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1. Infant Health Measures and Health at Birth (1009 points) (Concept)
The health of an infant at birth is typically assessed by medical professionals immediately following delivery. These measures of infant health provide researchers with the ability to compare newborn health with a variety of educational, social, and...
2. Health Status Indicators - Recommended for Monitoring Regional Health Authority (RHA) Performance and Planning Delivery of Service (200 points) (Concept)
MCHP research has found that the following measures are the most useful and can be reported on an annual basis for regional health authorities as well as for sub-areas within the RHAs.
3. Child Health Status Indicators (2001) (102 points) (Concept)
Patterns of health and disease must be understood in the context of the community and region, taking into consideration the size, structure and growth of the population. In addition to key demographic information and other standard health status ind...
4. Health Status Indicators (102 points) (Concept)
A set of population-based health status indicators was developed from multiple administrative data sources - see POPULIS for more information. These indicators were then used to compare the health s...
5. Congenital Anomalies (102 points) (Concept)
Congenital anomalies are an abnormality of structure, function or body metabolism that is present at birth (even if not diagnosed until later in life) and results in physical or mental disability, or is fatal. (March of Dimes Resource Center. Birth ...
6. Infant Illness/Trauma (102 points) (Concept)
If the ICD-9-CM code in any one of the 16 diagnostic codes was one of 760-779 (see Table 1.0 for ICD-9-CM code descriptions), the record was identified as an infant illness/trauma originating in the perinatal period.
7. Irritable Bowel Syndrome (IBS) - Defining in Administrative Data (100 points) (Concept)
Irritable bowel syndrome (IBS) is a common problem that affects the large intestine and causes abdominal cramping, bloating and a change in bowel habits. See MedlinePlus® - Heal...
8. Attention-Deficit Hyperactivity Disorder (ADHD) (100 points) (Concept)
This concept describes the research methods used at the Manitoba Centre for Health Policy (MCHP) over time to define Attention-Deficit Hyperactivity Disorder (ADHD), including the specific ICD codes, prescription drugs and additional conditions that...
9. Health Indicators: Indicators of Health Status and Healthcare Use (100 points) (Concept)
This concept provides a list of health indicators of health status and healthcare use that are used in MCHP research to measure and compare the health of Manitobans across regions. The majority of information in this concept comes from The 2013 RHA...
10. Elixhauser Comorbidity Index (100 points) (Concept)
This concept contains information on the Elixhauser Comorbidity Index including: a basic description of the Elixhauser Comorbidity Index, how the Index is used at MCHP, and a brief historical perspective on the development and changes to the Index ...
11. Injuries - Injury Coding Using ICD-9 and ICD-9-CM (100 points) (Concept)
This concept describes the use of ICD-9 injury codes that were used in the Assessing the Health of Children in Manitoba: A Population-Based Study (2001) deliverable by Brownell et al. (2001). The ICD-9 and ICD-9-CM coding sy...
12. Dementia - Measuring Prevalence (100 points) (Concept)
This concept defines dementia and then describes the methods that have been used in MCHP research to identify dementia from administrative data in the MCHP Data Repository. Links are provided to report specific research findings. Dementia is a te...
13. Depression - Defining in Administrative Data (100 points) (Concept)
This concept describes how MCHP has identified and defined depression in its research. The term depression covers a spectrum of mood disorders that can range from being mild and transitory to a persistent state of incapacitation. One end of the spe...
14. Mental Disorder / Mental Health Disorder / Mental Health Illness Classification (100 points) (Concept)
This concept describes the classification of "mental disorders" / "mental health disorders / "mental health illness" and how this classification has been defined in MCHP research. This includes a list of databases where mental health data resides, ...
15. Suicide and Attempted Suicide (Intentional Self Inflicted Injury) (100 points) (Concept)
This concept contains operational definitions for both suicide and attempted suicide. An alternative term used by many researchers for attempted suicide is intentional self-inflicted injury. Typically, the definition for suicide is taken directly f...
16. Renal Failure (100 points) (Concept)
Renal failure is the loss of the kidneys ability to remove wastes, concentrate urine, and maintain electrolytes levels in the blood. At MCHP, our definition of renal failure includes both acute and chronic renal failure. Renal disease associated wit...
17. Teenage Pregnancy / Teen Pregnancy (100 points) (Concept)
The teen pregnancy rate is defined as the rate of pregnancies (including live births, stillbirths, abortions, ectopic pregnancies and miscarriages) of women under the age of 20. In practice, the definition is limited to Manitoba residents and Manito...
18. Adjusted Clinical Groups® (ACG®) - Overview (100 points) (Concept)
The Johns Hopkins Adjusted Clinical Group® (ACG®) system is a population/patient case-mix adjustment system developed by researchers at The Johns Hopkins University School of Hygiene and Public Health in Baltimore, Maryland, U.S.A. The ACG s...
19. Asthma - Measuring Prevalence (100 points) (Concept)
This concept contains information on how asthma been defined in MCHP research using administrative data, including a brief definition, a broad review of existing literature published prior to 2006, and specific algorithms since then that have define...
20. Ambulatory Care Sensitive (ACS) Conditions (100 points) (Concept)
This concept defines Ambulatory Care Sensitive (ACS) Conditions and describes how these measures are used in MCHP research. Billings et al. (1993) defined Ambulatory Care Sensitive (ACS) Conditions as a set of 28 medical conditions...
21. Adjusted Clinical Group® (ACG®) - Relative Cost Weights (100 points) (Concept)
This concept describes the development and use of a costing method using the Johns Hopkins Adjusted Clinical Groups® (ACG®) system and Relative Cost Weights. NOTE: For an overview of general costing methods (sources of data, types of ...
22. Ambulatory Visits (100 points) (Concept)
This concept provides information on the current definition and method used at MCHP for defining ambulatory visits by a physician, based on data contained in the MCHP Data Repository. The methodology for identifying ambulatory visits underwent a ma...
23. Undercounting Hospital Visits (100 points) (Concept)
Ambulatory visits definition has been simplified and can be generated using a SAS macro on MCHP systems. Most of this concept is retained for historical purposes. See the Ambulatory Visits - Physicians conce...
24. Amenable Hospitalizations (100 points) (Concept)
A list of medical conditions that a panel of physicians have agreed should NOT result in untimely death are identified as conditions amenable (responsive) to medical treatment. The "conditions" chosen were intended to be used NOT to provide a defini...
25. Avoidable Hospitalizations (100 points) (Concept)
Avoidable Hospitalizations are a set of 12 conditions for which hospitalization can be avoided if ambulatory care is provided in a timely and effective manner. (Weissman et al. 1992.) The conditions which are included in the grouping were those agre...
26. Chronic Disease Hospitalizations (100 points) (Concept)
For adults in the mid-years of life, the main causes of death and disability are chronic diseases including asthma, heart disease, stroke, and diabetes. For the elderly, the leading cause of death and disability are emphysema, heart disease, stroke,...
27. Arthritis - Measuring Prevalence (100 points) (Concept)
Arthritis is a group of conditions that affect the health of the bone joints in the body. One in three adult Americans suffer from some form of arthritis and the disease affects about twice as many women as men. Arthritic diseases include rheumatoid...
28. Ischemic Heart Disease (IHD) / Coronary Heart Disease (CHD) - Measuring Prevalence (100 points) (Concept)
Coronary heart disease (CHD), also called coronary artery disease (CAD), ischemic heart disease (IHD), or atherosclerotic heart disease, is the end result of the accumulation of atheromatous plaques within the walls of the arteries that suppl...
29. Diabetes - Measuring Prevalence (100 points) (Concept)
A chronic condition in which the pancreas no longer produces enough insulin (Type I Diabetes) or when cells stop responding to the insulin that is produced (Type II Diabetes), so that glucose in the blood cannot be absorbed into the cells of the bod...
30. Hypertension - Measuring Prevalence (100 points) (Concept)
This concept contains information on how hypertension has been defined in MCHP research in order to measure the prevalence of this medical condition. This includes the data sources that are used, the ICD codes that define this condition, and the an...
31. Stroke - Measuring Prevalence (100 points) (Concept)
A stroke occurs when there is a sudden death of brain cells due to a lack of oxygen when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain. Symptoms of a stroke depend on the area of the brain affected. The mos...
32. Case Mix Groups (CMG™) - Overview (100 points) (Concept)
This concept describes the use of a patient classification system called Case Mix Groups (CMG™) and their inclusion in hospital discharge abstract data held in the Data Repository at MCHP. Associated with CMGs are a day surgery classification sy...
33. Case Mix Groups (CMGs™) versus Diagnosis Related Groups (DRGs™) (100 points) (Concept)
1. Case Mix: Both are patient classification systems that provide ways of describing the types of patients a hospital treats (its case mix).group cases into manageable number of meaningful patient categories patients with...
34. Charlson Comorbidity Index (100 points) (Concept)
This concept contains information on the Charlson Comorbidity Index including: a basic description of the Charlson Comorbidity Index, how the Index is used at MCHP, and a brief historical perspective on the development and changes to the Index over...
35. Measures of Comorbidity (100 points) (Concept)
This concept identifies and briefly describes the measures of comorbidity investigated in the Cancer Data Linkage in Manitoba: Expanding the Infrastructure for Research deliverable by Lix et al. (2016). Some of these measures...
36. Diagnosis Related Groups (DRGs™) - Overview (100 points) (Concept)
Diagnosis Related Groups (DRGs™) is an American patient classification system that describes the types of patients treated by a hospital (i.e. its case mix). The DRGs™ work by grouping the 10,000+ ICD-9-CM codes into a more manageable...
37. Income Quintiles Based on the 1996 Census (6 points) (Concept)
The 1996 census was released by the Data Liberation Initiative in stages starting in October 1997 and completing in July 1998. The component reporting sources of income, family and household income at the enumeration area level was released on June ...
38. Birth Cohort Registry - Methodology (2 points) (Concept)
This concept provides the methodology, including SAS code (internal access only), for the development of the birth cohort registry at the Manitoba Centre for Health Policy (MCHP). Issues associated with creating birth cohorts are also discuss...
39. Maternal and Newborn Health Status Indicators (2 points) (Concept)
This concept identifies and lists the maternal and newborn health status indicators presented in the Perinatal Services and Outcomes in Manitoba deliverable by Heaman et al. (2012). The report focuses on women giving birth in Manitoba...
40. Child Health Indicators (2008) (2 points) (Concept)
Measuring health is a very complex issue -- there is no quick and easy way to say whether a group of children are healthy. So, in our Manitoba Child Health Atlas Update (Brownell et al. 2008) we used measures that are thought to indic...

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Manitoba Centre for Health Policy
Community Health Sciences, Max Rady College of Medicine,
Rady Faculty of Health Sciences,
Room 408-727 McDermot Ave.
University of Manitoba
Winnipeg, MB R3E 3P5 Canada

204-789-3819