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Identified Indicator/Resource Issues


"Known Issues" are issues with the indicators or resources that have been raised by or brought forward to the Core Indicators Work Group but have not yet been addressed by the group. These indicators are noted on the Core Indicators and Core Indicators Resources index pages with a "yes" in the "Known Issues" column and are all marked as "Needs Update" in the "Status" column.

List of Known Indicators Issues

Indicator(s)

Issue(s)

Date Issue Added

Various

Many of the indicators require updates to, at minimum, reflect:
-  Ontario Public Health Standards (OPHS) rather than the Mandatory Health Programs and Services Guidelines (MHPSG)
- Change of data source and analysis checklist to reflect switch from the Provincial Health Planning Database (PHPDB) to IntelliHEALTH
- Changes to other data sources
These indicators are marked as "Needs Update" on the Core Indicators index page.

January 2012
All-Cause Hospitalization; Chronic disease
hospitalization
; Child and Adolescent Hospitalization;
Need to examine whether transers to acute care facilities should be excluded from counts of hospital separations to avoid double counting of those patients who were admitted to one hospital and then transferred to another (e.g. to a regional trauma hospital), and document in all hospitalization indicators.January 2012
Frequency of Condom Use among those at Risk for STDsCan no longer be calculated based on current CCHS. There was a discussion thread in APHEOLIST around this topic entitled "CCHS condom use question" in December 2011 which can be viewed by members on the APHEOLIST Archives.January 2012
Age of Sexual Debut
Age categories need to be updated for CCHS 2007 onwards. The questions from the SXB module were not asked to anyone outside of the 15–49 age category.January 2012

Cancer Incidence

Cancer Mortality

Age Ranges for Cancer Reporting: There was a discussion thread in April 2011 on APHEOLIST with respect to the logic in choosing age groups for cancer reporting. Based on the outcome of this discussion, the relevant indicators will be revised to include the age groups of CCO (0-14, 15-29, 30-49, 50-64, 65-79, 80+). A note will also be included that depending on type of cancer, different age groupings may be more appropriate. See APHEOlist post from Beth Theis on April 20, 2011 for more information on age group choices.

February
2012

Smoke-free HomesThe Canadian Community Health Survey (CCHS) Environmental Tobacco Smoke module 2009/2010 two year file contains an error in the skip pattern. Respondents that answered "no" to the question  "....does anyone smoke inside your home every day or almost every day (i.e. ETS_Q10=2)?" were not asked ETS_Q35 "Is smoking allowed inside your home?".  ETS_Q35 was coded as "6" (not applicable) for these respondents.  In addition, these respondents were not asked questions about restricted smoking in the home (ETS_Q36 and ETS_Q37). Therefore, ETS_Q36 and ETS_Q37 were only asked of a small subset of respondents. This error was corrected for years 2011 and onward. (Variable names also changed: ETS_36 and ETS_37 replaced ETS_5 and ETS_6). June 2012
OBSP Mammography
Consider dropping this indicator. This indicator was initially created because the Mandatory Health Programs had an objective related to mammography at OBSP-specific sites. The OPHS does not have this requirement and OBSP data are no longer available at a PHU-level from Cancer Care Ontario.
August 2014
Screening Mammography


This indicator is to be updated with an additional data source from the Cancer System Quality Index (CSQI). See:
http://www.csqi.on.ca/cms/One.aspx?portalId=289784&pageId=296132
For technical details, including definitions, data sources and methodologies, see: http://www.csqi.on.ca/cms/One.aspx?portalId=289784&pageId=296133

August 2014
Cervical Cancer Screening 

This indicator is to be updated with an additional data source from the Cancer System Quality Index (CSQI). See: http://www.csqi.on.ca/cms/One.aspx?portalId=289784&pageId=296138
For technical details, including definitions, data sources and methodologies, see: http://www.csqi.on.ca/cms/One.aspx?portalId=289784&pageId=296139

August 2014
Colorectal Cancer Screening 

This indicator is to be updated with an additional data source from the Cancer System Quality Index (CSQI). See: http://www.csqi.on.ca/cms/One.aspx?portalId=289784&pageId=296144
For technical details, including definitions, data sources and methodologies, see: http://www.csqi.on.ca/cms/One.aspx?portalId=289784&pageId=296145

August 2014

List of Known Resource Issues

Resource(s)

Issue(s)

Date Issue Added

Various

Many of the resources require updates to, at minimum, reflect:
- Ontario Public Health Standards (OPHS) and Protocols rather than Mandatory Health Programs and Services Guidelines (MHPSG)
- Changes to the source to reflect the switch from the Provincial Health Planning Database (PHPDB) to IntelliHEALTH
- Changes to other sources 
These resources are marked as "Needs Update" on the Core Indicators Resources index page.

January 2012
CCHS Low Risk Drinking Variable Syntax FileRequires updating to reflect new low risk drinking guidelines January 2012
Medical Services and Mortality DataUpdated IntelliHEALTH User Guides are not yet available. Links will need to be updated when these become available.January 2012
Vital Statistics Stillbirth DataThere has been an increase in the number of stillbirths which have P964 (Termination of pregnancy affecting fetus and newborn) as the cause of death in Ontario over time. It is unknown whether this increase is the result of a true increase in the occurrence of such events or due to increased registration of these stillbirth events. Overall, the number of stillbirths in Ontario has been increasing; however, stillbirth numbers are stable if those with P964 cause of death are removed. Health units may want to calculate overall rates as well as rates with these records removed to determine their impact.

February
2012

   

Last Date Updated: August 2014

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