EHR STANDARDS
MANAGEMENT INFORMATION SYSTEM (MIS) STANDARDS
Management Information Systems (MIS) Standards provide a national framework for collecting, reporting and using financial and statistical data related to the day-to-day operations of health service organizations in Canada. MIS Standards apply across the continuum of care including acute care, community based services and long term care. MIS Standards are developed, maintained and published by the Canadian Institute for Health Information (CIHI).
In this province, the Regional Health Authorities (RHAs) report all expenditures, as well as key statistical information related to the services they provide based on these standards. Support for the provincial implementation and maintenance of MIS Standards is provided by an extensive network of stakeholders comprised of representatives from the Centre, the RHAs and the Department of Health and Community Services. The Centre’s MIS staff also offers educational support for MIS Standards and implementation of workload measurement and statistical data collection through in-services, workshops and direct consultation.
Reference Guides
- Audiology Reference Guide
- Electrodiagnostic, Non-Invasive Cardiac and Vascular Laboratories Reference Guide
- Health Information Services Reference Guide
- Nursing Reference Guide
- Nutritional Services Reference Guide
- Medical Imaging Reference Guide
- Medical Imaging Schedule of Unit Values
- Occupational Therapy Reference Guide
- Physiotherapy Reference Guide
- Psychology Reference Guide
- Respiratory Services Reference Guide
- Social Work Reference Guide
- Speech-Language Pathology Reference Guide
- Spiritual Care Reference Guide
- Therapeutic Recreation Reference Guide
- Assignment of Client CH Type Reference Guide
Fact Sheets
- MIS Standards Fact Sheet
- Data Quality Fact Sheet
- Diagnostic Services Fact Sheet - Earned Hours
- Diagnostic Services Fact Sheet - Service Activity Statistics
- Diagnostic Services Fact Sheet - WMS
- Nursing Fact Sheet - Caseload Statistics
- Nursing Fact Sheet - Earned Hours
- Nursing Fact Sheet - Service Activity Statistics
- Nursing Fact Sheet - Service Activity Statistics Definition Supplement
- Nursing Fact Sheet - Workload Measurement
- Therapeutic Services Fact Sheet - Caseload Statistics
- Therapeutic Services Fact Sheet - Earned Hours
- Therapeutic Services Fact Sheet - Service Activity Statistics
- Therapeutic Services Fact Sheet - Workload Measurement
Provincial Reporting Guidelines
- Reporting Guidelines for Service Activity Statistics re: Telehealth Services
- Surgical and PARR Visit Statistics - Implementation Guidelines
- Client Categories - Implementation Guidelines
- Guideline for Statistical Data Collection when Service is Provided to Other Functional Centres
MIS Standards “Did You Know” Bulletins
- Client Community/Client Hospital
- MOS vs. UPP
- Screening and SRNUI
- Tracking Citizen/Organization/Facility Work
- Virtual Statistics
- Virtual Statistics Addenum
- New Referrals - New Definition
- New Referrals - LTC and Inpatient Therapeutic Services
- Assigning Client Home Care Types
- Attendance Days vs. Visits
- Splitting UPP Staff between functional centres
CLINICAL STANDARDS AND INFORMATION (CSI)
Clinical Standards and Information (CSI) supports a variety of national and provincial standards, for use within Newfoundland and Labrador's health information system. It also manages key data systems on behalf of the province. Data quality is supported through standards development in conjunction with stakeholders. CSI staff offer consultation, education, analysis and interpretation services to stakeholders to assist them in adopting and using standardized health information.
Provincial Coding and Abstracting Standards
- Provincial Standard Admitting, Coding and Abstracting Practices Regarding Infants Delivered in a Facility Without Obstetric Services
- Provincial Standard Related to Stillborn Abstracting (click to see Provincial Registration Standard - Appendix B)
- Surgical Day Care Reporting Standard
- Standard Review 2012
- New DAD Reporting Facility Identification Numbers
- Multiple Anaesthetic Techniques Standard
- Provincial Standard Abstracting for ATV and Snowmobile Accidents
- Coding and Abstracting Guidelines for Dental Procedures
- Provincial Standards for Admissions to Chemo etc
Provincial Forms Standards
Other Provincial Standards
- Date and Time Format
- Discharge Summary Template
- Guideline for Records Management Processes for Adoptions
- Documentation Requirements for Change of Name, Date of Birth and/or Sex (click to see Provincial Registration Standard - Appendix F)
- Live Birth Notification Form Reference Manual
- Provincial Guideline for Use of Leave of Absence Feature in Acute and Long Term Care Settings (click to see Provincial Registration Standard - Appendix E)
- Provincial Standard for Registration
- Provincial Registration Standard for Unidentifiable Persons (click to see Provincial Registration Standard - Appendix A)
- Provincial Registration Standard for Autopsy Services (click to see the Provincial Registration Standard - Appendix D)
- Provincial Standard for Emergency Department Discharges
- Meditech Registration for Insurance Info
User Guides
- Live Birth System Database (LBS)
- Mortality System Database (MS)
- Stillbirth System (SS)
- Client Registry Data User Guide
- Provincial Discharge Abstract Database (PDAD)
- Provincial CRMS Registration User Guide
- Provincial Registration Quick Reference Guide for Meditech Users
- Provincial Registration Quick Reference Guide for Med Access EMR