easy reference guide to the national rehabilitation ......nrs data is available from 2000–2001 to...

Easy Reference Guide to the National Rehabilitation Reporting System April 2017

http://www.cihi.ca

Production of this document is made possible by financial contributions from Health Canada and provincial and territorial governments. The views expressed herein do not necessarily represent the views of Health Canada or any provincial or territorial government.

All rights reserved.

The contents of this publication may be reproduced unaltered, in whole or in part and by any means, solely for non-commercial purposes, provided that the Canadian Institute for Health Information is properly and fully acknowledged as the copyright owner. Any reproduction or use of this publication or its contents for any commercial purpose requires the prior written authorization of the Canadian Institute for Health Information. Reproduction or use that suggests endorsement by, or affiliation with, the Canadian Institute for Health Information is prohibited.

For permission or information, please contact CIHI:

Canadian Institute for Health Information 495 Richmond Road, Suite 600 Ottawa, Ontario K2A 4H6

Phone: 613-241-7860 Fax: 613-241-8120 [email protected]

© 2017 Canadian Institute for Health Information

Cette publication est aussi disponible en français sous le titre Guide de référence pratique du Système national d’information sur la réadaptation, avril 2017.

http://www.cihi.ca/mailto:[email protected]

UDSmr The FIM® instrument and impairment codes referenced herein are reproduced with permission of UB Foundation Activities, Inc. and are the property of Uniform Data System for Medical Rehabilitation (UDSmr), a division of UB Foundation Activities, Inc. The Rehabilitation Client Groups have been adapted from the impairment codes, with permission of UB Foundation Activities, Inc.

The FIM® instrument is a trademark of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

© 1997 Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

The FIM® instrument includes the following data elements:

41. Eating

42. Grooming

43. Bathing

44. Dressing — Upper Body

45. Dressing — Lower Body

46. Toileting

47. Bladder Management

48. Bowel Management

49. Transfers: Bed, Chair, Wheelchair

50. Transfers: Toilet

51. Transfers: Tub or Shower

52. Locomotion: Walk/Wheelchair

53. Locomotion: Stairs

54. Comprehension

55. Expression

56. Social Interaction

57. Problem-Solving

58. Memory

Table of contents About CIHI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

About the NRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Privacy and confidentiality of health information at CIHI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Easy Reference Guide to the NRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Part 1: Getting started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Staffing resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Access to NRS services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Part 2: Collecting data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Data collection software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Rehabilitation Minimum Data Set Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Part 3: Submitting data to CIHI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Facility profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Data submission process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Submitting data to CIHI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

NRS data submission timelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

NRS Data Submission Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Part 4: Managing data submissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

NRS Operational Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Part 5: Retrieving data from CIHI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

NRS eReports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

NRS eReports creation service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Quick Stats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Data requests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

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Easy Reference Guide to the National Rehabilitation Reporting System, April 2017

About CIHI The Canadian Institute for Health Information (CIHI) is an independent, not-for-profit organization that provides essential information on Canada’s health systems and the health of Canadians.

We provide comparable and actionable data and information that are used to accelerate improvements in health care, health system performance and population health across Canada. Our stakeholders use our broad range of health system databases, measurements and standards, together with our evidence-based reports and analyses, in their decision-making processes. We protect the privacy of Canadians by ensuring the confidentiality and integrity of the health care information we provide.

About the NRS The National Rehabilitation Reporting System (NRS) contains client data collected from participating adult inpatient rehabilitation facilities and programs across Canada. These include specialized facilities as well as hospital rehabilitation units, programs and designated rehabilitation beds. The minimum data set contains clinical data on functional status based on the 18-item FIM® instrument and additional elements that measure cognitive function and the performance of instrumental activities of daily living.

Facilities collect client data on admission and discharge from the inpatient rehabilitation program. There is an option to collect additional information in a follow-up assessment conducted 80 to180 days after a client completes his or her rehabilitation stay.

Data is sent directly to CIHI on an ongoing basis for inclusion in the NRS. It is then made available to participating facilities and others through a secure interactive reporting environment. NRS data is available from 2000–2001 to the most recently completed fiscal quarter. As of 2015–2016, there were more than 481,920 complete episodes (clients that have both an admission and a discharge record) in the NRS database, submitted by more than 100 facilities in 9 provinces and covering clients with a range of health conditions.

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Privacy and confidentiality of health information at CIHI We are committed to protecting the privacy of Canadians by ensuring the confidentiality, integrity and availability of our health care information. We do this through a comprehensive and integrated privacy and security program.

This includes a set of strict principles and policies that govern how CIHI collects, stores, analyzes and disseminates data.

You can learn more about CIHI’s existing policies, protocols and procedures by reading the Privacy and Security Risk Management Framework, available on our website. It outlines how we approach data governance, and maintain privacy and security protection in all that we do.

Easy Reference Guide to the NRS CIHI’s Rehabilitation team is pleased to provide this reference guide to support facilities through the processes involved in participating in the NRS. The guide is divided into the following 5 parts that explain the tasks to be completed to collect, submit and access NRS data:

Part 1: Getting started

Part 2: Collecting data

Part 3: Submitting data

Part 4: Managing data submissions

Part 5: Retrieving data from CIHI

The Rehabilitation team at CIHI provides ongoing support during all of these tasks. Please send your questions to [email protected]. Additional information can be found by accessing our website at www.cihi.ca/nrs. We welcome comments and suggestions about how to make future versions of this guide more useful.

https://www.cihi.ca/enmailto:[email protected]://www.cihi.ca/nrs

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Part 1: Getting started This section outlines the staffing resources that must be in place, as well as the tasks that need to be completed by a participating facility, before submitting data to the NRS.

Staffing resources Facility coordinator Each participating facility must name a facility coordinator. The facility coordinator will have varying responsibilities, depending on the processes in place at a particular facility. As a general rule, the facility coordinator is CIHI’s first point of contact with a facility regarding NRS reporting. In some cases, the facility coordinator may also have the role of data submission contact, so this person should also have a good understanding of data submission processes. Other responsibilities of the facility coordinator may include the following:

• Ensuring communication between CIHI and the facility, such as receiving CIHI material and reports, disseminating the information to appropriate facility staff and relaying questions from the facility to CIHI;

• Identifying/confirming key players, such as the NRS data submission contact and those requiring access to NRS applications and services;

• Ensuring that access privileges to NRS applications are kept current in the event of staffing changes (having a new user create a CIHI profile or having access revoked for a staff member who leaves the facility);

• Collaborating with the data submission contact(s) to ensure that facility information in the NRS facility profile is kept current;

• Identifying the need for and appropriately coordinating in-house training, including access to online CIHI training, as required;

• Providing CIHI with information about the software to be used for data entry (e.g., vendor or in-house software);

• Responding to NRS Submission Reports, in collaboration with the NRS data submission contact; and

• Ensuring accuracy and efficiency of data correction processes and making revisions when needed.

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Data submission contact(s) Participating facilities must provide the name and contact information of at least one data submission contact (maximum 2). Some of the responsibilities of the data submission contact may include

• Working closely with the NRS facility coordinator and others at the facility to discuss data and coding issues in order to establish consistent facility-level practices;

• Receiving the NRS data collected by the front-line clinicians and reviewing the files for completeness and errors;

• Entering the required administrative elements or, depending on the facility’s set-up, working with staff responsible for completing these elements;

• Producing and submitting files to CIHI; • Downloading and reviewing Submission Reports; • Generating and reviewing Verification Audit Reports; • Correcting and resubmitting records that have errors and/or warnings; • Monitoring and tracking submission files; • Acting as a resource person for NRS issues and troubleshooting as necessary; and • Collaborating with the facility coordinator to ensure that facility information in the NRS

facility profile is kept current.

NRS trainers NRS trainers are members of the rehabilitation team. NRS trainers must complete specific training courses offered by CIHI (see Overview of NRS Education), demonstrate comprehensive knowledge of all components of the NRS minimum data set and demonstrate NRS clinical assessment proficiency through successful completion of an online proficiency test. The NRS for Trainers learning pathway focuses on the assessment and data collection requirements for the NRS, the importance of data quality and consistency in information systems, and the role of NRS trainers in implementing the standardized minimum data set. NRS trainers should be familiar with the online training and testing options available through CIHI and are responsible for providing in-house NRS training to the other members of their facility’s rehabilitation team as needed, using materials and resources provided by CIHI. NRS trainers are expected to remain current in their understanding of NRS assessment guidelines by participating in periodic refresher training and recertification.

https://secure.cihi.ca/estore/productSeries.htm?pc=PCC1540

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NRS assessors NRS assessors are members of the rehabilitation team (front-line clinicians). NRS assessors must complete NRS training and testing, either through CIHI’s online Learning Centre, in-person training at their facility delivered by a qualified NRS trainer, or a combination of both methods. NRS assessors must demonstrate NRS clinical assessment proficiency through successful completion of an online proficiency test. Periodic refresher training and recertification is recommended. Please refer to Overview of NRS Education for courses available for NRS assessors.

Education The NRS offers a wide variety of education and training sessions on coding, data submission, and the use and interpretation of reports. Both elearning and live web conference training is available. These sessions are typically available at no charge for staff employed by NRS-participating facilities. An overview of NRS education sessions can be found in the CIHI Learning Centre (Overview of NRS Education and the Rehabilitation course catalogue). When viewing the course catalogue, be sure you are logged in to your CIHI account, as many NRS courses are restricted to NRS users and are not visible to the general public. Also note that individual learners must self-register for courses through the CIHI Learning Centre by logging in to their CIHI account (see Access to NRS services below).

Access to NRS services NRS licence agreements 2 agreements must be in place before a facility can access NRS services (outlined below) and begin submitting data to the NRS. Please email [email protected] for details.

Creating a CIHI profile/account To access any CIHI online service — such as eDSS, NRS Operational Reports, NRS eReports, the Learning Centre, eQuery or eStore — you must have a CIHI profile/account. To learn more or to create a CIHI profile/account, please visit CIHI’s general Help page.

https://secure.cihi.ca/estore/productSeries.htm?pc=PCC1540https://secure.cihi.ca/estore/productSeries.htm?pc=PCC1540mailto:[email protected]://www.cihi.ca/en/about-cihi/general-help-and-faq

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CIHI clients with a CIHI profile/account may request access to many of the online services that the NRS has to offer, including

• eDSS: Permits secure submission of facility profiles and quarterly data to CIHI • NRS Operational Reports

– Submission Reports: Provide information about the success or failure of records submitted from your facility to the NRS database

– Verification Audit Reports (VARs): Permit identification and verification of the individual records that have been accepted into the NRS database

– Rehabilitation Patient Group (RPG) Reports: Provide record-level files of facilities’ own data only and a subset of NRS data elements related to the RPG case-mix and cost-weight methodologies

• NRS eReports: Provide access to quarterly comparative data from your facility and from across the country

• CIHI Learning Centre: Register for and complete educational courses relevant to the NRS, including elearning courses and live web conferences. Staff must self-register for courses.

• eQuery: The eQuery tool allows users to search a database of existing questions and answers about a wide range of topics, including the NRS.

• eStore: In CIHI’s online store, you’ll find our products, publications, instruction manuals and more, including the Rehabilitation Minimum Data Set Manual.

Part 2: Collecting data Data collection processes vary from one facility to another. In this section, we outline the resources that can assist facilities in collecting high-quality data.

Data collection software NRS data is submitted to CIHI electronically. Facilities may choose to develop in-house NRS collection software or purchase NRS software from a licensed vendor. Check the list of vendors who have successfully submitted NRS test data for a given fiscal year.

Rehabilitation Minimum Data Set Manual The Rehabilitation Minimum Data Set Manual is published as 2 separate modules that are intended to provide comprehensive information to a broad range of partners and stakeholders who have key roles in the accurate coding and reporting of adult inpatient rehabilitation episodes to the NRS.

https://www.cihi.ca/en/data-and-standards/vendor-licensing/nrs-licensed-vendorshttps://www.cihi.ca/en/data-and-standards/vendor-licensing/nrs-vendor-testinghttps://www.cihi.ca/en/data-and-standards/vendor-licensing/nrs-vendor-testing

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The manual is available free of charge to participating facilities (in electronic format) and may be ordered by authorized individuals from CIHI’s eStore. You must be logged in to your CIHI account to access this material. For assistance with ordering the Rehabilitation Minimum Data Set Manual, please email [email protected].

Module 1: Technical specifications and data submission This module provides data and record submission specifications for use by facilities and vendors in the development of data collection software. This module is written primarily for information technology and data submission personnel who are responsible for NRS data submission.

Module 2: Clinical coding and NRS training Module 2 provides detailed coding and interpretation guidelines for clinical and health records staff at participating facilities involved in the assessment and coding of data and submission to the NRS.

Questions relating to NRS assessments and coding can be sent by email to [email protected]. You can also use the eQuery tool to search for previously submitted questions and answers.

eQuery: A tool for asking and answering questions about the NRS The eQuery tool has been designed to enhance the way in which participating facilities can interact with NRS staff at CIHI. You can use the eQuery tool to search an existing repository of questions and answers by topic (i.e., completing the NRS/FIM® assessment) or keyword. If you don’t find the answer to your question, you can use the eQuery tool to submit a new question to CIHI (in English or French) by first choosing the most appropriate topic.

You can access the eQuery tool once you have logged in to your CIHI profile/account.

https://secure.cihi.ca/estore/productbrowse.htmmailto:[email protected]:[email protected]://www.cihi.ca/en/equery-tool

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Part 3: Submitting data to CIHI All NRS data is submitted to CIHI electronically through a secure web-based application, the electronic Data Submission Services (eDSS).

Facility profile The facility profile is an administrative record that contains information about your facility, such as the facility address and contact information for the facility coordinator and data submission contact. It does not contain any information about clients. It is, however, sent to CIHI via the eDSS application in much the same way as client records are submitted.

Information contained in the facility profile is used by the NRS to automatically contact the facility. Therefore, it is important to keep the facility profile up to date.

The facility profile must be kept current with accurate email addresses, as NRS facility coordinators and data submission contacts automatically receive important NRS information (Submission Reports, bulletins, education session updates, access restrictions, etc.) via email.

The facility profile should be sent at the beginning of each fiscal year and updated as information changes throughout the year. For example, when a new person takes over the role of NRS facility coordinator, information should be changed on the facility profile and sent to the NRS. Your submission software should create a file named in the same manner as a regular NRS submission file, except the file will be named with “FI” (facility information) where the fiscal quarter identifier would normally appear.

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Data submission process

Facility submits file to NRS database File accepted

Submission Report notification automatically

sent to submission contact

Facility views Submission Report, corrects and

resubmits any records that were rejected, if applicable

File not accepted Email sent to

facility outlining reason for rejection

Submitting data to CIHI Your data collection software should, upon demand, generate a file containing client records (admission, discharge and/or follow-up) for a particular fiscal period. Submission files for the NRS must be named according to a particular file-naming convention. Your software will name these files automatically, but it is a good idea to know the meaning of the different parts of the file name.

NRSyyyypphhhhhss.txt

NRS = reporting system This identifies the data holding to which the submission file corresponds.

yyyy = fiscal year This fiscal year is not necessarily the current fiscal year; it is the fiscal year of the records contained in the file.

pp = quarter (01–04 or FI) This is not necessarily the current quarter; it is the quarter of the records contained in the file.

hhhhh = facility number

ss = sequence number The first file within a particular quarter should have a sequence number of 01, the second file should have a sequence number of 02, and so on.

Example: NRS2010FI5555501.txt

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Before your data can be submitted to CIHI, it must be zipped (i.e., the .txt file containing your data must be compressed and packaged into a .zip file) to allow for quicker submission. Your vendor’s software may do this automatically or you may be required to do it yourself. Files that are not zipped will be rejected. The file name of the zip file must correspond to the original file (except with .zip instead of .txt as a file extension), and only 1 .txt file can be contained within a .zip file. For more information on how to zip files, please contact your software vendor.

To submit your zipped file, use CIHI’s secure eDSS tool.

1. Log in to your CIHI account.

2. Select electronic Data Submission Services (eDSS). 3. Select [NRS] (applicable only if you have eDSS access for multiple databases). 4. Enter the Facility #, Period (the quarter that corresponds to the quarter in your file name),

Year (the year that corresponds to the year in your file name) and Number of Records in the file.

5. Indicate the type of data submitted (live/test):

• Facility/Organization Live Data Submission: To be used only when submitting live data during the year

• Facility/Organization Test Data Submission: To be used only when submitting test data

• Vendor Test Data Submission: To be used by vendors to submit test data or by facilities to send test data on behalf of their vendors

6. Attach the file to be submitted. 7. Make sure all the fields on the screen have been entered correctly and click Submit Data. 8. An “Uploading Status” screen will appear (see Important note below).

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Important note Do not close the screen until a message appears confirming success of the file submission. You may minimize the browser window, but do not go to any other location using the browser (e.g., History, Back to My Services). These actions will terminate the data transfer and you will be required to resubmit the file.

Note that this message simply means that the file has been successfully sent via eDSS. It does not mean that the file was successfully accepted into the NRS database. This can be determined only once the file has been processed at CIHI. The standard time to process data files is 1 to 3 business days. Once the data file has been processed, the data submission contact listed on the facility profile will receive an email indicating that the Submission Report is available. This report will outline any individual client records that were rejected due to errors. If the entire file was not accepted into the database, the NRS team at CIHI will contact the data submitter via email to explain why the file was rejected.

NRS data submission timelines Quarter Reporting period

Early submission deadline

Final submission deadline*

NRS eReports data updated†

1 April 1–June 30 July 31 August 15 Approximately 2 weeks after the final data submission deadline

2 July 1–September 30 October 31 November 15 Approximately 2 weeks after the final data submission deadline

3 October 1–December 31 January 31 February 14 Approximately 2 weeks after the final data submission deadline

4 January 1–March 31 April 30 May 15 Approximately 2 weeks after the final data submission deadline

Notes * The NRS quarterly data cut occurs 2 weeks after the final data submission deadline. The time between the early and final

submission deadlines allows facilities to submit corrections for records that were submitted by the early submission deadline but were rejected due to errors.

† This time frame may vary slightly according to CIHI’s internal production schedule.

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NRS Data Submission Guide The NRS Data Submission Guide (available in PDF) is intended to support users in understanding the NRS data submission process. It is available for download in the CIHI Learning Centre (accessible once you have logged in to your CIHI account) under course 815E: NRS Resources. It is intended primarily for NRS data submission contacts, health records staff and others responsible for submitting data to the NRS. Facility coordinators may also find this guide helpful.

Part 4: Managing data submissions CIHI produces several different reports to help you manage your data submissions and ensure that they are complete and accurate. These reports are available to authorized users through NRS Operational Reports. Files are in tab-delimited ASCII format so that they may be viewed, if desired, using a spreadsheet program such as Microsoft Excel; relevant data elements are outlined below.

To access NRS Operational Reports:

1. Log in to your CIHI account.

2. Select Operational Reports > NRS.

NRS Operational Reports Submission Reports Once a data file has been successfully accepted into the NRS database, the data submission contacts will receive notification of the availability of a Submission Report. Every file that is processed by CIHI will have an associated Submission Report. i This report outlines the number of client records contained in the file that were accepted into and/or rejected by the database and provides brief explanations for any records that were rejected so that they may be corrected and resubmitted.

i. No submission report will be generated in the event of a file error that prevents the processing of the submitted file. When this occurs, CIHI will notify the submission contact by email and provide direction to correct the error in order to successfully resubmit the record.

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Verification Audit Reports VARs allow facilities to identify and verify specific individual records from the facility that have been accepted into the NRS database. Data submitted and accepted into the NRS will be reflected in the VAR as soon as the Submission Report is available. Variables included in the VAR are as follows:

• Submission Filename • Process Date • Chart Number • Admission Class • Rehabilitation Client Group (RCG) • Admission Date

• Admission Fiscal Year • Admission Quarter • Discharge Date • Discharge Fiscal Year • Discharge Quarter • Follow-Up Date

RPG Reports These NRS record-level Rehabilitation Patient Group (RPG) files contain a facility’s own data only and include a subset of NRS data elements related to the RPG case-mix and cost-weight methodologies. All records in the NRS database at the time of report production, regardless of discharge status, are included in these facility files.

NRS RPG file layout

NRS data element NRS data element number Facility Number 1A

Facility Name 1F

Chart Number 4

Admission Date 21

Discharge Date 30

RCG 34

Eating 41 (Admit)

Grooming 42 (Admit)

Bathing 43 (Admit)

Dressing — Upper Body 44 (Admit)

Dressing — Lower Body 45 (Admit)

Toileting 46 (Admit)

Bladder Management 47 (Admit)

Bowel Management 48 (Admit)

Transfers — Bed, Chair, Wheelchair 49 (Admit)

Transfers — Toilet 50 (Admit)

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Locomotion — Walk/Wheelchair 52 (Admit)

Locomotion — Stairs 53 (Admit)

Comprehension 54 (Admit)

Expression 55 (Admit)

Social Interaction 56 (Admit)

Problem-Solving 57 (Admit)

Memory 58 (Admit)

Rehabilitation Time With an Occupational Therapist (OT) 91A

Rehabilitation Time With a Physiotherapist (PT) 91B

Rehabilitation Time With a Speech–Language Pathologist (SLP) 91C

Rehabilitation Time With an Occupational Therapist Assistant (OTA) 91D

Rehabilitation Time With a Physiotherapist Assistant (PTA) 91E

Rehabilitation Time With a Communicative Disorders Assistant (CDA) 91F

Active Rehab Length of Stay Derived

Age at Admission Derived

Case Mix LOS Derived

Fiscal Year of Discharge Derived

NRS Patient Days Derived

Region Code Derived

Region Name Derived

RG Derived

RPG Derived

RPG Admit Cognitive Function Score Derived

RPG Admit Motor Function Score Derived

RPG Long Stay Trim Derived

RPG Rehabilitation Cost Weight Derived

RPG Short Stay Trim Derived

NRS data element NRS data element number

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Part 5: Retrieving data from CIHI There are several ways to retrieve data from CIHI. This section outlines the most common methods.

NRS eReports The NRS eReports system is a dynamic, secure and confidential online service that provides authorized users with a unique ability to view and analyze administrative and clinical NRS data. It is available to organizations submitting data to the NRS, their health authorities and ministries of health. NRS eReports are updated on a quarterly basis and offer customized views of selected administrative and clinical NRS data to facilitate evidence-based decision-making and comparisons within Canada’s health care systems.

Information • Client demographics, function indicators, resource utilization indicators and other outputs

for the most recent 6 fiscal years

• Facility, peer and national results

Functionality • Selection of peers for comparison • Manipulation of the appearance of reports • Figure and table creation • Exporting or saving data to Excel, PDF, CSV or HTML files • Ability to save report templates to allow for easy quarterly recreation of preferred reports

NRS eReports are available only to authorized users identified by organizations participating in the NRS.

NRS eReports –– Report Interpretation Guidelines

The Report Interpretation Guidelines outlines the content of reports and describes the attributes and metrics (indicators) available to users. It is available electronically on the NRS eReports launch page (under Support), via the NRS Operational Reports default page (under Manuals), or in the CIHI Learning Centre (under course 815E: NRS Resources).

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NRS eReports creation service The NRS team at CIHI is available to work with facility contacts to create and save customized reports in the NRS eReports system. Once these reports have been saved, facilities can run them whenever the need arises. Please contact us at [email protected] to access this service.

Quick Stats Quick Stats are a series of free, publicly available reports that provide aggregate-level data from a number of CIHI’s databases. For the NRS, 8 Quick Stats reports are available to the general public and include national-level information relevant to inpatient rehabilitation:

• Median Length of Stay in Inpatient Rehabilitation• Inpatient Rehabilitation Clients Reporting an Improvement of Pain at Discharge• Days Waiting for Admission to Inpatient Rehabilitation• Length of Stay and Length of Stay Efficiency of Inpatient Rehabilitation Clients• Demographic Characteristics of Inpatient Rehabilitation Clients• Function Scores of Inpatient Rehabilitation Clients• Distribution of Days Waiting for Admission to Inpatient Rehabilitation• Primary Services Referred to After Discharge From Inpatient Rehabilitation

Data requests If you require more detailed statistics than those available in Quick Stats or NRS eReports, you can make a custom data request. All data requests are subject to CIHI’s principles and policies for the protection of health information. For more information about data requests, click Access Data and Reports on CIHI’s home page and then click Make a Data Request.

Need further assistance? We’re always happy to help. Contact us at [email protected].

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Easy Reference Guide to the National Rehabilitation Reporting System UDSmr Table of contents About CIHI About the NRS Privacy and confidentiality of health information at CIHI Easy Reference Guide to the NRS Part 1: Getting started Staffing resources Facility coordinator Data submission contact(s) NRS trainers NRS assessors

Education Access to NRS services NRS licence agreements Creating a CIHI profile/account

Part 2: Collecting data Data collection software Rehabilitation Minimum Data Set Manual Module 1: Technical specifications and data submission Module 2: Clinical coding and NRS training eQuery: A tool for asking and answering questions about the NRS

Part 3: Submitting data to CIHI Facility profile Data submission process Submitting data to CIHI Important note

NRS data submission timelines NRS Data Submission Guide

Part 4: Managing data submissions NRS Operational Reports Submission Reports Verification Audit Reports RPG Reports NRS RPG file layout

Part 5: Retrieving data from CIHI NRS eReports Information Functionality NRS eReports –– Report Interpretation Guidelines

NRS eReports creation service Quick Stats Data requests

easy reference guide to the national rehabilitation ......nrs data is available from 2000–2001 to...

Documents