health indicators 2013 - cihi

Health Indicators 2013

Our VisionBetter data Better decisions Healthier Canadians

Our MandateTo 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 ValuesRespect Integrity Collaboration Excellence Innovation

Notice

January 30 2014

Update to Health Indicators 2013 Figure 5 in Health Indicators 2013 has been updated (page 15) In addition the footnote underneath the figure has been removed (ldquo This framework was still in development when this report was published A final version will be available later in the yearrdquo)

The updated figure is shown below

Figure 5 CIHIrsquos New Health System Performance Measurement Framework

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 1Introduction 3Reporting on Health System Performance and the Health of Canadians The Foundation 4Setting Priorities for Indicator Development and Reporting 5Leveraging Public Reporting on Health System Performance 8A Health System Performance Framework to Support Performance Improvement 14Conclusion 16

Whatrsquos New in This Report 17Building on Priority Areas Disparities Within the Health System 19Methodology 21Applying the Disparity Lens to Provincial Indicator Rates 22

References 25

AppendixmdashDefining Neighbourhood Income Quintile to Measure Disparity 29

Health Indicators Region by Region 33Health Region Profile 36Health Status 38Non-Medical Determinants of Health 44Health System Performance 48Equity 68Community and Health System Characteristics 76General Notes 91Indicator Index 95

Regional Map 98

This page has been intentionally left blank

iii

About the Canadian Institute for Health Information

About the Canadian Institute for Health InformationThe Canadian Institute for Health Information (CIHI) collects and analyzes information on health and health care in Canada and makes it publicly available Canadarsquos federal provincial and territorial governments created CIHI as a not-for-profit independent organization dedicated to forging a common approach to Canadian health information CIHIrsquos goal to provide timely accurate and comparable information CIHIrsquos 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 wwwcihica

As of March 14 2013 the following individuals are members of CIHIrsquos 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 santeacute publique du Queacutebec

Mr Luc Castonguay Assistant Deputy Minister Planning Performance and Quality Ministegravere de la Santeacute et des Services sociaux du Queacutebec

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 President and Chief Executive Officer Alberta Health Services

iv


Dr Vivek Goel President and Chief Executive Officer 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 QursquoAppelle Health Region

Mr Howard Waldner Chief Executive Officer Vancouver Island Health Authority

v

About Statistics Canada

About Statistics Canada Statistics Canada produces statistics that help Canadians better understand their countrymdashits 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 Canadarsquos health care resources The information is used to assist and support health planners and decision-makers 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 wwwstatcangcca

You can also contact us by Email At infostatsstatcangcca

Telephone From Monday to Friday 830 am to 430 pm at the following toll-free numbers

Statistical Information Service 1-800-263-1136

National telecommunications device for the hearing impaired 1-800-363-7629Fax line 1-877-287-4369

Depository Services Program Inquiries line 1-800-635-7943Fax line 1-800-565-7757

Standards of Service to the Public Statistics Canada is committed to serving its clients in a prompt reliable and courteous manner To this end Statistics Canada has developed standards of service that 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 wwwstatcangcca under ldquoAbout usrdquo gt ldquoThe agencyrdquo gt ldquoProviding services to Canadiansrdquo


vii

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 of Public 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 Integration Network

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

viii


The following people at CIHI provided guidance support and leadership throughout the development and production of this report

Jeremy Veillard Vice President Kira Leeb DirectorChantal Couris Manager

The core project team responsible for the development of this report is as follows

Yana Gurevich ManagerBrenda Tipper Senior ConsultantZeerak Chaudhary Project LeadYanyan Gong Team LeadLiudmila Husak Project LeadKathy Nguyen Project LeadErin Pichora Project LeadJoy Wang Project LeadMinh Duong-Hua MethodologistLeslie Choy Senior CoordinatorLuigi Vedovat Senior CoordinatorOpeyemi Fadahunsi Senior AnalystFarhat Farrokhi Senior AnalystViachaslau Herasimovich Senior AnalystTaryn Johnston Senior AnalystCandace Sirjoosingh Senior AnalystLing Yin Senior AnalystYue You Senior AnalystMary Elias AnalystChen Wu AnalystVeronika 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

ix

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 CIHIndash Statistics Canada Health Indicators project and some accomplishments in reporting on the 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 jurisdictionsrsquo 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 bull Hospitalized stroke event

bull Hospitalized hip fracture event

bull Wait time for hip fracture surgery

bull 30-day acute myocardial infarction in-hospital mortality

bull 30-day stroke in-hospital mortality

bull Self-injury hospitalization

bull Ambulatory care sensitive conditions hospitalization

bull 30-day readmission for mental illness

bull 30-day readmissionmdashpatients age 19 and younger

bull 30-day obstetric readmission

bull 30-day medical readmission

bull 30-day surgical readmission

bull 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) two summary measures of disparity are presented bull 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 in a jurisdiction

bull Potential rate reduction which expressesmdashas a percentagemdashthe 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 in health and health care and the potential effect of interventions aimed at reducing these disparities

x


The key findings derived from these new measures are the following bull 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 if all Canadians experienced the same rates as those living in the most affluent neighbourhoods

bull An overall comparison of self-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 2011ndash2012 Among these provinces Saskatchewan had the highest potential for rate reduction by addressing SES-related disparities (potential rate reduction of 51)

bull 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 Ontariorsquos 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

xi

Health Indicator Framework


Health Status How healthy are CanadiansHealth status can be measured in a variety of ways including well-being health conditions disability or death

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

Health behaviours

Living and working conditions

Personal resources

Environmental factors

Health System Performance How healthy is the health systemThese indicators measure various aspects of the quality of health care

Acceptability Accessibility Appropriateness CompetenceContinuity 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

Equity


In Focus Health System Performance Reporting


3


Introduction Introduction In early 1998 more than 500 health administrators researchers caregivers government officials health advocacy groups and consumers came together to identify Canadarsquos health information needs In response a national vision and an action plan for strengthening Canadarsquos health information system was developed1

The following priorities emerged from this conversation bull Obtain better information to track current and emerging health issues

bull Reach consensus on common data and technical standards so that the research community can more efficiently share comparable findings

bull Address fragmented or incomplete data

bull Improve the value of the analysis of the health information being captured

bull Disseminate health information more broadly to improve the health of Canadians and the performance of their health system1

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 plan1

At the time Canadarsquos total spending on health care was more than $80 billion a yearmdashthis rose to an estimated $2074 billion in 20122mdashbut 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 exists3 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

4


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 in Canadian jurisdictions While the large amount of performance information available means it can be challenging to use4 efforts to align performance measurement with the improvement priorities of jurisdictions will create a practical platform for evidence-based decision-making 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 Canada1 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 Canada1 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 Canadiansrsquo 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 bull How healthy is the health system

bull How healthy are Canadians

5


Figure 1 Health Indicators Project Evolution

Health informationneeds

500+ stakeholdersconsulted

CIHI

StatisticsCanada

Health IndicatorsProject

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)5ndash7 To achieve this participants used the CIHIndashStatistics 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 applications8ndash14

6


Figure 2 Health Indicators Project Development

First Consensus Conference 1999 bull List of indicators selectedfor immediate and futuredevelopmentbull Health IndicatorFramework adopted

Indicator Reportingbull Regional tables includedin Health Care in Canada (2000)bull New online applicatione-publication (2001)

Second Consensus Conference 2004 bull Indicators validated andpriorities setbull Support for new equitymeasures obtained

Indicator Reportingbull New online applicationHealth Indicators InteractiveTool (2006)bull First stand-alone reportreleased (2007)bull In Focus sections onhip fractures (2007) andambulatory care sensitiveconditions (2008)

Third Consensus Conference 2009 bull Existing indicatorsand access to indicator data evaluatedbull Six priority areas identified

Indicator Reportingbull 10-year anniversary report(2009)bull New online applicationsHealth Profile (2009) andHealth Trends (2010)bull In Focus sections ondisparity (2010) mentalhealth (2011) andavoidable mortality (2012)

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 peoplesrsquo health7 In subsequent years indicators for many of these priority areas were developed in response to these emerging information needs (Figure 3)8ndash10

7


bull

bull

bull

bull

Figure 3 Health Indicators Report Development Since the 2009 Consensus Conference

2010

Social Determinants of Healthbull Heart attack hysterectomy and injury

hospitalization indicators explored by SES bull Summary measures of disparity developed

(see the methodology box on page 21)

2011

Mental HealthNew Mental illness readmission repeat hospitalization and self-injury hospitalization indicators developed

2012

Health Care OutcomesNew Avoidable mortality and all-cause readmission indicators developed

Child and Youth HealthAll-cause readmission rate for patients age 19 and younger developed

2013

Social Determinants of HealthFifteen indicators reported by SES for Canada and for all provinces

Note SES socio-economic status

8


Leveraging Public Reporting on Health System Performance The Need to Reposition Health System Performance Reporting in CanadaDespite 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 Accord15 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 At a 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 performance16ndash21 Other initiatives in Canada and internationally complicate this landscape even more the Organisation for Economic Co-operation and Development (OECD) and The Commonwealth Fund release comparative performance indicators every year or every other year22ndash24 pan-Canadian organizations such as the Canadian Partnership Against Cancer release performance reports on parts of the system25 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 tobull Clarify and better position health system performance public reporting in Canada andbull Ensure that reporting supports the performance improvement efforts of jurisdictions

9


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 bull Provide structured and coordinated pan-Canadian reporting on health system

performance that is tailored to the information needs of different audiencesincluding the general public provincial health ministries regional health authoritiesand health care facilities (Figure 4)

bull Produce analytical tools and products that support provincial and territorial healthsystem improvement priorities

bull Work with our partners in the health system to build capacity for using andunderstanding performance measurement and analytical tools and

bull Reduce indicator chaos in the health system by working with our partners to identifywhich health indicators are most important how they relate to each other and howthey 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

bull The development of a well-established set of comparable pan-Canadian health indicators aligned withinternational standards

bull The development with Statistics Canada of a Health Indicator Framework that is internationally recognized

bull Research in priority themes related to health system performance in Canada such as quality of carepatient safety and health system efficiency and

bull Business intelligence and interactive web tools such as the Canadian Hospital Reporting Project that allowhealth system managers to track performance over time view peer group comparisons and identify areasfor improvement through drill-down capabilities

10


CIHIrsquos Initiative in More DetailAddressing 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

Public Reporting for the general public will focus on a limited set of comparable indicators that will be needed for transparency purposes

Regional and Provincial

Authorities

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

Points of Care (hospitalslong-term care facilitiesprimaryhealth care centres)

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

Numb

er of

Mea

sure

s

Fewer

More

11


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 patientsrsquo experiences As these data sources develop they will make it possible to paint a more complete picture of the health care system and patientsrsquo 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 planning26 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

12


Enhanced Analytical Tools to Understand Performance Drivers 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 For example 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 can analyze 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 to Improve Results 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

bull

13


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 What Can Get Us There

Addressing the needs of multiple audiences

bull Public engagement in reporting priorities

bull Cascading performance-relevant reports that meet the needs of respective audiences

Providing new information to meet evolving needs

bull Indicator development that reflects priorities for information

bull Quality data sources that span the continuum of care

Ensuring less indicator chaos

bull A repository of health system performance indicators that standardizes indicator definitions and methodologies

bull Plans for indicator development and retirement

Enhancing analytical tools to understand performance drivers

An integrated analytical solution that automates indicator calculation and supports analysis of the factors that drive performance

Developing more capacity to use performance information to improve results

bull Methods and tools to support benchmarking

bull Training and support to use performance information to support improvement

14


A Health System Performance Framework to Support Performance Improvement Why a New Health System Performance Framework The 1999 CIHIndashStatistics 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 neededmdashone 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 on value for money patient safety and patient-centredness

The World Health Organization in 2000 defined a health system as ldquoall the activities whose primary purpose is to promote restore or maintain healthrdquo27 Simply put the goal of the health system is to improve the health of the population28 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 systemrsquos ultimate outcome goals

Description of the New Health System Performance Framework 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 this framework

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

15



Th

is fr

amew

ork

was

stil

l in

deve

lopm

ent w

hen

this

repo

rt w

as p

ublis

hed

A fi

nal v

ersi

on w

ill b

e av

aila

ble

late

r in

the

year

Social position

Life conditions

Physical environment

Efficient

allocation

of resources

Adjustment

to population

health needs

Health system

innovation and

learning capacity

Health system

resources

Leadership

and governance

Improve

health status

of Canadians

Improve

health system

responsiveness

Improve

value for money

Access to

comprehensive

integrated

health services

Health protection

health promotion

and disease

prevention

Quality safety

and

appropriateness

of health services

Patient

experience

with

health services

Efficiency and

effectiveness

of health services

Equity

Equity

Individual response

Social Determinants

of H

ealth

Genetic endowment

Healt

h Sys

temInputs and Characteristics

Healt

h Sys

temOutcomes

Healt

h Sys

temOutputs

Economic Co

ntext

Political Context

Economic Co

ntext

Political Context

Demographic Context

Demographic Context

Not

e

16


ConclusionIn the health sector numerous countries are releasing annual performance reports with an increased emphasis on outcomes and value for money bull In unitary systems provisions for public reporting include annual quality accountsfor all health care organizations in England and annual reporting on health systemperformance in the Netherlands including international comparisons29 30

bull In federal systems the 2010 Patient Protection and Affordable Care Act in the UnitedStates mandates quarterly public reporting of performance information by institutionsthat care for Medicare patients while in Australia new legislation passed in 2010mandates quarterly and annual reporting on health system performance31 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 of partners 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 help all Canadians understand the value that their health system delivers to them

Whatrsquos New in This Report


19


Building on Priority Areas Disparities Within the Health System Improved population health and health equity are strategic priorities for many regional health authorities across Canada33 34 To support their efforts to address health system disparities indicators reported by socio-economic status (SES) are necessary and add useful information to the existing body of knowledge generated through the typical 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 disparity8ndash10 Please see the methodology box on page 21 for more information

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

20


represents 95 confidence intervals

Figure 6 Potential Rate Reduction for Health Indicators 2011ndash2012

AMI mortality potential rate reduction is based on pooled data from 2009ndash2010 to 2011ndash2012 Notes

AMI acute myocardial infarction ACSCs ambulatory care sensitive conditions

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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec 2006 Census Statistics Canada

0 10 20 30 40 50

Mental Illness Readmission

Surgical Readmission

Medical Readmission

AMI Readmission

ACSCs Hospitalization

Self-Injury Hospitalization

Injury Hospitalization

Hospitalized Hip Fracture Event

Hospitalized Stroke Event

Hospitalized AMI Event

Potential Rate Reduction

Health System Performance Indicators Health Status Indicators

AMI Mortality

21


Neighbourhood Income Quintile

Methodology

Neighbourhood Income Quintile as a Measure of Socio-Economic StatusNeighbourhood 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 few35ndash42 This measure is easily accessible as it is based on the patientrsquos place of residence (postal code) whereas SES factors such as income are not readily available at the individual level in administrative health databases35ndash42 A limitation of this measure is that people with a missing or invalid postal code and those living in institutions 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

0

50

100

150

200

250

300

(Least Affluent) (Most Affluent)

Healt

h Ind

icator

Rate

Q1 Q2 Q3 Q4 Q5 Overall

1626

17 11 15

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

22


Indicator Rates Applying the Disparity Lens to Provincial Indicator RatesAn 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 2011ndash2012 (Figure 7) By further unpacking these rates through the lens of SES-related disparities however a more 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 self-injury 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 British Columbia 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 for specific populations10 The addition of 13 indicators reported by SES should raise new questions and highlight areas for future health system performance improvement

23


Figure 7 Self-Injury Hospitalization Rates and Potential Rate Reductions by Province Canada 2011ndash2012

Notes

The territories were not included due to small numbers Nova Scotia and Newfoundland and Labrador did not have statistically significant PRRs therefore the PRRs 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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec 2006 Census Statistics Canada

Self-Injury Hospitalization Rate Self-Injury Hospitalization Rate of Most Affluent Income Quintile

0

20

40

60

80

100

BC Alta Sask Man Ont Que NB NS PEI NL

Age-

Stan

dard

ized R

ate pe

r 100

000 P

opula

tion

Province

33

28

3251

28

56

2926

represents 95 confidence intervalsmdash represents 2011ndash2012 Canada self-injury hospitalization rate represents potential rate reduction

24


24


Figure 8 Hospitalization Rates and Potential Rate Reductions for Ambulatory Care Sensitive Conditions by Province Canada 2011ndash2012

Notes

The territories were not included due to small numbers All PRRs were statistically significant for ambulatory care sensitive conditions 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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec 2006 Census Statistics Canada

ACSCs Hospitalization Rate ACSCs Hospitalization Rate of Most Affluent Income Quintile


Age-

Stan

dard

ized

Rate

per 1

0000

0 Pop

ulatio

n

Province

0

100

200

300

400

500

600

30

33

29

32

36 34

21

14

2113

ACSCs ambulatory care sensitive conditions represents 95 confidence intervals

mdash represents the 2011ndash2012 Canada hospitalization rate for ambulatory care sensitive conditions represents potential rate reduction

25

References

References1 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 httpssecurecihicafree_productsNHEXTrendsReport2012ENpdf 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 Donrsquot The Penguin Press 2012

5 Canadian Institute for Health Information National Consensus Conference on Population Health Indicators Ottawa ON CIHI 1999 httpssecurecihicaestoreproductSerieshtmlocale=enamppc=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 httpssecurecihicaestoreproductFamilyhtmpf=PFC1392amplocale=enamplang=ENampmediatype=0 Accessed November 8 2012

8 Canadian Institute for Health Information Health Indicators 2012 Ottawa ON CIHI 2012







26


15 Health Canada 2003 First Ministersrsquo Accord on Health Care Renewal httpwwwhc-scgccahcs-sssdelivery-prestationfptcollab2003accordindex-engphp Updated May 8 2006 Accessed March 12 2013

16 New Brunswick Health Council Mandate httpnbhccamandate_vision_mission_valuescfm Updated February 28 2013 Accessed March 13 2013

17 Commissaire a la Santeacute et au bien-ecirctre Mission httpcsbegouvqccaindexphpid=66ampL=2 Updated 2012 Accessed March 13 2013

18 Health Quality Ontario Our Legislated Mandate httpwwwhqontariocaabout-usour-legislated-mandate Updated 2012 Accessed March 13 2013

19 Saskatchewan Health Quality Council Our Story httphqcskcaaboutstoryUpdated 2013 Accessed March 13 2013

20 Health Quality Council of Alberta Mandate httphqcacaindexphpid=2025Updated February 25 2013 Accessed March 13 2013

21 British Columbia Patient Safety amp Quality Council About the Council httpbcpsqccaabout-the-council Updated 2013 Accessed March 13 2013

22 The Commonwealth Fund US Health System Scorecards httpwwwcommonwealthfundorgPublicationsHealth-System-Scorecardsaspx Updated 2013 Accessed March 13 2013

23 Organisation for Economic Co-operation and Development Health at a Glance 2011 httpwwwoecdorgelshealth-systemshealthataglance2011htm Updated 2013 Accessed March 13 2013

24 Organisation for Economic Co-operation and Development OECD Health Data 2012 httpwwwoecdorgelshealth-systemsoecdhealthdata2012htm Updated 2013 Accessed March 13 2013

25 Canadian Partnership Against Cancer System Performance Initiative httpwwwpartnershipagainstcancercaresources-publicationssystem-performancesystem-performance-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 httphqcskcaPortals0documentstracking-indicator-choaspdf Accessed December 13 2012

27 World Health Organization The World Health Report 2000 Health Systems Improving Performance Geneva Switzerland WHO 2000 httpwwwwhointwhr2000enwhr00_enpdf Accessed December 13 2012

27

References

28 Murray CJ Frenk J A framework for assessing the performance of health systems Bulletin of the World Health Organization 200078(6)717-731 httpeuropepmcorgabstractMED10916909

29 National Health Service About Quality Accounts httpwwwnhsukaboutNHSChoicesprofessionalshealthandcareprofessionalsquality-accountsPagesabout-quality-accountsaspx Updated February 5 2013 Accessed March 13 2013

30 Dutch National Institute for Public Health and the Environment Dutch Health Care Performance Report httpwwwgezondheidszorgbalansnlalgemeenmenuenglish Updated 2012 Accessed March 13 2013

31 Council of Australian Governments Reform Council Healthcare httpwwwcoagreformcouncilgovaureportshealthcarecfm Updated 2013 Accessed March 13 2013

32 HR 3590 (111th Congress) Patient Protection and Affordable Care Act (2010) Gov Track httpwwwgovtrackuscongressbills111hr3590 Updated 2013 Accessed March 13 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 200679(2-3) 132-143 PM16519957

36 Orpana HM Lemyre L Explaining the social gradient in health in Canada using the National Population Health Survey to examine the role of stressors International Journal of Behavioral Medicine 200411(3)143-151 PM15496342

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 200920(4)85-94 PM20108609

38 Sampson RJ Morenoff JD Gannon-Rowley T Assessing ldquoNeighbourhood Effectsrdquo Social Processes and New Directions in Research Annual Review of Sociology 200228443-478

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 200543(11)1116-1122 PM16224305

28


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 48411-447 PM9046565

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 2009163(7)608-615 PM19581543

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 2002131-27

29

AppendixmdashDefining Neighbourhood Income Quintile

AppendixmdashDefining Neighbourhood Income Quintile to Measure Disparity Assigning Patients to Neighbourhood Income Quintiles Each patient was assigned to a neighbourhood income quintile using Statistics Canadarsquos 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 persons2 Using PCCF+ (Version 5J)3 the postal code of the patientrsquos place of residence at the time of hospitalization was mapped to the corresponding 2006 Census DA and the neighbourhood income quintile of that 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 AreasThe neighbourhood income quintiles available in the PCCF+ were constructed according to the methods developed at Statistics Canada4 A short description of the method 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 ldquosingle-person equivalentrdquo multipliers for each household size3 For example a single-person household received a multiplier of 10 a two-person household received a multiplier of 124 and a three-person household received a multiplier of 153 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

30


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

LimitationsNeighbourhood 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

31


Appendix References1 Statistics Canada Postal Code Conversion File Plus (PCCF+) httpwwwstatcan

gccabsolcolc-celolc-cellang=engampcatno=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 Userrsquos 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 by Neighbourhood Income in Urban Canada From 1971 to 1996 Supplement to Health Reports 2002131ndash27


Health Indicators Region by Region

34


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 up-to-date comparable information for health regions and provinces and territories This information can be used by jurisdictions to evaluate progress and identify areas for improvement

Therersquos 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 Canadiansmdashregion by regionmdashplease visit wwwcihicaindicators or wwwstatcangcca

What Are Health RegionsHealth 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 50000 In addition 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 (wwwcihicaindicators or wwwstatcangcca) Please see page 98 for a map of all the health regions in Canada

Interpreting the IndicatorsHealth 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)

35


Symbols and Abbreviations

Interpret with caution

diams Statistically significantly different from the national (Canada) rate (ple005)diams diams Statistically significant disparity measure (see page 75 for details)

Figures not available Figures suppressed due to small numbers or incomplete data

95 CI 95 confidence interval

ASSS Agence de la santeacute et des services sociaux HSDA Health service delivery area LHIN Local health integration network RHA Regional health authority

36

Health Indicators 2013Health Region Profile

Map Code Health Region Legend Name

Population (lsquo000)

2011

Population Age 65+

()

2011

Dependency Ratio

2011 Newfoundland and Labrador NL 511 158 572 1011 Eastern Regional Integrated Health Authority Eastern 305 146 5401012 Central Regional Integrated Health Authority Central 92 195 6471013 Western Regional Integrated Health Authority Western 77 183 623Prince Edward Island PEI 146 158 636Nova Scotia NS 945 165 5961211 South Shore District Health Authority South Shore 58 217 6601212 South West Nova District Health Authority South West Nova 58 197 6741223 Annapolis Valley District Health Authority Annapolis Valley 83 189 6841234 Colchester East Hants Health Authority Colchester East Hants 73 169 6731258 Cape Breton District Health Authority Cape Breton 123 195 6881269 Capital District Health Authority Capital 429 131 509New Brunswick NB 755 162 5971301 Zone 1 Zone 1 (Moncton area) 207 160 5641302 Zone 2 Zone 2 (Saint John area) 176 156 6271303 Zone 3 Zone 3 (Fredericton area) 175 147 5931306 Zone 6 Zone 6 (Bathurst area) 77 188 584Quebec Que 7980 157 5972401 ASSS du Bas-Saint-Laurent Bas-Saint-Laurent 200 195 6442402 ASSS du SaguenayndashLac-Saint-Jean SaguenayndashLac-Saint-Jean 273 177 6262403 ASSS de la Capitale-Nationale Capitale-Nationale 701 173 5682404 ASSS de la Mauricie et du Centre-du-Queacutebec Mauricie et Centre-du-Queacutebec 496 189 6512405 ASSS de lrsquoEstrie Estrie 312 172 6382406 ASSS de Montreacuteal Montreacuteal 1958 149 5402407 ASSS de lrsquoOutaouais Outaouais 368 128 5572408 ASSS de lrsquoAbitibi-Teacutemiscamingue Abitibi-Teacutemiscamingue 146 149 6272409 ASSS de la Cocircte-Nord Cocircte-Nord 96 143 6042411 ASSS de la GaspeacutesiendashIcircles-de-la-Madeleine GaspeacutesiendashIcircles-de-la-Madeleine 93 204 6412412 ASSS de Chaudiegravere-Appalaches Chaudiegravere-Appalaches 406 168 6342413 ASSS de Laval Laval 404 155 6402414 ASSS de Lanaudiegravere Lanaudiegravere 470 144 6112415 ASSS des Laurentides Laurentides 556 147 6152416 ASSS de la Monteacutereacutegie Monteacutereacutegie 1457 151 621Ontario Ont 13373 142 5923501 Erie St Clair LHIN Erie St Clair 643 158 6523502 South West LHIN South West 963 159 6443503 Waterloo Wellington LHIN Waterloo Wellington 758 127 5863504 Hamilton Niagara Haldimand Brant LHIN Hamilton Niagara Haldimand Brant 1417 159 6353505 Central West LHIN Central West 857 110 5713506 Mississauga Halton LHIN Mississauga Halton 1180 113 5853507 Toronto Central LHIN Toronto Central 1195 138 5233508 Central LHIN Central 1769 125 5593509 Central East LHIN Central East 1572 144 5823510 South East LHIN South East 492 180 6403511 Champlain LHIN Champlain 1261 141 5733512 North Simcoe Muskoka LHIN North Simcoe Muskoka 462 159 6363513 North East LHIN North East 564 178 6373514 North West LHIN North West 240 152 645Manitoba Man 1251 139 6614610 Winnipeg RHA Winnipeg 706 139 5824615 Brandon RHA Brandon 52 149 6224625 South Eastman Health South Eastman 70 110 7704630 Interlake RHA Interlake 84 158 7224640 RHAmdashCentral Manitoba Inc Central 110 137 8044645 Assiniboine RHA Assiniboine 70 188 802

37

Health Region Profile


Population(lsquo000)

2011

PopulationAge 65+

()

2011

DependencyRatio

2011Saskatchewan Sask 1058 146 681 4701 Sun Country Health Region Sun Country 54 168 7434702 Five Hills Health Region Five Hills 53 187 7424704 Regina QursquoAppelle Health Region Regina 263 136 6114705 Sunrise Health Region Sunrise 54 220 8514706 Saskatoon Health Region Saskatoon 320 128 5924709 Prince Albert Parkland RHA Prince Albert 79 156 8134710 Prairie North Health Region Prairie North 72 128 766Alberta Alta 3779 108 5524831 South Zone South Zone 285 137 6714832 Calgary Zone Calgary Zone 1413 98 5104833 Central Zone Central Zone 456 127 6314834 Edmonton Zone Edmonton Zone 1193 113 5294835 North Zone North Zone 433 91 611British Columbia BC 4573 153 5735911 East Kootenay HSDA East Kootenay 81 164 6025912 Kootenay Boundary HSDA Kootenay Boundary 80 185 6245913 Okanagan HSDA Okanagan 353 203 6665914 Thompson Cariboo Shuswap HSDA ThompsonCaribooShuswap 224 173 6205921 Fraser East HSDA Fraser East 287 145 6495922 Fraser North HSDA Fraser North 616 117 4985923 Fraser South HSDA Fraser South 727 175 7045931 Richmond HSDA Richmond 198 127 5015932 Vancouver HSDA Vancouver 669 118 4135933 North ShoreCoast Garibaldi HSDA North Shore 287 155 5785941 South Vancouver Island HSDA South Vancouver Island 375 173 5495942 Central Vancouver Island HSDA Central Vancouver Island 266 203 6625943 North Vancouver Island HSDA North Vancouver Island 121 177 6335951 Northwest HSDA Northwest 76 120 6215952 Northern Interior HSDA Northern Interior 145 122 5785953 Northeast HSDA Northeast 70 87 587Yukon YT 35 88 474Northwest Territories NWT 44 56 539 Nunavut Nun 33 32 791 Canada Canada 34483 144 591

Population The number of people living in a geographic area A populationrsquos size and agendashsex 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 BC 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 Queacutebec

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 andor economically dependent on working-age Canadians and they may also put additional demands on health services Source Demography Division Statistics Canada

38

Health Indicators 2013 Health Status

Self-Reported Conditions Adult Body Mass Index (Age 18+)

(25 or Greater) 2007 to 2010

First Nations Meacutetis Inuit Non-Aboriginal

95 CI 95 CI 95 CI 95 CI NL 658 (583ndash734) 641 (548ndash733) 714 (559ndash868) 634 (618ndash650)PEI 814 (642ndash987) 586 (565ndash606)NS 642 (508ndash776) 582 (478ndash686) 605 (590ndash619)NB 539 (402ndash676) 631 (477ndash785) 617 (603ndash631)Que 600 (521ndash679) 525 (438ndash613) 493 (486ndash501)Ont 619 (574ndash664) 590 (526ndash653) 752 (539ndash964) 516 (510ndash522)Man 724 (625ndash822) 622 (560ndash684) 564 (550ndash578)Sask 627 (553ndash700) 680 (622ndash738) 577 (564ndash590)Alta 551 (467ndash635) 561 (499ndash623) 528 (517ndash539)BC 566 (499ndash633) 491 (418ndash564) 443 (434ndash452)YT 574 (490ndash658) 522 (354ndash690) 515 (482ndash548)NWT 550 (494ndash606) 629 (522ndash735) 584 (478ndash690) 614 (568ndash660)Nun 521 (459ndash584) 660 (601ndash719)Canada 606 (580ndash631) 578 (551ndash605) 617 (554ndash681) 512 (509ndash516)

One or More Chronic Conditions 2007 to 2010


95 CI 95 CI 95 CI 95 CI NL 626 (563ndash689) 592 (499ndash686) 474 (355ndash592) 598 (584ndash612)PEI 540 (330ndash750) 572 (551ndash593)NS 621 (508ndash734) 648 (556ndash741) 629 (616ndash641)NB 579 (472ndash687) 771 (638ndash904) 587 (576ndash598)Que 610 (540ndash679) 614 (534ndash695) 512 (505ndash519)Ont 651 (613ndash690) 639 (589ndash690) 551 (328ndash773) 538 (533ndash544)Man 621 (546ndash697) 589 (541ndash636) 545 (531ndash559)Sask 537 (462ndash611) 550 (500ndash600) 564 (551ndash578)Alta 591 (525ndash656) 535 (480ndash590) 521 (511ndash532)BC 558 (504ndash612) 594 (534ndash653) 919 (812ndash1026) 521 (512ndash529)YT 557 (505ndash610) 498 (358ndash637) 483 (453ndash513)NWT 461 (407ndash514) 443 (355ndash532) 395 (290ndash500) 429 (392ndash466)Nun 331 (291ndash370) 510 (425ndash596)Canada 604 (582ndash626) 589 (567ndash610) 476 (419ndash534) 533 (530ndash537)

Perceived Mental Health Very Good or Excellent 2007 to 2010


95 CI 95 CI 95 CI 95 CI NL 751 (687ndash814) 718 (633ndash803) 709 (614ndash804) 762 (747ndash776)PEI 603 (403ndash803) 750 (732ndash768)NS 766 (687ndash844) 674 (578ndash771) 730 (718ndash742)NB 632 (523ndash742) 541 (395ndash688) 697 (686ndash709)Que 721 (645ndash797) 638 (557ndash718) 768 (762ndash774)Ont 629 (592ndash666) 663 (612ndash714) 640 (443ndash836) 747 (742ndash752)Man 555 (466ndash643) 656 (606ndash706) 725 (712ndash738)Sask 658 (593ndash724) 682 (637ndash726) 722 (711ndash732)Alta 640 (574ndash706) 670 (619ndash721) 705 (464ndash946) 748 (739ndash756)BC 632 (579ndash684) 660 (600ndash720) 835 (644ndash1026) 714 (706ndash723)YT 614 (564ndash663) 806 (696ndash916) 758 (732ndash784)NWT 493 (436ndash550) 606 (513ndash700) 491 (404ndash578) 725 (696ndash755)Nun 631 (592ndash671) 768 (713ndash823)Canada 642 (621ndash663) 662 (641ndash684) 658 (608ndash708) 745 (742ndash748)

39

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

wwwcihica or wwwstatcangcca

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 conditionsProportion 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 Alzheimerrsquos disease or any other dementia a mood disorder andor an anxiety disorder Note Rates are based on four years of pooled data Source Canadian Community Health Survey Statistics Canada

Perceived mental healthProportion 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 Note Rates are based on four years of pooled data Source Canadian Community Health Survey Statistics Canada

40


Map Code Health Region

Injury Hospitalization 2011ndash2012

Age-Standardized Rate per 100000 95 CI

Newfoundland and Labrador diams 537 (517ndash557) 1011 Eastern diams 471 (447ndash495)1012 Central diams 459 (413ndash506)1013 Western diams 689 (629ndash749)Prince Edward Island diams 617 (578ndash656)Nova Scotia diams 491 (477ndash504)1211 South Shore 546 (490ndash602)1212 South West Nova 542 (483ndash602)1223 Annapolis Valley 511 (463ndash558)1234 Colchester East Hants 504 (454ndash555)1258 Cape Breton diams 575 (533ndash617)1269 Capital diams 417 (399ndash436)New Brunswick diams 578 (561ndash594)1301 Zone 1 (Moncton area) diams 455 (427ndash483)1302 Zone 2 (Saint John area) diams 482 (451ndash513)1303 Zone 3 (Fredericton area) diams 637 (601ndash673)1306 Zone 6 (Bathurst area) diams 577 (522ndash632)Quebec 512 (508ndash517)2401 Bas-Saint-Laurent diams 632 (598ndash665)2402 SaguenayndashLac-Saint-Jean diams 671 (640ndash701)2403 Capitale-Nationale diams 481 (466ndash496)2404 Mauricie et Centre-du-Queacutebec diams 622 (600ndash643)2405 Estrie diams 648 (620ndash675)2406 Montreacuteal diams 403 (395ndash411)2407 Outaouais diams 443 (423ndash464)2408 Abitibi-Teacutemiscamingue diams 770 (725ndash814)2409 Cocircte-Nord diams 568 (520ndash616)2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 704 (650ndash758)2412 Chaudiegravere-Appalaches 512 (491ndash532)2413 Laval diams 448 (429ndash467)2414 Lanaudiegravere diams 489 (469ndash508)2415 Laurentides diams 565 (546ndash584)2416 Monteacutereacutegie diams 534 (523ndash546)Ontario diams 409 (405ndash412) 3501 Erie St Clair diams 415 (401ndash430)3502 South West diams 497 (484ndash511)3503 Waterloo Wellington diams 404 (391ndash418)3504 Hamilton Niagara Haldimand Brant diams 484 (473ndash495)3505 Central West diams 338 (326ndash351)3506 Mississauga Halton diams 315 (305ndash325)3507 Toronto Central diams 364 (354ndash375)3508 Central diams 309 (301ndash317)3509 Central East diams 335 (327ndash344)3510 South East diams 410 (393ndash426)3511 Champlain diams 387 (376ndash397)3512 North Simcoe Muskoka diams 472 (454ndash491)3513 North East diams 636 (616ndash656)3514 North West diams 792 (756ndash827)Manitoba diams 657 (643ndash671)4610 Winnipeg diams 481 (466ndash496)4615 Brandon diams 684 (616ndash751)4625 South Eastman diams 595 (538ndash652)4630 Interlake diams 750 (690ndash810)4640 Central diams 674 (627ndash722)4645 Assiniboine diams 868 (800ndash936)

41

Health Status

Map Code


Health RegionAge-Standardized Rate per 100000 95 CI

Saskatchewan diams 789 (773ndash806) 4701 Sun Country diams 1081 (996ndash1167)4702 Five Hills diams 880 (802ndash957)4704 Regina diams 809 (775ndash842)4705 Sunrise diams 982 (898ndash1067)4706 Saskatoon diams 544 (520ndash568)4709 Prince Albert diams 711 (650ndash771)4710 Prairie North diams 945 (873ndash1017)Alberta diams 706 (698ndash714)4831 South Zone diams 779 (747ndash810)4832 Calgary Zone diams 554 (541ndash566)4833 Central Zone diams 903 (876ndash930)4834 Edmonton Zone diams 636 (622ndash650)4835 North Zone diams 1055 (1023ndash1086)British Columbia diams 545 (538ndash551)5911 East Kootenay diams 792 (732ndash852)5912 Kootenay Boundary diams 759 (700ndash819)5913 Okanagan diams 638 (612ndash664)5914 ThompsonCaribooShuswap diams 696 (661ndash730)5921 Fraser East diams 630 (603ndash658)5922 Fraser North 514 (497ndash531)5923 Fraser South diams 478 (463ndash493)5931 Richmond diams 347 (323ndash372)5932 Vancouver diams 399 (385ndash414)5933 North Shore 506 (481ndash531)5941 South Vancouver Island 503 (481ndash524)5942 Central Vancouver Island diams 649 (618ndash680)5943 North Vancouver Island diams 648 (602ndash695)5951 Northwest diams 1067 (991ndash1142)5952 Northern Interior diams 739 (694ndash783)5953 Northeast diams 702 (638ndash767)Yukon diams 1159 (1034ndash1285) Northwest Territories diams 1153 (1037ndash1269) Nunavut diams 871 (735ndash1007) Canada 516 (514ndash518)

Injury hospitalizationAge-standardized rate of acute care hospitalization due to injury resulting from the transfer of energy (excludes poisoning and other non-traumatic injuries) per 100000 population This indicator contributes to an understanding of the adequacy and effectiveness of injury prevention 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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

42



Hospitalized Acute Myocardial Infarction Event 2011ndash2012

Hospitalized Stroke Event 2011ndash2012



Newfoundland and Labrador diams 292 (278ndash307) diams 137 (127ndash147) 1011 Eastern diams 312 (292ndash332) diams 144 (130ndash157)1012 Central diams 288 (257ndash320) 129 (107ndash151)1013 Western 237 (204ndash269) diams 97 (77ndash117)Prince Edward Island diams 284 (257ndash311) diams 144 (125ndash163)Nova Scotia diams 253 (243ndash263) 116 (109ndash123)1211 South Shore diams 337 (293ndash381) 104 (82ndash126)1212 South West Nova diams 303 (261ndash346) 143 (115ndash172)1223 Annapolis Valley diams 241 (210ndash272) 108 (88ndash128)1234 Colchester East Hants diams 277 (240ndash314) 109 (85ndash132)1258 Cape Breton diams 321 (289ndash352) 117 (99ndash134)1269 Capital diams 185 (172ndash199) diams 107 (96ndash117)New Brunswick diams 257 (245ndash268) 128 (120ndash136)1301 Zone 1 (Moncton area) diams 262 (240ndash284) 116 (102ndash130)1302 Zone 2 (Saint John area) diams 230 (208ndash253) 128 (112ndash145)1303 Zone 3 (Fredericton area) diams 306 (280ndash333) 122 (105ndash138)1306 Zone 6 (Bathurst area) 206 (176ndash236) 111 (90ndash133)Quebec diams 219 (216ndash223) 2401 Bas-Saint-Laurent diams 230 (210ndash249) 2402 SaguenayndashLac-Saint-Jean diams 231 (214ndash248) 2403 Capitale-Nationale diams 228 (217ndash238) 2404 Mauricie et Centre-du-Queacutebec diams 235 (222ndash247) 2405 Estrie diams 270 (252ndash287) 2406 Montreacuteal diams 190 (184ndash197) 2407 Outaouais diams 237 (220ndash254) 2408 Abitibi-Teacutemiscamingue diams 276 (249ndash303) 2409 Cocircte-Nord diams 244 (213ndash276) 2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 394 (357ndash431) 2412 Chaudiegravere-Appalaches 199 (186ndash213) 2413 Laval diams 180 (167ndash193) 2414 Lanaudiegravere diams 256 (241ndash271) 2415 Laurentides 197 (185ndash209) 2416 Monteacutereacutegie diams 221 (213ndash228)

Ontario diams 198 (196ndash200) diams 119 (117ndash121) 3501 Erie St Clair diams 233 (222ndash245) diams 133 (124ndash142)3502 South West 207 (198ndash216) 119 (112ndash126)3503 Waterloo Wellington 207 (196ndash218) 121 (112ndash129)3504 Hamilton Niagara Haldimand Brant diams 228 (220ndash236) diams 115 (109ndash120)3505 Central West 202 (191ndash213) 124 (116ndash133)3506 Mississauga Halton diams 146 (138ndash153) diams 109 (102ndash116)3507 Toronto Central diams 137 (130ndash144) 116 (110ndash122)3508 Central diams 147 (141ndash153) diams 114 (109ndash120)3509 Central East diams 184 (177ndash190) diams 111 (106ndash117)3510 South East 200 (188ndash212) 122 (112ndash131)3511 Champlain diams 193 (185ndash201) diams 107 (101ndash113)3512 North Simcoe Muskoka diams 226 (213ndash240) 121 (111ndash131)3513 North East diams 325 (310ndash339) diams 140 (131ndash150)3514 North West diams 309 (286ndash331) diams 156 (140ndash173)Manitoba diams 230 (221ndash239) 119 (112ndash125)4610 Winnipeg 212 (201ndash224) 116 (108ndash125)4615 Brandon diams 115 (85ndash145) 110 (80ndash139)4625 South Eastman 221 (181ndash261) 124 (94ndash154)4630 Interlake diams 253 (219ndash287) 111 (88ndash133)4640 Central diams 281 (248ndash315) 118 (96ndash140)4645 Assiniboine 209 (175ndash243) diams 78 (58ndash97)

43

Health Status

Map Code





Saskatchewan 200 (191ndash209) 126 (119ndash133) 4701 Sun Country 220 (181ndash259) 123 (95ndash151)4702 Five Hills diams 271 (226ndash316) 115 (88ndash141)4704 Regina diams 172 (155ndash189) 128 (114ndash143)4705 Sunrise 234 (195ndash274) 129 (102ndash156)4706 Saskatoon diams 171 (155ndash186) 131 (118ndash145)4709 Prince Albert diams 247 (212ndash282) 114 (89ndash140)4710 Prairie North 207 (171ndash244) 145 (115ndash176)Alberta 201 (196ndash206) diams 126 (122ndash130)4831 South Zone 203 (185ndash220) 124 (111ndash138)4832 Calgary Zone diams 156 (149ndash164) 120 (113ndash127)4833 Central Zone diams 269 (253ndash286) 129 (118ndash140)4834 Edmonton Zone diams 195 (186ndash203) 123 (116ndash130)4835 North Zone diams 270 (251ndash289) diams 143 (129ndash157)British Columbia diams 165 (161ndash169) 119 (115ndash122)5911 East Kootenay diams 272 (237ndash307) diams 156 (127ndash184)5912 Kootenay Boundary diams 282 (248ndash316) 130 (107ndash152)5913 Okanagan diams 192 (179ndash205) 125 (114ndash136)5914 ThompsonCaribooShuswap diams 187 (170ndash204) 128 (114ndash142)5921 Fraser East 201 (184ndash218) diams 136 (122ndash149)5922 Fraser North diams 149 (139ndash160) 125 (115ndash135)5923 Fraser South diams 150 (141ndash159) diams 111 (103ndash119)5931 Richmond diams 115 (100ndash131) 111 (95ndash126)5932 Vancouver diams 147 (137ndash157) 122 (113ndash131)5933 North Shore diams 161 (147ndash176) 117 (104ndash129)5941 South Vancouver Island diams 118 (108ndash129) diams 90 (81ndash99)5942 Central Vancouver Island diams 175 (161ndash189) diams 107 (95ndash118)5943 North Vancouver Island diams 153 (132ndash174) 126 (107ndash146)5951 Northwest 208 (172ndash245) diams 167 (134ndash199)5952 Northern Interior 216 (190ndash242) 127 (106ndash147)5953 Northeast 213 (170ndash255) 123 (90ndash156)Yukon 246 (180ndash313) 106 (58ndash155) Northwest Territories diams 337 (249ndash425) 135 (83ndash187) Nunavut diams 130 (66ndash195) 145 (51ndash239) Canada 205 (204ndash207) 121 (119ndash122)

Hospitalized acute myocardial infarction eventAge-standardized rate of new acute myocardial infarction (AMI) events admitted to an acute care hospital per 100000 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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

Hospitalized stroke eventAge-standardized rate of new stroke events admitted to an acute care hospital per 100000 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 QuebecSource Discharge Abstract Database Canadian Institute for Health Information

44

Health Indicators 2013 Non-Medical Determinants of Health

Self-Reported Health Behaviours Smoking

2007 to 2010



Heavy Drinking 2007 to 2010


95 CI 95 CI 95 CI 95 CI NL 286 (212ndash359) 199 (130ndash267) 323 (235ndash412) 237 (223ndash252)PEI 190 (174ndash206)NS 174 (105ndash244) 298 (210ndash385) 207 (195ndash218)NB 233 (129ndash337) 197 (187ndash208)Que 201 (141ndash262) 182 (125ndash239) 177 (172ndash183)Ont 255 (222ndash287) 207 (170ndash245) 157 (153ndash161)Man 256 (178ndash335) 309 (258ndash360) 175 (163ndash187)Sask 263 (203ndash322) 233 (184ndash282) 183 (173ndash193)Alta 303 (234ndash371) 307 (257ndash357) 180 (171ndash188)BC 215 (175ndash256) 220 (165ndash274) 151 (145ndash157)YT 384 (328ndash440) 336 (204ndash468) 227 (200ndash254)NWT 351 (299ndash402) 292 (211ndash372) 353 (260ndash446) 262 (227ndash298)Nun 177 (134ndash221) 243 (186ndash300)Canada 250 (231ndash268) 252 (232ndash272) 272 (211ndash332) 169 (166ndash171)

Physical Activity During Leisure Time (ActiveModerately Active)

2007 to 2010



45

Non-Medical Determinants of Health

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


Smoking Proportion of household population age 12 and older who reported being a current smoker on either a daily or occasional basis Note Rates are based on four years of pooled data Source Canadian Community Health Survey Statistics Canada

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 Note Rates are based on four years of pooled data Source Canadian Community Health Survey Statistics Canada

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 Note Rates are based on four years of pooled data Source Canadian Community Health Survey Statistics Canada

46


Self-Reported Personal Behaviours Fruit and Vegetable Consumption

(5+ per Day) 2007 to 2010



Sense of Community Belonging (Very Strong or Somewhat Strong)

2007 to 2010



Life Satisfaction (Satisfied or Very Satisfied)

2007 to 2010



47


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 Note Rates are based on four years of pooled data Source Canadian Community Health Survey Statistics Canada

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 Note Rates are based on four years of pooled data Source Canadian Community Health Survey Statistics Canada

Life satisfaction Proportion of household population age 12 and older who reported being satisfied or very satisfied with their life in general Note Rates are based on four years of pooled data Source Canadian Community Health Survey Statistics Canada

48

Health Indicators 2013 Health System Performance


Potentially Avoidable Mortality 2007 to 2009

Age-Standardized Mortality Rate per 100000 95 CI

Age-Standardized PYLLdagger per 100000 95 CI

Newfoundland and Labrador diams 211 (204ndash218) diams 3791 (3574ndash4007) 1011 Eastern diams 217 (207ndash226) diams 3807 (3525ndash4089)1012 Central 189 (174ndash203) 3359 (2880ndash3838)1013 Western diams 211 (194ndash229) 3851 (3279ndash4424)Prince Edward Island diams 197 (184ndash210) 3372 (3015ndash3730)Nova Scotia diams 202 (197ndash207) diams 3517 (3377ndash3658)1211 South Shore 196 (177ndash215) 3959 (3279ndash4638)1212 South West Nova diams 207 (187ndash226) 3623 (3029ndash4217)1223 Annapolis Valley 185 (170ndash201) 3169 (2696ndash3642)1234 Colchester East Hants diams 204 (186ndash222) 3844 (3305ndash4382)1258 Cape Breton diams 255 (240ndash270) diams 4680 (4207ndash5153)1269 Capital 185 (178ndash193) diams 3078 (2892ndash3264)New Brunswick diams 191 (185ndash196) diams 3520 (3354ndash3686)1301 Zone 1 (Moncton area) 174 (164ndash184) 3456 (3134ndash3777)1302 Zone 2 (Saint John area) diams 206 (194ndash218) 3608 (3264ndash3952)1303 Zone 3 (Fredericton area) 194 (182ndash205) 3491 (3160ndash3823)1306 Zone 6 (Bathurst area) diams 163 (148ndash178) diams 2793 (2338ndash3249)Quebec 183 (181ndash185) diams 3258 (3211ndash3306)2401 Bas-Saint-Laurent 187 (177ndash198) diams 3743 (3391ndash4095)2402 SaguenayndashLac-Saint-Jean diams 193 (184ndash203) diams 3697 (3407ndash3986)2403 Capitale-Nationale diams 170 (164ndash175) diams 2990 (2835ndash3146)2404 Mauricie et Centre-du-Queacutebec diams 198 (191ndash204) diams 3858 (3636ndash4080)2405 Estrie diams 164 (156ndash171) diams 3069 (2831ndash3308)2406 Montreacuteal 181 (177ndash184) diams 3064 (2975ndash3153)2407 Outaouais diams 214 (206ndash223) 3409 (3200ndash3617)2408 Abitibi-Teacutemiscamingue diams 223 (210ndash237) diams 4160 (3764ndash4556)2409 Cocircte-Nord diams 230 (213ndash247) diams 4658 (4107ndash5208)2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 232 (215ndash248) diams 4518 (3918ndash5117)2412 Chaudiegravere-Appalaches diams 166 (159ndash172) 3220 (3002ndash3438)2413 Laval diams 157 (150ndash164) diams 2720 (2526ndash2915)2414 Lanaudiegravere diams 194 (187ndash201) 3262 (3072ndash3451)2415 Laurentides diams 193 (187ndash200) 3470 (3282ndash3658)2416 Monteacutereacutegie diams 175 (171ndash179) diams 3027 (2922ndash3132)Ontario diams 173 (172ndash174) diams 3084 (3048ndash3120) 3501 Erie St Clair diams 204 (198ndash210) 3435 (3273ndash3597)3502 South West diams 189 (184ndash194) 3428 (3285ndash3572)3503 Waterloo Wellington diams 164 (158ndash169) diams 2773 (2636ndash2909)3504 Hamilton Niagara Haldimand Brant diams 198 (194ndash202) 3464 (3348ndash3579)3505 Central West diams 149 (144ndash154) diams 2989 (2841ndash3137)3506 Mississauga Halton diams 131 (127ndash135) diams 2282 (2179ndash2384)3507 Toronto Central diams 169 (165ndash173) diams 3068 (2953ndash3183)3508 Central diams 124 (121ndash127) diams 2277 (2187ndash2366)3509 Central East diams 166 (163ndash170) diams 3040 (2933ndash3147)3510 South East diams 208 (201ndash215) diams 3718 (3505ndash3931)3511 Champlain diams 166 (162ndash170) diams 2830 (2719ndash2940)3512 North Simcoe Muskoka diams 193 (186ndash200) 3416 (3212ndash3619)3513 North East diams 243 (236ndash250) diams 4456 (4239ndash4673)3514 North West diams 252 (241ndash264) diams 5569 (5183ndash5955)Manitoba diams 224 (220ndash229) diams 4502 (4357ndash4647)4610 Winnipeg diams 208 (202ndash215) diams 3954 (3775ndash4133)4615 Brandon diams 216 (192ndash239) 3607 (3031ndash4183)4625 South Eastman diams 153 (134ndash171) diams 2762 (2289ndash3234)4630 Interlake diams 257 (237ndash277) diams 5046 (4402ndash5690)4640 Central diams 208 (191ndash224) diams 4178 (3710ndash4646)4645 Assiniboine diams 234 (213ndash254) diams 4957 (4269ndash5645)

49

Health System Performance

Map Code


Health Region



Saskatchewan diams 219 (213ndash224) diams 4521 (4363ndash4680) 4701 Sun Country 187 (166ndash208) 3668 (3038ndash4298)4702 Five Hills diams 206 (185ndash228) diams 4076 (3408ndash4744)4704 Regina diams 209 (199ndash220) diams 4116 (3817ndash4416)4705 Sunrise diams 219 (198ndash241) diams 4434 (3707ndash5161)4706 Saskatoon diams 197 (188ndash206) diams 3803 (3546ndash4060)4709 Prince Albert diams 267 (245ndash288) diams 6047 (5344ndash6750)4710 Prairie North diams 268 (245ndash291) diams 6204 (5493ndash6914)Alberta diams 193 (190ndash195) diams 3756 (3683ndash3828)4831 South Zone diams 209 (199ndash219) diams 4344 (4053ndash4635)4832 Calgary Zone diams 163 (159ndash168) diams 3093 (2984ndash3201)4833 Central Zone diams 226 (218ndash234) diams 4500 (4268ndash4733)4834 Edmonton Zone diams 192 (187ndash197) diams 3698 (3570ndash3826)4835 North Zone diams 242 (233ndash251) diams 4924 (4683ndash5165)British Columbia diams 169 (167ndash171) diams 3127 (3065ndash3188)5911 East Kootenay diams 209 (191ndash227) diams 4146 (3574ndash4717)5912 Kootenay Boundary 199 (182ndash216) 3517 (3014ndash4020)5913 Okanagan diams 175 (168ndash183) 3315 (3072ndash3558)5914 ThompsonCaribooShuswap diams 218 (207ndash228) diams 4374 (4032ndash4717)5921 Fraser East diams 203 (193ndash212) diams 3651 (3395ndash3908)5922 Fraser North diams 150 (144ndash155) diams 2500 (2357ndash2643)5923 Fraser South diams 157 (152ndash162) diams 2929 (2781ndash3077)5931 Richmond diams 107 (99ndash116) diams 1840 (1606ndash2075)5932 Vancouver diams 154 (148ndash159) diams 2864 (2709ndash3019)5933 North Shore diams 134 (126ndash142) diams 2476 (2242ndash2710)5941 South Vancouver Island diams 157 (150ndash164) diams 3033 (2811ndash3255)5942 Central Vancouver Island diams 192 (183ndash201) diams 3920 (3603ndash4238)5943 North Vancouver Island 188 (174ndash201) 3593 (3157ndash4030)5951 Northwest diams 267 (245ndash288) diams 5106 (4495ndash5718)5952 Northern Interior diams 230 (216ndash245) diams 4129 (3748ndash4509)5953 Northeast diams 254 (231ndash278) diams 4884 (4278ndash5490)Yukon diams 254 (221ndash288) diams 5043 (4108ndash5978) Northwest Territories diams 263 (229ndash298) diams 5723 (4894ndash6551) Nunavut diams 447 (382ndash512) diams 9501 (8280ndash10722) Canada 183 (182ndash183) 3353 (3330ndash3376)

dagger 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 100000 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 dataSource Vital StatisticsmdashDeath Database Statistics Canada

50



Avoidable Mortality From Preventable Causes 2007 to 2009



Newfoundland and Labrador diams 128 (123ndash134) 2180 (2034ndash2327) 1011 Eastern diams 130 (123ndash137) 2065 (1886ndash2243)1012 Central 113 (102ndash124) 1979 (1643ndash2315)1013 Western diams 133 (119ndash147) 2400 (1983ndash2816)Prince Edward Island 125 (114ndash135) 2079 (1817ndash2341)Nova Scotia diams 132 (128ndash136) diams 2324 (2215ndash2433)1211 South Shore diams 140 (123ndash156) diams 2903 (2351ndash3454)1212 South West Nova diams 138 (122ndash155) 2573 (2075ndash3071)1223 Annapolis Valley 119 (107ndash132) 2082 (1719ndash2445)1234 Colchester East Hants diams 136 (121ndash151) diams 2624 (2188ndash3060)1258 Cape Breton diams 161 (149ndash173) diams 3029 (2658ndash3400)1269 Capital 119 (113ndash125) diams 1942 (1804ndash2081)New Brunswick diams 129 (125ndash134) diams 2349 (2223ndash2475)1301 Zone 1 (Moncton area) 118 (109ndash126) 2298 (2055ndash2541)1302 Zone 2 (Saint John area) diams 136 (126ndash145) 2277 (2026ndash2529)1303 Zone 3 (Fredericton area) diams 132 (122ndash142) 2325 (2071ndash2578)1306 Zone 6 (Bathurst area) 110 (98ndash123) 1994 (1623ndash2364)Quebec diams 121 (119ndash122) 2062 (2028ndash2097)2401 Bas-Saint-Laurent 126 (117ndash134) diams 2458 (2190ndash2726)2402 SaguenayndashLac-Saint-Jean diams 131 (123ndash138) diams 2389 (2173ndash2606)2403 Capitale-Nationale diams 114 (109ndash118) diams 1918 (1806ndash2030)2404 Mauricie et Centre-du-Queacutebec diams 135 (130ndash141) diams 2519 (2356ndash2682)2405 Estrie 113 (107ndash120) 2092 (1907ndash2278)2406 Montreacuteal diams 114 (111ndash117) diams 1805 (1746ndash1865)2407 Outaouais diams 142 (135ndash149) diams 2290 (2126ndash2455)2408 Abitibi-Teacutemiscamingue diams 153 (142ndash165) diams 2842 (2524ndash3159)2409 Cocircte-Nord diams 152 (138ndash166) diams 2885 (2487ndash3283)2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 157 (143ndash171) diams 2900 (2472ndash3328)2412 Chaudiegravere-Appalaches 113 (107ndash119) 2085 (1925ndash2246)2413 Laval diams 100 (94ndash105) diams 1582 (1452ndash1712)2414 Lanaudiegravere diams 131 (125ndash137) 2190 (2041ndash2340)2415 Laurentides diams 129 (124ndash135) 2222 (2083ndash2361)2416 Monteacutereacutegie diams 114 (111ndash117) diams 1898 (1822ndash1975)Ontario diams 108 (107ndash109) diams 1804 (1779ndash1828) 3501 Erie St Clair diams 131 (126ndash136) 2164 (2045ndash2282)3502 South West 120 (116ndash124) 2071 (1971ndash2171)3503 Waterloo Wellington diams 102 (98ndash107) diams 1680 (1582ndash1778)3504 Hamilton Niagara Haldimand Brant diams 126 (123ndash130) 2122 (2041ndash2203)3505 Central West diams 87 (83ndash91) diams 1545 (1453ndash1637)3506 Mississauga Halton diams 79 (76ndash82) diams 1241 (1175ndash1308)3507 Toronto Central diams 104 (101ndash108) diams 1795 (1717ndash1872)3508 Central diams 72 (70ndash75) diams 1189 (1134ndash1244)3509 Central East diams 102 (99ndash105) diams 1673 (1605ndash1741)3510 South East diams 135 (129ndash140) diams 2335 (2182ndash2488)3511 Champlain diams 103 (100ndash106) diams 1653 (1579ndash1727)3512 North Simcoe Muskoka diams 124 (119ndash130) 2152 (2002ndash2302)3513 North East diams 157 (151ndash162) diams 2756 (2603ndash2909)3514 North West diams 167 (157ndash176) diams 3756 (3454ndash4057)Manitoba diams 142 (138ndash146) diams 2820 (2711ndash2929)4610 Winnipeg diams 128 (124ndash133) diams 2329 (2206ndash2452)4615 Brandon diams 137 (118ndash155) 2254 (1814ndash2694)4625 South Eastman diams 96 (82ndash111) diams 1536 (1209ndash1863)4630 Interlake diams 167 (151ndash184) diams 3384 (2859ndash3910)4640 Central 129 (116ndash141) 2422 (2079ndash2765)4645 Assiniboine diams 147 (130ndash163) diams 3113 (2587ndash3639)

51


Map Code


Health Region



Saskatchewan diams 142 (138ndash147) diams 3042 (2914ndash3170) diams 4701 Sun Country 130 (112ndash148) 2740 (2187ndash3294)

4702 Five Hills 133 (115ndash151) diams 2878 (2297ndash3458)4704 Regina diams 134 (126ndash143) diams 2691 (2458ndash2924)4705 Sunrise diams 136 (119ndash154) diams 2954 (2356ndash3552)4706 Saskatoon diams 126 (118ndash133) diams 2426 (2231ndash2621)4709 Prince Albert diams 176 (158ndash194) diams 4085 (3508ndash4663)4710 Prairie North diams 178 (159ndash196) diams 4511 (3894ndash5128)Alberta diams 128 (126ndash130) diams 2468 (2412ndash2524)4831 South Zone diams 141 (133ndash150) diams 2936 (2703ndash3168)4832 Calgary Zone diams 107 (104ndash111) diams 1982 (1901ndash2063)4833 Central Zone diams 149 (142ndash156) diams 3029 (2843ndash3215)4834 Edmonton Zone diams 127 (123ndash131) diams 2358 (2264ndash2452)4835 North Zone diams 165 (158ndash173) diams 3476 (3276ndash3677)British Columbia diams 113 (111ndash115) 2098 (2051ndash2145)5911 East Kootenay diams 149 (134ndash164) diams 3055 (2575ndash3534)5912 Kootenay Boundary diams 141 (126ndash155) diams 2689 (2239ndash3138)5913 Okanagan 122 (115ndash128) diams 2321 (2129ndash2512)5914 ThompsonCaribooShuswap diams 156 (147ndash165) diams 3258 (2971ndash3545)5921 Fraser East diams 136 (129ndash144) diams 2519 (2311ndash2728)5922 Fraser North diams 98 (94ndash103) diams 1605 (1501ndash1709)5923 Fraser South diams 100 (96ndash104) diams 1853 (1742ndash1964)5931 Richmond diams 69 (62ndash76) diams 1136 (972ndash1299)5932 Vancouver diams 100 (96ndash105) diams 1819 (1711ndash1927)5933 North Shore diams 87 (81ndash93) diams 1665 (1485ndash1846)5941 South Vancouver Island diams 103 (98ndash109) 2021 (1857ndash2184)5942 Central Vancouver Island diams 131 (123ndash139) diams 2730 (2475ndash2985)5943 North Vancouver Island diams 130 (119ndash141) 2416 (2087ndash2746)5951 Northwest diams 191 (172ndash209) diams 3846 (3307ndash4385)5952 Northern Interior diams 157 (145ndash169) diams 2891 (2581ndash3200)5953 Northeast diams 169 (150ndash189) diams 3250 (2778ndash3721)Yukon diams 174 (146ndash201) diams 3562 (2814ndash4310) Northwest Territories diams 167 (140ndash194) diams 3635 (3009ndash4260) Nunavut diams 318 (263ndash372) diams 6790 (5756ndash7825) Canada 118 (117ndash119) 2097 (2080ndash2114)


Avoidable mortality from preventable causesMortality 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 100000 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 avoiding new cases altogether Note Rates are based on three years of pooled data Source Vital StatisticsmdashDeath Database Statistics Canada

52



Avoidable Mortality From Treatable Causes 2007 to 2009



Newfoundland and Labrador diams 83 (79ndash87) diams 1610 (1451ndash1770) 1011 Eastern diams 86 (81ndash92) diams 1742 (1524ndash1961)1012 Central diams 76 (67ndash85) 1380 (1038ndash1722)1013 Western diams 78 (68ndash89) 1452 (1059ndash1845)Prince Edward Island diams 72 (65ndash80) 1294 (1050ndash1538) Nova Scotia diams 70 (67ndash73) 1193 (1105ndash1282) 1211 South Shore 56 (46ndash66) 1056 (659ndash1453)1212 South West Nova 68 (57ndash79) 1050 (726ndash1374)1223 Annapolis Valley 66 (57ndash75) 1087 (783ndash1391)1234 Colchester East Hants 68 (58ndash79) 1220 (903ndash1537)1258 Cape Breton diams 94 (85ndash103) diams 1651 (1358ndash1943)1269 Capital 66 (62ndash71) 1136 (1011ndash1260)New Brunswick diams 61 (58ndash65) 1171 (1063ndash1279)1301 Zone 1 (Moncton area) diams 56 (51ndash62) 1158 (947ndash1368)1302 Zone 2 (Saint John area) 70 (63ndash77) 1331 (1096ndash1565)1303 Zone 3 (Fredericton area) 62 (55ndash68) 1167 (953ndash1381)1306 Zone 6 (Bathurst area) diams 53 (45ndash61) diams 800 (536ndash1064)Quebec diams 62 (61ndash63) diams 1196 (1164ndash1229)2401 Bas-Saint-Laurent 62 (56ndash68) 1285 (1057ndash1513)2402 SaguenayndashLac-Saint-Jean 63 (58ndash68) 1308 (1115ndash1500)2403 Capitale-Nationale diams 56 (53ndash59) diams 1072 (964ndash1180)2404 Mauricie et Centre-du-Queacutebec 62 (58ndash66) 1339 (1188ndash1490)2405 Estrie diams 50 (46ndash55) diams 977 (827ndash1127)2406 Montreacuteal diams 67 (65ndash69) 1258 (1192ndash1324)2407 Outaouais diams 72 (67ndash77) diams 1118 (989ndash1247)2408 Abitibi-Teacutemiscamingue 70 (62ndash77) 1318 (1081ndash1554)2409 Cocircte-Nord diams 78 (68ndash88) diams 1773 (1392ndash2153)2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 75 (65ndash84) 1617 (1198ndash2037)2412 Chaudiegravere-Appalaches diams 53 (49ndash57) 1135 (987ndash1282)2413 Laval diams 57 (53ndash61) 1138 (993ndash1283)2414 Lanaudiegravere 63 (59ndash67) diams 1071 (954ndash1189)2415 Laurentides 64 (60ndash68) 1248 (1121ndash1374)2416 Monteacutereacutegie diams 61 (59ndash63) diams 1129 (1057ndash1201)Ontario 65 (64ndash66) 1281 (1254ndash1307) 3501 Erie St Clair diams 73 (69ndash76) 1271 (1161ndash1381)3502 South West diams 69 (66ndash72) 1357 (1255ndash1460)3503 Waterloo Wellington 61 (58ndash65) diams 1093 (997ndash1188)3504 Hamilton Niagara Haldimand Brant diams 72 (69ndash74) diams 1341 (1259ndash1424)3505 Central West 62 (59ndash65) diams 1444 (1328ndash1560)3506 Mississauga Halton diams 52 (50ndash55) diams 1040 (962ndash1119)3507 Toronto Central 65 (62ndash68) 1274 (1188ndash1359)3508 Central diams 52 (50ndash54) diams 1088 (1017ndash1159)3509 Central East 64 (62ndash66) diams 1367 (1284ndash1450)3510 South East diams 73 (69ndash77) 1383 (1235ndash1531)3511 Champlain 63 (61ndash66) 1177 (1094ndash1259)3512 North Simcoe Muskoka diams 69 (65ndash73) 1264 (1126ndash1402)3513 North East diams 86 (82ndash90) diams 1700 (1546ndash1854)3514 North West diams 86 (79ndash92) diams 1813 (1572ndash2055)Manitoba diams 83 (80ndash86) diams 1682 (1587ndash1777) 4610 Winnipeg diams 80 (76ndash84) diams 1624 (1494ndash1755)4615 Brandon diams 79 (65ndash93) 1353 (981ndash1725)4625 South Eastman 57 (46ndash68) 1226 (885ndash1566)4630 Interlake diams 90 (79ndash101) diams 1661 (1289ndash2033)4640 Central diams 79 (69ndash89) diams 1756 (1438ndash2074)4645 Assiniboine diams 87 (75ndash99) diams 1844 (1400ndash2288)

53






Saskatchewan diams 76 (73ndash79) diams 1479 (1385ndash1574) 4701 Sun Country 57 (46ndash68) diams 928 (626ndash1229)4702 Five Hills 74 (61ndash86) 1198 (867ndash1530)4704 Regina diams 75 (69ndash81) 1426 (1237ndash1614)4705 Sunrise diams 83 (70ndash96) 1480 (1066ndash1894)4706 Saskatoon diams 71 (66ndash77) 1377 (1209ndash1545)4709 Prince Albert diams 91 (79ndash103) diams 1961 (1560ndash2363)4710 Prairie North diams 90 (77ndash103) diams 1692 (1338ndash2046)Alberta 65 (63ndash66) 1288 (1241ndash1334)4831 South Zone 67 (62ndash73) 1409 (1233ndash1584)4832 Calgary Zone diams 56 (54ndash59) diams 1111 (1038ndash1183)4833 Central Zone diams 77 (72ndash81) diams 1471 (1331ndash1612)4834 Edmonton Zone 65 (62ndash68) 1341 (1254ndash1428)4835 North Zone diams 77 (71ndash82) diams 1447 (1313ndash1581)British Columbia diams 56 (55ndash57) diams 1029 (990ndash1069)5911 East Kootenay 60 (51ndash69) 1091 (780ndash1402)5912 Kootenay Boundary 58 (50ndash67) diams 828 (602ndash1054)5913 Okanagan diams 54 (49ndash58) diams 994 (845ndash1143)5914 ThompsonCaribooShuswap 62 (56ndash67) 1116 (929ndash1304)5921 Fraser East 66 (61ndash72) 1132 (982ndash1282)5922 Fraser North diams 51 (48ndash55) diams 895 (797ndash993)5923 Fraser South diams 57 (54ndash60) diams 1076 (978ndash1173)5931 Richmond diams 38 (33ndash44) diams 705 (537ndash872)5932 Vancouver diams 53 (50ndash57) diams 1045 (934ndash1156)5933 North Shore diams 47 (43ndash52) diams 811 (662ndash960)5941 South Vancouver Island diams 54 (49ndash58) diams 1012 (863ndash1162)5942 Central Vancouver Island 61 (56ndash66) 1190 (1000ndash1380)5943 North Vancouver Island 58 (50ndash65) 1177 (890ndash1464)5951 Northwest diams 76 (65ndash87) 1260 (972ndash1548)5952 Northern Interior diams 73 (65ndash81) 1238 (1016ndash1460)5953 Northeast diams 85 (71ndash99) 1634 (1253ndash2016)Yukon 81 (62ndash100) 1481 (920ndash2042) Northwest Territories diams 96 (75ndash118) diams 2088 (1545ndash2631) Nunavut diams 129 (93ndash165) diams 2711 (2062ndash3361) Canada 65 (64ndash65) 1257 (1241ndash1273)


Avoidable mortality from treatable causesMortality 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 100000 population PYLL is the number of years of potential life not lived when a person dies before age 75 The indicator informs efforts aimed at reducing the number of people who die once they have the condition or case-fatality reduction Note Rates are based on three years of pooled data Source Vital StatisticsmdashDeath Database Statistics Canada

54




2011ndash2012

Wait Time for Hip Fracture Surgery (Proportion With Surgery Within 48 Hours)

2011ndash2012 Age-Standardized Rate per 100000 95 CI Risk-Adjusted Rate () 95 CI

Newfoundland and Labrador diams 533 (484ndash582) diams 851 (813ndash888) 1011 Eastern diams 543 (476ndash610) 859 (810ndash908)1012 Central 461 (365ndash556) 878 (794ndash963)1013 Western diams 594 (472ndash717) 809 (723ndash894)Prince Edward Island 478 (395ndash561) 811 (729ndash892)Nova Scotia 458 (427ndash489) 796 (769ndash823)1211 South Shore 531 (412ndash649) 893 (804ndash983)1212 South West Nova 402 (295ndash509) 1223 Annapolis Valley 452 (355ndash549) diams 917 (833ndash1000)1234 Colchester East Hants 473 (361ndash586) 724 (634ndash814)1258 Cape Breton 480 (398ndash562) diams 898 (826ndash970)1269 Capital 426 (376ndash477) diams 704 (657ndash750)New Brunswick 462 (427ndash498) diams 852 (821ndash882)1301 Zone 1 (Moncton area) 468 (400ndash535) diams 908 (854ndash962)1302 Zone 2 (Saint John area) 402 (332ndash472) 829 (752ndash906)1303 Zone 3 (Fredericton area) 483 (403ndash562) 761 (697ndash825)1306 Zone 6 (Bathurst area) 414 (313ndash514) 892 (795ndash989)Quebec diams 403 (393ndash413) 2401 Bas-Saint-Laurent diams 373 (317ndash429) 2402 SaguenayndashLac-Saint-Jean diams 363 (311ndash415) 2403 Capitale-Nationale diams 384 (352ndash417) 2404 Mauricie et Centre-du-Queacutebec diams 368 (332ndash404) 2405 Estrie diams 368 (320ndash417) 2406 Montreacuteal 440 (418ndash462) 2407 Outaouais 432 (375ndash490) 2408 Abitibi-Teacutemiscamingue 369 (292ndash447) 2409 Cocircte-Nord diams 272 (186ndash359) 2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 342 (265ndash419) 2412 Chaudiegravere-Appalaches diams 389 (344ndash433) 2413 Laval 472 (422ndash523) 2414 Lanaudiegravere 397 (350ndash444) 2415 Laurentides 399 (357ndash442) 2416 Monteacutereacutegie diams 400 (374ndash425) Ontario diams 424 (415ndash432) 813 (805ndash821) 3501 Erie St Clair diams 479 (440ndash519) diams 760 (726ndash795)3502 South West 446 (415ndash476) 809 (782ndash836)3503 Waterloo Wellington 463 (423ndash503) diams 934 (901ndash968)3504 Hamilton Niagara Haldimand Brant 439 (414ndash464) 825 (802ndash848)3505 Central West diams 339 (304ndash374) diams 696 (653ndash740)3506 Mississauga Halton diams 361 (331ndash392) diams 757 (722ndash791)3507 Toronto Central diams 391 (364ndash418) 798 (771ndash826)3508 Central diams 369 (346ndash392) 830 (805ndash855)3509 Central East diams 389 (365ndash412) diams 758 (734ndash782)3510 South East diams 487 (444ndash529) diams 876 (841ndash911)3511 Champlain 438 (409ndash466) diams 878 (852ndash904)3512 North Simcoe Muskoka 468 (422ndash514) diams 674 (630ndash717)3513 North East diams 488 (448ndash529) 834 (799ndash868)3514 North West 480 (413ndash547) diams 903 (846ndash960)Manitoba diams 524 (493ndash555) diams 856 (833ndash879)4610 Winnipeg diams 541 (499ndash583) diams 847 (818ndash877)4615 Brandon 403 (278ndash528) 4625 South Eastman 483 (338ndash628) 4630 Interlake diams 561 (442ndash681) diams 925 (839ndash1000)4640 Central 486 (388ndash583) 780 (700ndash859)4645 Assiniboine diams 562 (449ndash675) diams 916 (839ndash992)

55


Map Code


2011ndash2012


2011ndash2012

Health RegionAge-Standardized Rate per 100000 95 CI Risk-Adjusted Rate () 95 CI

Saskatchewan diams 521 (488ndash554) 813 (788ndash837) 4701 Sun Country 578 (434ndash722) 900 (811ndash989)4702 Five Hills diams 635 (495ndash775) diams 561 (475ndash646)4704 Regina diams 556 (485ndash627) diams 894 (846ndash942)4705 Sunrise 414 (307ndash521) 786 (693ndash880)4706 Saskatoon diams 513 (450ndash577) 764 (715ndash814)4709 Prince Albert 452 (339ndash565) 809 (712ndash906)4710 Prairie North 417 (294ndash541) Alberta 453 (434ndash472) 825 (808ndash842) 4831 South Zone 462 (401ndash523) diams 877 (824ndash930)4832 Calgary Zone 420 (389ndash452) diams 863 (833ndash894)4833 Central Zone diams 536 (481ndash591) 779 (736ndash822)4834 Edmonton Zone 423 (391ndash456) 795 (764ndash826)4835 North Zone 492 (425ndash559) 801 (743ndash860)British Columbia 443 (429ndash458) diams 773 (760ndash786)5911 East Kootenay 484 (373ndash596) 765 (667ndash863)5912 Kootenay Boundary diams 555 (441ndash669) diams 915 (837ndash993)5913 Okanagan diams 484 (437ndash530) 821 (783ndash858)5914 ThompsonCaribooShuswap 482 (416ndash548) 833 (777ndash889)5921 Fraser East 466 (406ndash526) diams 717 (664ndash771)5922 Fraser North 477 (431ndash524) diams 654 (615ndash693)5923 Fraser South diams 348 (318ndash379) diams 569 (532ndash606)5931 Richmond diams 329 (265ndash393) 794 (718ndash870)5932 Vancouver diams 386 (346ndash426) 796 (757ndash835)5933 North Shore 433 (377ndash488) diams 743 (691ndash796)5941 South Vancouver Island 443 (397ndash489) diams 866 (828ndash904)5942 Central Vancouver Island diams 545 (488ndash602) diams 885 (844ndash926)5943 North Vancouver Island 492 (401ndash582) diams 931 (852ndash1000)5951 Northwest 498 (353ndash643) 5952 Northern Interior 523 (417ndash630) 874 (791ndash958)5953 Northeast 556 (369ndash742) Yukon diams 848 (447ndash1249) Northwest Territories diams 1014 (611ndash1417) Nunavut Canada 435 (430ndash440) 811

Hospitalized hip fracture event Age-standardized rate of new hip fractures admitted to an acute care hospital per 100000 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 the previous 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 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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

Wait time for hip fracture surgery Proportion with surgery within 48 hours The risk-adjusted proportion of hip fractures that were surgically treated within 48 hours of a patientrsquos 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 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

56



Ambulatory Care Sensitive Conditions 2011ndash2012

Caesarean Section 2011ndash2012

Age-Standardized Rate per 100000 95 CI 95 CI

Newfoundland and Labrador diams 423 (405ndash440) 306 (293ndash320) 1011 Eastern diams 374 (352ndash395) 308 (291ndash326)1012 Central diams 451 (407ndash496) 314 (278ndash351)1013 Western diams 518 (469ndash568) 300 (263ndash336)Prince Edward Island diams 457 (421ndash492) 289 (265ndash313) Nova Scotia diams 316 (305ndash327) 265 (256ndash275) 1211 South Shore 275 (234ndash316) 302 (258ndash346)1212 South West Nova diams 471 (418ndash525) 262 (222ndash303)1223 Annapolis Valley 286 (251ndash320) 275 (244ndash307)1234 Colchester East Hants diams 410 (365ndash455) 261 (230ndash292)1258 Cape Breton diams 461 (424ndash498) 285 (258ndash313)1269 Capital diams 212 (198ndash226) 252 (239ndash265)New Brunswick diams 460 (445ndash475) 273 (263ndash283)1301 Zone 1 (Moncton area) diams 366 (340ndash392) 280 (261ndash300)1302 Zone 2 (Saint John area) diams 392 (363ndash420) 204 (185ndash223)1303 Zone 3 (Fredericton area) diams 491 (459ndash523) 292 (270ndash313)1306 Zone 6 (Bathurst area) diams 514 (466ndash563) 278 (240ndash316)Quebec diams 275 (271ndash278) 236 (233ndash239)2401 Bas-Saint-Laurent 313 (289ndash336) 235 (215ndash254)2402 SaguenayndashLac-Saint-Jean diams 376 (353ndash398) 244 (227ndash260)2403 Capitale-Nationale diams 218 (208ndash229) 244 (234ndash254)2404 Mauricie et Centre-du-Queacutebec 287 (272ndash301) 206 (195ndash218)2405 Estrie diams 314 (296ndash333) 177 (163ndash190)2406 Montreacuteal diams 238 (231ndash244) 250 (244ndash255)2407 Outaouais 276 (259ndash292) 280 (266ndash293)2408 Abitibi-Teacutemiscamingue diams 415 (383ndash447) 236 (216ndash256)2409 Cocircte-Nord diams 429 (390ndash468) 210 (185ndash235)

diams 2411 GaspeacutesiendashIcircles-de-la-Madeleine 547 (503ndash591) 295 (262ndash328)2412 Chaudiegravere-Appalaches diams 263 (248ndash278) 238 (226ndash251)2413 Laval diams 201 (187ndash214) 244 (231ndash257)2414 Lanaudiegravere 297 (282ndash312) 199 (188ndash210)2415 Laurentides diams 274 (261ndash287) 217 (206ndash228)2416 Monteacutereacutegie diams 275 (267ndash283) 235 (228ndash241)Ontario diams 269 (267ndash272) 286 (284ndash289)3501 Erie St Clair 303 (290ndash316) 265 (254ndash276)3502 South West 288 (278ndash299) 232 (224ndash241)3503 Waterloo Wellington diams 250 (238ndash261) 260 (251ndash270)3504 Hamilton Niagara Haldimand Brant diams 303 (294ndash312) 289 (281ndash297)3505 Central West diams 271 (260ndash282) 317 (308ndash326)3506 Mississauga Halton diams 183 (175ndash191) 274 (266ndash282)3507 Toronto Central diams 238 (229ndash247) 291 (284ndash299)3508 Central diams 175 (168ndash181) 294 (288ndash301)3509 Central East diams 246 (238ndash254) 302 (295ndash309)3510 South East diams 330 (315ndash346) 278 (264ndash291)3511 Champlain diams 239 (230ndash247) 293 (285ndash300)3512 North Simcoe Muskoka 305 (290ndash321) 316 (301ndash330)3513 North East diams 492 (474ndash509) 308 (296ndash321)3514 North West diams 516 (487ndash545) 247 (230ndash264)Manitoba diams 314 (304ndash324) 214 (208ndash221)4610 Winnipeg diams 205 (194ndash215) 218 (208ndash227)4615 Brandon diams 405 (348ndash461) 317 (285ndash349)4625 South Eastman diams 229 (192ndash266) 188 (165ndash211)4630 Interlake diams 369 (330ndash409) 197 (170ndash224)4640 Central diams 349 (313ndash386) 194 (175ndash213)4645 Assiniboine diams 558 (503ndash613) 269 (239ndash299)

57


Map Code



Health RegionAge-Standardized Rate per 100000 95 CI 95 CI

Saskatchewan diams 454 (441ndash467) 231 (224ndash238) 4701 Sun Country diams 488 (430ndash547) 243 (212ndash275)4702 Five Hills diams 517 (455ndash579) 277 (241ndash313)4704 Regina diams 490 (463ndash517) 235 (221ndash250)4705 Sunrise diams 711 (640ndash781) 276 (240ndash312)4706 Saskatoon 298 (279ndash318) 227 (214ndash240)4709 Prince Albert diams 387 (344ndash431) 183 (159ndash206)4710 Prairie North diams 613 (555ndash672) 242 (219ndash265)Alberta diams 313 (307ndash318) 274 (270ndash278)4831 South Zone diams 400 (377ndash423) 250 (236ndash263)4832 Calgary Zone diams 235 (227ndash244) 276 (269ndash282)4833 Central Zone diams 399 (380ndash417) 293 (281ndash305)4834 Edmonton Zone diams 259 (250ndash269) 273 (266ndash280)4835 North Zone diams 554 (530ndash577) 266 (256ndash276)British Columbia diams 254 (249ndash258) 320 (315ndash324)5911 East Kootenay diams 385 (343ndash428) 334 (300ndash368)5912 Kootenay Boundary 294 (256ndash331) 277 (241ndash312)5913 Okanagan 283 (265ndash301) 303 (286ndash320)5914 ThompsonCaribooShuswap 288 (266ndash310) 334 (313ndash355)5921 Fraser East diams 353 (331ndash375) 319 (303ndash335)5922 Fraser North diams 213 (201ndash225) 345 (332ndash357)5923 Fraser South diams 228 (217ndash238) 340 (330ndash350)5931 Richmond diams 162 (143ndash180) 294 (271ndash317)5932 Vancouver diams 192 (181ndash203) 320 (308ndash331)5933 North Shore diams 205 (189ndash222) 332 (312ndash351)5941 South Vancouver Island diams 191 (176ndash206) 318 (302ndash335)5942 Central Vancouver Island 285 (264ndash305) 258 (239ndash276)5943 North Vancouver Island 297 (267ndash327) 309 (280ndash337)5951 Northwest diams 526 (473ndash578) 242 (213ndash270)5952 Northern Interior diams 488 (452ndash523) 304 (281ndash327)5953 Northeast diams 507 (451ndash562) 297 (270ndash325)Yukon diams 507 (430ndash583) 250 (209ndash291) Northwest Territories diams 646 (555ndash737) 219 (188ndash250) Nunavut diams 892 (738ndash1045) 113 (90ndash135) Canada 290 (289ndash292) 271 (269ndash272)

Ambulatory care sensitive conditions Age-standardized acute care hospitalization rate for conditions where appropriate ambulatory care prevents or reduces the need for hospitalization per 100000 population younger than age 75 Hospitalizations for ambulatory care sensitive conditions are considered to be an 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 Sources Discharge Abstract Database Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

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 morbiditymortality 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 Sources Discharge Abstract Database Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

58



30-Day Acute Myocardial Infarction In-Hospital Mortality

2009ndash2010 to 2011ndash2012

30-Day Stroke In-Hospital Mortality


Risk-Adjusted Rate () 95 CI Risk-Adjusted Rate () 95 CI Newfoundland and Labrador 81 (72ndash90) diams 204 (187ndash221) 1011 Eastern 81 (69ndash92) diams 204 (181ndash226)1012 Central 89 (71ndash108) diams 249 (211ndash287)1013 Western 72 (48ndash97) 174 (126ndash223)Prince Edward Island 69 (52ndash86) 178 (144ndash213)Nova Scotia 69 (62ndash75) diams 179 (165ndash192)1211 South Shore 56 (35ndash78) 152 (109ndash196)1212 South West Nova 82 (59ndash105) diams 226 (180ndash272)1223 Annapolis Valley 59 (37ndash80) 153 (111ndash196)1234 Colchester East Hants diams 47 (25ndash69) 185 (138ndash232)1258 Cape Breton 72 (56ndash88) 152 (116ndash187)1269 Capital 67 (54ndash79) diams 180 (157ndash204)New Brunswick 74 (66ndash81) 149 (135ndash164)1301 Zone 1 (Moncton area) 68 (53ndash84) 153 (126ndash181)1302 Zone 2 (Saint John area) 78 (60ndash95) 153 (121ndash185)1303 Zone 3 (Fredericton area) 73 (58ndash89) 161 (128ndash193)1306 Zone 6 (Bathurst area) diams 108 (82ndash134) 140 (95ndash185)Quebec 2401 Bas-Saint-Laurent 2402 SaguenayndashLac-Saint-Jean 2403 Capitale-Nationale 2404 Mauricie et Centre-du-Queacutebec 2405 Estrie 2406 Montreacuteal 2407 Outaouais 2408 Abitibi-Teacutemiscamingue 2409 Cocircte-Nord 2411 GaspeacutesiendashIcircles-de-la-Madeleine 2412 Chaudiegravere-Appalaches 2413 Laval 2414 Lanaudiegravere 2415 Laurentides 2416 Monteacutereacutegie Ontario diams 76 (74ndash78) 148 (145ndash152) 3501 Erie St Clair 80 (72ndash88) 146 (132ndash160)3502 South West diams 86 (78ndash93) diams 175 (163ndash187)3503 Waterloo Wellington 71 (62ndash80) diams 133 (117ndash149)3504 Hamilton Niagara Haldimand Brant 77 (72ndash83) 150 (140ndash160)3505 Central West 69 (60ndash78) 136 (120ndash152)3506 Mississauga Halton 72 (64ndash80) 151 (138ndash165)3507 Toronto Central 73 (65ndash81) 139 (127ndash151)3508 Central 78 (71ndash84) diams 123 (112ndash133)3509 Central East 72 (66ndash78) 141 (131ndash152)3510 South East diams 83 (74ndash93) diams 184 (168ndash201)3511 Champlain 69 (62ndash76) 143 (131ndash156)3512 North Simcoe Muskoka diams 86 (76ndash96) 149 (131ndash167)3513 North East diams 87 (79ndash95) diams 182 (167ndash197)3514 North West diams 58 (46ndash70) 152 (127ndash176)Manitoba 67 (61ndash73) 156 (145ndash168)4610 Winnipeg diams 61 (54ndash69) 135 (120ndash150)4615 Brandon 71 (37ndash104) 153 (95ndash210)4625 South Eastman 56 (24ndash88) diams 209 (155ndash262)4630 Interlake 79 (57ndash101) 179 (132ndash227)4640 Central 85 (65ndash104) 169 (128ndash209)4645 Assiniboine 92 (66ndash118) diams 227 (181ndash272)

59


Map Code



30-Day StrokeIn-Hospital Mortality 2009ndash

2010 to 2011ndash2012

Health Region Risk-Adjusted Rate () 95 CI Risk-Adjusted Rate () 95 CISaskatchewan 77 (70ndash84) 162 (149ndash174) 4701 Sun Country 74 (39ndash108) diams 219 (162ndash275) 4702 Five Hills 83 (56ndash110) 186 (138ndash235)4704 Regina diams 93 (78ndash108) 167 (141ndash193)4705 Sunrise diams 102 (75ndash129) diams 195 (152ndash239)4706 Saskatoon 68 (54ndash81) diams 121 (98ndash143)4709 Prince Albert 78 (54ndash102) diams 200 (153ndash246)4710 Prairie North 63 (33ndash93) 167 (117ndash217)Alberta diams 64 (59ndash68) diams 135 (128ndash143)4831 South Zone 77 (63ndash91) 149 (123ndash174)4832 Calgary Zone diams 59 (51ndash68) diams 110 (96ndash124)4833 Central Zone 70 (58ndash81) 169 (149ndash189)4834 Edmonton Zone diams 59 (51ndash67) diams 128 (115ndash141)4835 North Zone 68 (54ndash82) diams 178 (153ndash203)British Columbia 70 (66ndash74) 146 (140ndash152)5911 East Kootenay 57 (35ndash78) diams 204 (159ndash249)5912 Kootenay Boundary 66 (45ndash87) diams 199 (161ndash238)5913 Okanagan 64 (53ndash75) 137 (120ndash154)5914 ThompsonCaribooShuswap 86 (71ndash100) 147 (123ndash171)5921 Fraser East 78 (64ndash92) 162 (139ndash185)5922 Fraser North 75 (63ndash87) 146 (128ndash163)5923 Fraser South 67 (57ndash77) 134 (119ndash150)5931 Richmond 87 (66ndash108) 128 (97ndash158)5932 Vancouver 65 (54ndash76) diams 123 (107ndash140)5933 North Shore 64 (50ndash79) diams 120 (98ndash143)5941 South Vancouver Island 60 (47ndash74) diams 184 (163ndash204)5942 Central Vancouver Island 74 (60ndash87) 145 (122ndash167)5943 North Vancouver Island 73 (48ndash98) diams 210 (175ndash244)5951 Northwest 57 (21ndash93) 162 (107ndash218)5952 Northern Interior 79 (55ndash102) 128 (88ndash168)5953 Northeast 93 (54ndash131) 157 (87ndash228)Yukon Northwest Territories 94 (07ndash180) Nunavut Canada 73 150

30-day acute myocardial infarction in-hospital mortality 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 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

30-day stroke in-hospital mortality 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 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

60



30-Day Acute Myocardial Infarction Readmission

2011ndash2012

30-Day Medical Readmission

2011ndash2012

Risk-Adjusted Rate () 95 CI Risk-Adjusted Rate () 95 CI Newfoundland and Labrador 116 (97ndash135) diams 127 (123ndash132) 1011 Eastern 110 (86ndash134) diams 124 (117ndash130)1012 Central 136 (95ndash177) 137 (126ndash147)1013 Western 97 (48ndash147) diams 122 (111ndash133)Prince Edward Island 116 (79ndash154) 126 (116ndash136)Nova Scotia 104 (89ndash118) diams 122 (118ndash126)1211 South Shore 97 (53ndash140) 122 (106ndash137)1212 South West Nova 162 (115ndash208) 123 (109ndash137)1223 Annapolis Valley 102 (54ndash149) 125 (111ndash139)1234 Colchester East Hants diams 55 (04ndash107) 123 (108ndash138)1258 Cape Breton 118 (82ndash153) diams 107 (97ndash117)1269 Capital 93 (66ndash120) diams 125 (118ndash133)New Brunswick diams 142 (124ndash160) 134 (130ndash138)1301 Zone 1 (Moncton area) 128 (95ndash160) diams 123 (115ndash131)1302 Zone 2 (Saint John area) 111 (73ndash149) 132 (123ndash141)1303 Zone 3 (Fredericton area) diams 167 (135ndash199) 140 (132ndash148)1306 Zone 6 (Bathurst area) diams 194 (141ndash247) 132 (121ndash144)Quebec diams 103 (97ndash109) diams 130 (129ndash131)2401 Bas-Saint-Laurent 118 (85ndash150) diams 143 (136ndash150)2402 SaguenayndashLac-Saint-Jean 106 (77ndash134) 129 (122ndash135)2403 Capitale-Nationale 99 (79ndash118) diams 123 (118ndash128)2404 Mauricie et Centre-du-Queacutebec 98 (79ndash118) diams 122 (116ndash127)2405 Estrie 102 (77ndash127) 139 (133ndash145)2406 Montreacuteal 105 (93ndash117) diams 129 (126ndash132)2407 Outaouais 93 (66ndash120) diams 124 (116ndash132)2408 Abitibi-Teacutemiscamingue 126 (90ndash163) 137 (128ndash146)2409 Cocircte-Nord 146 (94ndash198) diams 154 (143ndash165)2411 GaspeacutesiendashIcircles-de-la-Madeleine 136 (102ndash170) diams 150 (141ndash158)2412 Chaudiegravere-Appalaches 98 (73ndash124) 131 (125ndash137)2413 Laval diams 77 (48ndash105) 127 (121ndash134)2414 Lanaudiegravere diams 84 (60ndash108) diams 118 (112ndash125)2415 Laurentides 128 (104ndash152) diams 126 (120ndash132)2416 Monteacutereacutegie diams 99 (86ndash113) 132 (128ndash135)Ontario 119 (115ndash124) 134 (133ndash135)3501 Erie St Clair 121 (101ndash140) diams 124 (119ndash129)3502 South West 114 (98ndash131) 138 (134ndash142)3503 Waterloo Wellington diams 87 (68ndash107) diams 125 (120ndash130)3504 Hamilton Niagara Haldimand Brant 117 (104ndash130) 135 (131ndash138)3505 Central West 132 (112ndash153) 132 (127ndash137)3506 Mississauga Halton 112 (92ndash132) diams 123 (119ndash128)3507 Toronto Central diams 144 (124ndash165) diams 144 (140ndash148)3508 Central 121 (105ndash137) 132 (128ndash135)3509 Central East 122 (108ndash137) 132 (128ndash136)3510 South East 123 (101ndash145) 140 (134ndash145)3511 Champlain diams 92 (76ndash107) 132 (128ndash136)3512 North Simcoe Muskoka 114 (91ndash137) 133 (128ndash139)3513 North East diams 154 (138ndash171) diams 142 (138ndash146)3514 North West 123 (94ndash152) diams 147 (141ndash153)Manitoba diams 91 (77ndash106) 136 (132ndash139) 4610 Winnipeg diams 76 (57ndash95) diams 112 (106ndash118)4615 Brandon diams 113 (96ndash130)4625 South Eastman 121 (56ndash185) 125 (109ndash142)4630 Interlake 93 (43ndash143) 141 (129ndash154)4640 Central 108 (65ndash152) diams 149 (138ndash160)4645 Assiniboine 147 (85ndash208) diams 157 (146ndash168)

61


Map Code

30-Day Acute MyocardialInfarction Readmission

2011ndash2012


2011ndash2012

Health Region Risk-Adjusted Rate () 95 CI Risk-Adjusted Rate () 95 CISaskatchewan diams 136 (119ndash154) diams 147 (144ndash151) 4701 Sun Country diams 148 (135ndash161)4702 Five Hills 121 (62ndash181) 138 (124ndash151)4704 Regina diams 156 (117ndash194) diams 148 (141ndash154)4705 Sunrise 150 (88ndash213) diams 173 (163ndash183)4706 Saskatoon 116 (79ndash153) 137 (129ndash144)4709 Prince Albert 105 (52ndash159) 128 (114ndash142)4710 Prairie North 121 (53ndash189) 137 (125ndash150)Alberta 109 (99ndash119) 134 (132ndash136)4831 South Zone 101 (69ndash133) diams 145 (138ndash152)4832 Calgary Zone diams 93 (74ndash112) diams 119 (115ndash123)4833 Central Zone 135 (111ndash159) diams 143 (138ndash148)4834 Edmonton Zone 113 (94ndash131) diams 129 (125ndash133)4835 North Zone 106 (78ndash134) diams 150 (144ndash155)British Columbia diams 124 (116ndash133) diams 142 (140ndash144)5911 East Kootenay 106 (60ndash151) 145 (133ndash156)5912 Kootenay Boundary 122 (78ndash166) 125 (111ndash138)5913 Okanagan diams 142 (118ndash167) diams 142 (137ndash148)5914 ThompsonCaribooShuswap 124 (88ndash160) diams 142 (135ndash150)5921 Fraser East diams 152 (120ndash184) diams 144 (137ndash150)5922 Fraser North 140 (113ndash167) 140 (134ndash145)5923 Fraser South 113 (90ndash136) 139 (134ndash144)5931 Richmond 165 (115ndash215) 143 (133ndash154)5932 Vancouver 113 (87ndash138) diams 148 (142ndash153)5933 North Shore 130 (98ndash163) diams 143 (135ndash150)5941 South Vancouver Island 98 (66ndash130) diams 122 (115ndash129)5942 Central Vancouver Island 118 (88ndash148) diams 147 (140ndash154)5943 North Vancouver Island diams 183 (123ndash243) 142 (131ndash153)5951 Northwest diams 153 (140ndash165)5952 Northern Interior 113 (65ndash162) diams 149 (140ndash159)5953 Northeast diams 157 (140ndash173)Yukon diams 160 (140ndash180) Northwest Territories 142 (125ndash160) Nunavut 116 (91ndash140) Canada 115 134

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 of inpatient 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 2011ndash2012 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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

30-day medical readmission 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 Sources Discharge Abstract Database and National Ambulatory Care Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

62



30-Day Surgical Readmission 2011ndash2012

30-Day Obstetric Readmission 2011ndash2012

Risk-Adjusted Rate () 95 CI Risk-Adjusted Rate () 95 CI Newfoundland and Labrador 65 (61ndash69) diams 26 (22ndash30) 1011 Eastern 64 (58ndash69) diams 28 (24ndash33)1012 Central 70 (60ndash79) 24 (15ndash34)1013 Western 62 (51ndash72) 18 (07ndash28)Prince Edward Island 63 (55ndash71) 21 (14ndash28)Nova Scotia 63 (59ndash66) diams 23 (21ndash26)1211 South Shore 55 (44ndash66) 1212 South West Nova 66 (53ndash78) 1223 Annapolis Valley 63 (52ndash73) 21 (11ndash30)1234 Colchester East Hants 67 (55ndash78) 28 (19ndash36)1258 Cape Breton 66 (58ndash74) 17 (08ndash25)1269 Capital 62 (57ndash67) 23 (20ndash27)New Brunswick 67 (64ndash70) diams 25 (22ndash28)1301 Zone 1 (Moncton area) 69 (62ndash75) diams 29 (23ndash35)1302 Zone 2 (Saint John area) 64 (57ndash71) 17 (10ndash23)1303 Zone 3 (Fredericton area) 72 (65ndash80) 25 (19ndash31)1306 Zone 6 (Bathurst area) 62 (53ndash72) 11 (00ndash22)Quebec diams 61 (60ndash62) 19 (18ndash20)2401 Bas-Saint-Laurent 62 (55ndash69) 20 (12ndash27)2402 SaguenayndashLac-Saint-Jean 63 (57ndash69) 21 (16ndash27)2403 Capitale-Nationale diams 55 (51ndash59) 18 (15ndash22)2404 Mauricie et Centre-du-Queacutebec 63 (58ndash67) 17 (13ndash22)2405 Estrie 63 (58ndash69) 14 (08ndash20)2406 Montreacuteal diams 63 (60ndash65) 21 (19ndash23)2407 Outaouais diams 51 (45ndash57) diams 12 (08ndash17)2408 Abitibi-Teacutemiscamingue diams 76 (67ndash84) 19 (12ndash25)2409 Cocircte-Nord diams 77 (67ndash87) 22 (13ndash32)2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 77 (68ndash85) 28 (18ndash37)2412 Chaudiegravere-Appalaches diams 56 (51ndash61) 18 (13ndash23)2413 Laval 63 (58ndash68) 20 (16ndash25)2414 Lanaudiegravere diams 54 (49ndash59) 20 (16ndash24)2415 Laurentides 63 (58ndash67) 23 (19ndash27)2416 Monteacutereacutegie diams 60 (57ndash63) diams 17 (15ndash19)Ontario diams 68 (67ndash69) diams 17 (17ndash18) 3501 Erie St Clair 64 (60ndash68) diams 11 (08ndash14)3502 South West diams 73 (69ndash76) diams 15 (12ndash18)3503 Waterloo Wellington diams 55 (50ndash59) 18 (15ndash22)3504 Hamilton Niagara Haldimand Brant 67 (64ndash70) diams 17 (14ndash19)3505 Central West 66 (62ndash71) 20 (17ndash23)3506 Mississauga Halton 69 (65ndash73) diams 14 (11ndash17)3507 Toronto Central diams 70 (67ndash74) 20 (17ndash22)3508 Central diams 71 (68ndash74) 17 (15ndash20)3509 Central East diams 62 (59ndash65) 19 (17ndash21)3510 South East 68 (63ndash72) 15 (11ndash20)3511 Champlain 67 (64ndash70) 19 (17ndash21)3512 North Simcoe Muskoka 66 (61ndash71) 18 (13ndash22)3513 North East diams 74 (70ndash78) diams 15 (11ndash18)3514 North West diams 79 (73ndash85) diams 27 (22ndash32)Manitoba diams 60 (57ndash63) diams 28 (26ndash30)4610 Winnipeg diams 53 (49ndash57) diams 32 (29ndash35)4615 Brandon 56 (43ndash70) 15 (04ndash25)4625 South Eastman 62 (49ndash75) diams 30 (24ndash36)4630 Interlake 62 (51ndash73) 23 (14ndash32)4640 Central diams 78 (68ndash88) diams 28 (23ndash34)4645 Assiniboine 75 (64ndash86) 12 (04ndash21)

63


Map Code

30-Day Surgical Readmission2011ndash2012

30-Day Obstetric Readmission2011ndash2012

Health Region Risk-Adjusted Rate () 95 CI Risk-Adjusted Rate () 95 CISaskatchewan diams 77 (74ndash80) 22 (20ndash24) 4701 Sun Country 79 (66ndash92) 23 (14ndash32)4702 Five Hills 70 (58ndash82) 15 (06ndash23)4704 Regina diams 79 (73ndash85) 19 (15ndash24)4705 Sunrise diams 85 (74ndash96) 21 (12ndash29)4706 Saskatoon 65 (59ndash71) 21 (16ndash25)4709 Prince Albert 71 (58ndash83) 25 (17ndash32)4710 Prairie North 78 (66ndash90) diams 27 (22ndash33)Alberta diams 68 (67ndash70) 19 (18ndash20)4831 South Zone 68 (62ndash75) diams 14 (10ndash18)4832 Calgary Zone 63 (60ndash66) 21 (19ndash23)4833 Central Zone 71 (66ndash76) 18 (15ndash21)4834 Edmonton Zone diams 71 (68ndash74) 20 (18ndash22)4835 North Zone diams 78 (73ndash83) 19 (16ndash21)British Columbia diams 72 (70ndash73) diams 23 (22ndash25)5911 East Kootenay 76 (65ndash87) 17 (08ndash25)5912 Kootenay Boundary 71 (61ndash81) diams 39 (29ndash49)5913 Okanagan diams 81 (76ndash86) 24 (20ndash29)5914 ThompsonCaribooShuswap diams 75 (69ndash82) diams 28 (22ndash34)5921 Fraser East diams 80 (74ndash86) diams 28 (23ndash32)5922 Fraser North diams 72 (67ndash76) diams 26 (23ndash29)5923 Fraser South 69 (64ndash73) 18 (15ndash21)5931 Richmond 75 (66ndash84) 24 (17ndash31)5932 Vancouver diams 71 (67ndash76) 22 (19ndash26)5933 North Shore diams 74 (67ndash80) diams 13 (07ndash19)5941 South Vancouver Island diams 60 (55ndash65) 21 (17ndash26)5942 Central Vancouver Island 71 (65ndash77) diams 27 (22ndash33)5943 North Vancouver Island 69 (60ndash78) 16 (09ndash24)5951 Northwest 73 (61ndash85) 23 (14ndash32)5952 Northern Interior 74 (66ndash83) diams 30 (24ndash36)5953 Northeast 56 (40ndash71) 24 (15ndash33)Yukon diams 96 (77ndash116) 28 (17ndash39) Northwest Territories 83 (64ndash102) 14 (04ndash24) Nunavut 81 (57ndash104) diams 08 (01ndash14) Canada 66 20

30-day surgical readmissionRisk-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 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 Sources Discharge Abstract Database and National Ambulatory Care Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

30-day obstetric readmissionRisk-adjusted rate of urgent readmission for obstetric patients 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 Sources Discharge Abstract Database and National Ambulatory Care Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

64



30-Day Readmissionmdash Patients Age 19 and Younger

2011ndash2012

30-Day Readmission for Mental Illness

2011ndash2012

Risk-Adjusted Rate () 95 CI Risk-Adjusted Rate () 95 CI Newfoundland and Labrador 59 (51ndash68) diams 133 (117ndash149) 1011 Eastern 64 (53ndash75) 103 (72ndash134)1012 Central 51 (29ndash73) 151 (116ndash186)1013 Western 43 (21ndash66) 122 (96ndash149)Prince Edward Island 55 (39ndash71) 127 (105ndash148)Nova Scotia 61 (55ndash68) 126 (114ndash138)1211 South Shore 64 (34ndash95) 108 (45ndash171)1212 South West Nova 80 (54ndash107) 90 (48ndash132)1223 Annapolis Valley 60 (35ndash85) diams 196 (143ndash249)1234 Colchester East Hants 68 (47ndash90) diams 37 (17ndash77)1258 Cape Breton 59 (45ndash74) 132 (107ndash158)1269 Capital 58 (48ndash69) 130 (108ndash151)New Brunswick 61 (54ndash67) 127 (116ndash137)1301 Zone 1 (Moncton area) 60 (47ndash72) 114 (93ndash136)1302 Zone 2 (Saint John area) 60 (46ndash74) 86 (54ndash118)1303 Zone 3 (Fredericton area) 65 (51ndash79) diams 146 (120ndash171)1306 Zone 6 (Bathurst area) 59 (41ndash76) 109 (79ndash139)Quebec diams 61 (59ndash63) diams 111 (107ndash115)2401 Bas-Saint-Laurent diams 45 (30ndash60) 113 (93ndash133)2402 SaguenayndashLac-Saint-Jean 65 (56ndash74) diams 139 (123ndash154)2403 Capitale-Nationale 62 (55ndash69) diams 79 (63ndash95)2404 Mauricie et Centre-du-Queacutebec diams 53 (46ndash61) 109 (96ndash122)2405 Estrie 64 (53ndash75) diams 170 (155ndash185)2406 Montreacuteal 66 (61ndash71) diams 87 (77ndash98)2407 Outaouais 65 (55ndash75) diams 78 (59ndash98)2408 Abitibi-Teacutemiscamingue 66 (55ndash77) 107 (81ndash132)2409 Cocircte-Nord 61 (46ndash77) 92 (63ndash121)2411 GaspeacutesiendashIcircles-de-la-Madeleine 55 (36ndash73) 129 (98ndash159)2412 Chaudiegravere-Appalaches 70 (62ndash78) 121 (108ndash135)2413 Laval 68 (59ndash78) 97 (76ndash118)2414 Lanaudiegravere diams 53 (45ndash61) 116 (100ndash132)2415 Laurentides 58 (50ndash66) diams 98 (82ndash115)2416 Monteacutereacutegie diams 56 (51ndash61) 115 (106ndash123)Ontario diams 68 (66ndash70) 117 (114ndash120)3501 Erie St Clair 65 (57ndash72) 104 (89ndash119)3502 South West diams 76 (70ndash83) 105 (93ndash116)3503 Waterloo Wellington 66 (59ndash73) 118 (105ndash131)3504 Hamilton Niagara Haldimand Brant diams 71 (66ndash76) 120 (111ndash129)3505 Central West 61 (55ndash68) 111 (98ndash124)3506 Mississauga Halton 61 (55ndash67) 113 (101ndash126)3507 Toronto Central 71 (64ndash77) diams 127 (117ndash137)3508 Central diams 73 (68ndash78) 123 (113ndash132)3509 Central East diams 71 (66ndash76) 113 (104ndash122)3510 South East diams 75 (66ndash84) 126 (110ndash141)3511 Champlain 60 (53ndash66) 114 (104ndash125)3512 North Simcoe Muskoka 74 (64ndash84) 108 (94ndash123)3513 North East 64 (56ndash71) 125 (115ndash135)3514 North West 64 (53ndash75) 107 (92ndash122)Manitoba 65 (59ndash70) diams 86 (77ndash96)4610 Winnipeg 66 (58ndash75) diams 82 (69ndash96)4615 Brandon diams 22 (11ndash44) diams 73 (36ndash111)4625 South Eastman 50 (27ndash73) 108 (43ndash173)4630 Interlake 58 (35ndash82) 69 (20ndash118)4640 Central 57 (39ndash75) diams 65 (19ndash111)4645 Assiniboine 49 (22ndash75) 126 (91ndash161)

65


Map Code

30-Day ReadmissionmdashPatients Age 19 and Younger

2011ndash2012


2011ndash2012

Health Region Risk-Adjusted Rate () 95 CI Risk-Adjusted Rate () 95 CISaskatchewan 68 (63ndash72) 108 (99ndash118) 4701 Sun Country 52 (31ndash73) 133 (86ndash180)4702 Five Hills 54 (37ndash72) 83 (43ndash122)4704 Regina diams 77 (68ndash85) 111 (91ndash130)4705 Sunrise 65 (45ndash84) 99 (58ndash140)4706 Saskatoon 66 (54ndash77) diams 88 (67ndash109)4709 Prince Albert diams 91 (76ndash107) 134 (105ndash164)4710 Prairie North 53 (38ndash67) 129 (101ndash157)Alberta 63 (60ndash66) diams 99 (93ndash105)4831 South Zone 57 (47ndash67) 107 (91ndash122)4832 Calgary Zone 60 (55ndash66) diams 92 (83ndash102)4833 Central Zone 66 (58ndash74) diams 80 (62ndash98)4834 Edmonton Zone 65 (59ndash71) diams 95 (83ndash107)4835 North Zone 65 (58ndash72) 122 (107ndash137)British Columbia 63 (59ndash66) diams 130 (126ndash135)5911 East Kootenay 64 (42ndash85) 128 (94ndash162)5912 Kootenay Boundary 58 (35ndash82) 117 (89ndash144)5913 Okanagan 58 (47ndash70) diams 156 (142ndash169)5914 ThompsonCaribooShuswap 61 (47ndash75) 113 (94ndash133)5921 Fraser East 61 (49ndash72) 115 (99ndash131)5922 Fraser North 58 (48ndash68) 113 (101ndash126)5923 Fraser South 65 (57ndash72) diams 135 (124ndash147)5931 Richmond 71 (53ndash89) diams 154 (132ndash176)5932 Vancouver 60 (49ndash70) diams 144 (133ndash154)5933 North Shore 61 (47ndash74) diams 137 (119ndash154)5941 South Vancouver Island 70 (58ndash81) 125 (110ndash141)5942 Central Vancouver Island 67 (55ndash80) 121 (103ndash139)5943 North Vancouver Island 59 (37ndash81) 99 (66ndash131)5951 Northwest 58 (38ndash78) diams 144 (121ndash167)5952 Northern Interior 66 (50ndash81) 121 (101ndash141)5953 Northeast 56 (30ndash83) 99 (69ndash128)Yukon 59 (22ndash95) 86 (43ndash130)Northwest Territories diams 91 (68ndash114) 132 (105ndash159)Nunavut diams 90 (73ndash106) 110 (63ndash158) Canada 65 116

30-day readmissionmdashpatients age 19 and youngerRisk-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 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 Sources Discharge Abstract Database and National Ambulatory Care Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

30-day readmission for mental illnessRisk-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 andor 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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

66



Patients With Repeat Hospitalizations for Mental Illness

2010ndash2011


2011ndash2012

Risk-Adjusted Rate () 95 CI Age-Standardized Rate

per 100000 95 CI Newfoundland and Labrador 110 (91ndash129) diams 86 (76ndash96) 1011 Eastern diams 57 (25ndash88) 67 (56ndash77)1012 Central 80 (30ndash130) 91 (66ndash117)1013 Western diams 187 (154ndash220) diams 100 (71ndash129)Prince Edward Island 124 (100ndash148) 57 (42ndash71)Nova Scotia 96 (83ndash110) 72 (66ndash79)1211 South Shore 54 (30ndash79)1212 South West Nova 106 (63ndash148) diams 38 (17ndash59)1223 Annapolis Valley 69 (08ndash130) diams 31 (17ndash45)1234 Colchester East Hants diams 51 (26ndash101) 80 (54ndash107)1258 Cape Breton 127 (98ndash156) diams 123 (97ndash148)1269 Capital 89 (67ndash111) 66 (57ndash75)New Brunswick 117 (105ndash129) diams 85 (77ndash93)1301 Zone 1 (Moncton area) 102 (79ndash126) 65 (52ndash78)1302 Zone 2 (Saint John area) diams 75 (42ndash108) diams 89 (72ndash106)1303 Zone 3 (Fredericton area) diams 78 (49ndash107) 60 (47ndash74)1306 Zone 6 (Bathurst area) diams 144 (112ndash176) 72 (49ndash96)Quebec diams 102 (98ndash106) diams 59 (57ndash61)2401 Bas-Saint-Laurent diams 140 (118ndash162) diams 125 (105ndash145)2402 SaguenayndashLac-Saint-Jean diams 151 (133ndash169) diams 81 (68ndash94)2403 Capitale-Nationale diams 78 (62ndash93) 60 (54ndash67)2404 Mauricie et Centre-du-Queacutebec diams 128 (114ndash142) diams 85 (75ndash95)2405 Estrie 105 (87ndash122) diams 96 (83ndash110)2406 Montreacuteal diams 83 (73ndash93) diams 24 (22ndash27)2407 Outaouais diams 62 (42ndash81) 69 (59ndash79)2408 Abitibi-Teacutemiscamingue 94 (67ndash122) diams 97 (78ndash116)2409 Cocircte-Nord 89 (59ndash119) diams 100 (75ndash124)2411 GaspeacutesiendashIcircles-de-la-Madeleine 77 (45ndash109) diams 130 (100ndash160)2412 Chaudiegravere-Appalaches diams 127 (112ndash143) diams 92 (81ndash103)2413 Laval diams 77 (55ndash99) diams 26 (21ndash32)2414 Lanaudiegravere 116 (100ndash133) diams 55 (47ndash63)2415 Laurentides 95 (78ndash111) diams 55 (47ndash62)2416 Monteacutereacutegie 102 (92ndash111) 68 (63ndash73)Ontario 107 (103ndash110) diams 63 (62ndash65)3501 Erie St Clair diams 83 (67ndash99) diams 57 (50ndash64)3502 South West 97 (84ndash110) 71 (65ndash78)3503 Waterloo Wellington 115 (100ndash131) diams 75 (68ndash82)3504 Hamilton Niagara Haldimand Brant 104 (93ndash114) 71 (66ndash76)3505 Central West diams 92 (77ndash107) diams 45 (40ndash50)3506 Mississauga Halton diams 94 (80ndash108) diams 38 (34ndash42)3507 Toronto Central diams 136 (125ndash147) diams 45 (40ndash49)3508 Central 114 (103ndash125) diams 33 (30ndash36)3509 Central East 105 (94ndash115) diams 50 (46ndash54)3510 South East diams 81 (63ndash99) diams 79 (69ndash88)3511 Champlain diams 90 (79ndash102) diams 60 (55ndash64)3512 North Simcoe Muskoka 97 (80ndash114) diams 119 (107ndash131)3513 North East diams 145 (133ndash156) diams 151 (139ndash164)3514 North West 115 (97ndash134) diams 229 (205ndash253)Manitoba 101 (91ndash111) 68 (62ndash73)4610 Winnipeg diams 92 (79ndash106) diams 43 (38ndash49)4615 Brandon 104 (63ndash145) 84 (55ndash113)4625 South Eastman 77 (18ndash137) 76 (51ndash100)4630 Interlake 72 (26ndash117) 50 (30ndash69)4640 Central 77 (32ndash122) 57 (40ndash75)4645 Assiniboine 145 (104ndash186) 68 (41ndash95)

67


Map Code


2010ndash2011


2011ndash2012

Health Region Risk-Adjusted Rate () 95 CIAge-Standardized Rate

per 100000 95 CISaskatchewan 107 (97ndash118) diams 81 (74ndash87) 4701 Sun Country diams 60 (13ndash107) 78 (50ndash106)4702 Five Hills 146 (104ndash188) 75 (48ndash101)4704 Regina 116 (95ndash137) diams 84 (71ndash97)4705 Sunrise 99 (55ndash143) 77 (45ndash109)4706 Saskatoon diams 83 (60ndash106) diams 52 (43ndash61)4709 Prince Albert 114 (81ndash148) 66 (44ndash89)4710 Prairie North 137 (103ndash171) diams 156 (121ndash190)Alberta diams 95 (89ndash101) diams 59 (56ndash62)4831 South Zone 113 (95ndash130) diams 97 (84ndash110)4832 Calgary Zone 100 (89ndash110) diams 40 (36ndash44)4833 Central Zone 93 (75ndash111) 63 (54ndash71)4834 Edmonton Zone diams 75 (63ndash87) diams 55 (50ndash59)4835 North Zone 105 (89ndash121) diams 99 (89ndash110)British Columbia diams 132 (127ndash137) diams 79 (76ndash82)5911 East Kootenay diams 146 (112ndash181) diams 105 (78ndash131)5912 Kootenay Boundary diams 173 (140ndash206) diams 107 (78ndash136)5913 Okanagan diams 149 (133ndash165) diams 126 (112ndash141)5914 ThompsonCaribooShuswap 106 (85ndash128) diams 107 (90ndash123)5921 Fraser East diams 139 (119ndash158) diams 118 (103ndash133)5922 Fraser North diams 127 (113ndash141) 61 (54ndash68)5923 Fraser South 120 (106ndash134) 72 (64ndash79)5931 Richmond diams 190 (160ndash219) diams 37 (28ndash46)5932 Vancouver 118 (106ndash131) diams 42 (37ndash48)5933 North Shore diams 153 (131ndash175) diams 47 (38ndash57)5941 South Vancouver Island diams 134 (116ndash152) 66 (56ndash75)5942 Central Vancouver Island 126 (105ndash147) diams 127 (110ndash144)5943 North Vancouver Island 112 (79ndash146) diams 88 (67ndash109)5951 Northwest 137 (105ndash168) diams 244 (198ndash290)5952 Northern Interior 128 (105ndash151) diams 98 (79ndash117)5953 Northeast 127 (93ndash161) diams 93 (67ndash120)Yukon 98 (52ndash144) diams 175 (124ndash227) Northwest Territories diams 165 (131ndash199) diams 210 (162ndash258) Nunavut 97 (50ndash144) diams 383 (310ndash456) Canada 109 67 (66ndash68)

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 Sources Discharge Abstract Database National Ambulatory Care Reporting System and Ontario Mental Health Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

Self-injury hospitalization Age-standardized rate of hospitalization in a general hospital due to self-injury per 100000 population age 15 and older Self-injuries may be the result of suicidal andor 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 systemrsquos failure to prevent self-injuries that are severe enough to require hospitalization Sources Discharge Abstract Database National Ambulatory Care Reporting System and Ontario Mental Health Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

68

Health Indicators 2013Equity

Hospitalized Acute Myocardial Infarction Event 2011ndash2012 Neighbourhood Income Quintiledagger

Disparity Rate Ratio 95 CI

Potential Rate Reduction () 95 CI

Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 320(286ndash353)

280(248ndash312)

284(253ndash316)

289(256ndash322)

239(208ndash270)

diamsdiams 134(113ndash158)


PEI 277(215ndash339)

315(248ndash383)

290(225ndash355)

374(299ndash449)

297(235ndash359)

093(068ndash126)

43(-150ndash211)

NS 295(270ndash320)

275(252ndash298)

247(224ndash269)

230(209ndash251)

227(204ndash249)



NB 270(243ndash296)

259(233ndash284)

294(266ndash323)

231(207ndash255)

273(244ndash301)

099(086ndash114)

-29(-128ndash63)

Que 255(247ndash263)

235(228ndash242)

220(213ndash228)

219(211ndash226)

194(187ndash202)



Ont 242(235ndash248)

209(203ndash215)

209(203ndash215)

194(188ndash199)

170(165ndash175)



Man 337(309ndash365)

267(245ndash289)

219(200ndash238)

202(183ndash221)

190(171ndash208)



Sask 248(224ndash273)

193(173ndash213)

193(174ndash211)

187(168ndash207)

181(162ndash200)



Alta 224(211ndash236)

202(190ndash213)

216(204ndash229)

214(202ndash227)

185(174ndash197)



BC 192(182ndash201)

177(168ndash186)

174(165ndash183)

167(158ndash175)

145(137ndash153)



YT NWT Nun Canada 243

(239ndash246) 216

(212ndash220) 212

(208ndash216) 201

(197ndash204) 179

(175ndash182)

diamsdiams 136 (132ndash139)


dagger Age-standardized rates per 100000 population Q1 (Quintile 1) refers to the least-affluent neighbourhoods while Q5 (Quintile 5) refers to the most affluent

Hospitalized Stroke Event 2011ndash2012 Neighbourhood Income Quintiledagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 129(107ndash151)

113(93ndash132)

143(120ndash167)

131(109ndash154)

154(129ndash179)

084(066ndash106)

-149(-320ndash05)


151(104ndash198)

133(90ndash176)

194(136ndash251)

114(70ndash157)


278(-12ndash495)

NS 129(112ndash145)

137(120ndash154)

111(97ndash126)

101(87ndash114)

115(98ndash131)

112(093ndash136)

33(-97ndash150)

NB 148(129ndash167)

137(119ndash155)

137(118ndash157)

118(101ndash135)

119(101ndash138)


96(-38ndash217)

Que


127(123ndash132)

120(116ndash125)

114(110ndash119)

109(105ndash114)




131(116ndash146)

106(93ndash120)

109(95ndash123)

93(80ndash105)




130(114ndash146)

124(109ndash140)

113(98ndash128)

104(89ndash118)




135(126ndash144)

136(126ndash146)

124(114ndash134)

124(114ndash134)

107(096ndash119)

48(-22ndash115)

BC 134(127ndash142)

131(123ndash139)

125(118ndash133)

120(113ndash128)

108(101ndash115)




(138ndash145) 129

(126ndash133) 123

(120ndash126) 116

(113ndash119) 110

(107ndash113)




69

Equity

Hospitalized Hip Fracture Event 2011ndash2012 Neighbourhood Income Quintiledagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 449(352ndash546)

529(420ndash638)

471(375ndash566)

591(473ndash709)

471(365ndash577)

095(070ndash130)

62(-150ndash241)


640(407ndash873)

546(327ndash765)

446(236ndash655)

395(222ndash569)

146(083ndash256)

242(-115ndash501)

NS 455(386ndash524)

524(448ndash601)

453(380ndash526)

460(391ndash528)

435(365ndash505)

104(084ndash130)

65(-80ndash194)

NB 472(393ndash551)

375(306ndash444)

564(463ndash665)

470(394ndash546)

513(416ndash611)

092(071ndash118)

-83(-283ndash91)


439(416ndash462)

414(389ndash438)

451(423ndash478)

429(401ndash457)

095(087ndash103)

-06(-67ndash53)


421(402ndash441)

448(427ndash468)

435(415ndash455)

423(403ndash442)


36(-05ndash75)


513(445ndash582)

565(495ndash635)

441(378ndash503)

544(473ndash616)

111(092ndash135)

-23(-148ndash92)


509(438ndash580)

433(370ndash496)

507(435ndash579)

407(339ndash475)




412(374ndash451)

459(414ndash504)

481(434ndash529)

523(470ndash575)


diamsdiams -131(-235ndash-34)

BC 544(508ndash580)

439(407ndash471)

490(456ndash525)

426(392ndash460)

385(353ndash417)




(456ndash481) 435

(423ndash446) 453

(440ndash465) 447

(434ndash459) 431

(419ndash444)




Injury Hospitalization 2011ndash2012 Neighbourhood Income Quintiledagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 542(495ndash589)

528(481ndash574)

515(468ndash562)

575(527ndash624)

549(503ndash595)

099(088ndash111)

-13(-91ndash61)


651(554ndash747)

683(585ndash781)

746(641ndash851)

584(487ndash681)



NS 531(497ndash564)

528(495ndash561)

502(470ndash534)

495(463ndash527)

495(460ndash529)

107(098ndash118)

30(-31ndash89)

NB 640(599ndash682)

594(554ndash634)

644(603ndash686)

564(525ndash603)

561(522ndash600)




547(536ndash558)

527(516ndash538)

545(533ndash557)

492(481ndash503)




418(411ndash426)

416(408ndash423)

407(400ndash415)

394(387ndash402)



Man 1157(1113ndash1202)

635(604ndash667)

596(566ndash626)

555(525ndash585)

535(504ndash566)



Sask 1205(1154ndash1255)

804(764ndash843)

713(677ndash750)

752(713ndash791)

729(689ndash769)




711(692ndash730)

714(694ndash734)

694(675ndash713)

702(682ndash723)



BC 650(633ndash666)

593(577ndash608)

570(555ndash586)

561(546ndash577)

522(506ndash539)




(608ndash619) 531

(526ndash537) 520

(515ndash525) 514

(508ndash519) 488

(483ndash494)




70


Wait Time for Hip Fracture Surgery (Proportion With Surgery Within 48 Hours) 2011ndash2012 Neighbourhood Income QuintileDagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 904(817ndash991)

921(839ndash1003)

782(702ndash863)

851(766ndash936)

792(706ndash878)

114(099ndash132)

67(-28ndash155)


86(677ndash1042)

906(714ndash1097)

689(457ndash920)

739(527ndash951)

109(078ndash153)

88(-181ndash304)

NS 811(753ndash869)

797(738ndash856)

805(740ndash870)

798(741ndash855)

763(700ndash826)

106(095ndash118)

40(-33ndash109)

NB 822(756ndash887)

875(805ndash945)

813(741ndash885)

883(821ndash945)

866(790ndash941)

095(084ndash107)

-16(-100ndash63)

Que


814(796ndash833)

824(806ndash843)

821(802ndash839)

798(779ndash817)

101(098ndash105)

19(-02ndash40)


848(799ndash897)

878(828ndash928)

828(773ndash883)

849(798ndash900)

103(095ndash112)

09(-46ndash62)


82(766ndash874)

835(779ndash891)

794(738ndash849)

829(765ndash892)

096(087ndash106)

-19(-93ndash51)


84(802ndash878)

799(759ndash840)

871(831ndash911)

821(780ndash862)

097(091ndash104)

05(-41ndash50)

BC 791(765ndash817)

77(741ndash798)

739(711ndash768)

776(744ndash807)

79(756ndash824)

100(095ndash106)

-21(-63ndash19)


(797ndash821) 814

(802ndash827) 807

(794ndash820) 82

(807ndash833) 804

(790ndash817) 101

(098ndash103) 09

(-07ndash24)

Dagger Risk-adjusted rates () Q1 (Quintile 1) refers to the least-affluent neighbourhoods while Q5 (Quintile 5) refers to the most affluent

Ambulatory Care Sensitive Conditions 2011ndash2012 Neighbourhood Income Quintiledagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 506(461ndash551)

468(427ndash509)

439(396ndash482)

372(335ndash410)

374(335ndash412)




570(473ndash667)

488(398ndash578)

376(303ndash450)

406(324ndash488)



NS 417(387ndash447)

371(342ndash399)

324(299ndash350)

266(242ndash290)

286(260ndash313)



NB 667(626ndash709)

499(463ndash536)

465(431ndash500)

385(354ndash417)

377(346ndash409)




310(301ndash319)

278(269ndash286)

255(247ndash263)

190(183ndash196)




306(299ndash313)

272(266ndash279)

235(229ndash241)

184(179ndash190)




384(358ndash410)

248(227ndash268)

252(232ndash273)

241(220ndash263)




522(488ndash555)

437(407ndash467)

377(349ndash405)

358(330ndash387)




354(340ndash369)

327(313ndash341)

284(271ndash297)

224(212ndash236)



BC 372(359ndash385)

293(281ndash304)

265(254ndash276)

241(230ndash251)

192(182ndash202)




(444ndash454) 329

(325ndash334) 292

(288ndash296) 257

(253ndash261) 208

(205ndash212)




71

Equity

30-Day Acute Myocardial Infarction In-Hospital Mortality 2009ndash2010 to 2011ndash2012 Neighbourhood Income QuintileDagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 90(71ndash110)

70(51ndash90)

81(62ndash100)

82(61ndash102)

86(64ndash108)

105(075ndash147)

-49(-321ndash177)

PEI 95(57ndash133)

51(11ndash90)

75(40ndash110)

63(22ndash104)

58(21ndash95)

164(077ndash348)

149(-464ndash537)

NS 76(61ndash90)

64(50ndash79)

63(48ndash78)

70(54ndash85)

69(52ndash85)

110(081ndash150)

-03(-246ndash200)

NB 85(68ndash101)

79(63ndash95)

63(45ndash81)

74(57ndash91)

59(40ndash78)

144(098ndash210)

187(-88ndash402)

Que

Ont 84(80ndash88)

76(72ndash81)

74(70ndash79)

74(70ndash79)

68(63ndash73)



Man 71(58ndash84)

67(54ndash80)

58(45ndash72)

68(54ndash82)

69(54ndash83)

104(078ndash137)

-29(-239ndash152)

Sask 91(77ndash106)

74(60ndash88)

71(55ndash87)

75(58ndash91)

70(52ndash88)

130(096ndash176)

84(-150ndash277)

Alta 69(59ndash78)

61(51ndash70)

63(53ndash73)

67(56ndash77)

60(48ndash71)

114(090ndash146)

65(-112ndash217)

BC 76(68ndash83)

68(60ndash76)

73(64ndash81)

71(62ndash80)

59(50ndash69)




(78ndash84) 72

(69ndash75) 71

(68ndash74) 73

(69ndash76) 66

(63ndash70)




30-Day Stroke In-Hospital Mortality 2009ndash2010 to 2011ndash2012 Neighbourhood Income QuintileDagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 219(178ndash260)

234(193ndash274)

182(145ndash218)

191(153ndash229)

185(146ndash223)

119(089ndash157)

85(-99ndash245)


139(65ndash213)

200(120ndash280)

153(72ndash235)

223(142ndash304)

082(049ndash137)

-248(-711ndash118)

NS 190(160ndash219)

187(158ndash216)

189(160ndash219)

150(118ndash182)

174(143ndash206)

109(086ndash138)

26(-146ndash176)

NB 149(119ndash178)

144(113ndash175)

126(92ndash159)

152(121ndash183)

180(144ndash216)

083(062ndash109)

-208(-448ndash00)

Que


147(139ndash154)

145(137ndash153)

144(136ndash152)

152(144ndash161)

100(093ndash107)

-30(-81ndash20)


148(124ndash172)

155(130ndash181)

178(151ndash206)

131(103ndash160)

128(098ndash166)

161(-19ndash314)


160(134ndash185)

138(111ndash166)

181(152ndash210)

155(124ndash187)

110(085ndash142)

37(-156ndash203)


150(133ndash166)

131(114ndash149)

132(114ndash151)

116(98ndash135)

121(099ndash147)


BC 160(147ndash172)

138(125ndash150)

141(128ndash155)

141(127ndash155)

146(131ndash160)

109(097ndash124)

-02(-96ndash86)


(151ndash162) 149

(143ndash154) 145

(140ndash151) 147

(141ndash153) 149

(143ndash155) 105

(099ndash110) 02

(-36ndash38)


72


Self-Injury Hospitalization 2011ndash2012 Neighbourhood Income Quintiledagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 86(64ndash108)

96(72ndash119)

91(67ndash114)

75(53ndash97)

89(67ndash112)

096(067ndash139)

-21(-274ndash192)

PEI 91(43ndash139)

72(30ndash114)

73(32ndash115)

56(21ndash90)

28(9ndash46)



NS 102(84ndash119)

70(55ndash85)

72(58ndash87)

70(54ndash86)

67(51ndash84)


118(-97ndash298)

NB 126(103ndash148)

84(66ndash102)

85(67ndash104)

85(66ndash104)

64(48ndash80)



Que 83(78ndash88)

69(65ndash74)

58(54ndash63)

54(49ndash58)

45(40ndash49)



Ont 101(96ndash105)

69(65ndash73)

56(53ndash59)

54(51ndash58)

49(45ndash52)




67(54ndash79)

54(42ndash66)

57(45ndash69)

49(38ndash61)




90(74ndash107)

85(69ndash101)

66(52ndash81)

43(31ndash54)



Alta 90(82ndash98)

61(55ndash68)

57(50ndash63)

54(48ndash60)

44(38ndash50)



BC 117(109ndash126)

94(86ndash102)

82(75ndash89)

74(67ndash81)

57(51ndash64)




(98ndash104) 73

(70ndash75) 63

(61ndash66) 59

(57ndash61) 50

(48ndash53)




30-Day Readmission for Mental Illness 2011ndash2012 Neighbourhood Income QuintileDagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 127(91ndash164)

107(71ndash143)

146(109ndash183)

120(81ndash160)

160(129ndash192)

079(056ndash112)



110(62ndash157)

133(84ndash182)

135(81ndash189)

100(48ndash152)

148(082ndash268)

212(-249ndash520)

NS 143(119ndash166)

126(97ndash154)

114(86ndash142)

136(105ndash167)

106(75ndash138)

135(096ndash189)

164(-91ndash367)

NB 128(108ndash147)

133(110ndash156)

114(88ndash140)

132(106ndash157)

119(90ndash148)

107(081ndash142)

55(-177ndash247)


108(100ndash117)

112(103ndash121)

104(94ndash114)

94(83ndash105)




115(109ndash122)

115(108ndash123)

115(108ndash123)

113(105ndash121)

107(098ndash117)

33(-36ndash97)

Man 85(69ndash101)

95(74ndash116)

85(60ndash110)

86(58ndash113)

75(48ndash101)

114(076ndash171)

132(-202ndash382)


108(87ndash129)

101(79ndash123)

103(78ndash127)

110(86ndash134)

104(080ndash136)

-15(-236ndash173)

Alta 95(85ndash105)

121(109ndash134)

90(76ndash104)

90(75ndash105)

87(70ndash104)

109(087ndash137)

114(-61ndash263)

BC 138(131ndash146)

143(134ndash152)

123(113ndash133)

121(110ndash133)

112(100ndash124)




(118ndash124) 119

(115ndash123) 113

(108ndash117) 112

(107ndash116) 107

(102ndash112)




73

Equity

30-Day ReadmissionmdashPatients Age 19 and Younger 2011ndash2012 Neighbourhood Income QuintileDagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 51(31ndash72)

54(35ndash73)

60(41ndash79)

72(53ndash91)

57(39ndash75)

090(054ndash151)

38(-265ndash284)

PEI 52(14ndash90)

71(38ndash104)

48(11ndash85)

52(16ndash87)

50(09ndash90)

104(035ndash313)

94(-744ndash579)

NS 61(48ndash75)

65(50ndash80)

47(32ndash63)

62(47ndash77)

68(53ndash82)

090(066ndash123)

-115(-344ndash84)

NB 69(56ndash82)

55(40ndash70)

53(38ndash68)

64(48ndash80)

62(48ndash77)

111(082ndash150)

-20(-251ndash178)

Que 62(57ndash67)

61(56ndash66)

62(57ndash67)

61(56ndash65)

59(54ndash64)

104(093ndash117)

27(-47ndash98)

Ont 70(67ndash74)

69(65ndash73)

63(59ndash67)

70(67ndash74)

67(62ndash71)

106(097ndash115)

22(-36ndash78)

Man 70(60ndash79)

67(54ndash81)

59(44ndash73)

59(46ndash73)

61(47ndash75)

113(087ndash148)

47(-170ndash229)

Sask 70(62ndash79)

67(56ndash77)

62(50ndash74)

66(55ndash76)

73(61ndash85)

097(079ndash118)

-74(-241ndash75)

Alta 71(64ndash77)

63(56ndash70)

57(50ndash64)

61(54ndash67)

59(52ndash67)


50(-62ndash152)

BC 65(58ndash73)

64(57ndash72)

54(47ndash61)

61(54ndash69)

70(62ndash77)

094(080ndash110)



(65ndash70) 65

(63ndash67) 61

(58ndash63) 65

(62ndash67) 64

(62ndash67) 105

(100ndash111) 03

(-33ndash38)


30-Day Obstetric Readmission 2011ndash2012 Neighbourhood Income QuintileDagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 33(24ndash41)

30(22ndash37)

26(18ndash35)

26(18ndash34)

15(07ndash24)



PEI 18(02ndash34)

22(07ndash37)

08(02ndash28)

18(07ndash45)

34(18ndash49)

053(019ndash147)


NS 22(17ndash27)

24(19ndash30)

21(16ndash27)

25(19ndash31)

23(17ndash30)

093(065ndash133)

-15(-281ndash206)

NB 27(21ndash33)

25(18ndash32)

18(11ndash26)

24(16ndash31)

27(20ndash34)

101(072ndash142)

-102(-375ndash130)

Que 21(19ndash23)

20(18ndash23)

18(16ndash20)

19(16ndash21)

18(16ndash21)

116(097ndash137)

47(-77ndash160)

Ont 19(18ndash21)

17(15ndash19)

18(17ndash20)

15(14ndash17)

16(14ndash18)


92(-12ndash188)

Man 30(27ndash33)

29(25ndash33)

27(22ndash31)

25(20ndash30)

28(23ndash33)

107(087ndash132)

03(-175ndash159)

Sask 26(22ndash30)

21(16ndash25)

23(18ndash28)

20(15ndash25)

18(13ndash23)


189(-54ndash382)

Alta 22(19ndash24)

18(16ndash21)

20(17ndash22)

17(15ndash20)

19(16ndash22)

114(095ndash137)

11(-133ndash139)

BC 25(22ndash28)

24(21ndash26)

21(19ndash24)

23(20ndash25)

24(21ndash27)

104(088ndash123)

-28(-158ndash90)


(21ndash23) 20

(19ndash21) 20

(19ndash21) 18

(17ndash19) 19

(18ndash20)


49 (-03ndash99)


74


30-Day Medical Readmission 2011ndash2012 Neighbourhood Income QuintileDagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 134(124ndash144)

123(112ndash134)

132(121ndash143)

127(116ndash138)

122(110ndash133)

110(098ndash124)

46(-36ndash123)

PEI 112(92ndash132)

136(114ndash158)

134(111ndash156)

132(110ndash154)

117(93ndash141)

096(073ndash126)

70(-115ndash229)

NS 120(111ndash129)

121(112ndash130)

124(114ndash133)

122(113ndash132)

122(112ndash133)

098(088ndash110)

-03(-82ndash72)

NB 135(127ndash143)

137(129ndash145)

138(129ndash146)

128(119ndash137)

132(123ndash142)

102(093ndash112)

15(-52ndash78)


129(126ndash132)

129(125ndash132)

129(126ndash132)

126(123ndash130)




136(134ndash139)

129(126ndash131)

133(130ndash135)

128(125ndash131)




134(126ndash141)

128(120ndash136)

137(128ndash145)

131(122ndash139)


39(-23ndash98)


152(145ndash159)

146(138ndash153)

141(133ndash149)

149(140ndash157)

100(093ndash107)

-08(-58ndash41)


136(132ndash141)

135(130ndash140)

13(125ndash135)

124(118ndash129)



BC 150(147ndash154)

138(134ndash142)

141(137ndash146)

137(133ndash142)

137(132ndash142)




(139ndash142) 135

(133ndash136) 132

(131ndash134) 132

(130ndash134) 129

(127ndash131)




30-Day Surgical Readmission 2011ndash2012 Neighbourhood Income QuintileDagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 64(55ndash73)

68(59ndash78)

67(57ndash76)

63(54ndash73)

64(54ndash74)

100(081ndash123)

19(-123ndash146)

PEI 55(37ndash74)

60(41ndash79)

69(50ndash87)

67(48ndash86)

66(47ndash85)

084(054ndash132)

-38(-338ndash209)

NS 66(59ndash73)

60(53ndash66)

63(56ndash70)

58(51ndash65)

65(58ndash73)

100(086ndash117)

-51(-160ndash51)

NB 67(60ndash74)

73(66ndash81)

68(61ndash76)

59(52ndash67)

67(59ndash75)

101(086ndash118)

04(-107ndash106)

Que 65(63ndash68)

63(60ndash65)

59(57ndash62)

60(57ndash63)

56(53ndash59)



Ont 73(71ndash76)

69(67ndash71)

65(62ndash67)

67(65ndash69)

64(62ndash67)



Man 69(62ndash75)

61(55ndash67)

57(51ndash64)

53(46ndash59)

60(54ndash67)

113(098ndash131)

-09(-111ndash87)

Sask 81(75ndash88)

75(68ndash82)

78(71ndash84)

75(68ndash81)

74(67ndash82)

109(096ndash124)

30(-57ndash111)

Alta 75(71ndash79)

68(64ndash72)

72(68ndash76)

63(59ndash67)

64(60ndash68)



BC 75(71ndash78)

75(72ndash79)

73(69ndash77)

68(64ndash72)

67(63ndash70)




(70ndash72) 68

(67ndash69) 65

(64ndash67) 64

(63ndash65) 63

(62ndash64)




75

Equity

30-Day Acute Myocardial Infarction Readmission 2011ndash2012 Neighbourhood Income QuintileDagger



Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 147(108ndash185)

74(32ndash116)

137(99ndash176)

88(45ndash132)

131(83ndash180)

112(071ndash176)

-125(-567ndash211)

PEI 23(03ndash139)

105(23ndash188)

135(49ndash220)

164(85ndash243)

-130(52ndash208)

018(000ndash1090)

-121(-830ndash372)

NS 93(62ndash123)

129(98ndash159)

122(89ndash155)

85(51ndash118)

88(53ndash123)

105(063ndash176)

152(-205ndash417)

NB 133(94ndash172)

158(119ndash196)

176(137ndash215)

106(65ndash147)

128(87ndash169)

104(067ndash160)

91(-202ndash325)


105(93ndash117)

93(80ndash105)

109(95ndash123)

83(68ndash98)




120(110ndash131)

115(104ndash126)

114(103ndash125)

109(97ndash120)


89(-03ndash174)


88(58ndash118)

78(46ndash109)

70(37ndash103)

83(48ndash118)


95(-305ndash390)


113(75ndash151)

133(95ndash171)

140(100ndash181)

132(88ndash175)

119(079ndash178)

27(-297ndash283)


116(94ndash138)

104(81ndash127)

91(68ndash114)

99(74ndash124)

132(097ndash178)

88(-145ndash280)

BC 142(125ndash160)

137(118ndash156)

123(104ndash142)

113(93ndash133)

97(76ndash117)




(123ndash135) 117

(111ndash123) 112

(105ndash118) 109

(102ndash116) 101

(93ndash108)




Neighbourhood income quintile Small geographic areas divided 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 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 as well as the potential rate reduction The 95 confidence interval (CI) is provided to assist interpretation When the 95 CI does not contain a value of 1 RR indicates a statistically significant disparity between Q1 and Q5 rates within the jurisdiction as indicated by the diamsdiams 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 a value of 0 PRR indicates a statistically significant potential reduction in the overall indicator rate within the jurisdiction as indicated by the diamsdiams symbol

76

Health Indicators 2013 Community and Health System Characteristics


Mental Illness Hospitalization 2011ndash2012

Mental Illness Patient Days 2011ndash2012



Newfoundland and Labrador diams 415 (386ndash444) diams 505 (448ndash563) 1011 Eastern diams 180 (158ndash201) diams 260 (221ndash299)1012 Central diams 629 (531ndash728) diams 889 (717ndash1061)1013 Western diams 989 (866ndash1112) diams 1184 (869ndash1499)Prince Edward Island diams 838 (767ndash910) diams 1012 (885ndash1139)Nova Scotia diams 401 (381ndash422) diams 581 (521ndash641)1211 South Shore diams 302 (239ndash366) 534 (298ndash770)1212 South West Nova 577 (471ndash682) 740 (471ndash1008)1223 Annapolis Valley diams 249 (190ndash308) diams 354 (156ndash552)1234 Colchester East Hants diams 368 (308ndash429) diams 396 (288ndash504)1258 Cape Breton diams 745 (668ndash822) diams 899 (759ndash1040)1269 Capital diams 275 (250ndash299) diams 456 (385ndash527)New Brunswick diams 631 (603ndash660) diams 859 (794ndash924)1301 Zone 1 (Moncton area) diams 543 (496ndash590) diams 938 (773ndash1104)1302 Zone 2 (Saint John area) diams 324 (286ndash363) 609 (485ndash732)1303 Zone 3 (Fredericton area) 456 (407ndash505) diams 499 (429ndash569)1306 Zone 6 (Bathurst area) diams 811 (713ndash908) diams 1057 (869ndash1246)Quebec diams 434 (427ndash441) diams 893 (866ndash920)2401 Bas-Saint-Laurent diams 726 (663ndash790) diams 1064 (919ndash1210)2402 SaguenayndashLac-Saint-Jean diams 825 (762ndash888) diams 1281 (1125ndash1436)2403 Capitale-Nationale diams 310 (292ndash327) 744 (682ndash807)2404 Mauricie et Centre-du-Queacutebec diams 587 (552ndash622) diams 934 (853ndash1015)2405 Estrie diams 668 (609ndash727) diams 1356 (1201ndash1510)2406 Montreacuteal diams 257 (248ndash267) diams 844 (787ndash900)2407 Outaouais diams 396 (368ndash425) diams 588 (515ndash661)2408 Abitibi-Teacutemiscamingue diams 640 (573ndash707) 841 (478ndash1205)2409 Cocircte-Nord diams 734 (653ndash816) diams 1974 (1050ndash2897)2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 716 (622ndash809) diams 1018 (773ndash1262)2412 Chaudiegravere-Appalaches diams 701 (659ndash742) diams 1123 (1019ndash1228)2413 Laval diams 294 (270ndash318) diams 855 (736ndash975)2414 Lanaudiegravere 482 (450ndash513) diams 895 (793ndash997)2415 Laurentides diams 357 (332ndash382) 750 (661ndash839)2416 Monteacutereacutegie 493 (475ndash512) diams 904 (849ndash959)Ontario diams 442 (437ndash448) diams 547 (532ndash562) 3501 Erie St Clair diams 400 (376ndash425) 668 (611ndash725)3502 South West diams 458 (437ndash480) diams 544 (509ndash578)3503 Waterloo Wellington diams 411 (388ndash434) diams 546 (489ndash603)3504 Hamilton Niagara Haldimand Brant 483 (464ndash501) diams 517 (485ndash548)3505 Central West diams 395 (375ndash414) diams 426 (396ndash456)3506 Mississauga Halton diams 312 (297ndash327) diams 396 (367ndash424)3507 Toronto Central diams 404 (387ndash421) diams 529 (492ndash565)3508 Central diams 329 (316ndash343) diams 366 (345ndash387)3509 Central East diams 400 (385ndash415) diams 465 (439ndash491)3510 South East 457 (424ndash489) diams 526 (480ndash572)3511 Champlain diams 390 (373ndash406) diams 514 (484ndash545)3512 North Simcoe Muskoka diams 608 (572ndash644) diams 515 (414ndash617)3513 North East diams 1007 (959ndash1055) diams 1661 (1374ndash1948)3514 North West diams 1098 (1023ndash1174) diams 1280 (1035ndash1525)Manitoba 488 (470ndash506) diams 811 (760ndash862) 4610 Winnipeg diams 427 (405ndash448) diams 911 (838ndash984)4615 Brandon diams 799 (690ndash907) diams 1428 (1000ndash1855)4625 South Eastman diams 234 (181ndash286) diams 293 (191ndash394)4630 Interlake diams 294 (242ndash346) diams 279 (201ndash356)4640 Central diams 277 (229ndash325) diams 253 (194ndash311)4645 Assiniboine diams 707 (606ndash809) diams 995 (754ndash1236)

77

Community and Health System Characteristics

Map Code





Saskatchewan diams 609 (586ndash633) diams 770 (727ndash813) 4701 Sun Country 546 (442ndash650) diams 555 (419ndash691)4702 Five Hills diams 702 (595ndash809) diams 1045 (824ndash1266)4704 Regina diams 546 (503ndash588) diams 855 (761ndash949)4705 Sunrise diams 740 (630ndash849) diams 1147 (867ndash1427)4706 Saskatoon diams 378 (347ndash409) 658 (583ndash734)4709 Prince Albert diams 837 (731ndash943) 753 (594ndash912)4710 Prairie North diams 952 (827ndash1076) 864 (694ndash1035)Alberta diams 427 (417ndash437) diams 665 (639ndash691)4831 South Zone diams 718 (668ndash767) diams 906 (817ndash996)4832 Calgary Zone diams 376 (361ndash390) 746 (695ndash796)4833 Central Zone diams 448 (422ndash475) diams 548 (497ndash599)4834 Edmonton Zone diams 345 (327ndash363) diams 605 (561ndash648)4835 North Zone diams 592 (556ndash628) diams 504 (450ndash558)British Columbia diams 646 (634ndash659) diams 759 (737ndash781)5911 East Kootenay diams 649 (564ndash735) diams 457 (367ndash547)5912 Kootenay Boundary diams 936 (790ndash1081) 739 (610ndash867)5913 Okanagan diams 874 (816ndash931) diams 821 (746ndash897)5914 ThompsonCaribooShuswap diams 722 (664ndash780) diams 594 (526ndash662)5921 Fraser East diams 693 (645ndash740) 750 (676ndash825)5922 Fraser North diams 578 (549ndash607) 684 (629ndash738)5923 Fraser South diams 534 (505ndash562) diams 639 (593ndash685)5931 Richmond diams 423 (372ndash474) diams 469 (382ndash556)5932 Vancouver diams 625 (595ndash654) diams 1017 (944ndash1089)5933 North Shore diams 607 (559ndash656) 659 (576ndash742)5941 South Vancouver Island diams 591 (552ndash631) diams 903 (808ndash998)5942 Central Vancouver Island diams 716 (659ndash773) 799 (695ndash903)5943 North Vancouver Island 503 (438ndash569) 605 (483ndash727)5951 Northwest diams 1272 (1110ndash1434) diams 875 (709ndash1041)5952 Northern Interior diams 880 (805ndash955) diams 936 (803ndash1070)5953 Northeast diams 907 (801ndash1014) 952 (704ndash1199)Yukon diams 787 (653ndash921) diams 541 (388ndash693) Northwest Territories diams 1544 (1353ndash1735) diams 1094 (808ndash1381) Nunavut diams 737 (611ndash863) diams 418 (326ndash511) Canada 489 (485ndash492) 707 (697ndash717)

Mental illness hospitalization Age-standardized rate of separations from general hospitals through discharge or death following a hospitalization for a selected mental illness per 100000 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 andor ambulatory and community-based services Sources Discharge Abstract Database and Ontario Mental Health Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

Mental illness patient days Age-standardized rate of total number of days in general hospitals for selected mental illness per 10000 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 andor 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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

78



Hip Replacement 2011ndash2012

Knee Replacement 2011ndash2012



Newfoundland and Labrador diams 88 (80ndash96) 165 (154ndash176) 1011 Eastern 104 (92ndash116) 172 (157ndash186)1012 Central diams 85 (66ndash104) 165 (142ndash189)1013 Western diams 53 (38ndash68) 147 (121ndash172)Prince Edward Island 111 (94ndash129) 178 (156ndash200)Nova Scotia 106 (100ndash113) diams 187 (178ndash195)1211 South Shore 97 (76ndash119) diams 220 (187ndash253)1212 South West Nova 88 (65ndash111) diams 131 (104ndash158)1223 Annapolis Valley 105 (83ndash127) 186 (159ndash214)1234 Colchester East Hants 109 (86ndash133) 155 (127ndash182)1258 Cape Breton 118 (100ndash135) diams 261 (235ndash287)1269 Capital 107 (97ndash117) 171 (158ndash185)New Brunswick 108 (101ndash115) 169 (160ndash178)1301 Zone 1 (Moncton area) diams 126 (111ndash141) diams 202 (183ndash221)1302 Zone 2 (Saint John area) 116 (100ndash132) diams 200 (179ndash221)1303 Zone 3 (Fredericton area) 106 (90ndash122) diams 150 (132ndash169)1306 Zone 6 (Bathurst area) diams 63 (47ndash80) diams 110 (89ndash132)Quebec diams 76 (74ndash78) diams 123 (120ndash125)2401 Bas-Saint-Laurent diams 83 (71ndash95) diams 138 (123ndash152)2402 SaguenayndashLac-Saint-Jean diams 71 (61ndash80) 156 (142ndash170)2403 Capitale-Nationale diams 65 (59ndash71) diams 107 (100ndash115)2404 Mauricie et Centre-du-Queacutebec diams 76 (69ndash84) diams 133 (124ndash143)2405 Estrie diams 83 (73ndash93) diams 126 (114ndash138)2406 Montreacuteal diams 72 (68ndash76) diams 96 (91ndash100)2407 Outaouais 103 (92ndash114) 166 (152ndash180)2408 Abitibi-Teacutemiscamingue diams 78 (64ndash93) diams 129 (110ndash147)2409 Cocircte-Nord diams 84 (65ndash103) 170 (144ndash197)2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 49 (35ndash62) diams 104 (86ndash122)2412 Chaudiegravere-Appalaches diams 72 (64ndash80) diams 139 (128ndash150)2413 Laval diams 65 (57ndash73) diams 109 (99ndash119)2414 Lanaudiegravere diams 90 (81ndash99) diams 134 (123ndash145)2415 Laurentides diams 76 (68ndash83) diams 112 (103ndash121)2416 Monteacutereacutegie diams 80 (76ndash85) diams 133 (127ndash139)Ontario diams 112 (110ndash114) diams 192 (189ndash194)3501 Erie St Clair diams 130 (121ndash138) diams 195 (184ndash206)3502 South West diams 136 (129ndash144) diams 221 (211ndash230)3503 Waterloo Wellington diams 126 (118ndash135) diams 182 (171ndash193)3504 Hamilton Niagara Haldimand Brant diams 126 (120ndash131) diams 228 (220ndash236)3505 Central West diams 75 (68ndash81) diams 196 (185ndash207)3506 Mississauga Halton 104 (97ndash110) diams 158 (150ndash167)3507 Toronto Central diams 99 (93ndash105) diams 121 (114ndash127)3508 Central diams 87 (82ndash91) diams 145 (139ndash151)3509 Central East 103 (98ndash109) diams 190 (182ndash197)3510 South East diams 117 (108ndash126) diams 245 (232ndash258)3511 Champlain diams 113 (107ndash119) diams 199 (191ndash207)3512 North Simcoe Muskoka diams 125 (115ndash136) diams 195 (182ndash207)3513 North East diams 128 (119ndash136) diams 259 (246ndash271)3514 North West diams 153 (137ndash169) diams 236 (216ndash256)Manitoba diams 118 (111ndash124) diams 189 (181ndash197)4610 Winnipeg diams 119 (110ndash127) diams 182 (171ndash193)4615 Brandon diams 143 (109ndash178) 209 (166ndash252)4625 South Eastman 114 (85ndash144) 208 (169ndash247)4630 Interlake 91 (70ndash111) 174 (147ndash202)4640 Central 124 (101ndash147) 196 (167ndash225)4645 Assiniboine 118 (93ndash143) 192 (160ndash224)

79


Map Code





Saskatchewan diams 128 (121ndash136) diams 213 (204ndash222) 4701 Sun Country 109 (81ndash138) 181 (145ndash218)4702 Five Hills 115 (87ndash142) diams 235 (194ndash276)4704 Regina 100 (86ndash113) 176 (159ndash194)4705 Sunrise diams 146 (113ndash179) diams 210 (174ndash245)4706 Saskatoon diams 144 (129ndash158) diams 238 (219ndash256)4709 Prince Albert diams 166 (136ndash197) diams 247 (211ndash282)4710 Prairie North 124 (94ndash153) 170 (136ndash204)Alberta diams 128 (124ndash132) diams 199 (194ndash204)4831 South Zone diams 139 (124ndash154) diams 263 (243ndash284)4832 Calgary Zone diams 126 (119ndash133) diams 181 (172ndash189)4833 Central Zone diams 140 (128ndash152) diams 251 (235ndash267)4834 Edmonton Zone diams 124 (117ndash131) diams 186 (177ndash195)4835 North Zone diams 121 (108ndash134) 176 (161ndash192)British Columbia diams 113 (109ndash116) diams 157 (153ndash161)5911 East Kootenay diams 149 (122ndash175) diams 227 (195ndash258)5912 Kootenay Boundary diams 151 (126ndash176) 190 (162ndash218)5913 Okanagan diams 132 (121ndash143) 176 (163ndash189)5914 ThompsonCaribooShuswap diams 156 (140ndash173) diams 233 (214ndash252)5921 Fraser East 108 (95ndash121) diams 203 (185ndash220)5922 Fraser North diams 88 (79ndash96) diams 119 (109ndash128)5923 Fraser South diams 85 (78ndash92) diams 145 (136ndash154)5931 Richmond diams 74 (60ndash87) diams 100 (85ndash116)5932 Vancouver diams 76 (69ndash84) diams 81 (74ndash89)5933 North Shore diams 126 (113ndash139) 158 (143ndash172)5941 South Vancouver Island diams 123 (111ndash134) diams 137 (125ndash148)5942 Central Vancouver Island diams 142 (128ndash155) diams 187 (173ndash202)5943 North Vancouver Island diams 163 (141ndash185) diams 204 (181ndash227)5951 Northwest diams 157 (126ndash188) diams 235 (198ndash272)5952 Northern Interior diams 165 (142ndash187) diams 290 (260ndash320)5953 Northeast diams 149 (114ndash184) 152 (116ndash188)Yukon 112 (63ndash161) 165 (111ndash219) Northwest Territories diams 53 (19ndash86) diams 63 (28ndash97) Nunavut diams 390 (249ndash530) Canada 105 (103ndash106) 169 (168ndash171)

Hip replacementAge-standardized rate of unilateral or bilateral hip replacement surgery performed on inpatients in acute care hospitals per 100000 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 Sources Discharge Abstract Database Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

Knee replacementAge-standardized rate of unilateral or bilateral knee replacement surgery performed on patients in acute care hospitals or same-day surgery facilities per 100000 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 Sources Discharge Abstract Database and National Ambulatory Care Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

80



Percutaneous Coronary Intervention 2011ndash2012

Coronary Artery Bypass Graft Surgery 2011ndash2012



Newfoundland and Labrador diams 157 (146ndash168) diams 71 (64ndash78) 1011 Eastern 166 (151ndash181) 71 (61ndash81)1012 Central diams 137 (115ndash159) 76 (60ndash91)1013 Western diams 137 (112ndash162) 67 (50ndash85)Prince Edward Island diams 144 (125ndash164) 62 (49ndash75)Nova Scotia diams 157 (149ndash165) diams 56 (52ndash61)1211 South Shore 156 (126ndash186) 59 (42ndash76)1212 South West Nova 169 (137ndash201) 68 (48ndash87)1223 Annapolis Valley 160 (134ndash186) 62 (46ndash77)1234 Colchester East Hants 167 (138ndash196) 64 (46ndash82)1258 Cape Breton 162 (139ndash186) 61 (48ndash74)1269 Capital diams 153 (141ndash166) diams 49 (42ndash56)New Brunswick diams 203 (193ndash213) diams 73 (67ndash79)1301 Zone 1 (Moncton area) 184 (165ndash202) 63 (52ndash74)1302 Zone 2 (Saint John area) diams 253 (230ndash277) 72 (59ndash84)1303 Zone 3 (Fredericton area) diams 234 (211ndash257) 70 (57ndash83)1306 Zone 6 (Bathurst area) 195 (165ndash224) 78 (60ndash95)Quebec 61 (59ndash62)2401 Bas-Saint-Laurent 62 (52ndash72)2402 SaguenayndashLac-Saint-Jean 68 (58ndash77)2403 Capitale-Nationale diams 69 (63ndash75)2404 Mauricie et Centre-du-Queacutebec diams 54 (48ndash60)2405 Estrie diams 45 (37ndash52)2406 Montreacuteal diams 55 (51ndash58)2407 Outaouais diams 52 (44ndash60)2408 Abitibi-Teacutemiscamingue 68 (55ndash82)2409 Cocircte-Nord 76 (59ndash94)2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 88 (71ndash106)2412 Chaudiegravere-Appalaches 68 (60ndash76)2413 Laval diams 53 (46ndash60)2414 Lanaudiegravere 59 (52ndash66)2415 Laurentides 62 (55ndash69)2416 Monteacutereacutegie diams 66 (62ndash71)Ontario 171 (169ndash173) diams 66 (65ndash68)3501 Erie St Clair 168 (158ndash178) diams 82 (75ndash89)3502 South West diams 132 (125ndash140) 64 (59ndash69)3503 Waterloo Wellington diams 105 (97ndash113) 62 (56ndash68)3504 Hamilton Niagara Haldimand Brant diams 187 (179ndash194) diams 79 (74ndash84)3505 Central West diams 202 (191ndash213) diams 73 (66ndash80)3506 Mississauga Halton diams 146 (139ndash154) diams 67 (62ndash73)3507 Toronto Central diams 144 (136ndash151) diams 42 (38ndash46)3508 Central diams 158 (152ndash165) diams 53 (50ndash57)3509 Central East 171 (165ndash178) diams 55 (51ndash59)3510 South East 182 (171ndash194) diams 96 (88ndash105)3511 Champlain 176 (168ndash184) diams 56 (52ndash61)3512 North Simcoe Muskoka 175 (163ndash187) diams 85 (77ndash94)3513 North East diams 259 (246ndash272) 66 (60ndash72)3514 North West diams 270 (249ndash291) diams 105 (92ndash118)Manitoba diams 198 (190ndash207) diams 71 (66ndash76)4610 Winnipeg diams 191 (180ndash202) diams 71 (65ndash78)4615 Brandon 144 (109ndash178) diams 42 (23ndash61)4625 South Eastman 189 (152ndash226) 75 (51ndash99)4630 Interlake 190 (160ndash221) 57 (41ndash73)4640 Central diams 218 (188ndash248) 76 (58ndash94)4645 Assiniboine 200 (167ndash233) diams 44 (29ndash59)

81


Map Code





Saskatchewan diams 202 (193ndash211) diams 69 (64ndash75) 4701 Sun Country 176 (139ndash213) 44 (27ndash62)4702 Five Hills 183 (145ndash220) 61 (39ndash83)4704 Regina diams 194 (176ndash212) 71 (60ndash83)4705 Sunrise diams 257 (215ndash300) 75 (54ndash96)4706 Saskatoon diams 211 (193ndash228) 62 (53ndash72)4709 Prince Albert diams 220 (186ndash253) 76 (56ndash97)4710 Prairie North 166 (133ndash198) 60 (40ndash79)Alberta 173 (168ndash178) diams 45 (42ndash47)4831 South Zone diams 137 (122ndash151) diams 46 (38ndash55)4832 Calgary Zone diams 152 (144ndash159) diams 36 (32ndash40)4833 Central Zone diams 193 (179ndash207) diams 43 (36ndash49)4834 Edmonton Zone 174 (166ndash183) diams 49 (45ndash54)4835 North Zone diams 227 (210ndash245) 59 (50ndash69)British Columbia diams 163 (160ndash167) diams 56 (53ndash58)5911 East Kootenay 159 (131ndash186) diams 38 (25ndash52)5912 Kootenay Boundary 153 (127ndash178) diams 44 (31ndash58)5913 Okanagan diams 139 (127ndash151) diams 37 (31ndash43)5914 ThompsonCaribooShuswap diams 139 (124ndash154) diams 42 (34ndash50)5921 Fraser East diams 235 (217ndash254) diams 77 (66ndash87)5922 Fraser North 172 (160ndash183) 63 (56ndash70)5923 Fraser South diams 190 (180ndash200) 64 (58ndash70)5931 Richmond diams 126 (109ndash143) 51 (40ndash62)5932 Vancouver diams 127 (118ndash137) diams 50 (44ndash56)5933 North Shore diams 142 (128ndash156) 59 (50ndash68)5941 South Vancouver Island diams 157 (144ndash169) diams 53 (46ndash60)5942 Central Vancouver Island 183 (169ndash198) 58 (49ndash66)5943 North Vancouver Island diams 151 (130ndash172) 57 (45ndash70)5951 Northwest diams 210 (174ndash245) 63 (43ndash83)5952 Northern Interior 190 (166ndash214) 68 (54ndash83)5953 Northeast 186 (147ndash225) 57 (35ndash79)Yukon 196 (138ndash254) 82 (40ndash124) Northwest Territories 215 (149ndash280) diams 17 (1ndash33) Nunavut 117 (56ndash178) 64 (11ndash116) Canada 172 (171ndash174) 62 (61ndash62)

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 100000 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 Note Rates for Quebec are not available due to differences in data collection the Canada rate does not include Quebec 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 100000 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-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

82



Cardiac Revascularization 2011ndash2012

Hysterectomy 2011ndash2012



Newfoundland and Labrador 226 (213ndash239) diams 396 (368ndash423) 1011 Eastern 235 (217ndash252) diams 366 (332ndash401)1012 Central 213 (186ndash240) diams 435 (365ndash506)1013 Western diams 200 (170ndash231) diams 473 (392ndash555)Prince Edward Island diams 207 (183ndash230) diams 381 (326ndash435)Nova Scotia diams 213 (204ndash222) diams 411 (389ndash432)1211 South Shore 215 (181ndash250) 319 (241ndash396)1212 South West Nova 235 (198ndash272) 402 (310ndash494)1223 Annapolis Valley 222 (192ndash253) diams 593 (496ndash690)1234 Colchester East Hants 230 (196ndash264) diams 585 (487ndash684)1258 Cape Breton 223 (197ndash250) diams 421 (358ndash483)1269 Capital diams 202 (188ndash216) diams 291 (265ndash316)New Brunswick diams 268 (256ndash280) diams 421 (397ndash446) 1301 Zone 1 (Moncton area) 247 (225ndash268) diams 411 (366ndash456)1302 Zone 2 (Saint John area) diams 325 (298ndash351) diams 437 (387ndash488)1303 Zone 3 (Fredericton area) diams 303 (277ndash330) 351 (305ndash396)1306 Zone 6 (Bathurst area) diams 272 (238ndash307) 352 (281ndash424)Quebec diams 289 (283ndash295)2401 Bas-Saint-Laurent diams 414 (363ndash465)2402 SaguenayndashLac-Saint-Jean diams 434 (390ndash478)2403 Capitale-Nationale diams 230 (212ndash248)2404 Mauricie et Centre-du-Queacutebec diams 361 (332ndash389)2405 Estrie diams 392 (355ndash430)2406 Montreacuteal diams 201 (191ndash211)2407 Outaouais diams 267 (240ndash294)2408 Abitibi-Teacutemiscamingue diams 472 (411ndash534)2409 Cocircte-Nord 335 (275ndash395)2411 GaspeacutesiendashIcircles-de-la-Madeleine diams 427 (350ndash503)2412 Chaudiegravere-Appalaches diams 374 (342ndash405)2413 Laval diams 267 (242ndash291)2414 Lanaudiegravere 314 (288ndash339)2415 Laurentides 307 (284ndash331)2416 Monteacutereacutegie 310 (296ndash325)Ontario diams 236 (233ndash238) diams 306 (301ndash310) 3501 Erie St Clair diams 249 (237ndash261) diams 407 (381ndash433)3502 South West diams 195 (186ndash204) diams 408 (386ndash430)3503 Waterloo Wellington diams 166 (156ndash176) diams 375 (353ndash397)3504 Hamilton Niagara Haldimand Brant diams 265 (256ndash273) diams 365 (349ndash381)3505 Central West diams 274 (261ndash287) diams 258 (241ndash275)3506 Mississauga Halton diams 211 (202ndash220) diams 210 (197ndash223)3507 Toronto Central diams 184 (175ndash192) diams 171 (160ndash183)3508 Central diams 211 (203ndash218) diams 237 (226ndash247)3509 Central East 226 (218ndash234) 309 (295ndash322)3510 South East diams 275 (261ndash290) diams 359 (331ndash388)3511 Champlain 230 (222ndash239) 326 (310ndash342)3512 North Simcoe Muskoka diams 259 (245ndash274) diams 369 (340ndash398)3513 North East diams 324 (310ndash339) diams 489 (457ndash521)3514 North West diams 374 (349ndash399) 354 (313ndash394)Manitoba diams 268 (258ndash278) diams 358 (340ndash375) 4610 Winnipeg diams 261 (248ndash273) 309 (288ndash330)4615 Brandon diams 186 (146ndash225) diams 461 (367ndash554)4625 South Eastman 257 (214ndash300) diams 470 (381ndash559)4630 Interlake 246 (212ndash281) diams 402 (326ndash478)4640 Central diams 293 (258ndash328) diams 423 (356ndash490)4645 Assiniboine 242 (206ndash278) diams 529 (435ndash623)

83


Map Code


Hysterectomy2011ndash2012



Saskatchewan diams 269 (258ndash279) diams 469 (447ndash491) 4701 Sun Country 217 (176ndash257) diams 527 (416ndash638)4702 Five Hills 243 (200ndash287) diams 587 (470ndash704)4704 Regina diams 261 (240ndash282) diams 418 (377ndash459)4705 Sunrise diams 332 (285ndash380) diams 659 (533ndash784)4706 Saskatoon diams 271 (251ndash291) diams 456 (417ndash495)4709 Prince Albert diams 296 (257ndash335) 296 (231ndash361)4710 Prairie North 225 (188ndash263) diams 581 (479ndash684)Alberta diams 217 (212ndash222) diams 376 (366ndash386)4831 South Zone diams 183 (166ndash200) diams 478 (433ndash522)4832 Calgary Zone diams 187 (178ndash195) diams 300 (285ndash314)4833 Central Zone 236 (220ndash251) diams 517 (481ndash553)4834 Edmonton Zone diams 222 (213ndash232) diams 342 (325ndash359)4835 North Zone diams 287 (267ndash306) diams 536 (497ndash574)British Columbia diams 218 (213ndash222) diams 285 (277ndash293)5911 East Kootenay diams 197 (166ndash228) 379 (309ndash448)5912 Kootenay Boundary diams 197 (168ndash226) diams 412 (335ndash488)5913 Okanagan diams 175 (162ndash189) diams 381 (347ndash416)5914 ThompsonCaribooShuswap diams 181 (164ndash198) diams 498 (445ndash551)5921 Fraser East diams 312 (290ndash333) diams 476 (433ndash518)5922 Fraser North 234 (221ndash248) diams 210 (192ndash227)5923 Fraser South diams 253 (241ndash265) diams 235 (217ndash253)5931 Richmond diams 176 (156ndash196) diams 181 (153ndash209)5932 Vancouver diams 176 (165ndash187) diams 137 (123ndash150)5933 North Shore diams 199 (183ndash215) diams 184 (160ndash208)5941 South Vancouver Island diams 207 (193ndash221) diams 275 (248ndash303)5942 Central Vancouver Island 238 (222ndash255) diams 498 (450ndash546)5943 North Vancouver Island diams 208 (183ndash232) diams 425 (358ndash493)5951 Northwest 271 (230ndash312) 345 (274ndash416)5952 Northern Interior 257 (229ndash285) diams 575 (506ndash643)5953 Northeast 240 (195ndash285) 332 (259ndash405)Yukon 278 (206ndash349) 368 (265ndash470) Northwest Territories 232 (164ndash299) 310 (217ndash403) Nunavut 181 (100ndash261) 289 (161ndash416) Canada 233 (231ndash235) 320 (317ndash323)

Cardiac revascularizationAge-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 100000 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 Note Rates for Quebec are not available due to differences in data collection the Canada rate does not include QuebecSources Discharge Abstract Database and National Ambulatory Care Reporting System Canadian Institute for Health Information

HysterectomyAge-standardized rate of hysterectomy provided to patients in acute care hospitals or same-day surgery facilities per 100000 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 Sources Discharge Abstract Database and National Ambulatory Care Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

84



InflowOutflow Ratio 2011ndash2012

Overall Hip

Replacement Knee

Replacement Hysterectomy

Percutaneous Coronary

Intervention Bypass Surgery

Newfoundland and Labrador 1011 Eastern 110 101 098 108 162 1791012 Central 084 093 105 091 000 0001013 Western 093 108 106 099 000 000Prince Edward Island 091 091 095 096 000 000 Nova Scotia 1211 South Shore 067 000 000 080 000 0001212 South West Nova 074 000 000 063 000 0001223 Annapolis Valley 099 160 161 121 000 0001234 Colchester East Hants 058 000 000 099 000 0001258 Cape Breton 090 106 107 072 000 0001269 Capital 143 146 148 125 281 340New Brunswick 1301 Zone 1 (Moncton area) 111 121 128 123 000 0001302 Zone 2 (Saint John area) 114 100 096 099 363 4241303 Zone 3 (Fredericton area) 091 099 109 087 000 0001306 Zone 6 (Bathurst area) 093 107 096 088 000 000Quebec 2401 Bas-Saint-Laurent 093 095 099 096 0002402 SaguenayndashLac-Saint-Jean 099 101 103 105 1002403 Capitale-Nationale 132 105 109 137 2442404 Mauricie et Centre-du-Queacutebec 090 094 108 098 0002405 Estrie 109 066 054 105 1612406 Montreacuteal 140 168 173 163 3142407 Outaouais 077 085 084 050 0002408 Abitibi-Teacutemiscamingue 096 092 107 102 0002409 Cocircte-Nord 078 083 081 074 0002411 GaspeacutesiendashIcircles-de-la-Madeleine 072 063 075 062 0002412 Chaudiegravere-Appalaches 078 125 112 076 0002413 Laval 077 046 054 078 0002414 Lanaudiegravere 072 074 062 056 0002415 Laurentides 076 062 068 070 0002416 Monteacutereacutegie 078 070 075 077 000Ontario 3501 Erie St Clair 088 091 090 085 056 0003502 South West 107 095 095 111 109 1553503 Waterloo Wellington 091 100 099 090 143 1433504 Hamilton Niagara Haldimand Brant 100 095 095 105 098 1123505 Central West 076 078 067 057 014 0003506 Mississauga Halton 097 083 098 080 156 1433507 Toronto Central 190 241 250 256 308 4693508 Central 088 091 103 090 079 1033509 Central East 082 070 083 080 057 0003510 South East 096 106 109 101 097 0943511 Champlain 111 102 100 113 111 1413512 North Simcoe Muskoka 087 068 071 089 000 0003513 North East 093 077 080 089 091 0793514 North West 092 096 098 079 094 000Manitoba 4610 Winnipeg 140 151 156 160 185 1814615 Brandon 161 100 202 234 000 0004625 South Eastman 056 000 000 033 000 0004630 Interlake 051 000 000 029 000 0004640 Central 077 118 101 011 000 0004645 Assiniboine 054 000 000 006 000 000

85


Map Code


Health Region OverallHip

ReplacementKnee



InterventionBypassSurgery

Saskatchewan 4701 Sun Country 051 000 000 035 000 0004702 Five Hills 082 042 030 083 000 0004704 Regina 123 142 134 121 195 1954705 Sunrise 083 000 000 106 000 0004706 Saskatoon 137 191 194 141 186 1994709 Prince Albert 098 070 076 104 000 0004710 Prairie North 103 000 000 130 000 000Alberta 4831 South Zone 092 110 129 094 000 0004832 Calgary Zone 107 110 101 108 143 1554833 Central Zone 080 066 067 076 000 0004834 Edmonton Zone 125 121 123 126 185 1714835 North Zone 078 067 066 065 000 000British Columbia 5911 East Kootenay 084 075 080 063 000 0005912 Kootenay Boundary 084 071 079 080 000 0005913 Okanagan 104 104 102 098 188 0005914 ThompsonCaribooShuswap 092 059 073 104 000 0005921 Fraser East 092 073 089 091 000 0005922 Fraser North 103 066 074 080 257 2195923 Fraser South 078 050 062 064 000 0005931 Richmond 097 141 220 094 000 0005932 Vancouver 161 331 299 254 349 4385933 North Shore 088 080 097 081 000 0005941 South Vancouver Island 115 099 096 109 229 2885942 Central Vancouver Island 085 081 089 086 000 0005943 North Vancouver Island 084 108 114 101 000 0005951 Northwest 082 039 055 094 000 0005952 Northern Interior 091 080 085 071 000 0005953 Northeast 086 084 112 083 000 000Yukon 083 000 060 096 000 000 Northwest Territories 098 018 013 085 000 000 Nunavut 043 000 000 023 000 000 Canada

Inflowoutflow ratio A ratio of the number of discharges from relevant facilities (acute caresame-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 is an indication that none of the institutions in the region provided the service and residents received care outside of their region Note The PCI inflowoutflow ratios for Quebec are not available due to differences in data collection Sources Discharge Abstract Database and National Ambulatory Care Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

86



GeneralFamily Physicians 2011

Specialist Physicians 2011

Rate per 100000 95 CI Rate per 100000 95 CI Newfoundland and Labrador 123 (113ndash132) 108 (99ndash117) 1011 Eastern 126 (113ndash138) 136 (123ndash149)1012 Central 123 (100ndash145) 69 (52ndash86)1013 Western 116 (92ndash140) 74 (55ndash93)Prince Edward Island 97 (81ndash113) 80 (66ndash95)Nova Scotia 122 (115ndash129) 119 (112ndash126)1211 South Shore 114 (86ndash141) 59 (39ndash78)1212 South West Nova 91 (66ndash115) 44 (27ndash62)1223 Annapolis Valley 108 (85ndash130) 82 (63ndash102)1234 Colchester East Hants 93 (71ndash115) 56 (39ndash73)1258 Cape Breton 112 (93ndash131) 85 (68ndash101)1269 Capital 141 (130ndash152) 181 (168ndash194)New Brunswick 113 (106ndash121) 100 (93ndash107)1301 Zone 1 (Moncton area) 114 (99ndash128) 118 (104ndash133)1302 Zone 2 (Saint John area) 107 (91ndash122) 123 (106ndash139)1303 Zone 3 (Fredericton area) 110 (94ndash125) 74 (62ndash87)1306 Zone 6 (Bathurst area) 117 (93ndash141) 86 (65ndash106)Quebec 114 (111ndash116) 117 (115ndash120)2401 Bas-Saint-Laurent 140 (124ndash157) 104 (90ndash118)2402 SaguenayndashLac-Saint-Jean 124 (110ndash137) 87 (76ndash98)2403 Capitale-Nationale 157 (148ndash166) 184 (174ndash194)2404 Mauricie et Centre-du-Queacutebec 107 (98ndash116) 81 (73ndash89)2405 Estrie 131 (118ndash144) 146 (132ndash159)2406 Montreacuteal 122 (117ndash127) 214 (208ndash221)2407 Outaouais 94 (84ndash104) 61 (53ndash69)2408 Abitibi-Teacutemiscamingue 134 (115ndash153) 84 (69ndash99)2409 Cocircte-Nord 147 (123ndash171) 63 (47ndash78)2411 GaspeacutesiendashIcircles-de-la-Madeleine 195 (167ndash224) 96 (76ndash115)2412 Chaudiegravere-Appalaches 108 (98ndash118) 75 (67ndash84)2413 Laval 90 (80ndash99) 71 (63ndash79)2414 Lanaudiegravere 85 (76ndash93) 56 (49ndash63)2415 Laurentides 94 (86ndash102) 51 (45ndash56)2416 Monteacutereacutegie 95 (90ndash100) 66 (62ndash70)Ontario 95 (94ndash97) 99 (98ndash101)3501 Erie St Clair 72 (66ndash79) 60 (54ndash65)3502 South West 93 (87ndash99) 111 (104ndash118)3503 Waterloo Wellington 84 (78ndash91) 61 (56ndash67)3504 Hamilton Niagara Haldimand Brant 87 (82ndash91) 103 (97ndash108)3505 Central West 65 (60ndash71) 44 (40ndash49)3506 Mississauga Halton 79 (74ndash84) 63 (59ndash68)3507 Toronto Central 170 (163ndash178) 300 (290ndash310)3508 Central 85 (81ndash90) 71 (68ndash75)3509 Central East 73 (69ndash77) 59 (55ndash63)3510 South East 114 (105ndash124) 113 (104ndash122)3511 Champlain 124 (118ndash130) 134 (128ndash141)3512 North Simcoe Muskoka 92 (83ndash101) 56 (49ndash63)3513 North East 99 (90ndash107) 69 (62ndash76)3514 North West 116 (102ndash130) 69 (59ndash80)Manitoba 105 (99ndash110) 93 (88ndash99)4610 Winnipeg 114 (106ndash122) 152 (143ndash161)4615 Brandon 166 (131ndash201) 87 (61ndash112)4625 South Eastman 63 (45ndash82) 4630 Interlake 79 (60ndash98) 18 (9ndash27)4640 Central 95 (76ndash113) 15 (7ndash22)4645 Assiniboine 94 (71ndash117)

87


Map Code



Health Region Rate per 100000 95 CI Rate per 100000 95 CISaskatchewan 100 (94ndash106) 80 (75ndash86) 4701 Sun Country 72 (49ndash94) 4702 Five Hills 98 (71ndash124) 43 (26ndash61)4704 Regina 103 (91ndash115) 96 (84ndash107)4705 Sunrise 85 (60ndash110) 28 (14ndash42)4706 Saskatoon 115 (103ndash127) 148 (134ndash161)4709 Prince Albert 118 (94ndash142) 61 (44ndash78)4710 Prairie North 104 (81ndash128) 25 (13ndash37)Alberta 111 (107ndash114) 106 (103ndash109)4831 South Zone 97 (86ndash109) 62 (53ndash71)4832 Calgary Zone 119 (113ndash125) 127 (121ndash133)4833 Central Zone 92 (84ndash101) 35 (29ndash40)4834 Edmonton Zone 123 (117ndash129) 151 (144ndash158)4835 North Zone 85 (77ndash94) 23 (19ndash28)British Columbia 117 (114ndash120) 95 (92ndash98)5911 East Kootenay 150 (123ndash177) 42 (28ndash56)5912 Kootenay Boundary 163 (135ndash191) 51 (36ndash67)5913 Okanagan 120 (109ndash132) 89 (79ndash99)5914 ThompsonCaribooShuswap 110 (96ndash123) 59 (49ndash69)5921 Fraser East 94 (83ndash105) 45 (37ndash53)5922 Fraser North 81 (74ndash88) 73 (66ndash79)5923 Fraser South 79 (72ndash85) 48 (43ndash53)5931 Richmond 88 (74ndash101) 64 (53ndash75)5932 Vancouver 165 (155ndash174) 263 (251ndash275)5933 North Shore 129 (116ndash142) 69 (60ndash79)5941 South Vancouver Island 156 (143ndash169) 128 (116ndash139)5942 Central Vancouver Island 130 (117ndash144) 61 (52ndash70)5943 North Vancouver Island 157 (134ndash179) 69 (54ndash84)5951 Northwest 128 (103ndash154) 30 (18ndash43)5952 Northern Interior 129 (110ndash147) 55 (43ndash67)5953 Northeast 88 (66ndash110) 16 (6ndash25)Yukon 169 (126ndash212) 32 (13ndash50)Northwest Territories 65 (41ndash89) 23 (9ndash37) Nunavut 33 (13ndash52) Canada 106 (105ndash107) 103 (102ndash104)

Physicians Generalfamily physicians (family medicine and emergency family medicine specialists) and specialist physicians (medical surgical and laboratory specialists) on December 31 of the reference year per 100000 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 provincialterritorial 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) andor the Collegravege des meacutedecins du Queacutebec (CMQ) with the exception of Saskatchewan Newfoundland and Labrador Nova Scotia New Brunswick Yukon and Alberta 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 (wwwcihica) 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 CIHIrsquos 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 Scottrsquos Medical Database Canadian Institute for Health Information

88


Selected Health Professionalsdagger

dagger Rates per 100000 population

2011 Nurses

Pharmacists Dentists Dental

Hygienists Dietitians Occupational

Therapists Physio-

therapists Chiro-

practors Optometrists PsychologistsRNs LPNs NL 1184 485 127 35 34 34 34 43 12 10 38PEI 1040 426 122 50 62 47 30 42 5 12 25NS 982 392 125 57 70 52 43 60 13 11 54NB 1087 384 101 42 57 45 42 60 8 15 57Que 838 267 99 59 68 35 49 48 16 17 96Ont 705 234 81 64 95 25 34 46 32 15 25Man 961 225 104 50 54 33 44 58 21 11 22Sask 927 263 113 38 52 29 28 57 18 13 46Alta 792 202 104 54 72 27 40 56 24 15 70BC 656 185 92 67 72 25 38 62 24 13 24YT 1101 218 89 126 77

30 2497 23 26

NWT 1405 212 44 125 58 0 148Nun 166 90 195 15 0 57Canada 781 244 94 60 77 29 39 51 24 15 49

Health Expenditure Total Health Expenditure

Current Dollars ($ lsquo000000) GDP ()

2010

Public Sector ()

2010

By Use of Funds (Percentage Distribution of $ lsquo000000) 2010

Actual 2010

Forecast 2011

Forecast 2012

Institutional Services

Professional Services Drugs

Public Health

Capital and Other Health

NL 3299 3456 3594 117 771 513 186 146 32 123PEI 846 889 927 169 735 434 194 152 44 176NS 5812 6009 6146 160 686 441 215 170 31 142NB 4529 4691 4778 154 695 453 210 173 33 131Que 40525 42329 43976 127 706 415 225 195 31 135Ont 74764 77112 79137 122 683 373 264 164 60 140Man 7664 7942 8226 141 743 423 216 134 70 157Sask 6234 6671 6933 98 764 419 226 140 84 130Alta 23918 24892 26021 91 737 417 253 128 58 143BC 24396 25456 26486 120 703 352 279 130 67 173YT 289 313 313 124 791 408 182 91 176 143NWT 434 444 434 93 843 465 177 71 91 196Nun 403 418 447 229 932 453 171 53 113 210Canada 193114 200622 207417 119 705 395 248 159 54 144

Public Sector Health Expenditure by Use of Funds ($ per Capita) 2010

Private Sector Health Expenditure by Use of Funds ($ per Capita) 2010



Public Health




Public Health



89


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 provincialterritorial regulatory authorities due to the CIHI collection processing and reporting methodology Please consult Canadarsquos Health Care Providers 1997 to 2011mdashA Reference Guide for more detailed methodological notes data quality issues and profession-specific information or contact us at hpdbcihica Sources Health Personnel Database Canadian Institute for Health Information Statistics Canada Quarterly Demographic Estimates March 201225(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 Source National Health Expenditure Database Canadian Institute for Health Information

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 provincialterritorial 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 non-prescribed 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) Source National Health Expenditure Database Canadian Institute for Health Information


91

General Notes

General Notes bull 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 provincialterritorial 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

bull 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 Canadarsquos Postal Code Conversion File (PCCF Vintage May 2011) and then to a health region using another Statistics Canada product ldquoHealth Regions Boundaries and Correspondence With Census Geographyrdquo Boundaries are those that were in effect as of December 2007 with the exception of Alberta zones which are current as of December 2010

bull In Nova Scotia there are new region codes for district health authorities and zones Names remain unchanged

bull Data for regions with a population of at least 50000 is reported This threshold ensures stability in rates and reduces the risk of suppression stemming from privacy and confidentiality issues

bull 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 minindashpostal codes relating to one of the US states or by a postal code value or other relevant data element indicating out-of-country residents

bull For indicators under the Equity dimension patients were assigned neighbourhood-level income quintiles using Statistics Canadarsquos Postal Code Conversion File Plus (PCCF+ Version 5J) The postal code of a patientrsquos place of residence at the time of hospitalization was mapped to the smallest geographical unit available for analysis in the 2006 Canadian censusmdashthe dissemination area (DA)mdashand the corresponding neighbourhood income quintile of that DA was assigned to the patient

bull 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 nonndashacute care hospitals (for example chronic care psychiatric or rehabilitation facilities) are not included in the totals

92


bull 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 Procedure-derived indicators include discharges from acute care hospitals and same-day surgery facilities where applicable

bull Wherever information is available procedures that were performed out of hospital and procedures that were abandoned after onset are excluded from the calculations

bull 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

bull Beginning with 2011ndash2012 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

bull Beginning with 2011ndash2012 data the name of the 30-day pediatric readmission indicator has been changed to 30-day readmissionmdashpatients age 19 and younger

bull For the mental healthndashrelated indicators (30-day readmission for mental illness [MI] repeat hospitalizations for MI MI hospitalization MI patient days and self-injury 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-EacuteCHO) 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

bull The mental illnesses selected for the mental healthndashrelated 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

bull 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 2011ndash2012 include OMHRS data submitted to CIHI up until September 2012

bull Starting with the Health Indicators 2012 report Weyburn Mental Health Centre in Saskatchewan is included in all mental healthndashrelated indicators (30-day readmission for MI repeat hospitalizations for MI MI hospitalization MI patient days and self-injury hospitalization) As a result rates for 2010ndash2011 and onwards for Sun Country Health Region (4701) are not comparable with those reported in previous years

93

General Notes

bull For 30-day readmission for MI MI hospitalization MI patient days and self-injury hospitalization for North East LHIN rates for 2009ndash2010 are not comparable with those reported in later years This is because Brant Community Healthcare SystemmdashBrantford General Hospital did not submit its 2009ndash2010 data to the Ontario Mental Health Reporting System as of the reporting deadline for the Health Indicators 2011 report

bull To ensure interprovincial comparability of indicators diagnosis codes representing diabetes without complications (E109 E119 E139 E149) were recoded to diabetes with complications as per the Canadian coding standards on applicable records for Quebec MED-EacuteCHO data Details are available upon request

bull 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

bull See the Health Indicators e-publication (wwwcihica or wwwstatcangcca) for diagnosis and procedure codes used to extract the indicator data detailed definitions and technical notes Indicator rates for years prior to those appearing in this publication are also available in the e-publication


95

Indicator Index

Indicator Index30-day acute myocardial infarction in-hospital mortality 58ndash5930-day acute myocardial infarction in-hospital mortality by neighbourhood income quintile 7130-day acute myocardial infarction in-hospital mortality disparity rate ratio 7130-day acute myocardial infarction in-hospital mortality potential rate reduction 7130-day acute myocardial infarction readmission rate 60ndash6130-day acute myocardial infarction readmission rate by neighbourhood income quintile 7530-day acute myocardial infarction readmission rate disparity rate ratio 7530-day acute myocardial infarction readmission rate potential rate reduction 7530-day medical readmission 60ndash6130-day medical readmission by neighbourhood income quintile 7430-day medical readmission disparity rate ratio 7430-day medical readmission potential rate reduction 7430-day obstetric readmission 62ndash6330-day obstetric readmission by neighbourhood income quintile 7330-day obstetric readmission disparity rate ratio 7330-day obstetric readmission potential rate reduction 7330-day readmission for mental illness 64ndash6530-day readmission for mental illness by neighbourhood income quintile 7230-day readmission for mental illness disparity rate ratio 7230-day readmission for mental illness potential rate reduction 7230-day readmissionmdashpatients age 19 and younger 64ndash6530-day readmissionmdashpatients age 19 and younger by neighbourhood income quintile 7330-day readmissionmdashpatients age 19 and younger disparity rate ratio 7330-day readmissionmdashpatients age 19 and younger potential rate reduction 7330-day stroke in-hospital mortality 58ndash5930-day stroke in-hospital mortality by neighbourhood income quintile 7130-day stroke in-hospital mortality disparity rate ratio 7130-day stroke in-hospital mortality potential rate reduction 7130-day surgical readmission 62ndash6330-day surgical readmission by neighbourhood income quintile 7430-day surgical readmission disparity rate ratio 7430-day surgical readmission potential rate reduction 74Adult body mass index by Aboriginal identity 38Ambulatory care sensitive conditions 56ndash57Ambulatory care sensitive conditions by neighbourhood income quintile 70Ambulatory care sensitive conditions disparity rate ratio 70Ambulatory care sensitive conditions potential rate reduction 70Avoidable mortality from preventable causes 50ndash51Avoidable mortality from treatable causes 52ndash53Caesarean section 56ndash57Cardiac revascularization 82ndash83Coronary artery bypass graft surgery 80ndash81Dependency ratio 36ndash37

96


Fruit and vegetable consumption by Aboriginal identity 46Health expenditure 88Health professionals 88Heavy drinking by Aboriginal identity 44Hip replacement 78ndash79Hospitalized acute myocardial infarction event 42ndash43Hospitalized acute myocardial infarction event by neighbourhood income quintile 68Hospitalized acute myocardial infarction event disparity rate ratio 68Hospitalized acute myocardial infarction event potential rate reduction 68Hospitalized hip fracture event 54ndash55Hospitalized hip fracture event by neighbourhood income quintile 69Hospitalized hip fracture event disparity rate ratio 69Hospitalized hip fracture event potential rate reduction 69Hospitalized stroke event 42ndash43Hospitalized stroke event by neighbourhood income quintile 68Hospitalized stroke event disparity rate ratio 68Hospitalized stroke event potential rate reduction 68Hysterectomy 82ndash83Inflowoutflow ratio 84ndash85Injury hospitalization 40ndash41Injury hospitalization by neighbourhood income quintile 69Injury hospitalization disparity rate ratio 69Injury hospitalization potential rate reduction 69Knee replacement 78ndash79Life satisfaction by Aboriginal identity 46Mental illness hospitalization 76ndash77Mental illness patient days 76ndash77One or more chronic conditions by Aboriginal identity 38Patients with repeat hospitalizations for mental illness 66ndash67Perceived mental health by Aboriginal identity 38Percutaneous coronary intervention 80ndash81Physical activity during leisure time by Aboriginal identity 44Physicians 86ndash87Population 36ndash37Potentially avoidable mortality 48ndash49Self-injury hospitalization 66ndash67Self-injury hospitalization by neighbourhood income quintile 72Self-injury hospitalization disparity rate ratio 72Self-injury hospitalization potential rate reduction 72Sense of community belonging by Aboriginal identity 46Smoking by Aboriginal identity 44Wait time for hip fracture surgery 54ndash55Wait time for hip fracture surgery by neighbourhood income quintile 70Wait time for hip fracture surgery disparity rate ratio 70Wait time for hip fracture surgery potential rate reduction 70


98

Health Indicators 2013 Regional Maps

30-Day Acute Myocardial Infraction Readmission Rate by Health Region 2011ndash2012

B

30-Day Acute Myocardial InfractionReadmission Rateby Health Region 2011ndash2012

99

Risk-Adjusted Rates (Percentage) Above Canadian Average Same as Canadian Average Below Canadian Average Data Unavailable or Suppressed

Regional Map

A

Notes For Prince Edward Island (1100) Yukon (6001) the Northwest Territories (6101) and Nunavut (6201) the data on the map represents the entire province or territory Rates for smaller regions (population between 20000 and 50000) are available in the e-publication at wwwcihica or wwwstatcangcca Sources Discharge Abstract Database and National Ambulatory Care Reporting System Canadian Institute for Health Information Fichier des hospitalisations MED-EacuteCHO ministegravere de la Santeacute et des Services sociaux du Queacutebec

From cover to e-cover

CIHI in partnership with Statistics Canada maintains the countryrsquos most comprehensive set of regional health indicators Health Indicators 2013 provides you with a sample of these For even more health indicators and data on more health regions as well as related information take a look at our Health Indicators e-publication available online

wwwcihicaor

wwwstatcangcca

Health Indicators

Access all available CIHI and Statistics Canada health

indicators

Data Tables and Maps

Explore data tables selecting

items such as geography age group and sex

Definitions and

Technical Notes

Find definitions data sources and methodologies

for health indicators

Highlights

Get a general overview of

the state of the health system and the health of Canadians

Production of this report is made possible by financial contributions from Health Canada and provincial and territorial governments The views expressed herein do not necessarily represent the 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 Information495 Richmond Road Suite 600Ottawa Ontario K2A 4H6

Phone 613-241-7860Fax 613-241-8120wwwcihicacopyrightcihica

ISBN 978-1-77109-186-2 (PDF)

copy 2013 Canadian Institute for Health Information

How to cite this documentCanadian Institute for Health Information Health Indicators 2013 Ottawa ON CIHI 2013

Cette publication est aussi disponible en franccedilais sous le titre Indicateurs de santeacute 2013ISBN 978-1-77109-187-9 (PDF)

Talk to UsCIHI Ottawa 495 Richmond Road Suite 600 Ottawa Ontario K2A 4H6 Phone 613-241-7860

CIHI Toronto 4110 Yonge Street Suite 300 Toronto Ontario M2P 2B7 Phone 416-481-2002

CIHI Victoria 880 Douglas Street Suite 600 Victoria British Columbia V8W 2B7 Phone 250-220-4100

CIHI Montreacuteal 1010 Sherbrooke Street West Suite 300 Montreacuteal Quebec H3A 2R7 Phone 514-842-2226

CIHI St Johnrsquos 140 Water Street Suite 701 St Johnrsquos Newfoundland and Labrador A1C 6H6 Phone 709-576-7006

wwwcihicaAt the heart of data


Our Vision

Our Mandate

Our Values

Update to Health Indicators 2013

Table of Contents



How to Obtain More Information

You can also contact us by

Depository Services Program

Standards of Service to the Public

Acknowledgements

Executive Summary


Health Status





Introduction

Reporting on Health System Performance and the Health of Canadians The Foundation

Setting Priorities for Indicator Development and Reporting

Leveraging Public Reporting on Health System Performance

The Need to Reposition Health System Performance Reporting in Canada

CIHIrsquos Initiative in More Detail

A Health System Performance Framework to Support Performance Improvement

Why a New Health System Performance Framework

Description of the New Health System Performance Framework

Conclusion


Building on Priority Areas Disparities Within the Health System

Methodology

Neighbourhood Income Quintile as a Measure of Socio-Economic Status

Summary Measures of Disparity

Applying the Disparity Lens to Provincial Indicator Rates

References

AppendixmdashDefining Neighbourhood Income Quintile to Measure Disparity

Assigning Patients to Neighbourhood Income Quintiles

Construction of Income Quintiles for Dissemination Areas

Limitations

Appendix References


What Are Health Regions

Interpreting the Indicators



Population

Dependency ratio

Health Status

Adult body mass index

One or more chronic conditions

Perceived mental health

Injury hospitalization

Hospitalized acute myocardial infarction event

Hospitalized stroke event


Smoking

Heavy drinking

Physical activity during leisure time

Fruit and vegetable consumption

Sense of community belonging

Life satisfaction


Potentially avoidable mortality

Avoidable mortality from preventable causes

Avoidable mortality from treatable causes

Hospitalized hip fracture event

Wait time for hip fracture surgery

Ambulatory care sensitive conditions

Caesarean section

30-day acute myocardial infarction in-hospital mortality

30-day stroke in-hospital mortality

30-day acute myocardial infarction readmission

30-day medical readmission

30-day surgical readmission

30-day obstetric readmission

30-day readmissionmdashpatients age 19 and younger

30-day readmission for mental illness

Patients with repeat hospitalizations for mental illness

Self-injury hospitalization

Equity

Neighbourhood income quintile

Disparity rate ratio (RR)

Potential rate reduction (PRR)


Mental illness hospitalization

Mental illness patient days

Hip replacement

Knee replacement

Percutaneous coronary intervention

Coronary artery bypass graft surgery

Cardiac revascularization

Hysterectomy

Inflowoutflow ratio

Physicians

Health professionals

Total health expenditure

Proportion of public sector

Total health expenditure by use of funds

General Notes

Indicator Index

Regional Maps


Talk to Us

HI2013_Jan30_EN p87pdf


Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section

30 -day acute myocardial infarction in-hospital mortality

30 -day stroke in-hospital mortality

30 -day acute myocardial infarction readmission

30 -day medical readmission

30 -day surgical readmission

30 -day obstetric readmission

30 -day readmissionmdashpatients age 19 and younger

30 -day readmission for mental illness



Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us

Our VisionBetter data Better decisions Healthier Canadians

Our MandateTo 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 ValuesRespect Integrity Collaboration Excellence Innovation

Notice

January 30 2014











References 25



Regional Map 98


iii












iv











v












vii

Acknowledgements










viii








ix

Executive Summary




















x







xi







Health behaviours


Personal resources






Equity




3











4






5





CIHI

StatisticsCanada




6










7


bull

bull

bull

bull


2010




2011


2012



2013



8





9












10






Authorities




Numb

er of

Mea

sure

s

Fewer

More

11






12




bull

13



















14







15



Th

is fr

amew

ork

was

stil

l in

deve

lopm

ent w

hen

this

repo

rt w

as p

ublis

hed

A fi

nal v

ersi

on w

ill b

e av

aila

ble

late

r in

the

year

Social position

Life conditions


Efficient

allocation

of resources

Adjustment

to population

health needs

Health system

innovation and

learning capacity

Health system

resources

Leadership

and governance

Improve

health status

of Canadians

Improve

health system

responsiveness

Improve

value for money

Access to

comprehensive

integrated

health services

Health protection

health promotion

and disease

prevention

Quality safety

and

appropriateness

of health services

Patient

experience

with

health services

Efficiency and

effectiveness

of health services

Equity

Equity

Individual response

Social Determinants

of H

ealth

Genetic endowment

Healt

h Sys


Healt

h Sys

temOutcomes

Healt

h Sys

temOutputs

Economic Co

ntext

Political Context

Economic Co

ntext

Political Context

Demographic Context

Demographic Context

Not

e

16







19




20







0 10 20 30 40 50



Medical Readmission

AMI Readmission









AMI Mortality

21



Methodology







0

50

100

150

200

250

300


Healt

h Ind

icator

Rate


1626

17 11 15



22





23



Notes



0

20

40

60

80

100


Age-

Stan

dard

ized R

ate pe

r 100

000 P

opula

tion

Province

33

28

3251

28

56

2926


24


24



Notes




Age-

Stan

dard

ized

Rate

per 1

0000

0 Pop

ulatio

n

Province

0

100

200

300

400

500

600

30

33

29

32

36 34

21

14

2113



25

References
















26















27

References













28





29







30




31









34








35








36




2011

Population Age 65+

()

2011

Dependency Ratio


37




2011

PopulationAge 65+

()

2011

DependencyRatio




38



(25 or Greater) 2007 to 2010









39

Health Status






40






41

Health Status

Map Code





42









43

Health Status

Map Code








44



2007 to 2010







2007 to 2010



45







46



(5+ per Day) 2007 to 2010




2007 to 2010




2007 to 2010



47





48







49


Map Code


Health Region






50







51


Map Code


Health Region







52







53









54




2011ndash2012




55


Map Code


2011ndash2012


2011ndash2012





56








57


Map Code







58








59


Map Code




2010 to 2011ndash2012




60




2011ndash2012


2011ndash2012


61


Map Code


2011ndash2012


2011ndash2012




62






63


Map Code






64




2011ndash2012


2011ndash2012


65


Map Code


2011ndash2012


2011ndash2012




66




2010ndash2011


2011ndash2012



67


Map Code


2010ndash2011


2011ndash2012





68





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 320(286ndash353)

280(248ndash312)

284(253ndash316)

289(256ndash322)

239(208ndash270)




315(248ndash383)

290(225ndash355)

374(299ndash449)

297(235ndash359)

093(068ndash126)

43(-150ndash211)

NS 295(270ndash320)

275(252ndash298)

247(224ndash269)

230(209ndash251)

227(204ndash249)



NB 270(243ndash296)

259(233ndash284)

294(266ndash323)

231(207ndash255)

273(244ndash301)

099(086ndash114)

-29(-128ndash63)


235(228ndash242)

220(213ndash228)

219(211ndash226)

194(187ndash202)




209(203ndash215)

209(203ndash215)

194(188ndash199)

170(165ndash175)




267(245ndash289)

219(200ndash238)

202(183ndash221)

190(171ndash208)




193(173ndash213)

193(174ndash211)

187(168ndash207)

181(162ndash200)




202(190ndash213)

216(204ndash229)

214(202ndash227)

185(174ndash197)



BC 192(182ndash201)

177(168ndash186)

174(165ndash183)

167(158ndash175)

145(137ndash153)




(239ndash246) 216

(212ndash220) 212

(208ndash216) 201

(197ndash204) 179

(175ndash182)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 129(107ndash151)

113(93ndash132)

143(120ndash167)

131(109ndash154)

154(129ndash179)

084(066ndash106)

-149(-320ndash05)


151(104ndash198)

133(90ndash176)

194(136ndash251)

114(70ndash157)


278(-12ndash495)

NS 129(112ndash145)

137(120ndash154)

111(97ndash126)

101(87ndash114)

115(98ndash131)

112(093ndash136)

33(-97ndash150)

NB 148(129ndash167)

137(119ndash155)

137(118ndash157)

118(101ndash135)

119(101ndash138)


96(-38ndash217)

Que


127(123ndash132)

120(116ndash125)

114(110ndash119)

109(105ndash114)




131(116ndash146)

106(93ndash120)

109(95ndash123)

93(80ndash105)




130(114ndash146)

124(109ndash140)

113(98ndash128)

104(89ndash118)




135(126ndash144)

136(126ndash146)

124(114ndash134)

124(114ndash134)

107(096ndash119)

48(-22ndash115)

BC 134(127ndash142)

131(123ndash139)

125(118ndash133)

120(113ndash128)

108(101ndash115)




(138ndash145) 129

(126ndash133) 123

(120ndash126) 116

(113ndash119) 110

(107ndash113)




69

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 449(352ndash546)

529(420ndash638)

471(375ndash566)

591(473ndash709)

471(365ndash577)

095(070ndash130)

62(-150ndash241)


640(407ndash873)

546(327ndash765)

446(236ndash655)

395(222ndash569)

146(083ndash256)

242(-115ndash501)

NS 455(386ndash524)

524(448ndash601)

453(380ndash526)

460(391ndash528)

435(365ndash505)

104(084ndash130)

65(-80ndash194)

NB 472(393ndash551)

375(306ndash444)

564(463ndash665)

470(394ndash546)

513(416ndash611)

092(071ndash118)

-83(-283ndash91)


439(416ndash462)

414(389ndash438)

451(423ndash478)

429(401ndash457)

095(087ndash103)

-06(-67ndash53)


421(402ndash441)

448(427ndash468)

435(415ndash455)

423(403ndash442)


36(-05ndash75)


513(445ndash582)

565(495ndash635)

441(378ndash503)

544(473ndash616)

111(092ndash135)

-23(-148ndash92)


509(438ndash580)

433(370ndash496)

507(435ndash579)

407(339ndash475)




412(374ndash451)

459(414ndash504)

481(434ndash529)

523(470ndash575)



BC 544(508ndash580)

439(407ndash471)

490(456ndash525)

426(392ndash460)

385(353ndash417)




(456ndash481) 435

(423ndash446) 453

(440ndash465) 447

(434ndash459) 431

(419ndash444)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 542(495ndash589)

528(481ndash574)

515(468ndash562)

575(527ndash624)

549(503ndash595)

099(088ndash111)

-13(-91ndash61)


651(554ndash747)

683(585ndash781)

746(641ndash851)

584(487ndash681)



NS 531(497ndash564)

528(495ndash561)

502(470ndash534)

495(463ndash527)

495(460ndash529)

107(098ndash118)

30(-31ndash89)

NB 640(599ndash682)

594(554ndash634)

644(603ndash686)

564(525ndash603)

561(522ndash600)




547(536ndash558)

527(516ndash538)

545(533ndash557)

492(481ndash503)




418(411ndash426)

416(408ndash423)

407(400ndash415)

394(387ndash402)



Man 1157(1113ndash1202)

635(604ndash667)

596(566ndash626)

555(525ndash585)

535(504ndash566)



Sask 1205(1154ndash1255)

804(764ndash843)

713(677ndash750)

752(713ndash791)

729(689ndash769)




711(692ndash730)

714(694ndash734)

694(675ndash713)

702(682ndash723)



BC 650(633ndash666)

593(577ndash608)

570(555ndash586)

561(546ndash577)

522(506ndash539)




(608ndash619) 531

(526ndash537) 520

(515ndash525) 514

(508ndash519) 488

(483ndash494)




70





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 904(817ndash991)

921(839ndash1003)

782(702ndash863)

851(766ndash936)

792(706ndash878)

114(099ndash132)

67(-28ndash155)


86(677ndash1042)

906(714ndash1097)

689(457ndash920)

739(527ndash951)

109(078ndash153)

88(-181ndash304)

NS 811(753ndash869)

797(738ndash856)

805(740ndash870)

798(741ndash855)

763(700ndash826)

106(095ndash118)

40(-33ndash109)

NB 822(756ndash887)

875(805ndash945)

813(741ndash885)

883(821ndash945)

866(790ndash941)

095(084ndash107)

-16(-100ndash63)

Que


814(796ndash833)

824(806ndash843)

821(802ndash839)

798(779ndash817)

101(098ndash105)

19(-02ndash40)


848(799ndash897)

878(828ndash928)

828(773ndash883)

849(798ndash900)

103(095ndash112)

09(-46ndash62)


82(766ndash874)

835(779ndash891)

794(738ndash849)

829(765ndash892)

096(087ndash106)

-19(-93ndash51)


84(802ndash878)

799(759ndash840)

871(831ndash911)

821(780ndash862)

097(091ndash104)

05(-41ndash50)

BC 791(765ndash817)

77(741ndash798)

739(711ndash768)

776(744ndash807)

79(756ndash824)

100(095ndash106)

-21(-63ndash19)


(797ndash821) 814

(802ndash827) 807

(794ndash820) 82

(807ndash833) 804

(790ndash817) 101

(098ndash103) 09

(-07ndash24)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 506(461ndash551)

468(427ndash509)

439(396ndash482)

372(335ndash410)

374(335ndash412)




570(473ndash667)

488(398ndash578)

376(303ndash450)

406(324ndash488)



NS 417(387ndash447)

371(342ndash399)

324(299ndash350)

266(242ndash290)

286(260ndash313)



NB 667(626ndash709)

499(463ndash536)

465(431ndash500)

385(354ndash417)

377(346ndash409)




310(301ndash319)

278(269ndash286)

255(247ndash263)

190(183ndash196)




306(299ndash313)

272(266ndash279)

235(229ndash241)

184(179ndash190)




384(358ndash410)

248(227ndash268)

252(232ndash273)

241(220ndash263)




522(488ndash555)

437(407ndash467)

377(349ndash405)

358(330ndash387)




354(340ndash369)

327(313ndash341)

284(271ndash297)

224(212ndash236)



BC 372(359ndash385)

293(281ndash304)

265(254ndash276)

241(230ndash251)

192(182ndash202)




(444ndash454) 329

(325ndash334) 292

(288ndash296) 257

(253ndash261) 208

(205ndash212)




71

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 90(71ndash110)

70(51ndash90)

81(62ndash100)

82(61ndash102)

86(64ndash108)

105(075ndash147)

-49(-321ndash177)

PEI 95(57ndash133)

51(11ndash90)

75(40ndash110)

63(22ndash104)

58(21ndash95)

164(077ndash348)

149(-464ndash537)

NS 76(61ndash90)

64(50ndash79)

63(48ndash78)

70(54ndash85)

69(52ndash85)

110(081ndash150)

-03(-246ndash200)

NB 85(68ndash101)

79(63ndash95)

63(45ndash81)

74(57ndash91)

59(40ndash78)

144(098ndash210)

187(-88ndash402)

Que

Ont 84(80ndash88)

76(72ndash81)

74(70ndash79)

74(70ndash79)

68(63ndash73)



Man 71(58ndash84)

67(54ndash80)

58(45ndash72)

68(54ndash82)

69(54ndash83)

104(078ndash137)

-29(-239ndash152)

Sask 91(77ndash106)

74(60ndash88)

71(55ndash87)

75(58ndash91)

70(52ndash88)

130(096ndash176)

84(-150ndash277)

Alta 69(59ndash78)

61(51ndash70)

63(53ndash73)

67(56ndash77)

60(48ndash71)

114(090ndash146)

65(-112ndash217)

BC 76(68ndash83)

68(60ndash76)

73(64ndash81)

71(62ndash80)

59(50ndash69)




(78ndash84) 72

(69ndash75) 71

(68ndash74) 73

(69ndash76) 66

(63ndash70)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 219(178ndash260)

234(193ndash274)

182(145ndash218)

191(153ndash229)

185(146ndash223)

119(089ndash157)

85(-99ndash245)


139(65ndash213)

200(120ndash280)

153(72ndash235)

223(142ndash304)

082(049ndash137)

-248(-711ndash118)

NS 190(160ndash219)

187(158ndash216)

189(160ndash219)

150(118ndash182)

174(143ndash206)

109(086ndash138)

26(-146ndash176)

NB 149(119ndash178)

144(113ndash175)

126(92ndash159)

152(121ndash183)

180(144ndash216)

083(062ndash109)

-208(-448ndash00)

Que


147(139ndash154)

145(137ndash153)

144(136ndash152)

152(144ndash161)

100(093ndash107)

-30(-81ndash20)


148(124ndash172)

155(130ndash181)

178(151ndash206)

131(103ndash160)

128(098ndash166)

161(-19ndash314)


160(134ndash185)

138(111ndash166)

181(152ndash210)

155(124ndash187)

110(085ndash142)

37(-156ndash203)


150(133ndash166)

131(114ndash149)

132(114ndash151)

116(98ndash135)

121(099ndash147)


BC 160(147ndash172)

138(125ndash150)

141(128ndash155)

141(127ndash155)

146(131ndash160)

109(097ndash124)

-02(-96ndash86)


(151ndash162) 149

(143ndash154) 145

(140ndash151) 147

(141ndash153) 149

(143ndash155) 105

(099ndash110) 02

(-36ndash38)


72





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 86(64ndash108)

96(72ndash119)

91(67ndash114)

75(53ndash97)

89(67ndash112)

096(067ndash139)

-21(-274ndash192)

PEI 91(43ndash139)

72(30ndash114)

73(32ndash115)

56(21ndash90)

28(9ndash46)



NS 102(84ndash119)

70(55ndash85)

72(58ndash87)

70(54ndash86)

67(51ndash84)


118(-97ndash298)

NB 126(103ndash148)

84(66ndash102)

85(67ndash104)

85(66ndash104)

64(48ndash80)



Que 83(78ndash88)

69(65ndash74)

58(54ndash63)

54(49ndash58)

45(40ndash49)



Ont 101(96ndash105)

69(65ndash73)

56(53ndash59)

54(51ndash58)

49(45ndash52)




67(54ndash79)

54(42ndash66)

57(45ndash69)

49(38ndash61)




90(74ndash107)

85(69ndash101)

66(52ndash81)

43(31ndash54)



Alta 90(82ndash98)

61(55ndash68)

57(50ndash63)

54(48ndash60)

44(38ndash50)



BC 117(109ndash126)

94(86ndash102)

82(75ndash89)

74(67ndash81)

57(51ndash64)




(98ndash104) 73

(70ndash75) 63

(61ndash66) 59

(57ndash61) 50

(48ndash53)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 127(91ndash164)

107(71ndash143)

146(109ndash183)

120(81ndash160)

160(129ndash192)

079(056ndash112)



110(62ndash157)

133(84ndash182)

135(81ndash189)

100(48ndash152)

148(082ndash268)

212(-249ndash520)

NS 143(119ndash166)

126(97ndash154)

114(86ndash142)

136(105ndash167)

106(75ndash138)

135(096ndash189)

164(-91ndash367)

NB 128(108ndash147)

133(110ndash156)

114(88ndash140)

132(106ndash157)

119(90ndash148)

107(081ndash142)

55(-177ndash247)


108(100ndash117)

112(103ndash121)

104(94ndash114)

94(83ndash105)




115(109ndash122)

115(108ndash123)

115(108ndash123)

113(105ndash121)

107(098ndash117)

33(-36ndash97)

Man 85(69ndash101)

95(74ndash116)

85(60ndash110)

86(58ndash113)

75(48ndash101)

114(076ndash171)

132(-202ndash382)


108(87ndash129)

101(79ndash123)

103(78ndash127)

110(86ndash134)

104(080ndash136)

-15(-236ndash173)

Alta 95(85ndash105)

121(109ndash134)

90(76ndash104)

90(75ndash105)

87(70ndash104)

109(087ndash137)

114(-61ndash263)

BC 138(131ndash146)

143(134ndash152)

123(113ndash133)

121(110ndash133)

112(100ndash124)




(118ndash124) 119

(115ndash123) 113

(108ndash117) 112

(107ndash116) 107

(102ndash112)




73

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 51(31ndash72)

54(35ndash73)

60(41ndash79)

72(53ndash91)

57(39ndash75)

090(054ndash151)

38(-265ndash284)

PEI 52(14ndash90)

71(38ndash104)

48(11ndash85)

52(16ndash87)

50(09ndash90)

104(035ndash313)

94(-744ndash579)

NS 61(48ndash75)

65(50ndash80)

47(32ndash63)

62(47ndash77)

68(53ndash82)

090(066ndash123)

-115(-344ndash84)

NB 69(56ndash82)

55(40ndash70)

53(38ndash68)

64(48ndash80)

62(48ndash77)

111(082ndash150)

-20(-251ndash178)

Que 62(57ndash67)

61(56ndash66)

62(57ndash67)

61(56ndash65)

59(54ndash64)

104(093ndash117)

27(-47ndash98)

Ont 70(67ndash74)

69(65ndash73)

63(59ndash67)

70(67ndash74)

67(62ndash71)

106(097ndash115)

22(-36ndash78)

Man 70(60ndash79)

67(54ndash81)

59(44ndash73)

59(46ndash73)

61(47ndash75)

113(087ndash148)

47(-170ndash229)

Sask 70(62ndash79)

67(56ndash77)

62(50ndash74)

66(55ndash76)

73(61ndash85)

097(079ndash118)

-74(-241ndash75)

Alta 71(64ndash77)

63(56ndash70)

57(50ndash64)

61(54ndash67)

59(52ndash67)


50(-62ndash152)

BC 65(58ndash73)

64(57ndash72)

54(47ndash61)

61(54ndash69)

70(62ndash77)

094(080ndash110)



(65ndash70) 65

(63ndash67) 61

(58ndash63) 65

(62ndash67) 64

(62ndash67) 105

(100ndash111) 03

(-33ndash38)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 33(24ndash41)

30(22ndash37)

26(18ndash35)

26(18ndash34)

15(07ndash24)



PEI 18(02ndash34)

22(07ndash37)

08(02ndash28)

18(07ndash45)

34(18ndash49)

053(019ndash147)


NS 22(17ndash27)

24(19ndash30)

21(16ndash27)

25(19ndash31)

23(17ndash30)

093(065ndash133)

-15(-281ndash206)

NB 27(21ndash33)

25(18ndash32)

18(11ndash26)

24(16ndash31)

27(20ndash34)

101(072ndash142)

-102(-375ndash130)

Que 21(19ndash23)

20(18ndash23)

18(16ndash20)

19(16ndash21)

18(16ndash21)

116(097ndash137)

47(-77ndash160)

Ont 19(18ndash21)

17(15ndash19)

18(17ndash20)

15(14ndash17)

16(14ndash18)


92(-12ndash188)

Man 30(27ndash33)

29(25ndash33)

27(22ndash31)

25(20ndash30)

28(23ndash33)

107(087ndash132)

03(-175ndash159)

Sask 26(22ndash30)

21(16ndash25)

23(18ndash28)

20(15ndash25)

18(13ndash23)


189(-54ndash382)

Alta 22(19ndash24)

18(16ndash21)

20(17ndash22)

17(15ndash20)

19(16ndash22)

114(095ndash137)

11(-133ndash139)

BC 25(22ndash28)

24(21ndash26)

21(19ndash24)

23(20ndash25)

24(21ndash27)

104(088ndash123)

-28(-158ndash90)


(21ndash23) 20

(19ndash21) 20

(19ndash21) 18

(17ndash19) 19

(18ndash20)


49 (-03ndash99)


74





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 134(124ndash144)

123(112ndash134)

132(121ndash143)

127(116ndash138)

122(110ndash133)

110(098ndash124)

46(-36ndash123)

PEI 112(92ndash132)

136(114ndash158)

134(111ndash156)

132(110ndash154)

117(93ndash141)

096(073ndash126)

70(-115ndash229)

NS 120(111ndash129)

121(112ndash130)

124(114ndash133)

122(113ndash132)

122(112ndash133)

098(088ndash110)

-03(-82ndash72)

NB 135(127ndash143)

137(129ndash145)

138(129ndash146)

128(119ndash137)

132(123ndash142)

102(093ndash112)

15(-52ndash78)


129(126ndash132)

129(125ndash132)

129(126ndash132)

126(123ndash130)




136(134ndash139)

129(126ndash131)

133(130ndash135)

128(125ndash131)




134(126ndash141)

128(120ndash136)

137(128ndash145)

131(122ndash139)


39(-23ndash98)


152(145ndash159)

146(138ndash153)

141(133ndash149)

149(140ndash157)

100(093ndash107)

-08(-58ndash41)


136(132ndash141)

135(130ndash140)

13(125ndash135)

124(118ndash129)



BC 150(147ndash154)

138(134ndash142)

141(137ndash146)

137(133ndash142)

137(132ndash142)




(139ndash142) 135

(133ndash136) 132

(131ndash134) 132

(130ndash134) 129

(127ndash131)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 64(55ndash73)

68(59ndash78)

67(57ndash76)

63(54ndash73)

64(54ndash74)

100(081ndash123)

19(-123ndash146)

PEI 55(37ndash74)

60(41ndash79)

69(50ndash87)

67(48ndash86)

66(47ndash85)

084(054ndash132)

-38(-338ndash209)

NS 66(59ndash73)

60(53ndash66)

63(56ndash70)

58(51ndash65)

65(58ndash73)

100(086ndash117)

-51(-160ndash51)

NB 67(60ndash74)

73(66ndash81)

68(61ndash76)

59(52ndash67)

67(59ndash75)

101(086ndash118)

04(-107ndash106)

Que 65(63ndash68)

63(60ndash65)

59(57ndash62)

60(57ndash63)

56(53ndash59)



Ont 73(71ndash76)

69(67ndash71)

65(62ndash67)

67(65ndash69)

64(62ndash67)



Man 69(62ndash75)

61(55ndash67)

57(51ndash64)

53(46ndash59)

60(54ndash67)

113(098ndash131)

-09(-111ndash87)

Sask 81(75ndash88)

75(68ndash82)

78(71ndash84)

75(68ndash81)

74(67ndash82)

109(096ndash124)

30(-57ndash111)

Alta 75(71ndash79)

68(64ndash72)

72(68ndash76)

63(59ndash67)

64(60ndash68)



BC 75(71ndash78)

75(72ndash79)

73(69ndash77)

68(64ndash72)

67(63ndash70)




(70ndash72) 68

(67ndash69) 65

(64ndash67) 64

(63ndash65) 63

(62ndash64)




75

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 147(108ndash185)

74(32ndash116)

137(99ndash176)

88(45ndash132)

131(83ndash180)

112(071ndash176)

-125(-567ndash211)

PEI 23(03ndash139)

105(23ndash188)

135(49ndash220)

164(85ndash243)

-130(52ndash208)

018(000ndash1090)

-121(-830ndash372)

NS 93(62ndash123)

129(98ndash159)

122(89ndash155)

85(51ndash118)

88(53ndash123)

105(063ndash176)

152(-205ndash417)

NB 133(94ndash172)

158(119ndash196)

176(137ndash215)

106(65ndash147)

128(87ndash169)

104(067ndash160)

91(-202ndash325)


105(93ndash117)

93(80ndash105)

109(95ndash123)

83(68ndash98)




120(110ndash131)

115(104ndash126)

114(103ndash125)

109(97ndash120)


89(-03ndash174)


88(58ndash118)

78(46ndash109)

70(37ndash103)

83(48ndash118)


95(-305ndash390)


113(75ndash151)

133(95ndash171)

140(100ndash181)

132(88ndash175)

119(079ndash178)

27(-297ndash283)


116(94ndash138)

104(81ndash127)

91(68ndash114)

99(74ndash124)

132(097ndash178)

88(-145ndash280)

BC 142(125ndash160)

137(118ndash156)

123(104ndash142)

113(93ndash133)

97(76ndash117)




(123ndash135) 117

(111ndash123) 112

(105ndash118) 109

(102ndash116) 101

(93ndash108)







76








77


Map Code








78








79


Map Code








80








81


Map Code








82








83


Map Code








84




Overall Hip

Replacement Knee





85


Map Code



ReplacementKnee






86






87


Map Code





88




2011 Nurses



Therapists Physio-

therapists Chiro-


30 2497 23 26

NWT 1405 212 44 125 58 0 148Nun 166 90 195 15 0 57Canada 781 244 94 60 77 29 39 51 24 15 49



2010

Public Sector ()

2010


Actual 2010

Forecast 2011

Forecast 2012



Public Health







Public Health




Public Health



89







91

General Notes









92











93

General Notes






95

Indicator Index


96




98



B


99


Regional Map

A




wwwcihicaor

wwwstatcangcca

Health Indicators


indicators




Definitions and

Technical Notes



Highlights




All rights reserved





ISBN 978-1-77109-186-2 (PDF)











Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us



Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us

Notice

January 30 2014











References 25



Regional Map 98


iii












iv











v












vii

Acknowledgements










viii








ix

Executive Summary




















x







xi







Health behaviours


Personal resources






Equity




3











4






5





CIHI

StatisticsCanada




6










7


bull

bull

bull

bull


2010




2011


2012



2013



8





9












10






Authorities




Numb

er of

Mea

sure

s

Fewer

More

11






12




bull

13



















14







15



Th

is fr

amew

ork

was

stil

l in

deve

lopm

ent w

hen

this

repo

rt w

as p

ublis

hed

A fi

nal v

ersi

on w

ill b

e av

aila

ble

late

r in

the

year

Social position

Life conditions


Efficient

allocation

of resources

Adjustment

to population

health needs

Health system

innovation and

learning capacity

Health system

resources

Leadership

and governance

Improve

health status

of Canadians

Improve

health system

responsiveness

Improve

value for money

Access to

comprehensive

integrated

health services

Health protection

health promotion

and disease

prevention

Quality safety

and

appropriateness

of health services

Patient

experience

with

health services

Efficiency and

effectiveness

of health services

Equity

Equity

Individual response

Social Determinants

of H

ealth

Genetic endowment

Healt

h Sys


Healt

h Sys

temOutcomes

Healt

h Sys

temOutputs

Economic Co

ntext

Political Context

Economic Co

ntext

Political Context

Demographic Context

Demographic Context

Not

e

16







19




20







0 10 20 30 40 50



Medical Readmission

AMI Readmission









AMI Mortality

21



Methodology







0

50

100

150

200

250

300


Healt

h Ind

icator

Rate


1626

17 11 15



22





23



Notes



0

20

40

60

80

100


Age-

Stan

dard

ized R

ate pe

r 100

000 P

opula

tion

Province

33

28

3251

28

56

2926


24


24



Notes




Age-

Stan

dard

ized

Rate

per 1

0000

0 Pop

ulatio

n

Province

0

100

200

300

400

500

600

30

33

29

32

36 34

21

14

2113



25

References
















26















27

References













28





29







30




31









34








35








36




2011

Population Age 65+

()

2011

Dependency Ratio


37




2011

PopulationAge 65+

()

2011

DependencyRatio




38



(25 or Greater) 2007 to 2010









39

Health Status






40






41

Health Status

Map Code





42









43

Health Status

Map Code








44



2007 to 2010







2007 to 2010



45







46



(5+ per Day) 2007 to 2010




2007 to 2010




2007 to 2010



47





48







49


Map Code


Health Region






50







51


Map Code


Health Region







52







53









54




2011ndash2012




55


Map Code


2011ndash2012


2011ndash2012





56








57


Map Code







58








59


Map Code




2010 to 2011ndash2012




60




2011ndash2012


2011ndash2012


61


Map Code


2011ndash2012


2011ndash2012




62






63


Map Code






64




2011ndash2012


2011ndash2012


65


Map Code


2011ndash2012


2011ndash2012




66




2010ndash2011


2011ndash2012



67


Map Code


2010ndash2011


2011ndash2012





68





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 320(286ndash353)

280(248ndash312)

284(253ndash316)

289(256ndash322)

239(208ndash270)




315(248ndash383)

290(225ndash355)

374(299ndash449)

297(235ndash359)

093(068ndash126)

43(-150ndash211)

NS 295(270ndash320)

275(252ndash298)

247(224ndash269)

230(209ndash251)

227(204ndash249)



NB 270(243ndash296)

259(233ndash284)

294(266ndash323)

231(207ndash255)

273(244ndash301)

099(086ndash114)

-29(-128ndash63)


235(228ndash242)

220(213ndash228)

219(211ndash226)

194(187ndash202)




209(203ndash215)

209(203ndash215)

194(188ndash199)

170(165ndash175)




267(245ndash289)

219(200ndash238)

202(183ndash221)

190(171ndash208)




193(173ndash213)

193(174ndash211)

187(168ndash207)

181(162ndash200)




202(190ndash213)

216(204ndash229)

214(202ndash227)

185(174ndash197)



BC 192(182ndash201)

177(168ndash186)

174(165ndash183)

167(158ndash175)

145(137ndash153)




(239ndash246) 216

(212ndash220) 212

(208ndash216) 201

(197ndash204) 179

(175ndash182)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 129(107ndash151)

113(93ndash132)

143(120ndash167)

131(109ndash154)

154(129ndash179)

084(066ndash106)

-149(-320ndash05)


151(104ndash198)

133(90ndash176)

194(136ndash251)

114(70ndash157)


278(-12ndash495)

NS 129(112ndash145)

137(120ndash154)

111(97ndash126)

101(87ndash114)

115(98ndash131)

112(093ndash136)

33(-97ndash150)

NB 148(129ndash167)

137(119ndash155)

137(118ndash157)

118(101ndash135)

119(101ndash138)


96(-38ndash217)

Que


127(123ndash132)

120(116ndash125)

114(110ndash119)

109(105ndash114)




131(116ndash146)

106(93ndash120)

109(95ndash123)

93(80ndash105)




130(114ndash146)

124(109ndash140)

113(98ndash128)

104(89ndash118)




135(126ndash144)

136(126ndash146)

124(114ndash134)

124(114ndash134)

107(096ndash119)

48(-22ndash115)

BC 134(127ndash142)

131(123ndash139)

125(118ndash133)

120(113ndash128)

108(101ndash115)




(138ndash145) 129

(126ndash133) 123

(120ndash126) 116

(113ndash119) 110

(107ndash113)




69

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 449(352ndash546)

529(420ndash638)

471(375ndash566)

591(473ndash709)

471(365ndash577)

095(070ndash130)

62(-150ndash241)


640(407ndash873)

546(327ndash765)

446(236ndash655)

395(222ndash569)

146(083ndash256)

242(-115ndash501)

NS 455(386ndash524)

524(448ndash601)

453(380ndash526)

460(391ndash528)

435(365ndash505)

104(084ndash130)

65(-80ndash194)

NB 472(393ndash551)

375(306ndash444)

564(463ndash665)

470(394ndash546)

513(416ndash611)

092(071ndash118)

-83(-283ndash91)


439(416ndash462)

414(389ndash438)

451(423ndash478)

429(401ndash457)

095(087ndash103)

-06(-67ndash53)


421(402ndash441)

448(427ndash468)

435(415ndash455)

423(403ndash442)


36(-05ndash75)


513(445ndash582)

565(495ndash635)

441(378ndash503)

544(473ndash616)

111(092ndash135)

-23(-148ndash92)


509(438ndash580)

433(370ndash496)

507(435ndash579)

407(339ndash475)




412(374ndash451)

459(414ndash504)

481(434ndash529)

523(470ndash575)



BC 544(508ndash580)

439(407ndash471)

490(456ndash525)

426(392ndash460)

385(353ndash417)




(456ndash481) 435

(423ndash446) 453

(440ndash465) 447

(434ndash459) 431

(419ndash444)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 542(495ndash589)

528(481ndash574)

515(468ndash562)

575(527ndash624)

549(503ndash595)

099(088ndash111)

-13(-91ndash61)


651(554ndash747)

683(585ndash781)

746(641ndash851)

584(487ndash681)



NS 531(497ndash564)

528(495ndash561)

502(470ndash534)

495(463ndash527)

495(460ndash529)

107(098ndash118)

30(-31ndash89)

NB 640(599ndash682)

594(554ndash634)

644(603ndash686)

564(525ndash603)

561(522ndash600)




547(536ndash558)

527(516ndash538)

545(533ndash557)

492(481ndash503)




418(411ndash426)

416(408ndash423)

407(400ndash415)

394(387ndash402)



Man 1157(1113ndash1202)

635(604ndash667)

596(566ndash626)

555(525ndash585)

535(504ndash566)



Sask 1205(1154ndash1255)

804(764ndash843)

713(677ndash750)

752(713ndash791)

729(689ndash769)




711(692ndash730)

714(694ndash734)

694(675ndash713)

702(682ndash723)



BC 650(633ndash666)

593(577ndash608)

570(555ndash586)

561(546ndash577)

522(506ndash539)




(608ndash619) 531

(526ndash537) 520

(515ndash525) 514

(508ndash519) 488

(483ndash494)




70





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 904(817ndash991)

921(839ndash1003)

782(702ndash863)

851(766ndash936)

792(706ndash878)

114(099ndash132)

67(-28ndash155)


86(677ndash1042)

906(714ndash1097)

689(457ndash920)

739(527ndash951)

109(078ndash153)

88(-181ndash304)

NS 811(753ndash869)

797(738ndash856)

805(740ndash870)

798(741ndash855)

763(700ndash826)

106(095ndash118)

40(-33ndash109)

NB 822(756ndash887)

875(805ndash945)

813(741ndash885)

883(821ndash945)

866(790ndash941)

095(084ndash107)

-16(-100ndash63)

Que


814(796ndash833)

824(806ndash843)

821(802ndash839)

798(779ndash817)

101(098ndash105)

19(-02ndash40)


848(799ndash897)

878(828ndash928)

828(773ndash883)

849(798ndash900)

103(095ndash112)

09(-46ndash62)


82(766ndash874)

835(779ndash891)

794(738ndash849)

829(765ndash892)

096(087ndash106)

-19(-93ndash51)


84(802ndash878)

799(759ndash840)

871(831ndash911)

821(780ndash862)

097(091ndash104)

05(-41ndash50)

BC 791(765ndash817)

77(741ndash798)

739(711ndash768)

776(744ndash807)

79(756ndash824)

100(095ndash106)

-21(-63ndash19)


(797ndash821) 814

(802ndash827) 807

(794ndash820) 82

(807ndash833) 804

(790ndash817) 101

(098ndash103) 09

(-07ndash24)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 506(461ndash551)

468(427ndash509)

439(396ndash482)

372(335ndash410)

374(335ndash412)




570(473ndash667)

488(398ndash578)

376(303ndash450)

406(324ndash488)



NS 417(387ndash447)

371(342ndash399)

324(299ndash350)

266(242ndash290)

286(260ndash313)



NB 667(626ndash709)

499(463ndash536)

465(431ndash500)

385(354ndash417)

377(346ndash409)




310(301ndash319)

278(269ndash286)

255(247ndash263)

190(183ndash196)




306(299ndash313)

272(266ndash279)

235(229ndash241)

184(179ndash190)




384(358ndash410)

248(227ndash268)

252(232ndash273)

241(220ndash263)




522(488ndash555)

437(407ndash467)

377(349ndash405)

358(330ndash387)




354(340ndash369)

327(313ndash341)

284(271ndash297)

224(212ndash236)



BC 372(359ndash385)

293(281ndash304)

265(254ndash276)

241(230ndash251)

192(182ndash202)




(444ndash454) 329

(325ndash334) 292

(288ndash296) 257

(253ndash261) 208

(205ndash212)




71

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 90(71ndash110)

70(51ndash90)

81(62ndash100)

82(61ndash102)

86(64ndash108)

105(075ndash147)

-49(-321ndash177)

PEI 95(57ndash133)

51(11ndash90)

75(40ndash110)

63(22ndash104)

58(21ndash95)

164(077ndash348)

149(-464ndash537)

NS 76(61ndash90)

64(50ndash79)

63(48ndash78)

70(54ndash85)

69(52ndash85)

110(081ndash150)

-03(-246ndash200)

NB 85(68ndash101)

79(63ndash95)

63(45ndash81)

74(57ndash91)

59(40ndash78)

144(098ndash210)

187(-88ndash402)

Que

Ont 84(80ndash88)

76(72ndash81)

74(70ndash79)

74(70ndash79)

68(63ndash73)



Man 71(58ndash84)

67(54ndash80)

58(45ndash72)

68(54ndash82)

69(54ndash83)

104(078ndash137)

-29(-239ndash152)

Sask 91(77ndash106)

74(60ndash88)

71(55ndash87)

75(58ndash91)

70(52ndash88)

130(096ndash176)

84(-150ndash277)

Alta 69(59ndash78)

61(51ndash70)

63(53ndash73)

67(56ndash77)

60(48ndash71)

114(090ndash146)

65(-112ndash217)

BC 76(68ndash83)

68(60ndash76)

73(64ndash81)

71(62ndash80)

59(50ndash69)




(78ndash84) 72

(69ndash75) 71

(68ndash74) 73

(69ndash76) 66

(63ndash70)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 219(178ndash260)

234(193ndash274)

182(145ndash218)

191(153ndash229)

185(146ndash223)

119(089ndash157)

85(-99ndash245)


139(65ndash213)

200(120ndash280)

153(72ndash235)

223(142ndash304)

082(049ndash137)

-248(-711ndash118)

NS 190(160ndash219)

187(158ndash216)

189(160ndash219)

150(118ndash182)

174(143ndash206)

109(086ndash138)

26(-146ndash176)

NB 149(119ndash178)

144(113ndash175)

126(92ndash159)

152(121ndash183)

180(144ndash216)

083(062ndash109)

-208(-448ndash00)

Que


147(139ndash154)

145(137ndash153)

144(136ndash152)

152(144ndash161)

100(093ndash107)

-30(-81ndash20)


148(124ndash172)

155(130ndash181)

178(151ndash206)

131(103ndash160)

128(098ndash166)

161(-19ndash314)


160(134ndash185)

138(111ndash166)

181(152ndash210)

155(124ndash187)

110(085ndash142)

37(-156ndash203)


150(133ndash166)

131(114ndash149)

132(114ndash151)

116(98ndash135)

121(099ndash147)


BC 160(147ndash172)

138(125ndash150)

141(128ndash155)

141(127ndash155)

146(131ndash160)

109(097ndash124)

-02(-96ndash86)


(151ndash162) 149

(143ndash154) 145

(140ndash151) 147

(141ndash153) 149

(143ndash155) 105

(099ndash110) 02

(-36ndash38)


72





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 86(64ndash108)

96(72ndash119)

91(67ndash114)

75(53ndash97)

89(67ndash112)

096(067ndash139)

-21(-274ndash192)

PEI 91(43ndash139)

72(30ndash114)

73(32ndash115)

56(21ndash90)

28(9ndash46)



NS 102(84ndash119)

70(55ndash85)

72(58ndash87)

70(54ndash86)

67(51ndash84)


118(-97ndash298)

NB 126(103ndash148)

84(66ndash102)

85(67ndash104)

85(66ndash104)

64(48ndash80)



Que 83(78ndash88)

69(65ndash74)

58(54ndash63)

54(49ndash58)

45(40ndash49)



Ont 101(96ndash105)

69(65ndash73)

56(53ndash59)

54(51ndash58)

49(45ndash52)




67(54ndash79)

54(42ndash66)

57(45ndash69)

49(38ndash61)




90(74ndash107)

85(69ndash101)

66(52ndash81)

43(31ndash54)



Alta 90(82ndash98)

61(55ndash68)

57(50ndash63)

54(48ndash60)

44(38ndash50)



BC 117(109ndash126)

94(86ndash102)

82(75ndash89)

74(67ndash81)

57(51ndash64)




(98ndash104) 73

(70ndash75) 63

(61ndash66) 59

(57ndash61) 50

(48ndash53)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 127(91ndash164)

107(71ndash143)

146(109ndash183)

120(81ndash160)

160(129ndash192)

079(056ndash112)



110(62ndash157)

133(84ndash182)

135(81ndash189)

100(48ndash152)

148(082ndash268)

212(-249ndash520)

NS 143(119ndash166)

126(97ndash154)

114(86ndash142)

136(105ndash167)

106(75ndash138)

135(096ndash189)

164(-91ndash367)

NB 128(108ndash147)

133(110ndash156)

114(88ndash140)

132(106ndash157)

119(90ndash148)

107(081ndash142)

55(-177ndash247)


108(100ndash117)

112(103ndash121)

104(94ndash114)

94(83ndash105)




115(109ndash122)

115(108ndash123)

115(108ndash123)

113(105ndash121)

107(098ndash117)

33(-36ndash97)

Man 85(69ndash101)

95(74ndash116)

85(60ndash110)

86(58ndash113)

75(48ndash101)

114(076ndash171)

132(-202ndash382)


108(87ndash129)

101(79ndash123)

103(78ndash127)

110(86ndash134)

104(080ndash136)

-15(-236ndash173)

Alta 95(85ndash105)

121(109ndash134)

90(76ndash104)

90(75ndash105)

87(70ndash104)

109(087ndash137)

114(-61ndash263)

BC 138(131ndash146)

143(134ndash152)

123(113ndash133)

121(110ndash133)

112(100ndash124)




(118ndash124) 119

(115ndash123) 113

(108ndash117) 112

(107ndash116) 107

(102ndash112)




73

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 51(31ndash72)

54(35ndash73)

60(41ndash79)

72(53ndash91)

57(39ndash75)

090(054ndash151)

38(-265ndash284)

PEI 52(14ndash90)

71(38ndash104)

48(11ndash85)

52(16ndash87)

50(09ndash90)

104(035ndash313)

94(-744ndash579)

NS 61(48ndash75)

65(50ndash80)

47(32ndash63)

62(47ndash77)

68(53ndash82)

090(066ndash123)

-115(-344ndash84)

NB 69(56ndash82)

55(40ndash70)

53(38ndash68)

64(48ndash80)

62(48ndash77)

111(082ndash150)

-20(-251ndash178)

Que 62(57ndash67)

61(56ndash66)

62(57ndash67)

61(56ndash65)

59(54ndash64)

104(093ndash117)

27(-47ndash98)

Ont 70(67ndash74)

69(65ndash73)

63(59ndash67)

70(67ndash74)

67(62ndash71)

106(097ndash115)

22(-36ndash78)

Man 70(60ndash79)

67(54ndash81)

59(44ndash73)

59(46ndash73)

61(47ndash75)

113(087ndash148)

47(-170ndash229)

Sask 70(62ndash79)

67(56ndash77)

62(50ndash74)

66(55ndash76)

73(61ndash85)

097(079ndash118)

-74(-241ndash75)

Alta 71(64ndash77)

63(56ndash70)

57(50ndash64)

61(54ndash67)

59(52ndash67)


50(-62ndash152)

BC 65(58ndash73)

64(57ndash72)

54(47ndash61)

61(54ndash69)

70(62ndash77)

094(080ndash110)



(65ndash70) 65

(63ndash67) 61

(58ndash63) 65

(62ndash67) 64

(62ndash67) 105

(100ndash111) 03

(-33ndash38)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 33(24ndash41)

30(22ndash37)

26(18ndash35)

26(18ndash34)

15(07ndash24)



PEI 18(02ndash34)

22(07ndash37)

08(02ndash28)

18(07ndash45)

34(18ndash49)

053(019ndash147)


NS 22(17ndash27)

24(19ndash30)

21(16ndash27)

25(19ndash31)

23(17ndash30)

093(065ndash133)

-15(-281ndash206)

NB 27(21ndash33)

25(18ndash32)

18(11ndash26)

24(16ndash31)

27(20ndash34)

101(072ndash142)

-102(-375ndash130)

Que 21(19ndash23)

20(18ndash23)

18(16ndash20)

19(16ndash21)

18(16ndash21)

116(097ndash137)

47(-77ndash160)

Ont 19(18ndash21)

17(15ndash19)

18(17ndash20)

15(14ndash17)

16(14ndash18)


92(-12ndash188)

Man 30(27ndash33)

29(25ndash33)

27(22ndash31)

25(20ndash30)

28(23ndash33)

107(087ndash132)

03(-175ndash159)

Sask 26(22ndash30)

21(16ndash25)

23(18ndash28)

20(15ndash25)

18(13ndash23)


189(-54ndash382)

Alta 22(19ndash24)

18(16ndash21)

20(17ndash22)

17(15ndash20)

19(16ndash22)

114(095ndash137)

11(-133ndash139)

BC 25(22ndash28)

24(21ndash26)

21(19ndash24)

23(20ndash25)

24(21ndash27)

104(088ndash123)

-28(-158ndash90)


(21ndash23) 20

(19ndash21) 20

(19ndash21) 18

(17ndash19) 19

(18ndash20)


49 (-03ndash99)


74





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 134(124ndash144)

123(112ndash134)

132(121ndash143)

127(116ndash138)

122(110ndash133)

110(098ndash124)

46(-36ndash123)

PEI 112(92ndash132)

136(114ndash158)

134(111ndash156)

132(110ndash154)

117(93ndash141)

096(073ndash126)

70(-115ndash229)

NS 120(111ndash129)

121(112ndash130)

124(114ndash133)

122(113ndash132)

122(112ndash133)

098(088ndash110)

-03(-82ndash72)

NB 135(127ndash143)

137(129ndash145)

138(129ndash146)

128(119ndash137)

132(123ndash142)

102(093ndash112)

15(-52ndash78)


129(126ndash132)

129(125ndash132)

129(126ndash132)

126(123ndash130)




136(134ndash139)

129(126ndash131)

133(130ndash135)

128(125ndash131)




134(126ndash141)

128(120ndash136)

137(128ndash145)

131(122ndash139)


39(-23ndash98)


152(145ndash159)

146(138ndash153)

141(133ndash149)

149(140ndash157)

100(093ndash107)

-08(-58ndash41)


136(132ndash141)

135(130ndash140)

13(125ndash135)

124(118ndash129)



BC 150(147ndash154)

138(134ndash142)

141(137ndash146)

137(133ndash142)

137(132ndash142)




(139ndash142) 135

(133ndash136) 132

(131ndash134) 132

(130ndash134) 129

(127ndash131)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 64(55ndash73)

68(59ndash78)

67(57ndash76)

63(54ndash73)

64(54ndash74)

100(081ndash123)

19(-123ndash146)

PEI 55(37ndash74)

60(41ndash79)

69(50ndash87)

67(48ndash86)

66(47ndash85)

084(054ndash132)

-38(-338ndash209)

NS 66(59ndash73)

60(53ndash66)

63(56ndash70)

58(51ndash65)

65(58ndash73)

100(086ndash117)

-51(-160ndash51)

NB 67(60ndash74)

73(66ndash81)

68(61ndash76)

59(52ndash67)

67(59ndash75)

101(086ndash118)

04(-107ndash106)

Que 65(63ndash68)

63(60ndash65)

59(57ndash62)

60(57ndash63)

56(53ndash59)



Ont 73(71ndash76)

69(67ndash71)

65(62ndash67)

67(65ndash69)

64(62ndash67)



Man 69(62ndash75)

61(55ndash67)

57(51ndash64)

53(46ndash59)

60(54ndash67)

113(098ndash131)

-09(-111ndash87)

Sask 81(75ndash88)

75(68ndash82)

78(71ndash84)

75(68ndash81)

74(67ndash82)

109(096ndash124)

30(-57ndash111)

Alta 75(71ndash79)

68(64ndash72)

72(68ndash76)

63(59ndash67)

64(60ndash68)



BC 75(71ndash78)

75(72ndash79)

73(69ndash77)

68(64ndash72)

67(63ndash70)




(70ndash72) 68

(67ndash69) 65

(64ndash67) 64

(63ndash65) 63

(62ndash64)




75

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 147(108ndash185)

74(32ndash116)

137(99ndash176)

88(45ndash132)

131(83ndash180)

112(071ndash176)

-125(-567ndash211)

PEI 23(03ndash139)

105(23ndash188)

135(49ndash220)

164(85ndash243)

-130(52ndash208)

018(000ndash1090)

-121(-830ndash372)

NS 93(62ndash123)

129(98ndash159)

122(89ndash155)

85(51ndash118)

88(53ndash123)

105(063ndash176)

152(-205ndash417)

NB 133(94ndash172)

158(119ndash196)

176(137ndash215)

106(65ndash147)

128(87ndash169)

104(067ndash160)

91(-202ndash325)


105(93ndash117)

93(80ndash105)

109(95ndash123)

83(68ndash98)




120(110ndash131)

115(104ndash126)

114(103ndash125)

109(97ndash120)


89(-03ndash174)


88(58ndash118)

78(46ndash109)

70(37ndash103)

83(48ndash118)


95(-305ndash390)


113(75ndash151)

133(95ndash171)

140(100ndash181)

132(88ndash175)

119(079ndash178)

27(-297ndash283)


116(94ndash138)

104(81ndash127)

91(68ndash114)

99(74ndash124)

132(097ndash178)

88(-145ndash280)

BC 142(125ndash160)

137(118ndash156)

123(104ndash142)

113(93ndash133)

97(76ndash117)




(123ndash135) 117

(111ndash123) 112

(105ndash118) 109

(102ndash116) 101

(93ndash108)







76








77


Map Code








78








79


Map Code








80








81


Map Code








82








83


Map Code








84




Overall Hip

Replacement Knee





85


Map Code



ReplacementKnee






86






87


Map Code





88




2011 Nurses



Therapists Physio-

therapists Chiro-


30 2497 23 26

NWT 1405 212 44 125 58 0 148Nun 166 90 195 15 0 57Canada 781 244 94 60 77 29 39 51 24 15 49



2010

Public Sector ()

2010


Actual 2010

Forecast 2011

Forecast 2012



Public Health







Public Health




Public Health



89







91

General Notes









92











93

General Notes






95

Indicator Index


96




98



B


99


Regional Map

A




wwwcihicaor

wwwstatcangcca

Health Indicators


indicators




Definitions and

Technical Notes



Highlights




All rights reserved





ISBN 978-1-77109-186-2 (PDF)











Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us



Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us








References 25



Regional Map 98


iii












iv











v












vii

Acknowledgements










viii








ix

Executive Summary




















x







xi







Health behaviours


Personal resources






Equity




3











4






5





CIHI

StatisticsCanada




6










7


bull

bull

bull

bull


2010




2011


2012



2013



8





9












10






Authorities




Numb

er of

Mea

sure

s

Fewer

More

11






12




bull

13



















14







15



Th

is fr

amew

ork

was

stil

l in

deve

lopm

ent w

hen

this

repo

rt w

as p

ublis

hed

A fi

nal v

ersi

on w

ill b

e av

aila

ble

late

r in

the

year

Social position

Life conditions


Efficient

allocation

of resources

Adjustment

to population

health needs

Health system

innovation and

learning capacity

Health system

resources

Leadership

and governance

Improve

health status

of Canadians

Improve

health system

responsiveness

Improve

value for money

Access to

comprehensive

integrated

health services

Health protection

health promotion

and disease

prevention

Quality safety

and

appropriateness

of health services

Patient

experience

with

health services

Efficiency and

effectiveness

of health services

Equity

Equity

Individual response

Social Determinants

of H

ealth

Genetic endowment

Healt

h Sys


Healt

h Sys

temOutcomes

Healt

h Sys

temOutputs

Economic Co

ntext

Political Context

Economic Co

ntext

Political Context

Demographic Context

Demographic Context

Not

e

16







19




20







0 10 20 30 40 50



Medical Readmission

AMI Readmission









AMI Mortality

21



Methodology







0

50

100

150

200

250

300


Healt

h Ind

icator

Rate


1626

17 11 15



22





23



Notes



0

20

40

60

80

100


Age-

Stan

dard

ized R

ate pe

r 100

000 P

opula

tion

Province

33

28

3251

28

56

2926


24


24



Notes




Age-

Stan

dard

ized

Rate

per 1

0000

0 Pop

ulatio

n

Province

0

100

200

300

400

500

600

30

33

29

32

36 34

21

14

2113



25

References
















26















27

References













28





29







30




31









34








35








36




2011

Population Age 65+

()

2011

Dependency Ratio


37




2011

PopulationAge 65+

()

2011

DependencyRatio




38



(25 or Greater) 2007 to 2010









39

Health Status






40






41

Health Status

Map Code





42









43

Health Status

Map Code








44



2007 to 2010







2007 to 2010



45







46



(5+ per Day) 2007 to 2010




2007 to 2010




2007 to 2010



47





48







49


Map Code


Health Region






50







51


Map Code


Health Region







52







53









54




2011ndash2012




55


Map Code


2011ndash2012


2011ndash2012





56








57


Map Code







58








59


Map Code




2010 to 2011ndash2012




60




2011ndash2012


2011ndash2012


61


Map Code


2011ndash2012


2011ndash2012




62






63


Map Code






64




2011ndash2012


2011ndash2012


65


Map Code


2011ndash2012


2011ndash2012




66




2010ndash2011


2011ndash2012



67


Map Code


2010ndash2011


2011ndash2012





68





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 320(286ndash353)

280(248ndash312)

284(253ndash316)

289(256ndash322)

239(208ndash270)




315(248ndash383)

290(225ndash355)

374(299ndash449)

297(235ndash359)

093(068ndash126)

43(-150ndash211)

NS 295(270ndash320)

275(252ndash298)

247(224ndash269)

230(209ndash251)

227(204ndash249)



NB 270(243ndash296)

259(233ndash284)

294(266ndash323)

231(207ndash255)

273(244ndash301)

099(086ndash114)

-29(-128ndash63)


235(228ndash242)

220(213ndash228)

219(211ndash226)

194(187ndash202)




209(203ndash215)

209(203ndash215)

194(188ndash199)

170(165ndash175)




267(245ndash289)

219(200ndash238)

202(183ndash221)

190(171ndash208)




193(173ndash213)

193(174ndash211)

187(168ndash207)

181(162ndash200)




202(190ndash213)

216(204ndash229)

214(202ndash227)

185(174ndash197)



BC 192(182ndash201)

177(168ndash186)

174(165ndash183)

167(158ndash175)

145(137ndash153)




(239ndash246) 216

(212ndash220) 212

(208ndash216) 201

(197ndash204) 179

(175ndash182)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 129(107ndash151)

113(93ndash132)

143(120ndash167)

131(109ndash154)

154(129ndash179)

084(066ndash106)

-149(-320ndash05)


151(104ndash198)

133(90ndash176)

194(136ndash251)

114(70ndash157)


278(-12ndash495)

NS 129(112ndash145)

137(120ndash154)

111(97ndash126)

101(87ndash114)

115(98ndash131)

112(093ndash136)

33(-97ndash150)

NB 148(129ndash167)

137(119ndash155)

137(118ndash157)

118(101ndash135)

119(101ndash138)


96(-38ndash217)

Que


127(123ndash132)

120(116ndash125)

114(110ndash119)

109(105ndash114)




131(116ndash146)

106(93ndash120)

109(95ndash123)

93(80ndash105)




130(114ndash146)

124(109ndash140)

113(98ndash128)

104(89ndash118)




135(126ndash144)

136(126ndash146)

124(114ndash134)

124(114ndash134)

107(096ndash119)

48(-22ndash115)

BC 134(127ndash142)

131(123ndash139)

125(118ndash133)

120(113ndash128)

108(101ndash115)




(138ndash145) 129

(126ndash133) 123

(120ndash126) 116

(113ndash119) 110

(107ndash113)




69

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 449(352ndash546)

529(420ndash638)

471(375ndash566)

591(473ndash709)

471(365ndash577)

095(070ndash130)

62(-150ndash241)


640(407ndash873)

546(327ndash765)

446(236ndash655)

395(222ndash569)

146(083ndash256)

242(-115ndash501)

NS 455(386ndash524)

524(448ndash601)

453(380ndash526)

460(391ndash528)

435(365ndash505)

104(084ndash130)

65(-80ndash194)

NB 472(393ndash551)

375(306ndash444)

564(463ndash665)

470(394ndash546)

513(416ndash611)

092(071ndash118)

-83(-283ndash91)


439(416ndash462)

414(389ndash438)

451(423ndash478)

429(401ndash457)

095(087ndash103)

-06(-67ndash53)


421(402ndash441)

448(427ndash468)

435(415ndash455)

423(403ndash442)


36(-05ndash75)


513(445ndash582)

565(495ndash635)

441(378ndash503)

544(473ndash616)

111(092ndash135)

-23(-148ndash92)


509(438ndash580)

433(370ndash496)

507(435ndash579)

407(339ndash475)




412(374ndash451)

459(414ndash504)

481(434ndash529)

523(470ndash575)



BC 544(508ndash580)

439(407ndash471)

490(456ndash525)

426(392ndash460)

385(353ndash417)




(456ndash481) 435

(423ndash446) 453

(440ndash465) 447

(434ndash459) 431

(419ndash444)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 542(495ndash589)

528(481ndash574)

515(468ndash562)

575(527ndash624)

549(503ndash595)

099(088ndash111)

-13(-91ndash61)


651(554ndash747)

683(585ndash781)

746(641ndash851)

584(487ndash681)



NS 531(497ndash564)

528(495ndash561)

502(470ndash534)

495(463ndash527)

495(460ndash529)

107(098ndash118)

30(-31ndash89)

NB 640(599ndash682)

594(554ndash634)

644(603ndash686)

564(525ndash603)

561(522ndash600)




547(536ndash558)

527(516ndash538)

545(533ndash557)

492(481ndash503)




418(411ndash426)

416(408ndash423)

407(400ndash415)

394(387ndash402)



Man 1157(1113ndash1202)

635(604ndash667)

596(566ndash626)

555(525ndash585)

535(504ndash566)



Sask 1205(1154ndash1255)

804(764ndash843)

713(677ndash750)

752(713ndash791)

729(689ndash769)




711(692ndash730)

714(694ndash734)

694(675ndash713)

702(682ndash723)



BC 650(633ndash666)

593(577ndash608)

570(555ndash586)

561(546ndash577)

522(506ndash539)




(608ndash619) 531

(526ndash537) 520

(515ndash525) 514

(508ndash519) 488

(483ndash494)




70





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 904(817ndash991)

921(839ndash1003)

782(702ndash863)

851(766ndash936)

792(706ndash878)

114(099ndash132)

67(-28ndash155)


86(677ndash1042)

906(714ndash1097)

689(457ndash920)

739(527ndash951)

109(078ndash153)

88(-181ndash304)

NS 811(753ndash869)

797(738ndash856)

805(740ndash870)

798(741ndash855)

763(700ndash826)

106(095ndash118)

40(-33ndash109)

NB 822(756ndash887)

875(805ndash945)

813(741ndash885)

883(821ndash945)

866(790ndash941)

095(084ndash107)

-16(-100ndash63)

Que


814(796ndash833)

824(806ndash843)

821(802ndash839)

798(779ndash817)

101(098ndash105)

19(-02ndash40)


848(799ndash897)

878(828ndash928)

828(773ndash883)

849(798ndash900)

103(095ndash112)

09(-46ndash62)


82(766ndash874)

835(779ndash891)

794(738ndash849)

829(765ndash892)

096(087ndash106)

-19(-93ndash51)


84(802ndash878)

799(759ndash840)

871(831ndash911)

821(780ndash862)

097(091ndash104)

05(-41ndash50)

BC 791(765ndash817)

77(741ndash798)

739(711ndash768)

776(744ndash807)

79(756ndash824)

100(095ndash106)

-21(-63ndash19)


(797ndash821) 814

(802ndash827) 807

(794ndash820) 82

(807ndash833) 804

(790ndash817) 101

(098ndash103) 09

(-07ndash24)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 506(461ndash551)

468(427ndash509)

439(396ndash482)

372(335ndash410)

374(335ndash412)




570(473ndash667)

488(398ndash578)

376(303ndash450)

406(324ndash488)



NS 417(387ndash447)

371(342ndash399)

324(299ndash350)

266(242ndash290)

286(260ndash313)



NB 667(626ndash709)

499(463ndash536)

465(431ndash500)

385(354ndash417)

377(346ndash409)




310(301ndash319)

278(269ndash286)

255(247ndash263)

190(183ndash196)




306(299ndash313)

272(266ndash279)

235(229ndash241)

184(179ndash190)




384(358ndash410)

248(227ndash268)

252(232ndash273)

241(220ndash263)




522(488ndash555)

437(407ndash467)

377(349ndash405)

358(330ndash387)




354(340ndash369)

327(313ndash341)

284(271ndash297)

224(212ndash236)



BC 372(359ndash385)

293(281ndash304)

265(254ndash276)

241(230ndash251)

192(182ndash202)




(444ndash454) 329

(325ndash334) 292

(288ndash296) 257

(253ndash261) 208

(205ndash212)




71

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 90(71ndash110)

70(51ndash90)

81(62ndash100)

82(61ndash102)

86(64ndash108)

105(075ndash147)

-49(-321ndash177)

PEI 95(57ndash133)

51(11ndash90)

75(40ndash110)

63(22ndash104)

58(21ndash95)

164(077ndash348)

149(-464ndash537)

NS 76(61ndash90)

64(50ndash79)

63(48ndash78)

70(54ndash85)

69(52ndash85)

110(081ndash150)

-03(-246ndash200)

NB 85(68ndash101)

79(63ndash95)

63(45ndash81)

74(57ndash91)

59(40ndash78)

144(098ndash210)

187(-88ndash402)

Que

Ont 84(80ndash88)

76(72ndash81)

74(70ndash79)

74(70ndash79)

68(63ndash73)



Man 71(58ndash84)

67(54ndash80)

58(45ndash72)

68(54ndash82)

69(54ndash83)

104(078ndash137)

-29(-239ndash152)

Sask 91(77ndash106)

74(60ndash88)

71(55ndash87)

75(58ndash91)

70(52ndash88)

130(096ndash176)

84(-150ndash277)

Alta 69(59ndash78)

61(51ndash70)

63(53ndash73)

67(56ndash77)

60(48ndash71)

114(090ndash146)

65(-112ndash217)

BC 76(68ndash83)

68(60ndash76)

73(64ndash81)

71(62ndash80)

59(50ndash69)




(78ndash84) 72

(69ndash75) 71

(68ndash74) 73

(69ndash76) 66

(63ndash70)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 219(178ndash260)

234(193ndash274)

182(145ndash218)

191(153ndash229)

185(146ndash223)

119(089ndash157)

85(-99ndash245)


139(65ndash213)

200(120ndash280)

153(72ndash235)

223(142ndash304)

082(049ndash137)

-248(-711ndash118)

NS 190(160ndash219)

187(158ndash216)

189(160ndash219)

150(118ndash182)

174(143ndash206)

109(086ndash138)

26(-146ndash176)

NB 149(119ndash178)

144(113ndash175)

126(92ndash159)

152(121ndash183)

180(144ndash216)

083(062ndash109)

-208(-448ndash00)

Que


147(139ndash154)

145(137ndash153)

144(136ndash152)

152(144ndash161)

100(093ndash107)

-30(-81ndash20)


148(124ndash172)

155(130ndash181)

178(151ndash206)

131(103ndash160)

128(098ndash166)

161(-19ndash314)


160(134ndash185)

138(111ndash166)

181(152ndash210)

155(124ndash187)

110(085ndash142)

37(-156ndash203)


150(133ndash166)

131(114ndash149)

132(114ndash151)

116(98ndash135)

121(099ndash147)


BC 160(147ndash172)

138(125ndash150)

141(128ndash155)

141(127ndash155)

146(131ndash160)

109(097ndash124)

-02(-96ndash86)


(151ndash162) 149

(143ndash154) 145

(140ndash151) 147

(141ndash153) 149

(143ndash155) 105

(099ndash110) 02

(-36ndash38)


72





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 86(64ndash108)

96(72ndash119)

91(67ndash114)

75(53ndash97)

89(67ndash112)

096(067ndash139)

-21(-274ndash192)

PEI 91(43ndash139)

72(30ndash114)

73(32ndash115)

56(21ndash90)

28(9ndash46)



NS 102(84ndash119)

70(55ndash85)

72(58ndash87)

70(54ndash86)

67(51ndash84)


118(-97ndash298)

NB 126(103ndash148)

84(66ndash102)

85(67ndash104)

85(66ndash104)

64(48ndash80)



Que 83(78ndash88)

69(65ndash74)

58(54ndash63)

54(49ndash58)

45(40ndash49)



Ont 101(96ndash105)

69(65ndash73)

56(53ndash59)

54(51ndash58)

49(45ndash52)




67(54ndash79)

54(42ndash66)

57(45ndash69)

49(38ndash61)




90(74ndash107)

85(69ndash101)

66(52ndash81)

43(31ndash54)



Alta 90(82ndash98)

61(55ndash68)

57(50ndash63)

54(48ndash60)

44(38ndash50)



BC 117(109ndash126)

94(86ndash102)

82(75ndash89)

74(67ndash81)

57(51ndash64)




(98ndash104) 73

(70ndash75) 63

(61ndash66) 59

(57ndash61) 50

(48ndash53)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 127(91ndash164)

107(71ndash143)

146(109ndash183)

120(81ndash160)

160(129ndash192)

079(056ndash112)



110(62ndash157)

133(84ndash182)

135(81ndash189)

100(48ndash152)

148(082ndash268)

212(-249ndash520)

NS 143(119ndash166)

126(97ndash154)

114(86ndash142)

136(105ndash167)

106(75ndash138)

135(096ndash189)

164(-91ndash367)

NB 128(108ndash147)

133(110ndash156)

114(88ndash140)

132(106ndash157)

119(90ndash148)

107(081ndash142)

55(-177ndash247)


108(100ndash117)

112(103ndash121)

104(94ndash114)

94(83ndash105)




115(109ndash122)

115(108ndash123)

115(108ndash123)

113(105ndash121)

107(098ndash117)

33(-36ndash97)

Man 85(69ndash101)

95(74ndash116)

85(60ndash110)

86(58ndash113)

75(48ndash101)

114(076ndash171)

132(-202ndash382)


108(87ndash129)

101(79ndash123)

103(78ndash127)

110(86ndash134)

104(080ndash136)

-15(-236ndash173)

Alta 95(85ndash105)

121(109ndash134)

90(76ndash104)

90(75ndash105)

87(70ndash104)

109(087ndash137)

114(-61ndash263)

BC 138(131ndash146)

143(134ndash152)

123(113ndash133)

121(110ndash133)

112(100ndash124)




(118ndash124) 119

(115ndash123) 113

(108ndash117) 112

(107ndash116) 107

(102ndash112)




73

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 51(31ndash72)

54(35ndash73)

60(41ndash79)

72(53ndash91)

57(39ndash75)

090(054ndash151)

38(-265ndash284)

PEI 52(14ndash90)

71(38ndash104)

48(11ndash85)

52(16ndash87)

50(09ndash90)

104(035ndash313)

94(-744ndash579)

NS 61(48ndash75)

65(50ndash80)

47(32ndash63)

62(47ndash77)

68(53ndash82)

090(066ndash123)

-115(-344ndash84)

NB 69(56ndash82)

55(40ndash70)

53(38ndash68)

64(48ndash80)

62(48ndash77)

111(082ndash150)

-20(-251ndash178)

Que 62(57ndash67)

61(56ndash66)

62(57ndash67)

61(56ndash65)

59(54ndash64)

104(093ndash117)

27(-47ndash98)

Ont 70(67ndash74)

69(65ndash73)

63(59ndash67)

70(67ndash74)

67(62ndash71)

106(097ndash115)

22(-36ndash78)

Man 70(60ndash79)

67(54ndash81)

59(44ndash73)

59(46ndash73)

61(47ndash75)

113(087ndash148)

47(-170ndash229)

Sask 70(62ndash79)

67(56ndash77)

62(50ndash74)

66(55ndash76)

73(61ndash85)

097(079ndash118)

-74(-241ndash75)

Alta 71(64ndash77)

63(56ndash70)

57(50ndash64)

61(54ndash67)

59(52ndash67)


50(-62ndash152)

BC 65(58ndash73)

64(57ndash72)

54(47ndash61)

61(54ndash69)

70(62ndash77)

094(080ndash110)



(65ndash70) 65

(63ndash67) 61

(58ndash63) 65

(62ndash67) 64

(62ndash67) 105

(100ndash111) 03

(-33ndash38)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 33(24ndash41)

30(22ndash37)

26(18ndash35)

26(18ndash34)

15(07ndash24)



PEI 18(02ndash34)

22(07ndash37)

08(02ndash28)

18(07ndash45)

34(18ndash49)

053(019ndash147)


NS 22(17ndash27)

24(19ndash30)

21(16ndash27)

25(19ndash31)

23(17ndash30)

093(065ndash133)

-15(-281ndash206)

NB 27(21ndash33)

25(18ndash32)

18(11ndash26)

24(16ndash31)

27(20ndash34)

101(072ndash142)

-102(-375ndash130)

Que 21(19ndash23)

20(18ndash23)

18(16ndash20)

19(16ndash21)

18(16ndash21)

116(097ndash137)

47(-77ndash160)

Ont 19(18ndash21)

17(15ndash19)

18(17ndash20)

15(14ndash17)

16(14ndash18)


92(-12ndash188)

Man 30(27ndash33)

29(25ndash33)

27(22ndash31)

25(20ndash30)

28(23ndash33)

107(087ndash132)

03(-175ndash159)

Sask 26(22ndash30)

21(16ndash25)

23(18ndash28)

20(15ndash25)

18(13ndash23)


189(-54ndash382)

Alta 22(19ndash24)

18(16ndash21)

20(17ndash22)

17(15ndash20)

19(16ndash22)

114(095ndash137)

11(-133ndash139)

BC 25(22ndash28)

24(21ndash26)

21(19ndash24)

23(20ndash25)

24(21ndash27)

104(088ndash123)

-28(-158ndash90)


(21ndash23) 20

(19ndash21) 20

(19ndash21) 18

(17ndash19) 19

(18ndash20)


49 (-03ndash99)


74





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 134(124ndash144)

123(112ndash134)

132(121ndash143)

127(116ndash138)

122(110ndash133)

110(098ndash124)

46(-36ndash123)

PEI 112(92ndash132)

136(114ndash158)

134(111ndash156)

132(110ndash154)

117(93ndash141)

096(073ndash126)

70(-115ndash229)

NS 120(111ndash129)

121(112ndash130)

124(114ndash133)

122(113ndash132)

122(112ndash133)

098(088ndash110)

-03(-82ndash72)

NB 135(127ndash143)

137(129ndash145)

138(129ndash146)

128(119ndash137)

132(123ndash142)

102(093ndash112)

15(-52ndash78)


129(126ndash132)

129(125ndash132)

129(126ndash132)

126(123ndash130)




136(134ndash139)

129(126ndash131)

133(130ndash135)

128(125ndash131)




134(126ndash141)

128(120ndash136)

137(128ndash145)

131(122ndash139)


39(-23ndash98)


152(145ndash159)

146(138ndash153)

141(133ndash149)

149(140ndash157)

100(093ndash107)

-08(-58ndash41)


136(132ndash141)

135(130ndash140)

13(125ndash135)

124(118ndash129)



BC 150(147ndash154)

138(134ndash142)

141(137ndash146)

137(133ndash142)

137(132ndash142)




(139ndash142) 135

(133ndash136) 132

(131ndash134) 132

(130ndash134) 129

(127ndash131)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 64(55ndash73)

68(59ndash78)

67(57ndash76)

63(54ndash73)

64(54ndash74)

100(081ndash123)

19(-123ndash146)

PEI 55(37ndash74)

60(41ndash79)

69(50ndash87)

67(48ndash86)

66(47ndash85)

084(054ndash132)

-38(-338ndash209)

NS 66(59ndash73)

60(53ndash66)

63(56ndash70)

58(51ndash65)

65(58ndash73)

100(086ndash117)

-51(-160ndash51)

NB 67(60ndash74)

73(66ndash81)

68(61ndash76)

59(52ndash67)

67(59ndash75)

101(086ndash118)

04(-107ndash106)

Que 65(63ndash68)

63(60ndash65)

59(57ndash62)

60(57ndash63)

56(53ndash59)



Ont 73(71ndash76)

69(67ndash71)

65(62ndash67)

67(65ndash69)

64(62ndash67)



Man 69(62ndash75)

61(55ndash67)

57(51ndash64)

53(46ndash59)

60(54ndash67)

113(098ndash131)

-09(-111ndash87)

Sask 81(75ndash88)

75(68ndash82)

78(71ndash84)

75(68ndash81)

74(67ndash82)

109(096ndash124)

30(-57ndash111)

Alta 75(71ndash79)

68(64ndash72)

72(68ndash76)

63(59ndash67)

64(60ndash68)



BC 75(71ndash78)

75(72ndash79)

73(69ndash77)

68(64ndash72)

67(63ndash70)




(70ndash72) 68

(67ndash69) 65

(64ndash67) 64

(63ndash65) 63

(62ndash64)




75

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 147(108ndash185)

74(32ndash116)

137(99ndash176)

88(45ndash132)

131(83ndash180)

112(071ndash176)

-125(-567ndash211)

PEI 23(03ndash139)

105(23ndash188)

135(49ndash220)

164(85ndash243)

-130(52ndash208)

018(000ndash1090)

-121(-830ndash372)

NS 93(62ndash123)

129(98ndash159)

122(89ndash155)

85(51ndash118)

88(53ndash123)

105(063ndash176)

152(-205ndash417)

NB 133(94ndash172)

158(119ndash196)

176(137ndash215)

106(65ndash147)

128(87ndash169)

104(067ndash160)

91(-202ndash325)


105(93ndash117)

93(80ndash105)

109(95ndash123)

83(68ndash98)




120(110ndash131)

115(104ndash126)

114(103ndash125)

109(97ndash120)


89(-03ndash174)


88(58ndash118)

78(46ndash109)

70(37ndash103)

83(48ndash118)


95(-305ndash390)


113(75ndash151)

133(95ndash171)

140(100ndash181)

132(88ndash175)

119(079ndash178)

27(-297ndash283)


116(94ndash138)

104(81ndash127)

91(68ndash114)

99(74ndash124)

132(097ndash178)

88(-145ndash280)

BC 142(125ndash160)

137(118ndash156)

123(104ndash142)

113(93ndash133)

97(76ndash117)




(123ndash135) 117

(111ndash123) 112

(105ndash118) 109

(102ndash116) 101

(93ndash108)







76








77


Map Code








78








79


Map Code








80








81


Map Code








82








83


Map Code








84




Overall Hip

Replacement Knee





85


Map Code



ReplacementKnee






86






87


Map Code





88




2011 Nurses



Therapists Physio-

therapists Chiro-


30 2497 23 26

NWT 1405 212 44 125 58 0 148Nun 166 90 195 15 0 57Canada 781 244 94 60 77 29 39 51 24 15 49



2010

Public Sector ()

2010


Actual 2010

Forecast 2011

Forecast 2012



Public Health







Public Health




Public Health



89







91

General Notes









92











93

General Notes






95

Indicator Index


96




98



B


99


Regional Map

A




wwwcihicaor

wwwstatcangcca

Health Indicators


indicators




Definitions and

Technical Notes



Highlights




All rights reserved





ISBN 978-1-77109-186-2 (PDF)











Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us



Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us


iii












iv











v












vii

Acknowledgements










viii








ix

Executive Summary




















x







xi







Health behaviours


Personal resources






Equity




3











4






5





CIHI

StatisticsCanada




6










7


bull

bull

bull

bull


2010




2011


2012



2013



8





9












10






Authorities




Numb

er of

Mea

sure

s

Fewer

More

11






12




bull

13



















14







15



Th

is fr

amew

ork

was

stil

l in

deve

lopm

ent w

hen

this

repo

rt w

as p

ublis

hed

A fi

nal v

ersi

on w

ill b

e av

aila

ble

late

r in

the

year

Social position

Life conditions


Efficient

allocation

of resources

Adjustment

to population

health needs

Health system

innovation and

learning capacity

Health system

resources

Leadership

and governance

Improve

health status

of Canadians

Improve

health system

responsiveness

Improve

value for money

Access to

comprehensive

integrated

health services

Health protection

health promotion

and disease

prevention

Quality safety

and

appropriateness

of health services

Patient

experience

with

health services

Efficiency and

effectiveness

of health services

Equity

Equity

Individual response

Social Determinants

of H

ealth

Genetic endowment

Healt

h Sys


Healt

h Sys

temOutcomes

Healt

h Sys

temOutputs

Economic Co

ntext

Political Context

Economic Co

ntext

Political Context

Demographic Context

Demographic Context

Not

e

16







19




20







0 10 20 30 40 50



Medical Readmission

AMI Readmission









AMI Mortality

21



Methodology







0

50

100

150

200

250

300


Healt

h Ind

icator

Rate


1626

17 11 15



22





23



Notes



0

20

40

60

80

100


Age-

Stan

dard

ized R

ate pe

r 100

000 P

opula

tion

Province

33

28

3251

28

56

2926


24


24



Notes




Age-

Stan

dard

ized

Rate

per 1

0000

0 Pop

ulatio

n

Province

0

100

200

300

400

500

600

30

33

29

32

36 34

21

14

2113



25

References
















26















27

References













28





29







30




31









34








35








36




2011

Population Age 65+

()

2011

Dependency Ratio


37




2011

PopulationAge 65+

()

2011

DependencyRatio




38



(25 or Greater) 2007 to 2010









39

Health Status






40






41

Health Status

Map Code





42









43

Health Status

Map Code








44



2007 to 2010







2007 to 2010



45







46



(5+ per Day) 2007 to 2010




2007 to 2010




2007 to 2010



47





48







49


Map Code


Health Region






50







51


Map Code


Health Region







52







53









54




2011ndash2012




55


Map Code


2011ndash2012


2011ndash2012





56








57


Map Code







58








59


Map Code




2010 to 2011ndash2012




60




2011ndash2012


2011ndash2012


61


Map Code


2011ndash2012


2011ndash2012




62






63


Map Code






64




2011ndash2012


2011ndash2012


65


Map Code


2011ndash2012


2011ndash2012




66




2010ndash2011


2011ndash2012



67


Map Code


2010ndash2011


2011ndash2012





68





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 320(286ndash353)

280(248ndash312)

284(253ndash316)

289(256ndash322)

239(208ndash270)




315(248ndash383)

290(225ndash355)

374(299ndash449)

297(235ndash359)

093(068ndash126)

43(-150ndash211)

NS 295(270ndash320)

275(252ndash298)

247(224ndash269)

230(209ndash251)

227(204ndash249)



NB 270(243ndash296)

259(233ndash284)

294(266ndash323)

231(207ndash255)

273(244ndash301)

099(086ndash114)

-29(-128ndash63)


235(228ndash242)

220(213ndash228)

219(211ndash226)

194(187ndash202)




209(203ndash215)

209(203ndash215)

194(188ndash199)

170(165ndash175)




267(245ndash289)

219(200ndash238)

202(183ndash221)

190(171ndash208)




193(173ndash213)

193(174ndash211)

187(168ndash207)

181(162ndash200)




202(190ndash213)

216(204ndash229)

214(202ndash227)

185(174ndash197)



BC 192(182ndash201)

177(168ndash186)

174(165ndash183)

167(158ndash175)

145(137ndash153)




(239ndash246) 216

(212ndash220) 212

(208ndash216) 201

(197ndash204) 179

(175ndash182)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 129(107ndash151)

113(93ndash132)

143(120ndash167)

131(109ndash154)

154(129ndash179)

084(066ndash106)

-149(-320ndash05)


151(104ndash198)

133(90ndash176)

194(136ndash251)

114(70ndash157)


278(-12ndash495)

NS 129(112ndash145)

137(120ndash154)

111(97ndash126)

101(87ndash114)

115(98ndash131)

112(093ndash136)

33(-97ndash150)

NB 148(129ndash167)

137(119ndash155)

137(118ndash157)

118(101ndash135)

119(101ndash138)


96(-38ndash217)

Que


127(123ndash132)

120(116ndash125)

114(110ndash119)

109(105ndash114)




131(116ndash146)

106(93ndash120)

109(95ndash123)

93(80ndash105)




130(114ndash146)

124(109ndash140)

113(98ndash128)

104(89ndash118)




135(126ndash144)

136(126ndash146)

124(114ndash134)

124(114ndash134)

107(096ndash119)

48(-22ndash115)

BC 134(127ndash142)

131(123ndash139)

125(118ndash133)

120(113ndash128)

108(101ndash115)




(138ndash145) 129

(126ndash133) 123

(120ndash126) 116

(113ndash119) 110

(107ndash113)




69

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 449(352ndash546)

529(420ndash638)

471(375ndash566)

591(473ndash709)

471(365ndash577)

095(070ndash130)

62(-150ndash241)


640(407ndash873)

546(327ndash765)

446(236ndash655)

395(222ndash569)

146(083ndash256)

242(-115ndash501)

NS 455(386ndash524)

524(448ndash601)

453(380ndash526)

460(391ndash528)

435(365ndash505)

104(084ndash130)

65(-80ndash194)

NB 472(393ndash551)

375(306ndash444)

564(463ndash665)

470(394ndash546)

513(416ndash611)

092(071ndash118)

-83(-283ndash91)


439(416ndash462)

414(389ndash438)

451(423ndash478)

429(401ndash457)

095(087ndash103)

-06(-67ndash53)


421(402ndash441)

448(427ndash468)

435(415ndash455)

423(403ndash442)


36(-05ndash75)


513(445ndash582)

565(495ndash635)

441(378ndash503)

544(473ndash616)

111(092ndash135)

-23(-148ndash92)


509(438ndash580)

433(370ndash496)

507(435ndash579)

407(339ndash475)




412(374ndash451)

459(414ndash504)

481(434ndash529)

523(470ndash575)



BC 544(508ndash580)

439(407ndash471)

490(456ndash525)

426(392ndash460)

385(353ndash417)




(456ndash481) 435

(423ndash446) 453

(440ndash465) 447

(434ndash459) 431

(419ndash444)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 542(495ndash589)

528(481ndash574)

515(468ndash562)

575(527ndash624)

549(503ndash595)

099(088ndash111)

-13(-91ndash61)


651(554ndash747)

683(585ndash781)

746(641ndash851)

584(487ndash681)



NS 531(497ndash564)

528(495ndash561)

502(470ndash534)

495(463ndash527)

495(460ndash529)

107(098ndash118)

30(-31ndash89)

NB 640(599ndash682)

594(554ndash634)

644(603ndash686)

564(525ndash603)

561(522ndash600)




547(536ndash558)

527(516ndash538)

545(533ndash557)

492(481ndash503)




418(411ndash426)

416(408ndash423)

407(400ndash415)

394(387ndash402)



Man 1157(1113ndash1202)

635(604ndash667)

596(566ndash626)

555(525ndash585)

535(504ndash566)



Sask 1205(1154ndash1255)

804(764ndash843)

713(677ndash750)

752(713ndash791)

729(689ndash769)




711(692ndash730)

714(694ndash734)

694(675ndash713)

702(682ndash723)



BC 650(633ndash666)

593(577ndash608)

570(555ndash586)

561(546ndash577)

522(506ndash539)




(608ndash619) 531

(526ndash537) 520

(515ndash525) 514

(508ndash519) 488

(483ndash494)




70





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 904(817ndash991)

921(839ndash1003)

782(702ndash863)

851(766ndash936)

792(706ndash878)

114(099ndash132)

67(-28ndash155)


86(677ndash1042)

906(714ndash1097)

689(457ndash920)

739(527ndash951)

109(078ndash153)

88(-181ndash304)

NS 811(753ndash869)

797(738ndash856)

805(740ndash870)

798(741ndash855)

763(700ndash826)

106(095ndash118)

40(-33ndash109)

NB 822(756ndash887)

875(805ndash945)

813(741ndash885)

883(821ndash945)

866(790ndash941)

095(084ndash107)

-16(-100ndash63)

Que


814(796ndash833)

824(806ndash843)

821(802ndash839)

798(779ndash817)

101(098ndash105)

19(-02ndash40)


848(799ndash897)

878(828ndash928)

828(773ndash883)

849(798ndash900)

103(095ndash112)

09(-46ndash62)


82(766ndash874)

835(779ndash891)

794(738ndash849)

829(765ndash892)

096(087ndash106)

-19(-93ndash51)


84(802ndash878)

799(759ndash840)

871(831ndash911)

821(780ndash862)

097(091ndash104)

05(-41ndash50)

BC 791(765ndash817)

77(741ndash798)

739(711ndash768)

776(744ndash807)

79(756ndash824)

100(095ndash106)

-21(-63ndash19)


(797ndash821) 814

(802ndash827) 807

(794ndash820) 82

(807ndash833) 804

(790ndash817) 101

(098ndash103) 09

(-07ndash24)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 506(461ndash551)

468(427ndash509)

439(396ndash482)

372(335ndash410)

374(335ndash412)




570(473ndash667)

488(398ndash578)

376(303ndash450)

406(324ndash488)



NS 417(387ndash447)

371(342ndash399)

324(299ndash350)

266(242ndash290)

286(260ndash313)



NB 667(626ndash709)

499(463ndash536)

465(431ndash500)

385(354ndash417)

377(346ndash409)




310(301ndash319)

278(269ndash286)

255(247ndash263)

190(183ndash196)




306(299ndash313)

272(266ndash279)

235(229ndash241)

184(179ndash190)




384(358ndash410)

248(227ndash268)

252(232ndash273)

241(220ndash263)




522(488ndash555)

437(407ndash467)

377(349ndash405)

358(330ndash387)




354(340ndash369)

327(313ndash341)

284(271ndash297)

224(212ndash236)



BC 372(359ndash385)

293(281ndash304)

265(254ndash276)

241(230ndash251)

192(182ndash202)




(444ndash454) 329

(325ndash334) 292

(288ndash296) 257

(253ndash261) 208

(205ndash212)




71

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 90(71ndash110)

70(51ndash90)

81(62ndash100)

82(61ndash102)

86(64ndash108)

105(075ndash147)

-49(-321ndash177)

PEI 95(57ndash133)

51(11ndash90)

75(40ndash110)

63(22ndash104)

58(21ndash95)

164(077ndash348)

149(-464ndash537)

NS 76(61ndash90)

64(50ndash79)

63(48ndash78)

70(54ndash85)

69(52ndash85)

110(081ndash150)

-03(-246ndash200)

NB 85(68ndash101)

79(63ndash95)

63(45ndash81)

74(57ndash91)

59(40ndash78)

144(098ndash210)

187(-88ndash402)

Que

Ont 84(80ndash88)

76(72ndash81)

74(70ndash79)

74(70ndash79)

68(63ndash73)



Man 71(58ndash84)

67(54ndash80)

58(45ndash72)

68(54ndash82)

69(54ndash83)

104(078ndash137)

-29(-239ndash152)

Sask 91(77ndash106)

74(60ndash88)

71(55ndash87)

75(58ndash91)

70(52ndash88)

130(096ndash176)

84(-150ndash277)

Alta 69(59ndash78)

61(51ndash70)

63(53ndash73)

67(56ndash77)

60(48ndash71)

114(090ndash146)

65(-112ndash217)

BC 76(68ndash83)

68(60ndash76)

73(64ndash81)

71(62ndash80)

59(50ndash69)




(78ndash84) 72

(69ndash75) 71

(68ndash74) 73

(69ndash76) 66

(63ndash70)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 219(178ndash260)

234(193ndash274)

182(145ndash218)

191(153ndash229)

185(146ndash223)

119(089ndash157)

85(-99ndash245)


139(65ndash213)

200(120ndash280)

153(72ndash235)

223(142ndash304)

082(049ndash137)

-248(-711ndash118)

NS 190(160ndash219)

187(158ndash216)

189(160ndash219)

150(118ndash182)

174(143ndash206)

109(086ndash138)

26(-146ndash176)

NB 149(119ndash178)

144(113ndash175)

126(92ndash159)

152(121ndash183)

180(144ndash216)

083(062ndash109)

-208(-448ndash00)

Que


147(139ndash154)

145(137ndash153)

144(136ndash152)

152(144ndash161)

100(093ndash107)

-30(-81ndash20)


148(124ndash172)

155(130ndash181)

178(151ndash206)

131(103ndash160)

128(098ndash166)

161(-19ndash314)


160(134ndash185)

138(111ndash166)

181(152ndash210)

155(124ndash187)

110(085ndash142)

37(-156ndash203)


150(133ndash166)

131(114ndash149)

132(114ndash151)

116(98ndash135)

121(099ndash147)


BC 160(147ndash172)

138(125ndash150)

141(128ndash155)

141(127ndash155)

146(131ndash160)

109(097ndash124)

-02(-96ndash86)


(151ndash162) 149

(143ndash154) 145

(140ndash151) 147

(141ndash153) 149

(143ndash155) 105

(099ndash110) 02

(-36ndash38)


72





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 86(64ndash108)

96(72ndash119)

91(67ndash114)

75(53ndash97)

89(67ndash112)

096(067ndash139)

-21(-274ndash192)

PEI 91(43ndash139)

72(30ndash114)

73(32ndash115)

56(21ndash90)

28(9ndash46)



NS 102(84ndash119)

70(55ndash85)

72(58ndash87)

70(54ndash86)

67(51ndash84)


118(-97ndash298)

NB 126(103ndash148)

84(66ndash102)

85(67ndash104)

85(66ndash104)

64(48ndash80)



Que 83(78ndash88)

69(65ndash74)

58(54ndash63)

54(49ndash58)

45(40ndash49)



Ont 101(96ndash105)

69(65ndash73)

56(53ndash59)

54(51ndash58)

49(45ndash52)




67(54ndash79)

54(42ndash66)

57(45ndash69)

49(38ndash61)




90(74ndash107)

85(69ndash101)

66(52ndash81)

43(31ndash54)



Alta 90(82ndash98)

61(55ndash68)

57(50ndash63)

54(48ndash60)

44(38ndash50)



BC 117(109ndash126)

94(86ndash102)

82(75ndash89)

74(67ndash81)

57(51ndash64)




(98ndash104) 73

(70ndash75) 63

(61ndash66) 59

(57ndash61) 50

(48ndash53)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 127(91ndash164)

107(71ndash143)

146(109ndash183)

120(81ndash160)

160(129ndash192)

079(056ndash112)



110(62ndash157)

133(84ndash182)

135(81ndash189)

100(48ndash152)

148(082ndash268)

212(-249ndash520)

NS 143(119ndash166)

126(97ndash154)

114(86ndash142)

136(105ndash167)

106(75ndash138)

135(096ndash189)

164(-91ndash367)

NB 128(108ndash147)

133(110ndash156)

114(88ndash140)

132(106ndash157)

119(90ndash148)

107(081ndash142)

55(-177ndash247)


108(100ndash117)

112(103ndash121)

104(94ndash114)

94(83ndash105)




115(109ndash122)

115(108ndash123)

115(108ndash123)

113(105ndash121)

107(098ndash117)

33(-36ndash97)

Man 85(69ndash101)

95(74ndash116)

85(60ndash110)

86(58ndash113)

75(48ndash101)

114(076ndash171)

132(-202ndash382)


108(87ndash129)

101(79ndash123)

103(78ndash127)

110(86ndash134)

104(080ndash136)

-15(-236ndash173)

Alta 95(85ndash105)

121(109ndash134)

90(76ndash104)

90(75ndash105)

87(70ndash104)

109(087ndash137)

114(-61ndash263)

BC 138(131ndash146)

143(134ndash152)

123(113ndash133)

121(110ndash133)

112(100ndash124)




(118ndash124) 119

(115ndash123) 113

(108ndash117) 112

(107ndash116) 107

(102ndash112)




73

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 51(31ndash72)

54(35ndash73)

60(41ndash79)

72(53ndash91)

57(39ndash75)

090(054ndash151)

38(-265ndash284)

PEI 52(14ndash90)

71(38ndash104)

48(11ndash85)

52(16ndash87)

50(09ndash90)

104(035ndash313)

94(-744ndash579)

NS 61(48ndash75)

65(50ndash80)

47(32ndash63)

62(47ndash77)

68(53ndash82)

090(066ndash123)

-115(-344ndash84)

NB 69(56ndash82)

55(40ndash70)

53(38ndash68)

64(48ndash80)

62(48ndash77)

111(082ndash150)

-20(-251ndash178)

Que 62(57ndash67)

61(56ndash66)

62(57ndash67)

61(56ndash65)

59(54ndash64)

104(093ndash117)

27(-47ndash98)

Ont 70(67ndash74)

69(65ndash73)

63(59ndash67)

70(67ndash74)

67(62ndash71)

106(097ndash115)

22(-36ndash78)

Man 70(60ndash79)

67(54ndash81)

59(44ndash73)

59(46ndash73)

61(47ndash75)

113(087ndash148)

47(-170ndash229)

Sask 70(62ndash79)

67(56ndash77)

62(50ndash74)

66(55ndash76)

73(61ndash85)

097(079ndash118)

-74(-241ndash75)

Alta 71(64ndash77)

63(56ndash70)

57(50ndash64)

61(54ndash67)

59(52ndash67)


50(-62ndash152)

BC 65(58ndash73)

64(57ndash72)

54(47ndash61)

61(54ndash69)

70(62ndash77)

094(080ndash110)



(65ndash70) 65

(63ndash67) 61

(58ndash63) 65

(62ndash67) 64

(62ndash67) 105

(100ndash111) 03

(-33ndash38)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 33(24ndash41)

30(22ndash37)

26(18ndash35)

26(18ndash34)

15(07ndash24)



PEI 18(02ndash34)

22(07ndash37)

08(02ndash28)

18(07ndash45)

34(18ndash49)

053(019ndash147)


NS 22(17ndash27)

24(19ndash30)

21(16ndash27)

25(19ndash31)

23(17ndash30)

093(065ndash133)

-15(-281ndash206)

NB 27(21ndash33)

25(18ndash32)

18(11ndash26)

24(16ndash31)

27(20ndash34)

101(072ndash142)

-102(-375ndash130)

Que 21(19ndash23)

20(18ndash23)

18(16ndash20)

19(16ndash21)

18(16ndash21)

116(097ndash137)

47(-77ndash160)

Ont 19(18ndash21)

17(15ndash19)

18(17ndash20)

15(14ndash17)

16(14ndash18)


92(-12ndash188)

Man 30(27ndash33)

29(25ndash33)

27(22ndash31)

25(20ndash30)

28(23ndash33)

107(087ndash132)

03(-175ndash159)

Sask 26(22ndash30)

21(16ndash25)

23(18ndash28)

20(15ndash25)

18(13ndash23)


189(-54ndash382)

Alta 22(19ndash24)

18(16ndash21)

20(17ndash22)

17(15ndash20)

19(16ndash22)

114(095ndash137)

11(-133ndash139)

BC 25(22ndash28)

24(21ndash26)

21(19ndash24)

23(20ndash25)

24(21ndash27)

104(088ndash123)

-28(-158ndash90)


(21ndash23) 20

(19ndash21) 20

(19ndash21) 18

(17ndash19) 19

(18ndash20)


49 (-03ndash99)


74





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 134(124ndash144)

123(112ndash134)

132(121ndash143)

127(116ndash138)

122(110ndash133)

110(098ndash124)

46(-36ndash123)

PEI 112(92ndash132)

136(114ndash158)

134(111ndash156)

132(110ndash154)

117(93ndash141)

096(073ndash126)

70(-115ndash229)

NS 120(111ndash129)

121(112ndash130)

124(114ndash133)

122(113ndash132)

122(112ndash133)

098(088ndash110)

-03(-82ndash72)

NB 135(127ndash143)

137(129ndash145)

138(129ndash146)

128(119ndash137)

132(123ndash142)

102(093ndash112)

15(-52ndash78)


129(126ndash132)

129(125ndash132)

129(126ndash132)

126(123ndash130)




136(134ndash139)

129(126ndash131)

133(130ndash135)

128(125ndash131)




134(126ndash141)

128(120ndash136)

137(128ndash145)

131(122ndash139)


39(-23ndash98)


152(145ndash159)

146(138ndash153)

141(133ndash149)

149(140ndash157)

100(093ndash107)

-08(-58ndash41)


136(132ndash141)

135(130ndash140)

13(125ndash135)

124(118ndash129)



BC 150(147ndash154)

138(134ndash142)

141(137ndash146)

137(133ndash142)

137(132ndash142)




(139ndash142) 135

(133ndash136) 132

(131ndash134) 132

(130ndash134) 129

(127ndash131)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 64(55ndash73)

68(59ndash78)

67(57ndash76)

63(54ndash73)

64(54ndash74)

100(081ndash123)

19(-123ndash146)

PEI 55(37ndash74)

60(41ndash79)

69(50ndash87)

67(48ndash86)

66(47ndash85)

084(054ndash132)

-38(-338ndash209)

NS 66(59ndash73)

60(53ndash66)

63(56ndash70)

58(51ndash65)

65(58ndash73)

100(086ndash117)

-51(-160ndash51)

NB 67(60ndash74)

73(66ndash81)

68(61ndash76)

59(52ndash67)

67(59ndash75)

101(086ndash118)

04(-107ndash106)

Que 65(63ndash68)

63(60ndash65)

59(57ndash62)

60(57ndash63)

56(53ndash59)



Ont 73(71ndash76)

69(67ndash71)

65(62ndash67)

67(65ndash69)

64(62ndash67)



Man 69(62ndash75)

61(55ndash67)

57(51ndash64)

53(46ndash59)

60(54ndash67)

113(098ndash131)

-09(-111ndash87)

Sask 81(75ndash88)

75(68ndash82)

78(71ndash84)

75(68ndash81)

74(67ndash82)

109(096ndash124)

30(-57ndash111)

Alta 75(71ndash79)

68(64ndash72)

72(68ndash76)

63(59ndash67)

64(60ndash68)



BC 75(71ndash78)

75(72ndash79)

73(69ndash77)

68(64ndash72)

67(63ndash70)




(70ndash72) 68

(67ndash69) 65

(64ndash67) 64

(63ndash65) 63

(62ndash64)




75

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 147(108ndash185)

74(32ndash116)

137(99ndash176)

88(45ndash132)

131(83ndash180)

112(071ndash176)

-125(-567ndash211)

PEI 23(03ndash139)

105(23ndash188)

135(49ndash220)

164(85ndash243)

-130(52ndash208)

018(000ndash1090)

-121(-830ndash372)

NS 93(62ndash123)

129(98ndash159)

122(89ndash155)

85(51ndash118)

88(53ndash123)

105(063ndash176)

152(-205ndash417)

NB 133(94ndash172)

158(119ndash196)

176(137ndash215)

106(65ndash147)

128(87ndash169)

104(067ndash160)

91(-202ndash325)


105(93ndash117)

93(80ndash105)

109(95ndash123)

83(68ndash98)




120(110ndash131)

115(104ndash126)

114(103ndash125)

109(97ndash120)


89(-03ndash174)


88(58ndash118)

78(46ndash109)

70(37ndash103)

83(48ndash118)


95(-305ndash390)


113(75ndash151)

133(95ndash171)

140(100ndash181)

132(88ndash175)

119(079ndash178)

27(-297ndash283)


116(94ndash138)

104(81ndash127)

91(68ndash114)

99(74ndash124)

132(097ndash178)

88(-145ndash280)

BC 142(125ndash160)

137(118ndash156)

123(104ndash142)

113(93ndash133)

97(76ndash117)




(123ndash135) 117

(111ndash123) 112

(105ndash118) 109

(102ndash116) 101

(93ndash108)







76








77


Map Code








78








79


Map Code








80








81


Map Code








82








83


Map Code








84




Overall Hip

Replacement Knee





85


Map Code



ReplacementKnee






86






87


Map Code





88




2011 Nurses



Therapists Physio-

therapists Chiro-


30 2497 23 26

NWT 1405 212 44 125 58 0 148Nun 166 90 195 15 0 57Canada 781 244 94 60 77 29 39 51 24 15 49



2010

Public Sector ()

2010


Actual 2010

Forecast 2011

Forecast 2012



Public Health







Public Health




Public Health



89







91

General Notes









92











93

General Notes






95

Indicator Index


96




98



B


99


Regional Map

A




wwwcihicaor

wwwstatcangcca

Health Indicators


indicators




Definitions and

Technical Notes



Highlights




All rights reserved





ISBN 978-1-77109-186-2 (PDF)











Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us



Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us

iv











v












vii

Acknowledgements










viii








ix

Executive Summary




















x







xi







Health behaviours


Personal resources






Equity




3











4






5





CIHI

StatisticsCanada




6










7


bull

bull

bull

bull


2010




2011


2012



2013



8





9












10






Authorities




Numb

er of

Mea

sure

s

Fewer

More

11






12




bull

13



















14







15



Th

is fr

amew

ork

was

stil

l in

deve

lopm

ent w

hen

this

repo

rt w

as p

ublis

hed

A fi

nal v

ersi

on w

ill b

e av

aila

ble

late

r in

the

year

Social position

Life conditions


Efficient

allocation

of resources

Adjustment

to population

health needs

Health system

innovation and

learning capacity

Health system

resources

Leadership

and governance

Improve

health status

of Canadians

Improve

health system

responsiveness

Improve

value for money

Access to

comprehensive

integrated

health services

Health protection

health promotion

and disease

prevention

Quality safety

and

appropriateness

of health services

Patient

experience

with

health services

Efficiency and

effectiveness

of health services

Equity

Equity

Individual response

Social Determinants

of H

ealth

Genetic endowment

Healt

h Sys


Healt

h Sys

temOutcomes

Healt

h Sys

temOutputs

Economic Co

ntext

Political Context

Economic Co

ntext

Political Context

Demographic Context

Demographic Context

Not

e

16







19




20







0 10 20 30 40 50



Medical Readmission

AMI Readmission









AMI Mortality

21



Methodology







0

50

100

150

200

250

300


Healt

h Ind

icator

Rate


1626

17 11 15



22





23



Notes



0

20

40

60

80

100


Age-

Stan

dard

ized R

ate pe

r 100

000 P

opula

tion

Province

33

28

3251

28

56

2926


24


24



Notes




Age-

Stan

dard

ized

Rate

per 1

0000

0 Pop

ulatio

n

Province

0

100

200

300

400

500

600

30

33

29

32

36 34

21

14

2113



25

References
















26















27

References













28





29







30




31









34








35








36




2011

Population Age 65+

()

2011

Dependency Ratio


37




2011

PopulationAge 65+

()

2011

DependencyRatio




38



(25 or Greater) 2007 to 2010









39

Health Status






40






41

Health Status

Map Code





42









43

Health Status

Map Code








44



2007 to 2010







2007 to 2010



45







46



(5+ per Day) 2007 to 2010




2007 to 2010




2007 to 2010



47





48







49


Map Code


Health Region






50







51


Map Code


Health Region







52







53









54




2011ndash2012




55


Map Code


2011ndash2012


2011ndash2012





56








57


Map Code







58








59


Map Code




2010 to 2011ndash2012




60




2011ndash2012


2011ndash2012


61


Map Code


2011ndash2012


2011ndash2012




62






63


Map Code






64




2011ndash2012


2011ndash2012


65


Map Code


2011ndash2012


2011ndash2012




66




2010ndash2011


2011ndash2012



67


Map Code


2010ndash2011


2011ndash2012





68





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 320(286ndash353)

280(248ndash312)

284(253ndash316)

289(256ndash322)

239(208ndash270)




315(248ndash383)

290(225ndash355)

374(299ndash449)

297(235ndash359)

093(068ndash126)

43(-150ndash211)

NS 295(270ndash320)

275(252ndash298)

247(224ndash269)

230(209ndash251)

227(204ndash249)



NB 270(243ndash296)

259(233ndash284)

294(266ndash323)

231(207ndash255)

273(244ndash301)

099(086ndash114)

-29(-128ndash63)


235(228ndash242)

220(213ndash228)

219(211ndash226)

194(187ndash202)




209(203ndash215)

209(203ndash215)

194(188ndash199)

170(165ndash175)




267(245ndash289)

219(200ndash238)

202(183ndash221)

190(171ndash208)




193(173ndash213)

193(174ndash211)

187(168ndash207)

181(162ndash200)




202(190ndash213)

216(204ndash229)

214(202ndash227)

185(174ndash197)



BC 192(182ndash201)

177(168ndash186)

174(165ndash183)

167(158ndash175)

145(137ndash153)




(239ndash246) 216

(212ndash220) 212

(208ndash216) 201

(197ndash204) 179

(175ndash182)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 129(107ndash151)

113(93ndash132)

143(120ndash167)

131(109ndash154)

154(129ndash179)

084(066ndash106)

-149(-320ndash05)


151(104ndash198)

133(90ndash176)

194(136ndash251)

114(70ndash157)


278(-12ndash495)

NS 129(112ndash145)

137(120ndash154)

111(97ndash126)

101(87ndash114)

115(98ndash131)

112(093ndash136)

33(-97ndash150)

NB 148(129ndash167)

137(119ndash155)

137(118ndash157)

118(101ndash135)

119(101ndash138)


96(-38ndash217)

Que


127(123ndash132)

120(116ndash125)

114(110ndash119)

109(105ndash114)




131(116ndash146)

106(93ndash120)

109(95ndash123)

93(80ndash105)




130(114ndash146)

124(109ndash140)

113(98ndash128)

104(89ndash118)




135(126ndash144)

136(126ndash146)

124(114ndash134)

124(114ndash134)

107(096ndash119)

48(-22ndash115)

BC 134(127ndash142)

131(123ndash139)

125(118ndash133)

120(113ndash128)

108(101ndash115)




(138ndash145) 129

(126ndash133) 123

(120ndash126) 116

(113ndash119) 110

(107ndash113)




69

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 449(352ndash546)

529(420ndash638)

471(375ndash566)

591(473ndash709)

471(365ndash577)

095(070ndash130)

62(-150ndash241)


640(407ndash873)

546(327ndash765)

446(236ndash655)

395(222ndash569)

146(083ndash256)

242(-115ndash501)

NS 455(386ndash524)

524(448ndash601)

453(380ndash526)

460(391ndash528)

435(365ndash505)

104(084ndash130)

65(-80ndash194)

NB 472(393ndash551)

375(306ndash444)

564(463ndash665)

470(394ndash546)

513(416ndash611)

092(071ndash118)

-83(-283ndash91)


439(416ndash462)

414(389ndash438)

451(423ndash478)

429(401ndash457)

095(087ndash103)

-06(-67ndash53)


421(402ndash441)

448(427ndash468)

435(415ndash455)

423(403ndash442)


36(-05ndash75)


513(445ndash582)

565(495ndash635)

441(378ndash503)

544(473ndash616)

111(092ndash135)

-23(-148ndash92)


509(438ndash580)

433(370ndash496)

507(435ndash579)

407(339ndash475)




412(374ndash451)

459(414ndash504)

481(434ndash529)

523(470ndash575)



BC 544(508ndash580)

439(407ndash471)

490(456ndash525)

426(392ndash460)

385(353ndash417)




(456ndash481) 435

(423ndash446) 453

(440ndash465) 447

(434ndash459) 431

(419ndash444)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 542(495ndash589)

528(481ndash574)

515(468ndash562)

575(527ndash624)

549(503ndash595)

099(088ndash111)

-13(-91ndash61)


651(554ndash747)

683(585ndash781)

746(641ndash851)

584(487ndash681)



NS 531(497ndash564)

528(495ndash561)

502(470ndash534)

495(463ndash527)

495(460ndash529)

107(098ndash118)

30(-31ndash89)

NB 640(599ndash682)

594(554ndash634)

644(603ndash686)

564(525ndash603)

561(522ndash600)




547(536ndash558)

527(516ndash538)

545(533ndash557)

492(481ndash503)




418(411ndash426)

416(408ndash423)

407(400ndash415)

394(387ndash402)



Man 1157(1113ndash1202)

635(604ndash667)

596(566ndash626)

555(525ndash585)

535(504ndash566)



Sask 1205(1154ndash1255)

804(764ndash843)

713(677ndash750)

752(713ndash791)

729(689ndash769)




711(692ndash730)

714(694ndash734)

694(675ndash713)

702(682ndash723)



BC 650(633ndash666)

593(577ndash608)

570(555ndash586)

561(546ndash577)

522(506ndash539)




(608ndash619) 531

(526ndash537) 520

(515ndash525) 514

(508ndash519) 488

(483ndash494)




70





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 904(817ndash991)

921(839ndash1003)

782(702ndash863)

851(766ndash936)

792(706ndash878)

114(099ndash132)

67(-28ndash155)


86(677ndash1042)

906(714ndash1097)

689(457ndash920)

739(527ndash951)

109(078ndash153)

88(-181ndash304)

NS 811(753ndash869)

797(738ndash856)

805(740ndash870)

798(741ndash855)

763(700ndash826)

106(095ndash118)

40(-33ndash109)

NB 822(756ndash887)

875(805ndash945)

813(741ndash885)

883(821ndash945)

866(790ndash941)

095(084ndash107)

-16(-100ndash63)

Que


814(796ndash833)

824(806ndash843)

821(802ndash839)

798(779ndash817)

101(098ndash105)

19(-02ndash40)


848(799ndash897)

878(828ndash928)

828(773ndash883)

849(798ndash900)

103(095ndash112)

09(-46ndash62)


82(766ndash874)

835(779ndash891)

794(738ndash849)

829(765ndash892)

096(087ndash106)

-19(-93ndash51)


84(802ndash878)

799(759ndash840)

871(831ndash911)

821(780ndash862)

097(091ndash104)

05(-41ndash50)

BC 791(765ndash817)

77(741ndash798)

739(711ndash768)

776(744ndash807)

79(756ndash824)

100(095ndash106)

-21(-63ndash19)


(797ndash821) 814

(802ndash827) 807

(794ndash820) 82

(807ndash833) 804

(790ndash817) 101

(098ndash103) 09

(-07ndash24)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 506(461ndash551)

468(427ndash509)

439(396ndash482)

372(335ndash410)

374(335ndash412)




570(473ndash667)

488(398ndash578)

376(303ndash450)

406(324ndash488)



NS 417(387ndash447)

371(342ndash399)

324(299ndash350)

266(242ndash290)

286(260ndash313)



NB 667(626ndash709)

499(463ndash536)

465(431ndash500)

385(354ndash417)

377(346ndash409)




310(301ndash319)

278(269ndash286)

255(247ndash263)

190(183ndash196)




306(299ndash313)

272(266ndash279)

235(229ndash241)

184(179ndash190)




384(358ndash410)

248(227ndash268)

252(232ndash273)

241(220ndash263)




522(488ndash555)

437(407ndash467)

377(349ndash405)

358(330ndash387)




354(340ndash369)

327(313ndash341)

284(271ndash297)

224(212ndash236)



BC 372(359ndash385)

293(281ndash304)

265(254ndash276)

241(230ndash251)

192(182ndash202)




(444ndash454) 329

(325ndash334) 292

(288ndash296) 257

(253ndash261) 208

(205ndash212)




71

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 90(71ndash110)

70(51ndash90)

81(62ndash100)

82(61ndash102)

86(64ndash108)

105(075ndash147)

-49(-321ndash177)

PEI 95(57ndash133)

51(11ndash90)

75(40ndash110)

63(22ndash104)

58(21ndash95)

164(077ndash348)

149(-464ndash537)

NS 76(61ndash90)

64(50ndash79)

63(48ndash78)

70(54ndash85)

69(52ndash85)

110(081ndash150)

-03(-246ndash200)

NB 85(68ndash101)

79(63ndash95)

63(45ndash81)

74(57ndash91)

59(40ndash78)

144(098ndash210)

187(-88ndash402)

Que

Ont 84(80ndash88)

76(72ndash81)

74(70ndash79)

74(70ndash79)

68(63ndash73)



Man 71(58ndash84)

67(54ndash80)

58(45ndash72)

68(54ndash82)

69(54ndash83)

104(078ndash137)

-29(-239ndash152)

Sask 91(77ndash106)

74(60ndash88)

71(55ndash87)

75(58ndash91)

70(52ndash88)

130(096ndash176)

84(-150ndash277)

Alta 69(59ndash78)

61(51ndash70)

63(53ndash73)

67(56ndash77)

60(48ndash71)

114(090ndash146)

65(-112ndash217)

BC 76(68ndash83)

68(60ndash76)

73(64ndash81)

71(62ndash80)

59(50ndash69)




(78ndash84) 72

(69ndash75) 71

(68ndash74) 73

(69ndash76) 66

(63ndash70)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 219(178ndash260)

234(193ndash274)

182(145ndash218)

191(153ndash229)

185(146ndash223)

119(089ndash157)

85(-99ndash245)


139(65ndash213)

200(120ndash280)

153(72ndash235)

223(142ndash304)

082(049ndash137)

-248(-711ndash118)

NS 190(160ndash219)

187(158ndash216)

189(160ndash219)

150(118ndash182)

174(143ndash206)

109(086ndash138)

26(-146ndash176)

NB 149(119ndash178)

144(113ndash175)

126(92ndash159)

152(121ndash183)

180(144ndash216)

083(062ndash109)

-208(-448ndash00)

Que


147(139ndash154)

145(137ndash153)

144(136ndash152)

152(144ndash161)

100(093ndash107)

-30(-81ndash20)


148(124ndash172)

155(130ndash181)

178(151ndash206)

131(103ndash160)

128(098ndash166)

161(-19ndash314)


160(134ndash185)

138(111ndash166)

181(152ndash210)

155(124ndash187)

110(085ndash142)

37(-156ndash203)


150(133ndash166)

131(114ndash149)

132(114ndash151)

116(98ndash135)

121(099ndash147)


BC 160(147ndash172)

138(125ndash150)

141(128ndash155)

141(127ndash155)

146(131ndash160)

109(097ndash124)

-02(-96ndash86)


(151ndash162) 149

(143ndash154) 145

(140ndash151) 147

(141ndash153) 149

(143ndash155) 105

(099ndash110) 02

(-36ndash38)


72





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 86(64ndash108)

96(72ndash119)

91(67ndash114)

75(53ndash97)

89(67ndash112)

096(067ndash139)

-21(-274ndash192)

PEI 91(43ndash139)

72(30ndash114)

73(32ndash115)

56(21ndash90)

28(9ndash46)



NS 102(84ndash119)

70(55ndash85)

72(58ndash87)

70(54ndash86)

67(51ndash84)


118(-97ndash298)

NB 126(103ndash148)

84(66ndash102)

85(67ndash104)

85(66ndash104)

64(48ndash80)



Que 83(78ndash88)

69(65ndash74)

58(54ndash63)

54(49ndash58)

45(40ndash49)



Ont 101(96ndash105)

69(65ndash73)

56(53ndash59)

54(51ndash58)

49(45ndash52)




67(54ndash79)

54(42ndash66)

57(45ndash69)

49(38ndash61)




90(74ndash107)

85(69ndash101)

66(52ndash81)

43(31ndash54)



Alta 90(82ndash98)

61(55ndash68)

57(50ndash63)

54(48ndash60)

44(38ndash50)



BC 117(109ndash126)

94(86ndash102)

82(75ndash89)

74(67ndash81)

57(51ndash64)




(98ndash104) 73

(70ndash75) 63

(61ndash66) 59

(57ndash61) 50

(48ndash53)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 127(91ndash164)

107(71ndash143)

146(109ndash183)

120(81ndash160)

160(129ndash192)

079(056ndash112)



110(62ndash157)

133(84ndash182)

135(81ndash189)

100(48ndash152)

148(082ndash268)

212(-249ndash520)

NS 143(119ndash166)

126(97ndash154)

114(86ndash142)

136(105ndash167)

106(75ndash138)

135(096ndash189)

164(-91ndash367)

NB 128(108ndash147)

133(110ndash156)

114(88ndash140)

132(106ndash157)

119(90ndash148)

107(081ndash142)

55(-177ndash247)


108(100ndash117)

112(103ndash121)

104(94ndash114)

94(83ndash105)




115(109ndash122)

115(108ndash123)

115(108ndash123)

113(105ndash121)

107(098ndash117)

33(-36ndash97)

Man 85(69ndash101)

95(74ndash116)

85(60ndash110)

86(58ndash113)

75(48ndash101)

114(076ndash171)

132(-202ndash382)


108(87ndash129)

101(79ndash123)

103(78ndash127)

110(86ndash134)

104(080ndash136)

-15(-236ndash173)

Alta 95(85ndash105)

121(109ndash134)

90(76ndash104)

90(75ndash105)

87(70ndash104)

109(087ndash137)

114(-61ndash263)

BC 138(131ndash146)

143(134ndash152)

123(113ndash133)

121(110ndash133)

112(100ndash124)




(118ndash124) 119

(115ndash123) 113

(108ndash117) 112

(107ndash116) 107

(102ndash112)




73

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 51(31ndash72)

54(35ndash73)

60(41ndash79)

72(53ndash91)

57(39ndash75)

090(054ndash151)

38(-265ndash284)

PEI 52(14ndash90)

71(38ndash104)

48(11ndash85)

52(16ndash87)

50(09ndash90)

104(035ndash313)

94(-744ndash579)

NS 61(48ndash75)

65(50ndash80)

47(32ndash63)

62(47ndash77)

68(53ndash82)

090(066ndash123)

-115(-344ndash84)

NB 69(56ndash82)

55(40ndash70)

53(38ndash68)

64(48ndash80)

62(48ndash77)

111(082ndash150)

-20(-251ndash178)

Que 62(57ndash67)

61(56ndash66)

62(57ndash67)

61(56ndash65)

59(54ndash64)

104(093ndash117)

27(-47ndash98)

Ont 70(67ndash74)

69(65ndash73)

63(59ndash67)

70(67ndash74)

67(62ndash71)

106(097ndash115)

22(-36ndash78)

Man 70(60ndash79)

67(54ndash81)

59(44ndash73)

59(46ndash73)

61(47ndash75)

113(087ndash148)

47(-170ndash229)

Sask 70(62ndash79)

67(56ndash77)

62(50ndash74)

66(55ndash76)

73(61ndash85)

097(079ndash118)

-74(-241ndash75)

Alta 71(64ndash77)

63(56ndash70)

57(50ndash64)

61(54ndash67)

59(52ndash67)


50(-62ndash152)

BC 65(58ndash73)

64(57ndash72)

54(47ndash61)

61(54ndash69)

70(62ndash77)

094(080ndash110)



(65ndash70) 65

(63ndash67) 61

(58ndash63) 65

(62ndash67) 64

(62ndash67) 105

(100ndash111) 03

(-33ndash38)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 33(24ndash41)

30(22ndash37)

26(18ndash35)

26(18ndash34)

15(07ndash24)



PEI 18(02ndash34)

22(07ndash37)

08(02ndash28)

18(07ndash45)

34(18ndash49)

053(019ndash147)


NS 22(17ndash27)

24(19ndash30)

21(16ndash27)

25(19ndash31)

23(17ndash30)

093(065ndash133)

-15(-281ndash206)

NB 27(21ndash33)

25(18ndash32)

18(11ndash26)

24(16ndash31)

27(20ndash34)

101(072ndash142)

-102(-375ndash130)

Que 21(19ndash23)

20(18ndash23)

18(16ndash20)

19(16ndash21)

18(16ndash21)

116(097ndash137)

47(-77ndash160)

Ont 19(18ndash21)

17(15ndash19)

18(17ndash20)

15(14ndash17)

16(14ndash18)


92(-12ndash188)

Man 30(27ndash33)

29(25ndash33)

27(22ndash31)

25(20ndash30)

28(23ndash33)

107(087ndash132)

03(-175ndash159)

Sask 26(22ndash30)

21(16ndash25)

23(18ndash28)

20(15ndash25)

18(13ndash23)


189(-54ndash382)

Alta 22(19ndash24)

18(16ndash21)

20(17ndash22)

17(15ndash20)

19(16ndash22)

114(095ndash137)

11(-133ndash139)

BC 25(22ndash28)

24(21ndash26)

21(19ndash24)

23(20ndash25)

24(21ndash27)

104(088ndash123)

-28(-158ndash90)


(21ndash23) 20

(19ndash21) 20

(19ndash21) 18

(17ndash19) 19

(18ndash20)


49 (-03ndash99)


74





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 134(124ndash144)

123(112ndash134)

132(121ndash143)

127(116ndash138)

122(110ndash133)

110(098ndash124)

46(-36ndash123)

PEI 112(92ndash132)

136(114ndash158)

134(111ndash156)

132(110ndash154)

117(93ndash141)

096(073ndash126)

70(-115ndash229)

NS 120(111ndash129)

121(112ndash130)

124(114ndash133)

122(113ndash132)

122(112ndash133)

098(088ndash110)

-03(-82ndash72)

NB 135(127ndash143)

137(129ndash145)

138(129ndash146)

128(119ndash137)

132(123ndash142)

102(093ndash112)

15(-52ndash78)


129(126ndash132)

129(125ndash132)

129(126ndash132)

126(123ndash130)




136(134ndash139)

129(126ndash131)

133(130ndash135)

128(125ndash131)




134(126ndash141)

128(120ndash136)

137(128ndash145)

131(122ndash139)


39(-23ndash98)


152(145ndash159)

146(138ndash153)

141(133ndash149)

149(140ndash157)

100(093ndash107)

-08(-58ndash41)


136(132ndash141)

135(130ndash140)

13(125ndash135)

124(118ndash129)



BC 150(147ndash154)

138(134ndash142)

141(137ndash146)

137(133ndash142)

137(132ndash142)




(139ndash142) 135

(133ndash136) 132

(131ndash134) 132

(130ndash134) 129

(127ndash131)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 64(55ndash73)

68(59ndash78)

67(57ndash76)

63(54ndash73)

64(54ndash74)

100(081ndash123)

19(-123ndash146)

PEI 55(37ndash74)

60(41ndash79)

69(50ndash87)

67(48ndash86)

66(47ndash85)

084(054ndash132)

-38(-338ndash209)

NS 66(59ndash73)

60(53ndash66)

63(56ndash70)

58(51ndash65)

65(58ndash73)

100(086ndash117)

-51(-160ndash51)

NB 67(60ndash74)

73(66ndash81)

68(61ndash76)

59(52ndash67)

67(59ndash75)

101(086ndash118)

04(-107ndash106)

Que 65(63ndash68)

63(60ndash65)

59(57ndash62)

60(57ndash63)

56(53ndash59)



Ont 73(71ndash76)

69(67ndash71)

65(62ndash67)

67(65ndash69)

64(62ndash67)



Man 69(62ndash75)

61(55ndash67)

57(51ndash64)

53(46ndash59)

60(54ndash67)

113(098ndash131)

-09(-111ndash87)

Sask 81(75ndash88)

75(68ndash82)

78(71ndash84)

75(68ndash81)

74(67ndash82)

109(096ndash124)

30(-57ndash111)

Alta 75(71ndash79)

68(64ndash72)

72(68ndash76)

63(59ndash67)

64(60ndash68)



BC 75(71ndash78)

75(72ndash79)

73(69ndash77)

68(64ndash72)

67(63ndash70)




(70ndash72) 68

(67ndash69) 65

(64ndash67) 64

(63ndash65) 63

(62ndash64)




75

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 147(108ndash185)

74(32ndash116)

137(99ndash176)

88(45ndash132)

131(83ndash180)

112(071ndash176)

-125(-567ndash211)

PEI 23(03ndash139)

105(23ndash188)

135(49ndash220)

164(85ndash243)

-130(52ndash208)

018(000ndash1090)

-121(-830ndash372)

NS 93(62ndash123)

129(98ndash159)

122(89ndash155)

85(51ndash118)

88(53ndash123)

105(063ndash176)

152(-205ndash417)

NB 133(94ndash172)

158(119ndash196)

176(137ndash215)

106(65ndash147)

128(87ndash169)

104(067ndash160)

91(-202ndash325)


105(93ndash117)

93(80ndash105)

109(95ndash123)

83(68ndash98)




120(110ndash131)

115(104ndash126)

114(103ndash125)

109(97ndash120)


89(-03ndash174)


88(58ndash118)

78(46ndash109)

70(37ndash103)

83(48ndash118)


95(-305ndash390)


113(75ndash151)

133(95ndash171)

140(100ndash181)

132(88ndash175)

119(079ndash178)

27(-297ndash283)


116(94ndash138)

104(81ndash127)

91(68ndash114)

99(74ndash124)

132(097ndash178)

88(-145ndash280)

BC 142(125ndash160)

137(118ndash156)

123(104ndash142)

113(93ndash133)

97(76ndash117)




(123ndash135) 117

(111ndash123) 112

(105ndash118) 109

(102ndash116) 101

(93ndash108)







76








77


Map Code








78








79


Map Code








80








81


Map Code








82








83


Map Code








84




Overall Hip

Replacement Knee





85


Map Code



ReplacementKnee






86






87


Map Code





88




2011 Nurses



Therapists Physio-

therapists Chiro-


30 2497 23 26

NWT 1405 212 44 125 58 0 148Nun 166 90 195 15 0 57Canada 781 244 94 60 77 29 39 51 24 15 49



2010

Public Sector ()

2010


Actual 2010

Forecast 2011

Forecast 2012



Public Health







Public Health




Public Health



89







91

General Notes









92











93

General Notes






95

Indicator Index


96




98



B


99


Regional Map

A




wwwcihicaor

wwwstatcangcca

Health Indicators


indicators




Definitions and

Technical Notes



Highlights




All rights reserved





ISBN 978-1-77109-186-2 (PDF)











Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us



Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us

v












vii

Acknowledgements










viii








ix

Executive Summary




















x







xi







Health behaviours


Personal resources






Equity




3











4






5





CIHI

StatisticsCanada




6










7


bull

bull

bull

bull


2010




2011


2012



2013



8





9












10






Authorities




Numb

er of

Mea

sure

s

Fewer

More

11






12




bull

13



















14







15



Th

is fr

amew

ork

was

stil

l in

deve

lopm

ent w

hen

this

repo

rt w

as p

ublis

hed

A fi

nal v

ersi

on w

ill b

e av

aila

ble

late

r in

the

year

Social position

Life conditions


Efficient

allocation

of resources

Adjustment

to population

health needs

Health system

innovation and

learning capacity

Health system

resources

Leadership

and governance

Improve

health status

of Canadians

Improve

health system

responsiveness

Improve

value for money

Access to

comprehensive

integrated

health services

Health protection

health promotion

and disease

prevention

Quality safety

and

appropriateness

of health services

Patient

experience

with

health services

Efficiency and

effectiveness

of health services

Equity

Equity

Individual response

Social Determinants

of H

ealth

Genetic endowment

Healt

h Sys


Healt

h Sys

temOutcomes

Healt

h Sys

temOutputs

Economic Co

ntext

Political Context

Economic Co

ntext

Political Context

Demographic Context

Demographic Context

Not

e

16







19




20







0 10 20 30 40 50



Medical Readmission

AMI Readmission









AMI Mortality

21



Methodology







0

50

100

150

200

250

300


Healt

h Ind

icator

Rate


1626

17 11 15



22





23



Notes



0

20

40

60

80

100


Age-

Stan

dard

ized R

ate pe

r 100

000 P

opula

tion

Province

33

28

3251

28

56

2926


24


24



Notes




Age-

Stan

dard

ized

Rate

per 1

0000

0 Pop

ulatio

n

Province

0

100

200

300

400

500

600

30

33

29

32

36 34

21

14

2113



25

References
















26















27

References













28





29







30




31









34








35








36




2011

Population Age 65+

()

2011

Dependency Ratio


37




2011

PopulationAge 65+

()

2011

DependencyRatio




38



(25 or Greater) 2007 to 2010









39

Health Status






40






41

Health Status

Map Code





42









43

Health Status

Map Code








44



2007 to 2010







2007 to 2010



45







46



(5+ per Day) 2007 to 2010




2007 to 2010




2007 to 2010



47





48







49


Map Code


Health Region






50







51


Map Code


Health Region







52







53









54




2011ndash2012




55


Map Code


2011ndash2012


2011ndash2012





56








57


Map Code







58








59


Map Code




2010 to 2011ndash2012




60




2011ndash2012


2011ndash2012


61


Map Code


2011ndash2012


2011ndash2012




62






63


Map Code






64




2011ndash2012


2011ndash2012


65


Map Code


2011ndash2012


2011ndash2012




66




2010ndash2011


2011ndash2012



67


Map Code


2010ndash2011


2011ndash2012





68





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 320(286ndash353)

280(248ndash312)

284(253ndash316)

289(256ndash322)

239(208ndash270)




315(248ndash383)

290(225ndash355)

374(299ndash449)

297(235ndash359)

093(068ndash126)

43(-150ndash211)

NS 295(270ndash320)

275(252ndash298)

247(224ndash269)

230(209ndash251)

227(204ndash249)



NB 270(243ndash296)

259(233ndash284)

294(266ndash323)

231(207ndash255)

273(244ndash301)

099(086ndash114)

-29(-128ndash63)


235(228ndash242)

220(213ndash228)

219(211ndash226)

194(187ndash202)




209(203ndash215)

209(203ndash215)

194(188ndash199)

170(165ndash175)




267(245ndash289)

219(200ndash238)

202(183ndash221)

190(171ndash208)




193(173ndash213)

193(174ndash211)

187(168ndash207)

181(162ndash200)




202(190ndash213)

216(204ndash229)

214(202ndash227)

185(174ndash197)



BC 192(182ndash201)

177(168ndash186)

174(165ndash183)

167(158ndash175)

145(137ndash153)




(239ndash246) 216

(212ndash220) 212

(208ndash216) 201

(197ndash204) 179

(175ndash182)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 129(107ndash151)

113(93ndash132)

143(120ndash167)

131(109ndash154)

154(129ndash179)

084(066ndash106)

-149(-320ndash05)


151(104ndash198)

133(90ndash176)

194(136ndash251)

114(70ndash157)


278(-12ndash495)

NS 129(112ndash145)

137(120ndash154)

111(97ndash126)

101(87ndash114)

115(98ndash131)

112(093ndash136)

33(-97ndash150)

NB 148(129ndash167)

137(119ndash155)

137(118ndash157)

118(101ndash135)

119(101ndash138)


96(-38ndash217)

Que


127(123ndash132)

120(116ndash125)

114(110ndash119)

109(105ndash114)




131(116ndash146)

106(93ndash120)

109(95ndash123)

93(80ndash105)




130(114ndash146)

124(109ndash140)

113(98ndash128)

104(89ndash118)




135(126ndash144)

136(126ndash146)

124(114ndash134)

124(114ndash134)

107(096ndash119)

48(-22ndash115)

BC 134(127ndash142)

131(123ndash139)

125(118ndash133)

120(113ndash128)

108(101ndash115)




(138ndash145) 129

(126ndash133) 123

(120ndash126) 116

(113ndash119) 110

(107ndash113)




69

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 449(352ndash546)

529(420ndash638)

471(375ndash566)

591(473ndash709)

471(365ndash577)

095(070ndash130)

62(-150ndash241)


640(407ndash873)

546(327ndash765)

446(236ndash655)

395(222ndash569)

146(083ndash256)

242(-115ndash501)

NS 455(386ndash524)

524(448ndash601)

453(380ndash526)

460(391ndash528)

435(365ndash505)

104(084ndash130)

65(-80ndash194)

NB 472(393ndash551)

375(306ndash444)

564(463ndash665)

470(394ndash546)

513(416ndash611)

092(071ndash118)

-83(-283ndash91)


439(416ndash462)

414(389ndash438)

451(423ndash478)

429(401ndash457)

095(087ndash103)

-06(-67ndash53)


421(402ndash441)

448(427ndash468)

435(415ndash455)

423(403ndash442)


36(-05ndash75)


513(445ndash582)

565(495ndash635)

441(378ndash503)

544(473ndash616)

111(092ndash135)

-23(-148ndash92)


509(438ndash580)

433(370ndash496)

507(435ndash579)

407(339ndash475)




412(374ndash451)

459(414ndash504)

481(434ndash529)

523(470ndash575)



BC 544(508ndash580)

439(407ndash471)

490(456ndash525)

426(392ndash460)

385(353ndash417)




(456ndash481) 435

(423ndash446) 453

(440ndash465) 447

(434ndash459) 431

(419ndash444)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 542(495ndash589)

528(481ndash574)

515(468ndash562)

575(527ndash624)

549(503ndash595)

099(088ndash111)

-13(-91ndash61)


651(554ndash747)

683(585ndash781)

746(641ndash851)

584(487ndash681)



NS 531(497ndash564)

528(495ndash561)

502(470ndash534)

495(463ndash527)

495(460ndash529)

107(098ndash118)

30(-31ndash89)

NB 640(599ndash682)

594(554ndash634)

644(603ndash686)

564(525ndash603)

561(522ndash600)




547(536ndash558)

527(516ndash538)

545(533ndash557)

492(481ndash503)




418(411ndash426)

416(408ndash423)

407(400ndash415)

394(387ndash402)



Man 1157(1113ndash1202)

635(604ndash667)

596(566ndash626)

555(525ndash585)

535(504ndash566)



Sask 1205(1154ndash1255)

804(764ndash843)

713(677ndash750)

752(713ndash791)

729(689ndash769)




711(692ndash730)

714(694ndash734)

694(675ndash713)

702(682ndash723)



BC 650(633ndash666)

593(577ndash608)

570(555ndash586)

561(546ndash577)

522(506ndash539)




(608ndash619) 531

(526ndash537) 520

(515ndash525) 514

(508ndash519) 488

(483ndash494)




70





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 904(817ndash991)

921(839ndash1003)

782(702ndash863)

851(766ndash936)

792(706ndash878)

114(099ndash132)

67(-28ndash155)


86(677ndash1042)

906(714ndash1097)

689(457ndash920)

739(527ndash951)

109(078ndash153)

88(-181ndash304)

NS 811(753ndash869)

797(738ndash856)

805(740ndash870)

798(741ndash855)

763(700ndash826)

106(095ndash118)

40(-33ndash109)

NB 822(756ndash887)

875(805ndash945)

813(741ndash885)

883(821ndash945)

866(790ndash941)

095(084ndash107)

-16(-100ndash63)

Que


814(796ndash833)

824(806ndash843)

821(802ndash839)

798(779ndash817)

101(098ndash105)

19(-02ndash40)


848(799ndash897)

878(828ndash928)

828(773ndash883)

849(798ndash900)

103(095ndash112)

09(-46ndash62)


82(766ndash874)

835(779ndash891)

794(738ndash849)

829(765ndash892)

096(087ndash106)

-19(-93ndash51)


84(802ndash878)

799(759ndash840)

871(831ndash911)

821(780ndash862)

097(091ndash104)

05(-41ndash50)

BC 791(765ndash817)

77(741ndash798)

739(711ndash768)

776(744ndash807)

79(756ndash824)

100(095ndash106)

-21(-63ndash19)


(797ndash821) 814

(802ndash827) 807

(794ndash820) 82

(807ndash833) 804

(790ndash817) 101

(098ndash103) 09

(-07ndash24)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 506(461ndash551)

468(427ndash509)

439(396ndash482)

372(335ndash410)

374(335ndash412)




570(473ndash667)

488(398ndash578)

376(303ndash450)

406(324ndash488)



NS 417(387ndash447)

371(342ndash399)

324(299ndash350)

266(242ndash290)

286(260ndash313)



NB 667(626ndash709)

499(463ndash536)

465(431ndash500)

385(354ndash417)

377(346ndash409)




310(301ndash319)

278(269ndash286)

255(247ndash263)

190(183ndash196)




306(299ndash313)

272(266ndash279)

235(229ndash241)

184(179ndash190)




384(358ndash410)

248(227ndash268)

252(232ndash273)

241(220ndash263)




522(488ndash555)

437(407ndash467)

377(349ndash405)

358(330ndash387)




354(340ndash369)

327(313ndash341)

284(271ndash297)

224(212ndash236)



BC 372(359ndash385)

293(281ndash304)

265(254ndash276)

241(230ndash251)

192(182ndash202)




(444ndash454) 329

(325ndash334) 292

(288ndash296) 257

(253ndash261) 208

(205ndash212)




71

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 90(71ndash110)

70(51ndash90)

81(62ndash100)

82(61ndash102)

86(64ndash108)

105(075ndash147)

-49(-321ndash177)

PEI 95(57ndash133)

51(11ndash90)

75(40ndash110)

63(22ndash104)

58(21ndash95)

164(077ndash348)

149(-464ndash537)

NS 76(61ndash90)

64(50ndash79)

63(48ndash78)

70(54ndash85)

69(52ndash85)

110(081ndash150)

-03(-246ndash200)

NB 85(68ndash101)

79(63ndash95)

63(45ndash81)

74(57ndash91)

59(40ndash78)

144(098ndash210)

187(-88ndash402)

Que

Ont 84(80ndash88)

76(72ndash81)

74(70ndash79)

74(70ndash79)

68(63ndash73)



Man 71(58ndash84)

67(54ndash80)

58(45ndash72)

68(54ndash82)

69(54ndash83)

104(078ndash137)

-29(-239ndash152)

Sask 91(77ndash106)

74(60ndash88)

71(55ndash87)

75(58ndash91)

70(52ndash88)

130(096ndash176)

84(-150ndash277)

Alta 69(59ndash78)

61(51ndash70)

63(53ndash73)

67(56ndash77)

60(48ndash71)

114(090ndash146)

65(-112ndash217)

BC 76(68ndash83)

68(60ndash76)

73(64ndash81)

71(62ndash80)

59(50ndash69)




(78ndash84) 72

(69ndash75) 71

(68ndash74) 73

(69ndash76) 66

(63ndash70)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 219(178ndash260)

234(193ndash274)

182(145ndash218)

191(153ndash229)

185(146ndash223)

119(089ndash157)

85(-99ndash245)


139(65ndash213)

200(120ndash280)

153(72ndash235)

223(142ndash304)

082(049ndash137)

-248(-711ndash118)

NS 190(160ndash219)

187(158ndash216)

189(160ndash219)

150(118ndash182)

174(143ndash206)

109(086ndash138)

26(-146ndash176)

NB 149(119ndash178)

144(113ndash175)

126(92ndash159)

152(121ndash183)

180(144ndash216)

083(062ndash109)

-208(-448ndash00)

Que


147(139ndash154)

145(137ndash153)

144(136ndash152)

152(144ndash161)

100(093ndash107)

-30(-81ndash20)


148(124ndash172)

155(130ndash181)

178(151ndash206)

131(103ndash160)

128(098ndash166)

161(-19ndash314)


160(134ndash185)

138(111ndash166)

181(152ndash210)

155(124ndash187)

110(085ndash142)

37(-156ndash203)


150(133ndash166)

131(114ndash149)

132(114ndash151)

116(98ndash135)

121(099ndash147)


BC 160(147ndash172)

138(125ndash150)

141(128ndash155)

141(127ndash155)

146(131ndash160)

109(097ndash124)

-02(-96ndash86)


(151ndash162) 149

(143ndash154) 145

(140ndash151) 147

(141ndash153) 149

(143ndash155) 105

(099ndash110) 02

(-36ndash38)


72





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 86(64ndash108)

96(72ndash119)

91(67ndash114)

75(53ndash97)

89(67ndash112)

096(067ndash139)

-21(-274ndash192)

PEI 91(43ndash139)

72(30ndash114)

73(32ndash115)

56(21ndash90)

28(9ndash46)



NS 102(84ndash119)

70(55ndash85)

72(58ndash87)

70(54ndash86)

67(51ndash84)


118(-97ndash298)

NB 126(103ndash148)

84(66ndash102)

85(67ndash104)

85(66ndash104)

64(48ndash80)



Que 83(78ndash88)

69(65ndash74)

58(54ndash63)

54(49ndash58)

45(40ndash49)



Ont 101(96ndash105)

69(65ndash73)

56(53ndash59)

54(51ndash58)

49(45ndash52)




67(54ndash79)

54(42ndash66)

57(45ndash69)

49(38ndash61)




90(74ndash107)

85(69ndash101)

66(52ndash81)

43(31ndash54)



Alta 90(82ndash98)

61(55ndash68)

57(50ndash63)

54(48ndash60)

44(38ndash50)



BC 117(109ndash126)

94(86ndash102)

82(75ndash89)

74(67ndash81)

57(51ndash64)




(98ndash104) 73

(70ndash75) 63

(61ndash66) 59

(57ndash61) 50

(48ndash53)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 127(91ndash164)

107(71ndash143)

146(109ndash183)

120(81ndash160)

160(129ndash192)

079(056ndash112)



110(62ndash157)

133(84ndash182)

135(81ndash189)

100(48ndash152)

148(082ndash268)

212(-249ndash520)

NS 143(119ndash166)

126(97ndash154)

114(86ndash142)

136(105ndash167)

106(75ndash138)

135(096ndash189)

164(-91ndash367)

NB 128(108ndash147)

133(110ndash156)

114(88ndash140)

132(106ndash157)

119(90ndash148)

107(081ndash142)

55(-177ndash247)


108(100ndash117)

112(103ndash121)

104(94ndash114)

94(83ndash105)




115(109ndash122)

115(108ndash123)

115(108ndash123)

113(105ndash121)

107(098ndash117)

33(-36ndash97)

Man 85(69ndash101)

95(74ndash116)

85(60ndash110)

86(58ndash113)

75(48ndash101)

114(076ndash171)

132(-202ndash382)


108(87ndash129)

101(79ndash123)

103(78ndash127)

110(86ndash134)

104(080ndash136)

-15(-236ndash173)

Alta 95(85ndash105)

121(109ndash134)

90(76ndash104)

90(75ndash105)

87(70ndash104)

109(087ndash137)

114(-61ndash263)

BC 138(131ndash146)

143(134ndash152)

123(113ndash133)

121(110ndash133)

112(100ndash124)




(118ndash124) 119

(115ndash123) 113

(108ndash117) 112

(107ndash116) 107

(102ndash112)




73

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 51(31ndash72)

54(35ndash73)

60(41ndash79)

72(53ndash91)

57(39ndash75)

090(054ndash151)

38(-265ndash284)

PEI 52(14ndash90)

71(38ndash104)

48(11ndash85)

52(16ndash87)

50(09ndash90)

104(035ndash313)

94(-744ndash579)

NS 61(48ndash75)

65(50ndash80)

47(32ndash63)

62(47ndash77)

68(53ndash82)

090(066ndash123)

-115(-344ndash84)

NB 69(56ndash82)

55(40ndash70)

53(38ndash68)

64(48ndash80)

62(48ndash77)

111(082ndash150)

-20(-251ndash178)

Que 62(57ndash67)

61(56ndash66)

62(57ndash67)

61(56ndash65)

59(54ndash64)

104(093ndash117)

27(-47ndash98)

Ont 70(67ndash74)

69(65ndash73)

63(59ndash67)

70(67ndash74)

67(62ndash71)

106(097ndash115)

22(-36ndash78)

Man 70(60ndash79)

67(54ndash81)

59(44ndash73)

59(46ndash73)

61(47ndash75)

113(087ndash148)

47(-170ndash229)

Sask 70(62ndash79)

67(56ndash77)

62(50ndash74)

66(55ndash76)

73(61ndash85)

097(079ndash118)

-74(-241ndash75)

Alta 71(64ndash77)

63(56ndash70)

57(50ndash64)

61(54ndash67)

59(52ndash67)


50(-62ndash152)

BC 65(58ndash73)

64(57ndash72)

54(47ndash61)

61(54ndash69)

70(62ndash77)

094(080ndash110)



(65ndash70) 65

(63ndash67) 61

(58ndash63) 65

(62ndash67) 64

(62ndash67) 105

(100ndash111) 03

(-33ndash38)





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 33(24ndash41)

30(22ndash37)

26(18ndash35)

26(18ndash34)

15(07ndash24)



PEI 18(02ndash34)

22(07ndash37)

08(02ndash28)

18(07ndash45)

34(18ndash49)

053(019ndash147)


NS 22(17ndash27)

24(19ndash30)

21(16ndash27)

25(19ndash31)

23(17ndash30)

093(065ndash133)

-15(-281ndash206)

NB 27(21ndash33)

25(18ndash32)

18(11ndash26)

24(16ndash31)

27(20ndash34)

101(072ndash142)

-102(-375ndash130)

Que 21(19ndash23)

20(18ndash23)

18(16ndash20)

19(16ndash21)

18(16ndash21)

116(097ndash137)

47(-77ndash160)

Ont 19(18ndash21)

17(15ndash19)

18(17ndash20)

15(14ndash17)

16(14ndash18)


92(-12ndash188)

Man 30(27ndash33)

29(25ndash33)

27(22ndash31)

25(20ndash30)

28(23ndash33)

107(087ndash132)

03(-175ndash159)

Sask 26(22ndash30)

21(16ndash25)

23(18ndash28)

20(15ndash25)

18(13ndash23)


189(-54ndash382)

Alta 22(19ndash24)

18(16ndash21)

20(17ndash22)

17(15ndash20)

19(16ndash22)

114(095ndash137)

11(-133ndash139)

BC 25(22ndash28)

24(21ndash26)

21(19ndash24)

23(20ndash25)

24(21ndash27)

104(088ndash123)

-28(-158ndash90)


(21ndash23) 20

(19ndash21) 20

(19ndash21) 18

(17ndash19) 19

(18ndash20)


49 (-03ndash99)


74





Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 134(124ndash144)

123(112ndash134)

132(121ndash143)

127(116ndash138)

122(110ndash133)

110(098ndash124)

46(-36ndash123)

PEI 112(92ndash132)

136(114ndash158)

134(111ndash156)

132(110ndash154)

117(93ndash141)

096(073ndash126)

70(-115ndash229)

NS 120(111ndash129)

121(112ndash130)

124(114ndash133)

122(113ndash132)

122(112ndash133)

098(088ndash110)

-03(-82ndash72)

NB 135(127ndash143)

137(129ndash145)

138(129ndash146)

128(119ndash137)

132(123ndash142)

102(093ndash112)

15(-52ndash78)


129(126ndash132)

129(125ndash132)

129(126ndash132)

126(123ndash130)




136(134ndash139)

129(126ndash131)

133(130ndash135)

128(125ndash131)




134(126ndash141)

128(120ndash136)

137(128ndash145)

131(122ndash139)


39(-23ndash98)


152(145ndash159)

146(138ndash153)

141(133ndash149)

149(140ndash157)

100(093ndash107)

-08(-58ndash41)


136(132ndash141)

135(130ndash140)

13(125ndash135)

124(118ndash129)



BC 150(147ndash154)

138(134ndash142)

141(137ndash146)

137(133ndash142)

137(132ndash142)




(139ndash142) 135

(133ndash136) 132

(131ndash134) 132

(130ndash134) 129

(127ndash131)







Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 64(55ndash73)

68(59ndash78)

67(57ndash76)

63(54ndash73)

64(54ndash74)

100(081ndash123)

19(-123ndash146)

PEI 55(37ndash74)

60(41ndash79)

69(50ndash87)

67(48ndash86)

66(47ndash85)

084(054ndash132)

-38(-338ndash209)

NS 66(59ndash73)

60(53ndash66)

63(56ndash70)

58(51ndash65)

65(58ndash73)

100(086ndash117)

-51(-160ndash51)

NB 67(60ndash74)

73(66ndash81)

68(61ndash76)

59(52ndash67)

67(59ndash75)

101(086ndash118)

04(-107ndash106)

Que 65(63ndash68)

63(60ndash65)

59(57ndash62)

60(57ndash63)

56(53ndash59)



Ont 73(71ndash76)

69(67ndash71)

65(62ndash67)

67(65ndash69)

64(62ndash67)



Man 69(62ndash75)

61(55ndash67)

57(51ndash64)

53(46ndash59)

60(54ndash67)

113(098ndash131)

-09(-111ndash87)

Sask 81(75ndash88)

75(68ndash82)

78(71ndash84)

75(68ndash81)

74(67ndash82)

109(096ndash124)

30(-57ndash111)

Alta 75(71ndash79)

68(64ndash72)

72(68ndash76)

63(59ndash67)

64(60ndash68)



BC 75(71ndash78)

75(72ndash79)

73(69ndash77)

68(64ndash72)

67(63ndash70)




(70ndash72) 68

(67ndash69) 65

(64ndash67) 64

(63ndash65) 63

(62ndash64)




75

Equity




Q1 95 CI

Q2 95 CI

Q3 95 CI

Q4 95 CI

Q5 95 CI

NL 147(108ndash185)

74(32ndash116)

137(99ndash176)

88(45ndash132)

131(83ndash180)

112(071ndash176)

-125(-567ndash211)

PEI 23(03ndash139)

105(23ndash188)

135(49ndash220)

164(85ndash243)

-130(52ndash208)

018(000ndash1090)

-121(-830ndash372)

NS 93(62ndash123)

129(98ndash159)

122(89ndash155)

85(51ndash118)

88(53ndash123)

105(063ndash176)

152(-205ndash417)

NB 133(94ndash172)

158(119ndash196)

176(137ndash215)

106(65ndash147)

128(87ndash169)

104(067ndash160)

91(-202ndash325)


105(93ndash117)

93(80ndash105)

109(95ndash123)

83(68ndash98)




120(110ndash131)

115(104ndash126)

114(103ndash125)

109(97ndash120)


89(-03ndash174)


88(58ndash118)

78(46ndash109)

70(37ndash103)

83(48ndash118)


95(-305ndash390)


113(75ndash151)

133(95ndash171)

140(100ndash181)

132(88ndash175)

119(079ndash178)

27(-297ndash283)


116(94ndash138)

104(81ndash127)

91(68ndash114)

99(74ndash124)

132(097ndash178)

88(-145ndash280)

BC 142(125ndash160)

137(118ndash156)

123(104ndash142)

113(93ndash133)

97(76ndash117)




(123ndash135) 117

(111ndash123) 112

(105ndash118) 109

(102ndash116) 101

(93ndash108)







76








77


Map Code








78








79


Map Code








80








81


Map Code








82








83


Map Code








84




Overall Hip

Replacement Knee





85


Map Code



ReplacementKnee






86






87


Map Code





88




2011 Nurses



Therapists Physio-

therapists Chiro-


30 2497 23 26

NWT 1405 212 44 125 58 0 148Nun 166 90 195 15 0 57Canada 781 244 94 60 77 29 39 51 24 15 49



2010

Public Sector ()

2010


Actual 2010

Forecast 2011

Forecast 2012



Public Health







Public Health




Public Health



89







91

General Notes









92











93

General Notes






95

Indicator Index


96




98



B


99


Regional Map

A




wwwcihicaor

wwwstatcangcca

Health Indicators


indicators




Definitions and

Technical Notes



Highlights




All rights reserved





ISBN 978-1-77109-186-2 (PDF)











Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us



Our Vision

Our Mandate

Our Values


Table of Contents







Acknowledgements

Executive Summary


Health Status





Introduction









Conclusion



Methodology




References




Limitations

Appendix References






Population

Dependency ratio

Health Status








Smoking

Heavy drinking




Life satisfaction








Caesarean section











Equity







Hip replacement

Knee replacement




Hysterectomy

Inflowoutflow ratio

Physicians





General Notes

Indicator Index

Regional Maps


Talk to Us

health indicators 2013 - cihi

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