Dataset Canadian Management Information System Database Metadata (CMDB)

Name:
Canadian Management Information System Database Metadata (CMDB) 
Data Provider (source):

Canadian Institute for Health Information

 
Description:

The Canadian MIS Database (CMDB) contains financial and statistical operations information on public hospitals and regional health authorities across Canada. It includes information from 1995–1996 onward. This information forms the basis of management reporting, including:

  • Annual general purpose financial statements
  • Financial ratio analysis
  • Operational budgeting

You can find out more about health spending, including reports and analyses based on CMDB data here: https://www.cihi.ca/en/health-spending

Hospitals and health regions submit financial and statistical data that relates to hospital services. Most provinces and territories submit hospital data through their respective ministries of health. They may also submit data related to other health service activities. 

Day-to-day health service operations data is collected according to a standardized framework known as the Standards for Management Information Systems in Canadian Health Service Organizations (MIS Standards). Core components of the MIS Standards are

  • Chart of accounts
  • Accounting principles and procedures
  • Workload measurement systems
  • Financial and statistical indicators
  • Management applications
  • Glossary of terms

More detailed information on the MIS Standards data elements is available through CIHI's eStore: and on CIHI’s management information system standards website.

The MIS Standards are updated on a biannual basis. This ensures that they remain relevant and useful in the Canadian health care environment. Revisions made to the MIS Standards (implemented April 1, 2013) are summarized in the 2013 Revisions to the MIS Standards.

 
Purpose:
To facilitate comparative reporting and support policy planning, decision-making and research.  
Type of Data (select all that apply):
Health Care and Health Services 
Data Collection Method (select all that apply):
Administrative Data 
Scope:
Canada-wide 
Identifiers used for linkage:
Postal Code 
Access requiredments and conditions for Researchers and Projects:

Data Access Conditions:

  • In addition to the CIHI data access condition below, requests for Quebec data are subject to review and authorization from the Quebec Privacy Commission (Commission d’accès à l’information du Québec) and the Québec Ministry of Health and Social Services (MSSS).
  • CIHI discloses health information and analyses on Canada’s health system and the health of Canadians in a manner consistent with its mandate and core functions. These disclosures typically fall into one of four categories:
    • Disclosures to parties with responsibility for the planning and management of the health care system to enable them to fulfill those functions;
    • Disclosures to parties with a decision-making role regarding health care system policy to facilitate their work;
    • Disclosures to parties with responsibility for population health research and/or analysis; and
    • Disclosures to third-party data requesters to facilitate health or health services research and/or analysis.
  • Prior to disclosure, CIHI reviews the requests to ensure that the disclosures are consistent with the above and meet the requirements of applicable legislation.
  • CIHI data disclosures are made at the highest degree of anonymity possible while still meeting the research and/or analytical purposes. This means that, whenever possible, data are aggregated.
  • Where aggregate data are not sufficiently detailed for the research and/or analytical purposes, data that have been de-identified using various de-identification processes may be disclosed to the recipient on a case-by-case basis and where the recipient has entered into a data protection agreement or other legally binding instrument with CIHI.
  • Only those data elements necessary to meet the identified research or analytical purposes may be disclosed.
  • For more information, please reference CIHI’s Privacy Policy:

Requirements for record-level data access:

  • Prior to disclosure, the recipient must sign a data protection agreement or other legally binding instrument that, at a minimum, contains the following requirements:
    • Prohibits re-identifying or contacting the individuals;
    • Prohibits linking the de-identified data unless expressly authorized in writing by CIHI;
    • Limits the purposes for which the de-identified data may be used;
    • Requires that the de-identified data be safeguarded;
    • Limits publication or disclosure to data that do not allow identification of any individual;
    • Requires the destruction of data, as specified;
    • Permits CIHI to conduct on-site privacy audits pursuant to its privacy audit program; and
    • Requires the recipient to comply with any other provision that CIHI deems necessary to further safeguard the data.
  • Prior to the disclosure of de-identified data for research purposes, the requester will provide CIHI with evidence of Research Ethics Board approval.
  • CIHI reserves the right to impose any other requirement(s) as needed on a case-by-case basis in order to maintain the confidentiality of de-identified data.
  • Prior to disclosure, program areas will evaluate the de-identified data to assess and subsequently minimize privacy risks of re-identification and residual disclosure, and to implement the necessary mitigating measures to manage residual risks.
  • CIHI will not disclose de-identified data if it is reasonably foreseeable in the circumstances that it could be utilized, either alone or with other information, to identify an individual and that, where it is reasonably foreseeable that it could be used to identify an individual, the information will be treated as personal health information.

Access process:  All data access requests can be initiated at the following CIHI webpage: https://www.cihi.ca/en/access-data-and-reports/make-a-data-request, and complete an Access Data Inquiry Form.

 
Contact:
Phone: 1-613-241-5543 Email: help@cihi.ca 
Inclusion:

Topics covered: Financial and statistical operations information

 
Exclusion:

n/a

 
Data is available from:
Data from 1995 onwards is available from CIHI. Historic data, from 1932/33 to 1994/95 is available from Statistics Canada under the name Annual Return of Health Care Facilities – Hospitals.  
More Information (including references):

Key variables within the CMDB include:

  • Expenses
  • Revenues
  • Earned hours
  • Inpatient days
  • Beds staffed and in operation
  • Procedures
  • Exams
  • Visits

For additional information on CMDB variables, please contact fsi@cihi.ca.

 
log:
[2019-02-11 15:32] Sarah Kesselring: Edited by Sarah Kesselring (skesselring)