI
1.10

95% CI
4.6%
(12.414.4)
(11.213.4)
(12.114.3)
(11.613.8)
(11.013.3)
(0.981.24)
(-3.6%12.3%)
(9.213.2)
(11.415.8)
(11.115.6)
(11.015.4)
(9.314.1)
(0.731.26)
(-11.5%22.9%)
(11.112.9)
(11.213.0)
(11.413.3)
(11.313.2)
(11.213.3)
(0.881.10)
(-8.2%7.2%)
(12.714.3)
(12.914.5)
(12.914.6)
(11.913.7)
(12.314.2)
(0.931.12)
(-5.2%7.8%)
11.2
12.0
13.5
13.5
(13.213.7)
14.3
13.6
12.1
13.7
12.9
(12.613.2)
13.6
13.4
12.4
13.8
12.9
(12.513.2)
12.9
13.2
12.2
12.8
12.9
(12.613.2)
13.3
11.7
12.2
13.2
12.6
(12.313.0)
12.8
0.96
0.98
1.02
1.06
(1.031.10)
1.12
7.0%
-0.3%
1.5%
2.8%
(0.2%5.3%)
4.7%
(14.014.5)
(13.413.9)
(12.613.1)
(13.013.5)
(12.513.1)
(1.091.15)
(13.915.3)
(12.614.1)
(12.013.6)
(12.814.5)
(12.213.9)
(1.031.21)
(-2.3%9.8%)
(14.215.5)
(14.515.9)
(13.815.3)
(13.314.9)
(14.015.7)
(0.931.07)
(-5.8%4.1%)
14.6
14.9
13.9
(13.514.4)
15.0
13.4
15.2
13.6
(13.214.1)
13.8
12.8
14.6
13.5
(13.014.0)
14.1
13.7
14.1
13
(12.513.5)
13.7
13.1
14.9
12.4
(11.812.9)
13.7
(14.715.4)
(13.414.2)
(13.714.6)
(13.314.2)
(13.214.2)
14.1
13.5
13.2
13.2
12.9
(13.914.2)
(13.313.6)
(13.113.4)
(13.013.4)
(12.713.1)
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
1.12
1.00
1.13
(1.071.19)
1.10
(1.051.15)
*
*
*
1.09
(1.071.11)
(2.8%6.5%)
3.9%
-0.8%
7.4%
(3.5%11.2%)
3.3%
(0.1%6.4%)
*
*
*
3.8%
(2.6%5.0%)

30-Day Surgical Readmission, 20112012

Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
6.4

Q2
Q3
Q4
95% CI
95% CI
95% CI
6.8
6.7
6.3
Q5
95% CI
6.4

95% CI
1.00
1.9%
(5.57.3)
(5.97.8)
(5.77.6)
(5.47.3)
(5.47.4)
(0.811.23)
(-12.3%14.6%)
(3.77.4)
(4.17.9)
(5.08.7)
(4.88.6)
(4.78.5)
(0.541.32)
(-33.8%20.9%)
(5.97.3)
(5.36.6)
(5.67.0)
(5.16.5)
(5.87.3)
(0.861.17)
(-16.0%5.1%)
(6.07.4)
(6.68.1)
(6.17.6)
(5.26.7)
(5.97.5)
(0.861.18)
(-10.7%10.6%)
5.5
6.6
6.7
6.5
6.0
6.0
7.3
6.3
6.9
6.3
6.8
5.9
6.7
5.8
5.9
6.0
6.6
6.5
6.7
5.6
0.84
1.00
1.01
1.17
-3.8%
-5.1%
0.4%
8.2%
(6.36.8)
(6.06.5)
(5.76.2)
(5.76.3)
(5.35.9)
(1.101.25)
(7.17.6)
(6.77.1)
(6.26.7)
(6.56.9)
(6.26.7)
(1.091.19)
(1.7%7.6%)
(6.27.5)
(5.56.7)
(5.16.4)
(4.65.9)
(5.46.7)
(0.981.31)
(-11.1%8.7%)
(7.58.8)
(6.88.2)
(7.18.4)
(6.88.1)
(6.78.2)
(0.961.24)
(-5.7%11.1%)
7.3
6.9
8.1
7.5
6.9
6.1
7.5
6.8
6.5
5.7
7.8
7.2
6.7
5.3
7.5
6.3
6.4
6.0
7.4
6.4
1.14
1.13
1.09
1.17
(7.17.9)
(6.47.2)
(6.87.6)
(5.96.7)
(6.06.8)
(1.081.27)
(7.17.8)
(7.27.9)
(6.97.7)
(6.47.2)
(6.37.0)
(1.041.20)
7.1
6.8
6.5
6.4
6.3
(7.07.2)
(6.76.9)
(6.46.7)
(6.36.5)
(6.26.4)
7.5
*
*
*
7.5
*
*
*
7.3
*
*
*
6.8
*
*
*
6.7
*
*
*
1.12
*
*
*
1.13
(1.101.16)

74

95% CI
(4.0%12.2%)
4.7%
-0.9%
3.0%
6.0%
(0.5%11.4%)
6.7%
(2.0%11.2%)
*
*
*
5.0%
(3.1%6.8%)
Equity
30-Day Acute Myocardial Infarction Readmission, 20112012
Q1
95% CI
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
14.7

Q2
Q3
Q4
95% CI
95% CI
95% CI
7.4
13.7
8.8
Q5
95% CI
13.1

95% CI
1.12

95% CI
-12.5%
(10.818.5)
(3.211.6)
(9.917.6)
(4.513.2)
(8.318.0)
(0.711.76)
(-56.7%21.1%)
(0.313.9)
(2.318.8)
(4.922.0)
(8.524.3)
(5.220.8)
(0.0010.90)
(-83.0%37.2%)
(6.212.3)
(9.815.9)
(8.915.5)
(5.111.8)
(5.312.3)
(0.631.76)
(-20.5%41.7%)
(9.417.2)
(11.919.6)
(13.721.5)
(6.514.7)
(8.716.9)
(0.671.60)
(-20.2%32.5%)
2.3
9.3
13.3
11.6
(10.512.8)
13.5
10.5
13.5
12.9
12.2
15.8
17.6
10.5
9.3
(9.311.7)
(8.010.5)
12.0
11.5
16.4
8.5
10.6
10.9
(9.512.3)
11.4
-13.0
8.8
12.8
8.3
(6.89.8)
10.9
0.18
1.05
1.04
1.40
(1.151.72)
1.25
-12.1%
15.2%
9.1%
19.1%
(4.9%31.5%)
8.9%
(12.514.5)
(11.013.1)
(10.412.6)
(10.312.5)
(9.712.0)
(1.091.42)
(10.316.7)
(5.811.8)
(4.610.9)
(3.710.3)
(4.811.8)
(1.002.62)
(-30.5%39.0%)
(12.019.3)
(7.515.1)
(9.517.1)
(10.018.1)
(8.817.5)
(0.791.78)
(-29.7%28.3%)
(10.915.2)
(9.413.8)
(8.112.7)
(6.811.4)
(7.412.4)
(0.971.78)
(-14.5%28.0%)
13.5
15.6
13.1
14.2
8.8
7.8
11.3
13.3
11.6
10.4
13.7
12.3
7.0
14.0
9.1
11.3
8.3
13.2
9.9
9.7
(12.516.0)
(11.815.6)
(10.414.2)
(9.313.3)
(7.611.7)
12.9
11.7
11.2
10.9
10.1
(12.313.5)
(11.112.3)
(10.511.8)
(10.211.6)
(9.310.8)
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
1.62
1.19
1.32
1.47
(1.151.89)
*
*
*
1.29
(1.181.40)
(-0.3%17.4%)
9.5%
2.7%
8.8%
21.7%
(5.3%35.7%)
*
*
*
12.0%
(6.1%17.6%)

Neighbourhood income quintile
Small geographic areas divided into five roughly equal population groups. Quintile 1 refers to the least affluent neighbourhoods,
whilequintile 5 refers to the most affluent. The quintiles were constructed according to the methods developed at Statistics Canada.
Disparity rate ratio (RR)
Ratio of a health indicator rate for the least affluent neighbourhood income quintile (Q1) to the rate for the most affluent neighbourhood
income quintile (Q5). It provides a summary measure of the magnitude of the socio-economic disparity for a health indicator in a
jurisdiction. It should be evaluated together with other measures, such as the indicator rate for each neighbourhood income quintile
aswell as the potential rate reduction. The 95% confidence interval (CI) is provided to assist interpretation. When the 95% CI does
notcontain a value of 1, RR indicates a statistically significant disparity between Q1 and Q5 rates within the jurisdiction, as indicated
bythe symbol.
Potential rate reduction (PRR)
Reduction in a health indicator rate that would occur in the hypothetical scenario that each neighbourhood income group experienced
the rate of the most affluent neighbourhood income quintile (Q5), expressed as a percentage. This measure is based on the concept
of the excess morbidity or mortality that could be prevented and provides a summary measure of the overall effect of socio-economic
disparities on a health indicator. It should be evaluated together with other measures, such as the indicator rate for each neighbourhood
income quintile as well as the disparity rate ratio. The 95% CI is provided to assist interpretation. When the 95% CI does not contain
avalue of 0, PRR indicates a statistically significant potential reduction in the overall indicator rate within the jurisdiction, as indicated
bythe symbol.
75

Mental Illness Hospitalization
20112012
Age-Standardized
Rate per 100,000
95% CI

1011 Eastern
1012 Central
1013 Western
415
180
629
989
(386444)
(158201)
(531728)
(8661,112)
838
(767910)
Nova
1211
1212
1223
1234
1258
1269
401
302
577
249
368
745
275
Map
Code
Health Region
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
76
Mental Illness Patient Days

20112012
Age-Standardized
Rate per 10,000
95% CI
505
260
889
1,184
(448563)
(221299)
(7171,061)
(8691,499)
1,012
(8851,139)
(381422)
(239366)
(471682)
(190308)
(308429)
(668822)
(250299)
581
534
740
354
396
899
456
(521641)
(298770)
(4711,008)
(156552)
(288504)
(7591,040)
(385527)
631
543
324
456
811
(603660)
(496590)
(286363)
(407505)
(713908)
859
938
609
499
1,057
(794924)
(7731,104)
(485732)
(429569)
(8691,246)
434
726
825
310
587
668
257
396
640
734
716
701
294
482
357
493
(427441)
(663790)
(762888)
(292327)
(552622)
(609727)
(248267)
(368425)
(573707)
(653816)
(622809)
(659742)
(270318)
(450513)
(332382)
(475512)
893
1,064
1,281
744
934
1,356
844
588
841
1,974
1,018
1,123
855
895
750
904
(866920)
(9191,210)
(1,1251,436)
(682807)
(8531,015)
(1,2011,510)
(787900)
(515661)
(4781,205)
(1,0502,897)
(7731,262)
(1,0191,228)
(736975)
(793997)
(661839)
(849959)
442
400
458
411
483
395
312
404
329
400
457
390
608
1,007
1,098
(437448)
(376425)
(437480)
(388434)
(464501)
(375414)
(297327)
(387421)
(316343)
(385415)
(424489)
(373406)
(572644)
(9591,055)
(1,0231,174)
547
668
544
546
517
426
396
529
366
465
526
514
515
1,661
1,280
(532562)
(611725)
(509578)
(489603)
(485548)
(396456)
(367424)
(492565)
(345387)
(439491)
(480572)
(484545)
(414617)
(1,3741,948)
(1,0351,525)
488
427
799
234
294
277
707
(470506)
(405448)
(690907)
(181286)
(242346)
(229325)
(606809)
811
911
1,428
293
279
253
995
(760862)
(838984)
(1,0001,855)
(191394)
(201356)
(194311)
(7541,236)

Mental Illness Hospitalization
20112012
Map
Code
Health Region
Age-Standardized
Rate per 100,000
95% CI
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
609
546
702
546
740
378
837
952
(586633)
(442650)
(595809)
(503588)
(630849)
(347409)
(731943)
(8271,076)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
427
718
376
448
345
592
(417437)
(668767)
(361390)
(422475)
(327363)
(556628)
646
649
936
874
722
693
578
534
423
625
607
591
716
503
1,272
880
907
(634659)
(564735)
(7901,081)
(816931)
(664780)
(645740)
(549607)
(505562)
(372474)
(595654)
(559656)
(552631)
(659773)
(438569)
(1,1101,434)
(805955)
(8011,014)
787
(653921)
1,544
(1,3531,735)
737
(611863)
489
(485492)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
Yukon
Nunavut
Canada
Mental Illness Patient Days

20112012
Age-Standardized
Rate per 10,000
95% CI
770
555
1,045
855
1,147
658
753
864
(727813)
(419691)
(8241,266)
(761949)
(8671,427)
(583734)
(594912)
(6941,035)
665
906
746
548
605
504
(639691)
(817996)
(695796)
(497599)
(561648)
(450558)
759
457
739
821
594
750
684
639
469
1,017
659
903
799
605
875
936
952
(737781)
(367547)
(610867)
(746897)
(526662)
(676825)
(629738)
(593685)
(382556)
(9441,089)
(576742)
(808998)
(695903)
(483727)
(7091,041)
(8031,070)
(7041,199)
541
(388693)
1,094
(8081,381)
418
(326511)
707
(697717)
Mental illness hospitalization
Age-standardized rate of separations from general hospitals through discharge or death following a hospitalization for a selected mental
illness, per 100,000 population age 15 and older. The hospitalization rate in general hospitals is a partial measure of hospital utilization in acute
settings. This indicator may reflect differences between jurisdictions, such as the health of the population, different health service delivery
models and variations in the availability and accessibility of specialized, residential and/or ambulatory and community-basedservices.
Sources: Discharge Abstract Database and Ontario Mental Health Reporting System, Canadian Institute for Health Information; Fichier des hospitalisations
MED-CHO, ministre de la Sant et des Services sociaux du Qubec.
Mental illness patient days
Age-standardized rate of total number of days in general hospitals for selected mental illness, per 10,000 population age 15 and older.
The patient days rate in general hospitals is a partial measure of hospital utilization in acute settings. This indicator may reflect differences
between jurisdictions, such as the health of the population, differing health service delivery models and variations in the availability and
accessibility of specialized, residential and/or ambulatory and community-based health services.
Sources: Discharge Abstract Database and Ontario Mental Health Reporting System, Canadian Institute for Health Information; Fichier des hospitalisations
MED-CHO, ministre de la Sant et des Services sociaux du Qubec.
77

Hip Replacement
20112012
Map
Code
Knee Replacement
20112012
Age-Standardized
Rate per 100,000
95% CI
88
104
85
53
111
(8096)
(92116)
(66104)
(3868)
(94129)
Nova
1211
1212
1223
1234
1258
1269
106
97
88
105
109
118
107
(100113)
(76119)
(65111)
(83127)
(86133)
(100135)
(97117)
108
126
116
106
63
(101115)
(111141)
(100132)
(90122)
(4780)
76
83
71
65
76
83
72
103
78
84
49
72
65
90
76
80
(7478)
(7195)
(6180)
(5971)
(6984)
(7393)
(6876)
(92114)
(6493)
(65103)
(3562)
(6480)
(5773)
(8199)
(6883)
(7685)
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
112
130
136
126
126
75
104
99
87
103
117
113
125
128
153
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
118
119
143
114
91
124
118
Health Region

1011 Eastern
1012 Central
1013 Western
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
78
Age-Standardized
Rate per 100,000
95% CI
165
172
165
147
178
(154176)
(157186)
(142189)
(121172)
(156200)
187
220
131
186
155
261
171
(178195)
(187253)
(104158)
(159214)
(127182)
(235287)
(158185)
169
202
200
150
110
(160178)
(183221)
(179221)
(132169)
(89132)
123
138
156
107
133
126
96
166
129
170
104
139
109
134
112
133
(120125)
(123152)
(142170)
(100115)
(124143)
(114138)
(91100)
(152180)
(110147)
(144197)
(86122)
(128150)
(99119)
(123145)
(103121)
(127139)
(110114)
(121138)
(129144)
(118135)
(120131)
(6881)
(97110)
(93105)
(8291)
(98109)
(108126)
(107119)
(115136)
(119136)
(137169)
192
195
221
182
228
196
158
121
145
190
245
199
195
259
236
(189194)
(184206)
(211230)
(171193)
(220236)
(185207)
(150167)
(114127)
(139151)
(182197)
(232258)
(191207)
(182207)
(246271)
(216256)
(111124)
(110127)
(109178)
(85144)
(70111)
(101147)
(93143)
189
182
209
208
174
196
192
(181197)
(171193)
(166252)
(169247)
(147202)
(167225)
(160224)

Hip Replacement
20112012
Map
Code
Health Region
Age-Standardized
Rate per 100,000
Knee Replacement
20112012
95% CI
Age-Standardized
Rate per 100,000
95% CI
213
181
235
176
210
238
247
170
(204222)
(145218)
(194276)
(159194)
(174245)
(219256)
(211282)
(136204)
199
263
181
251
186
176
(194204)
(243284)
(172189)
(235267)
(177195)
(161192)
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
128
109
115
100
146
144
166
124
(121136)
(81138)
(87142)
(86113)
(113179)
(129158)
(136197)
(94153)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
128
139
126
140
124
121
(124132)
(124154)
(119133)
(128152)
(117131)
(108134)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
113
149
151
132
156
108
88
85
74
76
126
123
142
163
157
165
149
(109116)
(122175)
(126176)
(121143)
(140173)
(95121)
(7996)
(7892)
(6087)
(6984)
(113139)
(111134)
(128155)
(141185)
(126188)
(142187)
(114184)
157
227
190
176
233
203
119
145
100
81
158
137
187
204
235
290
152
(153161)
(195258)
(162218)
(163189)
(214252)
(185220)
(109128)
(136154)
(85116)
(7489)
(143172)
(125148)
(173202)
(181227)
(198272)
(260320)
(116188)
Yukon
112
(63161)
165
(111219)
53
(1986)
63
(2897)
**
390
(249530)
105
(103106)
169
(168171)
Nunavut
Canada
Hip replacement
Age-standardized rate of unilateral or bilateral hip replacement surgery performed on inpatients in acute care hospitals, per 100,000
population age 20 and older. Hip replacement surgery has the potential to improve functional status, reduce pain and contribute to other
gains in health-related quality of life. Wide inter-regional variation in hip replacement rates may be attributable to numerous factors, including
the availability of services, provider practice patterns and patient preferences.
Knee replacement
Age-standardized rate of unilateral or bilateral knee replacement surgery performed on patients in acute care hospitals or same-day surgery
facilities, per 100,000 population age 20 and older. Knee replacement surgery has the potential to improve functional status, reduce pain
and contribute to other gains in health-related quality of life. Wide inter-regional variation in knee replacement rates may be attributable to
numerous factors, including the availability of services, provider practice patterns and patient preferences.
79

Percutaneous Coronary Intervention
20112012
Map
Code
Health Region

1011 Eastern
1012 Central
1013 Western
Age-Standardized
Rate per 100,000
95% CI
157
166
137
137
(146168)
(151181)
(115159)
(112162)
Coronary Artery Bypass Graft Surgery

20112012
Age-Standardized
Rate per 100,000
95% CI
71
71
76
67
(6478)
(6181)
(6091)
(5085)
144
(125164)
Nova
1211
1212
1223
1234
1258
1269
157
156
169
160
167
162
153
(149165)
(126186)
(137201)
(134186)
(138196)
(139186)
(141166)
203
184
253
234
195
(193213)
(165202)
(230277)
(211257)
(165224)
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
62
(4975)
56
59
68
62
64
61
49
(5261)
(4276)
(4887)
(4677)
(4682)
(4874)
(4256)
73
63
72
70
78
(6779)
(5274)
(5984)
(5783)
(6095)
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
61
62
68
69
54
45
55
52
68
76
88
68
53
59
62
66
(5962)
(5272)
(5877)
(6375)
(4860)
(3752)
(5158)
(4460)
(5582)
(5994)
(71106)
(6076)
(4660)
(5266)
(5569)
(6271)
171
168
132
105
187
202
146
144
158
171
182
176
175
259
270
(169173)
(158178)
(125140)
(97113)
(179194)
(191213)
(139154)
(136151)
(152165)
(165178)
(171194)
(168184)
(163187)
(246272)
(249291)
66
82
64
62
79
73
67
42
53
55
96
56
85
66
105
(6568)
(7589)
(5969)
(5668)
(7484)
(6680)
(6273)
(3846)
(5057)
(5159)
(88105)
(5261)
(7794)
(6072)
(92118)
198
191
144
189
190
218
200
(190207)
(180202)
(109178)
(152226)
(160221)
(188248)
(167233)
71
71
42
75
57
76
44
(6676)
(6578)
(2361)
(5199)
(4173)
(5894)
(2959)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
80

Percutaneous Coronary Intervention
20112012
Map
Code
Coronary Artery Bypass Graft Surgery

20112012
Age-Standardized
Rate per 100,000
95% CI
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
202
176
183
194
257
211
220
166
(193211)
(139213)
(145220)
(176212)
(215300)
(193228)
(186253)
(133198)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
173
137
152
193
174
227
(168178)
(122151)
(144159)
(179207)
(166183)
(210245)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
163
159
153
139
139
235
172
190
126
127
142
157
183
151
210
190
186
(160167)
(131186)
(127178)
(127151)
(124154)
(217254)
(160183)
(180200)
(109143)
(118137)
(128156)
(144169)
(169198)
(130172)
(174245)
(166214)
(147225)
Yukon
196
(138254)
215
(149280)
17
(133)
Nunavut
117
(56178)
64
(11116)
Canada
172
(171174)
62
(6162)
Health Region
Age-Standardized
Rate per 100,000
95% CI
69
44
61
71
75
62
76
60
(6475)
(2762)
(3983)
(6083)
(5496)
(5372)
(5697)
(4079)
45
46
36
43
49
59
(4247)
(3855)
(3240)
(3649)
(4554)
(5069)
56
38
44
37
42
77
63
64
51
50
59
53
58
57
63
68
57
(5358)
(2552)
(3158)
(3143)
(3450)
(6687)
(5670)
(5870)
(4062)
(4456)
(5068)
(4660)
(4966)
(4570)
(4383)
(5483)
(3579)
82
(40124)
Percutaneous coronary intervention
Age-standardized rate of percutaneous coronary intervention (PCI) performed on patients in acute care hospitals, same-day surgery
facilities or catheterization laboratories, per 100,000 population age 20 and older. In many cases, PCI serves as a nonsurgical alternative
to coronary artery bypass graft (CABG) surgery and is undertaken for the purpose of opening obstructed coronary arteries. The choice
of revascularization mode (that is, PCI or CABG) depends on numerous factors, including severity of coronary artery disease, physician
preferences, availability of services, referral patterns and differences in population health and socio-economic status.
Sources: Discharge Abstract Database and National Ambulatory Care Reporting System, Canadian Institute for Health Information.
Coronary artery bypass graft surgery
Age-standardized rate of coronary artery bypass graft (CABG) surgery performed on inpatients in acute care hospitals, per 100,000
population age 20 and older. As with other types of surgical procedures, variations in CABG surgery rates can be attributed to numerous
factors, including differences in population demographics and health status, physician practice patterns and availability of services. In cases
amenable to treatment with less invasive procedures, percutaneous coronary intervention (PCI), an alternative treatment to improve blood
flow to the heart muscle, may be used. Variations in the extent to which PCI is utilized may result in variations in bypass surgery.
Sources: Discharge Abstract Database, Canadian Institute for Health Information; Fichier des hospitalisations MED-CHO, ministre de la Sant et
desServices sociaux du Qubec.
81

Cardiac Revascularization
20112012
Map
Code Health Region
Age-Standardized
Rate per 100,000
Hysterectomy
20112012
95% CI
Age-Standardized
Rate per 100,000
95% CI
396
366
435
473
(368423)
(332401)
(365506)
(392555)

1011 Eastern
1012 Central
1013 Western
226
235
213
200
(213239)
(217252)
(186240)
(170231)
Nova
1211
1212
1223
1234
1258
1269
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
New Brunswick
207
(183230)
213
215
235
222
230
223
202
(204222)
(181250)
(198272)
(192253)
(196264)
(197250)
(188216)
268
247
325
303
272
(256280)
(225268)
(298351)
(277330)
(238307)
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
.. ..
236
249
195
166
265
274
211
184
211
226
275
230
259
324
374
(233238)
(237261)
(186204)
(156176)
(256273)
(261287)
(202220)
(175192)
(203218)
(218234)
(261290)
(222239)
(245274)
(310339)
(349399)
268
261
186
257
246
293
242
(258278)
(248273)
(146225)
(214300)
(212281)
(258328)
(206278)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
82
381
(326435)
411
319
402
593
585
421
291
(389432)
(241396)
(310494)
(496690)
(487684)
(358483)
(265316)
421
411
437
351
352
(397446)
(366456)
(387488)
(305396)
(281424)
289
414
434
230
361
392
201
267
472
335
427
374
267
314
307
310
(283295)
(363465)
(390478)
(212248)
(332389)
(355430)
(191211)
(240294)
(411534)
(275395)
(350503)
(342405)
(242291)
(288339)
(284331)
(296325)
306
407
408
375
365
258
210
171
237
309
359
326
369
489
354
(301310)
(381433)
(386430)
(353397)
(349381)
(241275)
(197223)
(160183)
(226247)
(295322)
(331388)
(310342)
(340398)
(457521)
(313394)
358
309
461
470
402
423
529
(340375)
(288330)
(367554)
(381559)
(326478)
(356490)
(435623)

Cardiac Revascularization
20112012
Map
Code Health Region
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
Age-Standardized
Rate per 100,000
95% CI
Hysterectomy
20112012
Age-Standardized
Rate per 100,000
95% CI
269
217
243
261
332
271
296
225
(258279)
(176257)
(200287)
(240282)
(285380)
(251291)
(257335)
(188263)
469
527
587
418
659
456
296
581
(447491)
(416638)
(470704)
(377459)
(533784)
(417495)
(231361)
(479684)
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
217
183
187
236
222
287
(212222)
(166200)
(178195)
(220251)
(213232)
(267306)
376
478
300
517
342
536
(366386)
(433522)
(285314)
(481553)
(325359)
(497574)
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
218
197
197
175
181
312
234
253
176
176
199
207
238
208
271
257
240
(213222)
(166228)
(168226)
(162189)
(164198)
(290333)
(221248)
(241265)
(156196)
(165187)
(183215)
(193221)
(222255)
(183232)
(230312)
(229285)
(195285)
285
379
412
381
498
476
210
235
181
137
184
275
498
425
345
575
332
(277293)
(309448)
(335488)
(347416)
(445551)
(433518)
(192227)
(217253)
(153209)
(123150)
(160208)
(248303)
(450546)
(358493)
(274416)
(506643)
(259405)
Yukon
278
(206349)
368
(265470)
232
(164299)
310
(217403)
Nunavut
181
(100261)
289
(161416)
Canada
233
(231235)
320
(317323)
Cardiac revascularization
Age-standardized rate of coronary artery bypass graft (CABG) surgery performed on inpatients in acute care hospitals or percutaneous
coronary intervention (PCI) performed on patients in acute care hospitals, same-day surgery facilities or catheterization laboratories, per
100,000 population age 20 and older. The choice of revascularization mode (that is, PCI or CABG) depends on numerous factors, including
severity of coronary artery disease, physician preferences, availability of services, referral patterns and differences in population health and
socio-economic status. The combined cardiac revascularization rate represents total activity of cardiac revascularization in a jurisdiction.
Sources: Discharge Abstract Database and National Ambulatory Care Reporting System, Canadian Institute for Health Information.
Hysterectomy
Age-standardized rate of hysterectomy provided to patients in acute care hospitals or same-day surgery facilities, per 100,000 women age
20 and older. Similar to other types of surgical procedures, variations in hysterectomy rates can be attributed to numerous factors, including
differences in population demographics and health status, physician practice patterns and availability of services.
83

Inflow/Outflow Ratio, 20112012
Hysterectomy
Percutaneous
Coronary
Intervention
..
0.98
1.05
1.06
..
1.08
0.91
0.99
..
1.62
0.00
0.00
..
1.79
0.00
0.00
0.91
0.95
0.96
0.00
0.00
..
0.00
0.00
1.60
0.00
1.06
1.46
..
1.21
1.00
0.99
1.07
..
0.00
0.00
1.61
0.00
1.07
1.48
..
1.28
0.96
1.09
0.96
..
0.80
0.63
1.21
0.99
0.72
1.25
..
1.23
0.99
0.87
0.88
..
0.00
0.00
0.00
0.00
0.00
2.81
..
0.00
0.00
0.00
0.00
0.00
3.40
..
0.00
3.63
0.00
0.00
..
0.00
4.24
0.00
0.00
..
0.93
0.99
1.32
0.90
1.09
1.40
0.77
0.96
0.78
0.72
0.78
0.77
0.72
0.76
0.78
..
0.95
1.01
1.05
0.94
0.66
1.68
0.85
0.92
0.83
0.63
1.25
0.46
0.74
0.62
0.70
..
0.99
1.03
1.09
1.08
0.54
1.73
0.84
1.07
0.81
0.75
1.12
0.54
0.62
0.68
0.75
..
0.96
1.05
1.37
0.98
1.05
1.63
0.50
1.02
0.74
0.62
0.76
0.78
0.56
0.70
0.77
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
0.00
1.00
2.44
0.00
1.61
3.14
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
..
0.88
1.07
0.91
1.00
0.76
0.97
1.90
0.88
0.82
0.96
1.11
0.87
0.93
0.92
..
0.91
0.95
1.00
0.95
0.78
0.83
2.41
0.91
0.70
1.06
1.02
0.68
0.77
0.96
..
0.90
0.95
0.99
0.95
0.67
0.98
2.50
1.03
0.83
1.09
1.00
0.71
0.80
0.98
..
0.85
1.11
0.90
1.05
0.57
0.80
2.56
0.90
0.80
1.01
1.13
0.89
0.89
0.79
..
0.56
1.09
1.43
0.98
0.14
1.56
3.08
0.79
0.57
0.97
1.11
0.00
0.91
0.94
..
0.00
1.55
1.43
1.12
0.00
1.43
4.69
1.03
0.00
0.94
1.41
0.00
0.79
0.00
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
..
1.40
1.61
0.56
0.51
0.77
0.54
..
1.51
1.00
0.00
0.00
1.18
0.00
..
1.56
2.02
0.00
0.00
1.01
0.00
..
1.60
2.34
0.33
0.29
0.11
0.06
..
..
1.85
0.00
0.00
0.00
0.00
0.00
1.81
0.00
0.00
0.00
0.00
0.00
Map
Code Health Region
Overall
Hip
Replacement

1011 Eastern
1012 Central
1013 Western
..
1.10
0.84
0.93
..
1.01
0.93
1.08
0.91
Nova
1211
1212
1223
1234
1258
1269
New Brunswick
..
0.67
0.74
0.99
0.58
0.90
1.43
..
1.11
1.14
0.91
0.93
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
84
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
Knee
Replacement
Bypass
Surgery

Inflow/Outflow Ratio, 20112012
Hysterectomy
Percutaneous
Coronary
Intervention
..
0.00
0.30
1.34
0.00
1.94
0.76
0.00
..
0.35
0.83
1.21
1.06
1.41
1.04
1.30
..
0.00
0.00
1.95
0.00
1.86
0.00
0.00
..
0.00
0.00
1.95
0.00
1.99
0.00
0.00
..
1.10
1.10
0.66
1.21
0.67
..
1.29
1.01
0.67
1.23
0.66
..
0.94
1.08
0.76
1.26
0.65
..
0.00
1.43
0.00
1.85
0.00
..
0.00
1.55
0.00
1.71
0.00
..
0.84
0.84
1.04
0.92
0.92
1.03
0.78
0.97
1.61
0.88
1.15
0.85
0.84
0.82
0.91
0.86
..
0.75
0.71
1.04
0.59
0.73
0.66
0.50
1.41
3.31
0.80
0.99
0.81
1.08
0.39
0.80
0.84
..
0.80
0.79
1.02
0.73
0.89
0.74
0.62
2.20
2.99
0.97
0.96
0.89
1.14
0.55
0.85
1.12
..
0.63
0.80
0.98
1.04
0.91
0.80
0.64
0.94
2.54
0.81
1.09
0.86
1.01
0.94
0.71
0.83
..
0.00
0.00
1.88
0.00
0.00
2.57
0.00
0.00
3.49
0.00
2.29
0.00
0.00
0.00
0.00
0.00
..
0.00
0.00
0.00
0.00
0.00
2.19
0.00
0.00
4.38
0.00
2.88
0.00
0.00
0.00
0.00
0.00
0.83
0.00
0.60
0.96
0.00
0.00
Map
Code Health Region
Hip
Replacement
Overall
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
..
0.51
0.82
1.23
0.83
1.37
0.98
1.03
..
0.00
0.42
1.42
0.00
1.91
0.70
0.00
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
..
0.92
1.07
0.80
1.25
0.78
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
Yukon
Knee
Replacement
Bypass
Surgery
0.98
0.18
0.13
0.85
0.00
0.00
Nunavut
0.43
0.00
0.00
0.23
0.00
0.00
..
..
..
..
..
..
Canada
Inflow/outflow ratio
A ratio of the number of discharges from relevant facilities (acute care/same-day surgery) within a given region divided by the number of
discharges generated by residents of that region. An overall ratio is calculated for discharges associated with any diagnosis or procedure
for acute care discharges only and separately for hip replacement, knee replacement, hysterectomy, percutaneous coronary intervention
(PCI) and coronary artery bypass surgery procedures from all relevant facilities. A ratio of less than one indicates that health care utilization
by residents of a region exceeded care provided within that region, suggesting an outflow effect. A ratio greater than one indicates that care
provided by a region exceeded the utilization by its residents, suggesting an inflow effect. A ratio of one indicates that care provided by a
region is equivalent to the utilization by its residents, suggesting that inflow and outflow activity, if it exists at all, is balanced. A ratio of zero
isan indication that none of the institutions in the region provided the service and residents received care outside of their region.
Note: The PCI inflow/outflow ratios for Quebec are not available due to differences in data collection.
85
Map
Code Health Region
General/Family Physicians
2011
95% CI
Rate per 100,000
95% CI
123
126
123
116
(113132)
(113138)
(100145)
(92140)
108
136
69
74
(99117)
(123149)
(5286)
(5593)
97
(81113)
80
(6695)
122
114
91
108
93
112
141
(115129)
(86141)
(66115)
(85130)
(71115)
(93131)
(130152)
119
59
44
82
56
85
181
(112126)
(3978)
(2762)
(63102)
(3973)
(68101)
(168194)
New Brunswick
113
114
107
110
117
(106121)
(99128)
(91122)
(94125)
(93141)
100
118
123
74
86
(93107)
(104133)
(106139)
(6287)
(65106)
Quebec
2405 Estrie
2406 Montral
2407 Outaouais
2409 Cte-Nord
2413 Laval
2414 Lanaudire
2415 Laurentides
2416 Montrgie
114
140
124
157
107
131
122
94
134
147
195
108
90
85
94
95
(111116)
(124157)
(110137)
(148166)
(98116)
(118144)
(117127)
(84104)
(115153)
(123171)
(167224)
(98118)
(8099)
(7693)
(86102)
(90100)
117
104
87
184
81
146
214
61
84
63
96
75
71
56
51
66
(115120)
(90118)
(7698)
(174194)
(7389)
(132159)
(208221)
(5369)
(6999)
(4778)
(76115)
(6784)
(6379)
(4963)
(4556)
(6270)
Ontario
3501 Erie St. Clair
3502 South West
3505 Central West
3508 Central
3509 Central East
3510 South East
3511 Champlain
3513 North East
3514 North West
95
72
93
84
87
65
79
170
85
73
114
124
92
99
116
(9497)
(6679)
(8799)
(7891)
(8291)
(6071)
(7484)
(163178)
(8190)
(6977)
(105124)
(118130)
(83101)
(90107)
(102130)
99
60
111
61
103
44
63
300
71
59
113
134
56
69
69
(98101)
(5465)
(104118)
(5667)
(97108)
(4049)
(5968)
(290310)
(6875)
(5563)
(104122)
(128141)
(4963)
(6276)
(5980)
Manitoba
4610 Winnipeg
4615 Brandon
4625 South Eastman
4630 Interlake
4640 Central
4645 Assiniboine
105
114
166
63
79
95
94
(99110)
(106122)
(131201)
(4582)
(6098)
(76113)
(71117)
93
152
87
*
18
15
*
(8899)
(143161)
(61112)
**
(927)
(722)
**

1011 Eastern
1012 Central
1013 Western
Nova
1211
1212
1223
1234
1258
1269
86
Scotia
South Shore
South West Nova
Annapolis Valley
Cape Breton
Capital
Rate per 100,000
Specialist Physicians
2011
Map
Code Health Region
Saskatchewan
4701 Sun Country
4702 Five Hills
4704 Regina
4705 Sunrise
4706 Saskatoon
4709 Prince Albert
4710 Prairie North
Alberta
4831 South Zone
4832 Calgary Zone
4833 Central Zone
4834 Edmonton Zone
4835 North Zone
British Columbia
5911 East Kootenay
5913 Okanagan
5921 Fraser East
5922 Fraser North
5923 Fraser South
5931 Richmond
5932 Vancouver
5933 North Shore
5951 Northwest
5953 Northeast
Yukon
Nunavut
Canada
General/Family Physicians
2011
Rate per 100,000
Rate per 100,000
95% CI
(94106)
(4994)
(71124)
(91115)
(60110)
(103127)
(94142)
(81128)
(107114)
(86109)
(113125)
(84101)
(117129)
(7794)
(114120)
(123177)
(135191)
(109132)
(96123)
(83105)
(7488)
(7285)
(74101)
(155174)
(116142)
(143169)
(117144)
(134179)
(103154)
(110147)
(66110)
(126212)
80
*
43
96
28
148
61
25
106
62
127
35
151
23
95
42
51
89
59
45
73
48
64
263
69
128
61
69
30
55
16
32
(7586)
**
(2661)
(84107)
(1442)
(134161)
(4478)
(1337)
(103109)
(5371)
(121133)
(2940)
(144158)
(1928)
(9298)
(2856)
(3667)
(7999)
(4969)
(3753)
(6679)
(4353)
(5375)
(251275)
(6079)
(116139)
(5270)
(5484)
(1843)
(4367)
(625)
(1350)
65
(4189)
23
(937)
33
(1352)
**
106
(105107)
103
(102104)
100
72
98
103
85
115
118
104
111
97
119
92
123
85
117
150
163
120
110
94
81
79
88
165
129
156
130
157
128
129
88
169
95% CI
Specialist Physicians
2011
Physicians
General/family physicians (family medicine and emergency family medicine specialists) and specialist physicians (medical, surgical
and laboratory specialists) on December 31 of the reference year, per 100,000 population. The data includes active physicians in clinical
practice and those not working in a clinical practice. Active physicians are defined as physicians who have an MD degree, are registered
with a provincial/territorial medical college and have a valid mailing address. The data excludes residents and non-licensed physicians who
requested that their information not be published in the Canadian Medical Directory as of December 31 of the reference year. Generally,
specialist physicians include certificants of the Royal College of Physicians and Surgeons of Canada (RCPSC) and/or the Collge des
mdecins du Qubec (CMQ), with the exception of Saskatchewan, Newfoundland and Labrador, Nova Scotia, New Brunswick, Yukon
andAlberta, where specialists also include physicians who are licensed as specialists but who are not certified by the RCPSC or the CMQ
(that is, non-certified specialists). For all other jurisdictions, non-certified specialists are counted as general practitioners. With the exception
of the criteria just noted, all other physicians are counted as family practitioners, including certificants of the College of Family Physicians
of Canada. For further methodological information, please see Supply, Distribution and Migration of Canadian Physicians (www.cihi.ca).
Physician-to-population rates are useful indicators and are published by a variety of agencies to support health human resources planning.
However, due to differences in data collection, processing and reporting methodology, CIHIs results may differ from provincial and territorial
data. Readers are cautioned to avoid inferences regarding the adequacy of provider resources based on supply ratios alone.
Source: Scotts Medical Database, Canadian Institute for Health Information.
87

Selected Health Professionals
2011
Nurses
Dental
Occupational PhysioChiroRNs LPNs Pharmacists Dentists Hygienists Dietitians Therapists therapists practors Optometrists Psychologists
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
1,184
1,040
982
1,087
838
705
961
927
792
656
1,101
1,405
781
485
426
392
384
267
234
225
263
202
185
218
212
166
127
122
125
101
99
81
104
113
104
92
89
44
90
35
50
57
42
59
64
50
38
54
67
126
125
195
34
62
70
57
68
95
54
52
72
72
77
58
15
34
47
52
45
35
25
33
29
27
25
34
30
43
42
49
34
44
28
40
38
30
24
244
94
60
77
29
39
43
42
60
60
48
46
58
57
56
62
97
..
..
12
5
13
8
16
32
21
18
24
24
23
..
..
10
12
11
15
17
15
11
13
15
13
26
0
0
38
25
54
57
96
25
22
46
70
24
..
148
57
51
24
15
49
Rates per 100,000 population.
Health Expenditure
Current Dollars ($ 000,000)

Actual
2010
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
Total Health Expenditure

Public
By Use of Funds
GDP (%) Sector (%)
(Percentage Distribution of $ 000,000), 2010
Capital and
Institutional Professional
Public
Other
2010
2010
Services
Services
Drugs
Health
Health
Forecast
2011
Forecast
2012
3,299
846
5,812
4,529
40,525
74,764
7,664
6,234
23,918
24,396
289
434
403
3,456
889
6,009
4,691
42,329
77,112
7,942
6,671
24,892
25,456
313
444
418
3,594
927
6,146
4,778
43,976
79,137
8,226
6,933
26,021
26,486
313
434
447
11.7
16.9
16.0
15.4
12.7
12.2
14.1
9.8
9.1
12.0
12.4
9.3
22.9
77.1
73.5
68.6
69.5
70.6
68.3
74.3
76.4
73.7
70.3
79.1
84.3
93.2
51.3
43.4
44.1
45.3
41.5
37.3
42.3
41.9
41.7
35.2
40.8
46.5
45.3
18.6
19.4
21.5
21.0
22.5
26.4
21.6
22.6
25.3
27.9
18.2
17.7
17.1
14.6
15.2
17.0
17.3
19.5
16.4
13.4
14.0
12.8
13.0
9.1
7.1
5.3
3.2
4.4
3.1
3.3
3.1
6.0
7.0
8.4
5.8
6.7
17.6
9.1
11.3
12.3
17.6
14.2
13.1
13.5
14.0
15.7
13.0
14.3
17.3
14.3
19.6
21.0
193,114
200,622
207,417
11.9
70.5
39.5
24.8
15.9
5.4
14.4
Public Sector Health Expenditure by Use of Funds

($ per Capita), 2010
Capital and
Public
Other
Services
Services
Drugs
Health
Health
Private Sector Health Expenditure by Use of Funds

($ per Capita), 2010
Capital and
Public
Other
Services
Services
Drugs
Health
Health
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
3,036
2,205
2,354
2,416
1,863
1,712
2,304
2,233
2,423
1,676
2,577
3,873
5,384
831
729
787
764
670
913
845
872
969
844
1,100
1,459
1,908
292
269
366
287
423
347
314
371
332
232
395
371
327
204
258
193
197
159
340
435
503
373
360
1,476
900
1,387
614
871
521
520
503
548
713
582
641
675
1,071
1,753
2,422
274
357
361
310
262
397
325
270
258
219
840
737
170
368
413
536
500
483
577
494
480
659
657
422
299
192
652
628
683
757
576
578
520
467
492
468
367
332
326
0
0
0
0
0
0
0
0
0
0
0
0
0
183
166
352
265
187
241
260
193
281
254
123
189
149
Canada
1,920
843
345
306
576
316
561
555
236
88
Health professionals
Registered nurses (RNs), licensed practical nurses (LPNs), pharmacists (with the exception of Quebec
and Nunavut), physiotherapists and occupational therapists: rates reflect health professionals registered
with active-practising status and who are employed in these health professions. For other health professionals,
data reflects personnel regardless of employment status and includes the number of active registered dentists,
registered dental hygienists, registered dietitians, registered chiropractors, active registered optometrists
and active registered psychologists.
Notes: Personnel-per-population rates are revised annually using the most recent Statistics Canada population estimates and
therefore may differ slightly from previously published figures. Rates may differ from data published by provincial/territorial
regulatory authorities due to the CIHI collection, processing and reporting methodology. Please consult Canadas Health Care
Providers, 1997 to 2011A Reference Guide for more detailed methodological notes, data quality issues and professionspecific information, or contact us at hpdb@cihi.ca.
Sources: Health Personnel Database, Canadian Institute for Health Information.
Statistics Canada. Quarterly Demographic Estimates. March 2012;25(4). 91-002-X.
Total health expenditure
Total health expenditure includes any type of expenditure for which the primary objective is to improve or prevent
the deterioration of health status. Presented in current dollars and as a proportion of gross domestic product
(GDP). This definition allows economic activities to be measured according to primary purpose and secondary
effects. Activities that are undertaken with the direct purpose of providing or maintaining health are included.
Other activities are not included, even though they may impact health. For example, funds aligning with housing
and income support policies that have social welfare goals as their primary purpose are not considered to be
health expenditures, yet they are recognized as powerful factors in determining population health.
Source: National Health Expenditure Database, Canadian Institute for Health Information.
Proportion of public sector
Public-sector health expenditure presented as a proportion of total health expenditure.

Public sector includes health care spending by governments and government agencies.
Total health expenditure by use of funds
Percentage distribution of total health expenditure by health-spending category. Institutional services includes
hospitals and residential care types of facilities that are approved, funded or operated by provincial/territorial
governments. Professional services includes expenditures on primary professional fees paid to physicians
in private practice as well as for the services of privately practising dentists, denturists, chiropractors and
other health professionals. This category does not include the remuneration of health professionals on the
payrolls of hospitals or public-sector health agencies. Physician expenditures generally represents amounts
that flow through provincial medical care plans. Drugs includes expenditures on prescribed drugs and nonprescribed products purchased in retail stores. This category does not include drugs dispensed in hospitals
and other institutions. Public health is that provided by governments and governmental agencies and includes
expenditures for items such as food and drug safety, health inspections, health promotion, community mental
health programs, public health nursing, measures to prevent the spread of communicable diseases and other
related activities. Capital and other health includes expenditure on construction, machinery, equipment
and some software for hospitals, clinics, first-aid stations and residential care facilities (capital); the cost of
providing health insurance programs by the government and private health insurance companies, and all
costs for the infrastructure to operate health departments (administration expenditures); and, at the aggregate
level, expenditures on home care, medical transportation (ambulances), hearing aids, other appliances and
prostheses, health research and miscellaneous health care (other health).
89
General Notes
General Notes
The methodology used for the indicators was designed to maximize inter-regional,
interprovincial and interterritorial comparability given the characteristics of available

national data sets. For this reason, there may be differences between definitions, data
sources and extraction procedures used in some local, regional or provincial/territorial
reports when compared with those described here. In addition, discrepancies may
exist due to ongoing updates to the databases. Data presented here includes the latest
updates available at the time of publication.
Health regions are defined by provincial governments as areas of responsibility for
regional health boards (that is, legislated) or as regions of interest to health care
authorities. In order to determine what health region a patient belongs to, postal
codes are first mapped to census geography using Statistics Canadas Postal Code
Conversion File (PCCF, Vintage May 2011) and then to a health region using another
Statistics Canada product, Health Regions: Boundaries and Correspondence With
Census Geography. Boundaries are those that were in effect as of December 2007,
with the exception of Alberta zones, which are current as of December 2010.
In Nova Scotia, there are new region codes for district health authorities and zones.
Names remain unchanged.
Data for regions with a population of at least 50,000 is reported. This threshold
ensures stability in rates and reduces the risk of suppression stemming from privacy
and confidentiality issues.
Records with invalid, missing or partial postal codes cannot be mapped to a health
region and therefore are not included in the regional rates. However, they are
included in the provincial rates when possible. Non-Canadian residents are excluded
from Canada rates; they are identified by minipostal codes relating to one of
the U.S. states or by a postal code value or other relevant data element indicating
outofcountry residents.
For indicators under the Equity dimension, patients were assigned neighbourhood-
level income quintiles using Statistics Canadas Postal Code Conversion File Plus
(PCCF+, Version 5J). The postal code of a patients place of residence at the time
ofhospitalization was mapped to the smallest geographical unit available for analysis
in the 2006 Canadian censusthe dissemination area (DA)and the corresponding
neighbourhood income quintile of that DA was assigned to the patient.
Unless otherwise specified, hospitalizations include discharges and deaths for inpatients
in acute care hospitals for the reference period. Same-day surgery (outpatient) cases
are included in several indicators. Patients admitted to nonacute care hospitals (for
example, chronic care, psychiatric or rehabilitation facilities) are not included in the totals.
91
For procedure-derived indicators (for example, hip and knee replacement, percutaneous
coronary intervention and coronary artery bypass), rates are based on the total number
of discharges rather than the total number of interventions. For example, a bilateral
knee replacement provided at the same admission is counted as one event. Procedurederived indicators include discharges from acute care hospitals and same-day surgery
facilities, where applicable.
Wherever information is available, procedures that were performed out of hospital
and procedures that were abandoned after onset are excluded from the calculations.
Standardized rates are adjusted by age (collapsed to five-year groupings) using a

direct method of standardization based on the July 1, 1991, Canadian population.
Beginning with 20112012 data, the acute myocardial infarction readmission indicator
is revised to capture all-cause readmissions rather than readmissions for selected
conditions. This indicator is now calculated using one year of data rather than three
years of pooled data, counts readmissions within 30 days and, for the first time,
includes data submitted by Quebec. Rates for previous years, calculated using the
new definition, are provided in the Health Indicators e-publication.
Beginning with 20112012 data, the name of the 30-day pediatric readmission
indicator has been changed to 30-day readmissionpatients age 19 and younger.
For the mental healthrelated indicators (30-day readmission for mental illness
[MI], repeat hospitalizations for MI, MI hospitalization, MI patient days and selfinjury hospitalization), the population of interest includes discharges from general
hospitals. All free-standing psychiatric hospitals identified by the owners of the
databases used were not included. For the Discharge Abstract Database (DAD),
these include all institutions identified as psychiatric hospitals; for hospitalization
data from Quebec (MED-CHO), these include all centres hospitaliers de soins
psychiatriques. A list of psychiatric hospitals in the Ontario Mental Health Reporting
System (OMHRS) was provided by the OMHRS program area at CIHI. Specialized
acute services can be provided in general hospitals or psychiatric hospitals, and
service delivery may differ slightly across jurisdictions. Therefore, interjurisdictional
comparisons should be done with caution.
The mental illnesses selected for the mental healthrelated indicators (except self-
injury hospitalization) are substance-related disorders; schizophrenia, delusional and

non-organic psychotic disorders; mood disorders; anxiety disorders; and selected
disorders of adult personality and behaviour.
For indicators that include data from OMHRS, data that is available up until September
of the next fiscal year is used. For example, rates for 20112012 include OMHRS data
submitted to CIHI up until September 2012.
Starting with the Health Indicators 2012 report, Weyburn Mental Health Centre in
Saskatchewan is included in all mental healthrelated indicators (30-day readmission

for MI, repeat hospitalizations for MI, MI hospitalization, MI patient days and self-injury
hospitalization). As a result, rates for 20102011 and onwards for Sun Country Health
Region (4701) are not comparable with those reported in previous years.
92
General Notes
For 30-day readmission for MI, MI hospitalization, MI patient days and self-injury
hospitalization for North East LHIN, rates for 20092010 are not comparable
with those reported in later years. This is because Brant Community Healthcare
SystemBrantford General Hospital did not submit its 20092010 data to the
Ontario Mental Health Reporting System as of the reporting deadline for the Health
Indicators 2011 report.
To ensure interprovincial comparability of indicators, diagnosis codes representing
diabetes without complications (E10.9, E11.9, E13.9, E14.9) were recoded to diabetes
with complications as per the Canadian coding standards on applicable records for
Quebec MED-CHO data. Details are available upon request.
Due to differences in data submission, the same Manitoba or Quebec resident treated
in and outside of the respective province could not be identified as the same individual.
This may affect a small number of cases for indicators that require tracking patients
beyond one hospitalization.
See the Health Indicators e-publication (www.cihi.ca or www.statcan.gc.ca) for diagnosis
and procedure codes used to extract the indicator data, detailed definitions and technical
notes. Indicator rates for years prior to those appearing inthis publication are also
available in the e-publication.
93
Indicator Index
Indicator Index
30-day acute myocardial infarction in-hospital mortality, by neighbourhood income quintile
30-day acute myocardial infarction in-hospital mortality, disparity rate ratio
30-day acute myocardial infarction in-hospital mortality, potential rate reduction
30-day acute myocardial infarction readmission rate
30-day acute myocardial infarction readmission rate, by neighbourhood income quintile
30-day acute myocardial infarction readmission rate, disparity rate ratio
30-day acute myocardial infarction readmission rate, potential rate reduction
30-day medical readmission, by neighbourhood income quintile
30-day medical readmission, disparity rate ratio
30-day medical readmission, potential rate reduction
30-day obstetric readmission, by neighbourhood income quintile
30-day obstetric readmission, disparity rate ratio
30-day obstetric readmission, potential rate reduction
30-day readmission for mental illness, by neighbourhood income quintile
30-day readmission for mental illness, disparity rate ratio
30-day readmission for mental illness, potential rate reduction
30-day readmissionpatients age 19 and younger, by neighbourhood income quintile
30-day readmissionpatients age 19 and younger, disparity rate ratio
30-day readmissionpatients age 19 and younger, potential rate reduction
30-day stroke in-hospital mortality, by neighbourhood income quintile
30-day stroke in-hospital mortality, disparity rate ratio
30-day stroke in-hospital mortality, potential rate reduction
30-day surgical readmission, by neighbourhood income quintile
30-day surgical readmission, disparity rate ratio
30-day surgical readmission, potential rate reduction
Adult body mass index, by Aboriginal identity
Ambulatory care sensitive conditions
Ambulatory care sensitive conditions, by neighbourhood income quintile
Ambulatory care sensitive conditions, disparity rate ratio
Ambulatory care sensitive conditions, potential rate reduction
Avoidable mortality from preventable causes
Avoidable mortality from treatable causes
Caesarean section
Cardiac revascularization
Coronary artery bypass graft surgery
Dependency ratio
5859
71
71
71
6061
75
75
75
6061
74
74
74
6263
73
73
73
6465
72
72
72
6465
73
73
73
5859
71
71
71
6263
74
74
74
38
5657
70
70
70
5051
5253
5657
8283
8081
3637
95
Fruit and vegetable consumption, by Aboriginal identity

Health expenditure
Health professionals
Heavy drinking, by Aboriginal identity
Hip replacement
Hospitalized acute myocardial infarction event
Hospitalized acute myocardial infarction event, by neighbourhood income quintile
Hospitalized acute myocardial infarction event, disparity rate ratio
Hospitalized acute myocardial infarction event, potential rate reduction
Hospitalized hip fracture event, by neighbourhood income quintile
Hospitalized hip fracture event, disparity rate ratio
Hospitalized hip fracture event, potential rate reduction
Hospitalized stroke event, by neighbourhood income quintile
Hospitalized stroke event, disparity rate ratio
Hospitalized stroke event, potential rate reduction
Hysterectomy
Inflow/outflow ratio
Injury hospitalization
Injury hospitalization, by neighbourhood income quintile
Injury hospitalization, disparity rate ratio
Injury hospitalization, potential rate reduction
Knee replacement
Life satisfaction, by Aboriginal identity
Mental illness hospitalization
Mental illness patient days
One or more chronic conditions, by Aboriginal identity
Patients with repeat hospitalizations for mental illness
Perceived mental health, by Aboriginal identity
Percutaneous coronary intervention
Physical activity during leisure time, by Aboriginal identity
Physicians
Population
Potentially avoidable mortality
Self-injury hospitalization, by neighbourhood income quintile
Self-injury hospitalization, disparity rate ratio
Self-injury hospitalization, potential rate reduction
Sense of community belonging, by Aboriginal identity
Smoking, by Aboriginal identity
Wait time for hip fracture surgery, by neighbourhood income quintile
Wait time for hip fracture surgery, disparity rate ratio
Wait time for hip fracture surgery, potential rate reduction
96
46
88
88
44
7879
4243
68
68
68
5455
69
69
69
4243
68
68
68
8283
8485
4041
69
69
69
7879
46
7677
7677
38
6667
38
8081
44
8687
3637
4849
6667
72
72
72
46
44
5455
70
70
70
30-Day Acute Myocardial Infraction

Readmission Rate
by Health Region, 20112012
B
98
Regional Map
Risk-Adjusted Rates (Percentage)

Above Canadian Average
Below Canadian Average
Same as Canadian Average

Data Unavailable or Suppressed
Notes
For Prince Edward Island (1100), Yukon (6001), the Northwest Territories (6101)
andNunavut (6201), the data on the map represents the entire province or territory.
Rates for smaller regions (population between 20,000 and 50,000) are available in
thee-publication at www.cihi.ca or www.statcan.gc.ca.
Sources
Discharge Abstract Database and National Ambulatory Care Reporting System, Canadian
Institute for Health Information; Fichier des hospitalisations MED-CHO, ministre de la
Sant et des Services sociaux du Qubec.
99
From cover
to
e-cover
CIHI, in partnership with Statistics Canada, maintains the

countrys most comprehensive set of regional health indicators.
Health Indicators 2013 provides you with a sample of these.
Foreven more health indicators anddata on more health
regions, as well as related information, take a look at our
HealthIndicators e-publication, available online!
www.cihi.ca
or
www.statcan.gc.ca
Health
Indicators
Data Tables
and Maps
Definitions
and
Technical
Notes
Access all
available CIHI
and Statistics
Canada health
indicators.
Explore data
tables, selecting
items such as
geography, age
group and sex.
Find definitions,
data sources and
methodologies
forhealth
indicators.
Highlights
Get a general
overview of
the state of the
health system
and the health
ofCanadians.
Production of this report is made possible by financial contributions from Health

Canada andprovincial and territorial governments. The views expressed herein
donot necessarily represent the views of Health Canada or any provincial
orterritorial government.
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copyright@cihi.ca
ISBN 978-1-77109-186-2 (PDF)
2013 Canadian Institute for Health Information
How to cite this document:
Canadian Institute for Health Information. Health Indicators 2013.
Ottawa, ON:CIHI; 2013.
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Health Indicators 2013

Better data. Better decisions.

To lead the development and

Respect, Integrity, Collaboration,

About the Canadian Institute for Health Information

About the Canadian Institute

Health Indicators 2013

Dr. Vivek Goel

About Statistics Canada

About Statistics Canada

How to Obtain More Information

You can also contact us by

Depository Services Program

Standards of Service to the Public

reflect the opinions of the experts or their affiliated organizations.

Health Indicators 2013

Hospitalized stroke event

For these 13 indicators, as well as the 2 reported by SES in previous reports

Potential rate reduction, which expressesas a percentagethe reduction

Health Indicators 2013

An overall comparison ofself-injury hospitalization rates across the provinces showed

Health Indicator Framework

Health Indicator Framework

Non-Medical Determinants of Health

Health System Performance

Community and Health System Characteristics

In Focus: Health System Performance Reporting

Obtain better information to track current and emerging health issues.

Address fragmented or incomplete data.

Health Indicators 2013

Reporting on Health System Performance

How healthy is the health system?

In Focus: Health System Performance Reporting

Figure 1: Health Indicators Project Evolution

Goal: Identify and report on

Setting Priorities for Indicator Development

Health Indicators 2013

Figure 2: Health Indicators Project Development

List of indicators selected

Indicators validated and

New online application:

10-year anniversary report

for immediate and future

In Focus: Health System Performance Reporting

Heart attack, hysterectomy and injury

New: Mental illness readmission, repeat

Health Care Outcomes

New: Avoidable mortality and all-cause

Child and Youth Health

All-cause readmission rate for patients

Social Determinants of Health

Fifteen indicators reported by SES

Health Indicators 2013

Leveraging Public Reporting on

In Focus: Health System Performance Reporting

As a leading source of reliable, comparable and timely health information in Canada,

Provide structured and coordinated pan-Canadian reporting on health system

performance that is tailored to the information needs of different audiences,

Did You Know?

Health Indicators 2013

CIHIs Initiative in More Detail

Reporting for the general public will focus on a limited

Reporting for point-of-care managers is similar to that for