Appendix 1 – Consultation results: health issues and indicators

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Health Issue Indicator areas reported via consultations
Aboriginal Health Accessibility (i.e. mother tongue, proximity / availability of community services, childhood immunizations)
Addictions
Domestic violence / abuse
Environmental health (i.e. contaminants, climate)
Health behaviours (i.e. sexual health practices, consumption of country food)
Health conditions (i.e. lung cancer, breast cancer, COPD, injury by intentional / unintentional, co-infections)
Infant mortality / live births
Living and working conditions (i.e. housing, crime rates, water quantity / quality, adequate sewage)
Suicide
Wait times for health procedures
Abuse / Violence Child abuse / neglect
Domestic / spousal abuse
Seniors abuse (under care)
Access to Care Access to 24/7 primary care provider
Access to general practitioner
Access to specialist
Access to medical records / test results
Availability of long-term care beds
Doctors accepting new patients
Awareness of available health services (prevention, health promotion, specialist)
Number of legislated health professionals
Readmission for medically complex patients
Spending on / cost of non-covered services (medications, home care)
Wait time (ACSC, ER, CT/MRI scans, surgery: cancer, cardiac bypass, cataract)
Allergies Food allergies
Non-food allergies
Appropriateness of Care C-Sections
Implementation of best practices / standardized clinical pathways
Induced labour
Non-urgent ER visits (treatable in community based PHC practices)
Proper prescribing / process of care
Tonsillectomies
Built Environment / Healthy Communities Access to affordable / reliable transportation
Crime rates
Falls prevention
Neighbourhood sprawl
Neighbourhood walkability
Perception of safety / security
Usage of walking / cycling / public transit
Cancer screening Colorectal
Prostate
Cardiovascular Health Cholesterol levels
Incidence (Atrial fibrillation, CVD, heart disease, PVD, hyperlipidemia)
Length of stay for cardiac care
Medication use
Changes Made to Improve Health Barriers
Motivation
Possible changes
Childhood development Breastfeeding dose / exclusivity
Breastfeeding duration
Breastfeeding initiation
Early childhood development
Parental preparation (positive parenting)
Reaching growth/development milestones
Community-Based Care Availability
Clinics
Homecare access / public coverage
Homecare utilization
Hospital discharges to community based organizations
Infection rate
Interdisciplinary care
Length of stay
Presence of family caregiver
Efficiency Average ALC days per ALC separation
Continuity of care / number of transfers
Expected vs. actual length of stay
Long-term care patients in acute-care beds
Number of days pre-surgery (i.e. hip/knee replacement)
Optimal use of day surgery
Use of electronic health records
Environmental Factors Air quality / pollution
Biomonitoring (i.e. concentrations of contaminants in the blood)
Climate (i.e. Heat deaths, diseases [Lyme] that may be sensitive to climate change)
Congenital anomalies
Environmentally friendly households / practices
Exposure to environmental contaminants (i.e. radon in home)
Heavy metals (body burden)
Level of heavy industry in the area
Neurodevelopmental disorders
Perceived environment indicators
Pesticide use
Public transit participation
Smog advisories
Sun safety behaviours
Water quality
Water borne diseases and deaths
Functional Limitation / Impairment Access to dental care providers
Amount spent on preventative, diagnostic, and therapeutic measures
Cataracts
Current oral health
Health expectancy: DALE / DFLE / HALE (at regional level)
Functional / developmental disability
Glaucoma
Hearing problems
Vision problems
Health Care Human Resources Interprofessional teams
Mental health of health care workers
Number of nurses and other health care professionals
Health Care Outcomes 5 year cancer remissions
30-day mortality (Congestive Heart Failure)
Burden
Never events
Patient perception of quality of / satisfaction with care
Perceived health following an intervention
Place of death (for health care utilization / needs at end of life
Readmission - (Asthma, CHF, COPD, Diabetes & Unplanned)
Unplanned returns to OR per separation day
Years incident-free after major chronic disease event
Mental Health Addiction
Admissions for MH conditions more appropriately served in community
Anxiety disorders
ER visits for mental health diagnosis
Family-member perception of care
Happiness
Mood disorders (i.e. depression)
Morbidity (DALY, QUALY)
Psychological distress
Readmission
Satisfaction with Life
Suicide
Utilization of services
Well-being index
Nutrition Food security
Meat / fish / grain / dairy consumption
Nutrient intake (i.e. calcium, salt)
Nutrition related biomarkers
Quality of FVC module
Total consumption
Obesity Child / youth / adult obesity
Waist circumference (measured / self-reported)
Patient Safety Hospital selected mortality rate
In-hospital infection (i.e. MRSA, VRE, C-Diff, ESBL)
In-hospital hip fractures per separation day
Incidence of adverse events experienced by patients in hospital
Medication reconciliation
Perception of safety / trust in hospitals or medical professionals
Post-operative / surgical site infection
Surgical misadventures
Patient-Centered Planning Co-morbidity (diabetes & hypertension)
Continuity of care
Reasons for admission (top 5-10)
Physical / Sedentary Activity Active transportation
Affordability of sports equipment and activities
Physical activity other than during leisure time (i.e. at work)
Playing video games
Reading
Using computer
Watching TV / videos
Product Safety Food borne communicable disease
Food contaminants
Pharmaceutical / Drug adverse reactions
Therapeutic and other marketed health products
Unintentional poisonings
Reproductive Health Abortions
Access to appropriate maternal / prenatal care
Condom Use
Deliveries associated with assisted reproductive technology
Failure to conceive after trying for one year or more
Foetal Alcohol Syndrome
Health behaviours of mother (i.e. smoking / drinking)
High birth weight
Induced labour
Number of sexual partners
Perinatal complications (post-partum haemorrhage, resuscitation)
Pre-conception maternal BMI
Small for gestational age
STI Incidence
Transfers
Unplanned pregnancies
Respiratory Health Chronic obstructive pulmonary disease (COPD)
Lung cancer
Other chronic diseases related to the respiratory system
Seniors / Aging Accurate prescribing
Elder abuse
Falls
Hospitalizations
Institutionalization rate
Medication use (potential overuse / inappropriate use)
Osteoporosis
Seniors living alone
Social Health Determinants Education
Employment
Social capital
Social desirability / peer pressure
Social policy
Social support
Volunteering
Socioeconomic Deprivation Disability limiting access to food stores
Health services care gaps (by population)
Healthy food basket cost
Homelessness or relative homelessness
Housing (affordability, crowding, conditions)
Illiteracy / innumeracy
Income related food security
Lack of transportation limiting access to food stores
Precarious employment
Proximity of stores selling healthy and affordable food
Workforce Health Absenteeism
Availability and use of employer health benefits
Coverage and use of employee and family assistance programs
Decision latitude at work
Health supports at work
Overtime
Shift work
Unpaid labour (housework, caregiving)
Work stress
Workers' Compensation Claims
Workplace safety (i.e. accident / injury rates)
Youth Health Increase/Decrease in teen drinking and driving
Teen drinking
Teen pregnancy
Teen substance abuse
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