Resource category | Included services* |
---|---|
Outpatient visits | Hospital outpatient clinic services, NACRS visits to dialysis clinics, NACRS visits to cancer clinics |
Physician services | OHIP physician billings (including fee-for-service and most of the shadow billings†) |
Emergency department visits | NACRS emergency department visits |
Same-day surgery | Same-day surgery procedures |
Inpatient care | Inpatient hospital admissions and OMHRS admissions to designated mental health beds |
Outpatient prescription | Ontario Drug Benefit prescription claims |
Laboratory tests/services | OHIP laboratory tests |
Other services | OHIP nonphysician services, Assistive Devices Program, rehabilitation services, home care, complex continuing care and long-term care |
Note: NACRS = National Ambulatory Care Reporting System, OHIP = Ontario Health Insurance Plan, OMHRS = Ontario Mental Health Reporting System.
↵* Explanations of each administrative database can be found in Appendix 1. Additional details can be found in Appendix 2.
↵† Refers to submitting a claim for services provided for which physicians are paid a small percentage of the usual fee.