Frequently Asked Questions (FAQs)
- What is myhospitalcare.ca?
- What is an indicator?
- How does the site work?
- Why should I use myhospitalcare.ca?
- Why don't I see my hospital listed on this site?
- What can I do with the information I find here?
- Who makes up my health care team?
- Where does myhospitalcare.ca’s data come from?
- How often will the site be updated?
- Why are there results from 2007? This seems a bit dated.
- Who developed myhospitalcare.ca?
- Why was myhospitalcare.ca developed?
- How is the information on myhospitalcare.ca different from other public web sites with hospital information?
- How and why did you select the indicators that appear on myhospitalcare.ca?
- Why are there only emergency department wait times on this website and not wait times for procedures?
- I am having surgery soon and would like to see performance information about a particular procedure. Why isn't there data available for all procedures?
- Should I avoid a hospital that scores badly?
- Does a hospital serving an elderly or at-risk population have a higher mortality ratio?
- Why are there no indicator values for some hospital sites/locations?
- Why is there no data for some hospitals?
- Why is there no performance/colour rating (i.e. green shading) for the patient safety or mental health indicators listed on myhospitalcare.ca?
- How does Ontario’s public reporting compare to public reporting in other jurisdictions?
Myhospitalcare.ca is a website that allows you to look up performance measurements, or ‘indicators’, that health care industry experts use to measure and improve the performance of Ontario hospitals.
While hospitals are required to make public a great number of performance indicators, myhospitalcare.ca uses only the measurements that the Ontario Hospital Association (OHA) believes are of the greatest interest to members of the general public.
Currently, the site includes measurements on acute care paediatrics, emergency, rehabilitation, mental health, chronic and complex care, as well as general satisfaction indicators such as the patients’ overall impression of their hospital experiences. Also included are indicators for hospital deaths and infection rates.
What is an indicator?
An indicator is a standardized measure that allows for the evaluation of relative hospital performance against past performance or against the performance of other hospitals.
How does the site work?
You can search and view information on myhospitalcare.ca by hospital, by location, by type of care and/or by indicator – any aspect of care that you may be interested in.
Some hospitals have more experience or better results than others in treating certain conditions or performing certain procedures. The information on this website can help guide a discussion with your health care team about an upcoming procedure or hospital stay. You have a say in your own health care but most people don’t know where to begin learning more about who will care for them. Myhospitalcare.ca is designed to help you make an informed decision about your care. Its search tools give you easy access, in an understandable way, to publicly available information on health care that industry experts use to measure and improve the performance of Ontario hospitals.
Myhospitalcare.ca features information about every hospital in Ontario. However, there may be a few reasons why you aren't seeing a hospital that you're looking for.
In the drop down menu under the hospital look-up tab, hospitals are listed by their corporation name and not by site. Every hospital site is included in the drop down menu, but they are listed by hospital corporation name first. (For example, St. Catherines General is listed under Niagara Health System - St. Catherines General Site.)
For specific indicators, you may not see a hospital because the hospital does not provide the service for which the indicator is related to. As an example, the Centre for Addiction & Mental Health (CAMH) does not provide chronic care, and therefore does not have data for chronic care indicators. Where the hospital has no data for an indicator, the hospital does not appear in the ratings for that indicator.
Talk to your health care team about it. Remember that hospitals are complex organizations where weaknesses in one area are often balanced by strengths in another. To judge performance by using only one measurement, or ‘indicator’, would be misleading. You should discuss your findings further with a member of your health care team.
Patients should not use the site as a guide to choosing a hospital. For that, patients may wish to visit the government’s Your Health Care Options website at www.ontario.ca/healthcareoptions.
From doctors, nurses and pharmacists to physiotherapists, occupational therapists and dieticians, any professional responsible for an aspect of your health can be considered a member of your health care team. Other members could include, respiratory therapists, social workers, speech language pathologists, audiologists, medical radiation and laboratory technologists, psychologists, midwives, dentists, optometrists, opticians, chiropodists, massage therapists, chiropractors, denturists, dental hygienists, and dental technologists.
The site uses data selected from the Hospital Report Research Collaborative (HRRC), the Canadian Institute for Health Information (CIHI), and the Ontario Ministry of Health and Long-Term Care (MOHLTC). It is data that concerns Ontario hospitals only. Along with the MOHLTC, the OHA is a co-funder and founder of the HRRC's Hospital Report and facilitates the researchers’ extensive access to its member hospitals. Hospital Report provides a lot of the data that powers myhospitalcare.ca. CIHI also plays a key role in the development of the Hospital Report and many of CIHI’s methodologies are used worldwide.
The frequency of updates to the data can vary from one month to a year, or more. For example, some data, such as wait times from the Ontario Ministry of Health and Long-Term Care (MOHLTC), are being updated on a monthly basis on the MOHLTC website, whereas other data, such as mortality ratios from the Canadian Institute for Health Information (CIHI), have been updated on an annual basis since its first publication in 2007.
The data on myhospitalcare.ca may not be updated as frequently or quickly as it is on the website of original source. However, the reporting period of the values on myhospitalcare.ca are indicated. If you are looking for more recent data that may be available, you can click on the link to the website of original source that is provided at the end of each indicator definition.
The website was developed by the Ontario Hospital Association (OHA), a voluntary organization representing approximately 155 public hospital corporations across 225 locations in Ontario. Founded in 1924 as an independent, non-profit organization, its members include all the public hospitals in Ontario as well as the province’s psychiatric hospitals. As the voice of Ontario’s hospitals, the OHA is shaping the health care system by fostering leadership, supporting innovation and building linkages between hospitals and their communities.
Ontario hospitals operate in one of the most demanding health care accountability systems in Canada. They are required to report publicly on a number of performance measures and are accountable for meeting a level of care in return for the tax dollars provided to operate them. Myhospitalcare.ca takes from this mass of information the data that is most important to patients and their families and puts it into an easy-to-understand format.
This website reflects the Ontario Hospital Association’s (OHA) commitment to transparency and openness concerning the performance of hospitals and the health care system. By making this performance data more easily accessible to the public, the OHA is also helping hospitals become more accountable.
Why are there only emergency department wait times on this website and not wait times for procedures?
Emergency Department wait times and satisfaction are areas of great interest to the general public. Because the number of wait time indicators for procedures continues to multiply quickly, myhospitalcare.ca currently focuses on emergency department wait times and emergency department patient satisfaction, which are both central to patients' overall care experiences. To view wait times for procedures, visit the Ontario Ministry of Health and Long-Term Care (MOHLTC) Wait Times website at www.health.gov.on.ca/transformation/wait_times/wait_mn.html.
As myhospitalcare.ca evolves, new indicators may be added to further inform patients about their hospital's performance.
I am having surgery soon and would like to see performance information about a particular procedure. Why isn't there data available for all procedures?
The indicators you see on the site highlight information that is relevant to the patient experience and quality of care, which we know are the highest priorities for Ontarians. As public reporting for Ontario hospitals progresses, this site will evolve. The OHA has worked and continues to work closely with the University of Toronto Citizens’ Council to understand and learn more about the hospital performance and quality indicators that patients find most important. The OHA will also hold focus groups in the future to ensure that myhospitalcare.ca continues to capture the information that Ontario patients seek. If you are interested in participating in a focus group, please visit the feedback page and let us know.
Should I avoid a hospital that scores badly?
There are many factors that can cause indicator values to vary from hospital to hospital. Some of these factors, such as the diversity in patient characteristics and the populations served, are beyond a hospital’s control. The organizations collecting the data do apply some adjustment factors, as appropriate, to ensure meaningful comparisons. Still, a bad score should prompt you to ask why there are problems in that area. Talk to your health care team about what it could mean and how to find out more about whether this is a concern for you. Remember that these scores are designed primarily to trigger performance improvements and that a low score often means the hospital is currently examining ways to address this shortcoming.
Does a hospital serving an elderly or at-risk population have a higher mortality ratio?
No. The differences in patient characteristics that vary among hospitals are very much taken into account. In clinical research this is called risk-adjustment, where hospital data are adjusted to remove pre- existing influences. This issue is very important because patients with certain characteristics are less likely to receive some specific treatments or to have positive clinical outcomes than other groups. For example, if a hospital tends to serve a disproportionate number of such patients, it may be unfairly reported as having higher rates of undesirable events, when in fact, these rates may be comparable to another hospital with lower instances that simply serves a different population. Therefore, to improve hospital comparability, appropriate risk-adjustment techniques are used to adjust the data. That said, it is impossible to account for all of the differences in populations. The numbers reported on myhospitalcare.ca - and the sources that inform the site - are as accurate as possible.
Why are there no indicator values for some hospital sites/locations?
Some hospitals have more than one site (location) and report indicator values for individual sites. If a site has no indicator value next to it, it means that a value was not measured for that particular site. In this case, there is only the average value for all sites reported for that hospital as a whole. This value appears by the hospital name while values at the site levels remain blank (for example, the value for mortality ratio).
Why is there no data for some hospitals?
Some indicators are not applicable to a hospital because the hospital does not provide the service for which the indicator is related to. For example, the Centre for Addiction & Mental Health (CAMH) does not provide chronic care, and as such, does not have data for chronic care indicators. Where the hospital has no data for an indicator, the hospital does not appear in the ratings for that indicator. Some values are non-reportable (NR) due to insufficient sample size. Some data is not available because it was not collected or is not being disclosed to the public by the hospital.
Why is there no performance/colour rating (i.e., green shading) for the patient safety or mental health indicators listed on myhospitalcare.ca?
Performance ratings on the website assess relative hospital performance and are available only for ED wait times and for indicators from Hospital Report (with the exception of the mental health indicators).
ED wait times are a length of time, rather than rates based on a population, indicating that relative performance against the provincial average is an accurate reflection of whether a hospital's wait time is lower than, equal to or better than the average wait time in Ontario.
Hospital Report assesses relative hospital performance by calculating statistical significance (which takes into account the hospital's sample size) and by calculating confidence intervals (which considers how reliable an estimate is). These statistical calculations were not performed on the patient safety indicators, and so performance ratings (and colour shadings) cannot be allocated to the hospitals' patient safety rates. And since only a subset of all provincial hospitals participated in the survey for mental health indicators and sample sizes were quite variable, it is not appropriate to allocate performance ratings (and colour shadings) to the mental health data.
For details on how Hospital Report assesses relative performance, see p. 27 of one of the technical reports at http://www.hospitalreport.ca/downloads/2008/AC/2008_AC_patsat_techreport.pdf.
How does Ontario’s public reporting compare to public reporting in other jurisdictions?
Ontario hospitals are national leaders in transparency and accountability, meeting some of the most demanding accountability standards anywhere.
This is demonstrated through past participation in Hospital Report, compliance with transparency-oriented professional regulations, ongoing participation in accreditation processes, Hospital Service Accountability Agreements, the public reporting of patient safety and wait times indicators, and value-for-money audits by Ontario’s Auditor General. The Ontario Health Quality Council (OHQC) also has a role in monitoring and reporting on the quality of the health system, highlighting what is working well and areas for improvement and supporting quality improvement across the system.
While most hospital performance information is available to the public, it is mainly used by health system leaders and stakeholders. Patients rarely access this material, and when they do, they often find it very technical and difficult to understand. Knowing that patients want to know more – and understand more – about their hospitals so that they can better understand their own health care, the Ontario Hospital Association (OHA) created myhospitalcare.ca.