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Privacy and Confidentiality

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Our Commitment to Privacy

At Niagara Health we treat your Personal Health Information (PHI) with respect and sensitivity in accordance with the Ontario Personal Health Information Protection Act (PHIPA, 2004) and all other related privacy legislation.

The Personal Health Information Protection Act (PHIPA) is consent-based legislation which establishes legal requirements for the collection, use, access, disclosure and disposal of your personal health information. We have administrative, physical and technical security measures in place to protect your Personal Health Information from theft, loss, unauthorized use, access, transfer, copying, modification, disclosure and disposal. We conduct privacy audits and have breach management policies in place to monitor and manage our PHI privacy compliance.

Contact

Niagara Health Privacy/FOI Office
Phone: 905-378-4647 x44475
Fax: 905-397-1929

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Collection of Personal Health Information 

We collect your personal health information directly from you, or from the individual who can legally make decisions for you about your personal health information.

The personal health information we collect may include your name, date of birth, address, contact information, medical history, records of the care you received during prior visits to Niagara Health, and/or other hospitals & clinics.

Access, Use and Disclosure of Personal Health Information (PHI)

Access to your electronic personal health information is provided to those who ‘need to know’ to provide or assist in providing care and treatment to you. This includes: physicians, nurses, technicians, therapists, chaplains and other allied members of your healthcare team. We also collect, access, use and disclose your PHI as necessary to:

  • Treat and care for you, (inside and outside our Niagara Health hospital sites, for example: when you are transferred to another healthcare facility)
  • Communicate or consult about your healthcare with your doctor(s) and your other healthcare providers
  • Obtain payment for your healthcare and hospital services, including OHIP, WSIB and your private insurance
  • Plan, administer and manage our Niagara Health hospital business operations
  • Conduct risk management and research activities
  • Teach
  • Compile statistics
  • Comply with legal and regulatory requirements
  • Fulfill other purposes as required by law.

Your family physician is considered an important member of your healthcare team. If you are receiving care at our hospital, a copy of your treatment record and/or diagnostic test results will be forwarded to your family physician unless you tell us not to provide this information.

Non-clinical information about your visit such as your name, location within the hospital and home address may be released in order to:

  • Assist visiting family, friends and clergy to locate you in the hospital
  • Conduct patient satisfaction surveys that allow us to monitor and improve the quality of our patient services
  • Conduct fundraising campaigns through Niagara Health Foundation

Unless you tell us not to provide this information.

Research, Education and Planning

We obtain your consent before we disclose your health information for research projects. NOTE: some research projects DO NOT require your consent and have safeguards in place to protect your privacy. (such as removing your identity). We may also provide your PHI to certain ‘prescribed entities’ allowed under PHIPA to plan and manage our Ontario healthcare system.

PHIPA identified prescribed entities: Cancer Care Ontario (CCO); Canadian Institute for Health Information (CIHI); Institute for Clinical Evaluative Sciences (ICES); and Pediatric Oncology Group of Ontario (POGO).

Electronic Health Records (EHRs)

Conversion from hard copy to electronic records improves access to and coordination of your care, enhances patient safety, reduces wait times, avoids duplicate diagnostic testing and provides timely access to your health information by your healthcare team.

Your electronic health record information is stored securely on shared patient health information databases for access by authorized individuals.

Visit the ClinicalConnect websiteFor Patients” section and review their Statement of Information Practices; patient brochure, participating healthcare organizations & information regarding your electronic medical records shared electronically with care providers, for your care and treatment.

Our Safeguards

Maintaining the confidentiality of your personal information is very important to us.

Niagara Health employs security measures, policies, procedures, and technology is in place to ensure your personal information is secure and accessed by authorized individuals.

All Niagara Health personnel: physicians; staff; volunteers; students and other agents of the hospital must follow the hospital’s privacy and security policies and procedures.

Privacy and Confidentiality Training

We continually conduct privacy training, education and orientation sessions for Niagara Health staff, volunteers, students, agents, vendors and physicians.

Privacy staff awareness sessions:

  • Provide guidance and interpretation regarding the Personal Health Information Protection Act, 2004 (PHIPA) and and Freedom of Informatino and Protection of Privacy Act (FIPPA)
  • Explain our Niagara Health Privacy Policies, FOI and Health Information Management Policies & Procedures
  • Present practical tips for handling common situations for confidential, secure access, use and disclosure of personal health information;
  • Answer questions about privacy and patient information handling confidentiality issues.

In addition, online access to privacy training and resources are provided for staff learning on our Niagara Health intranet.

Your Rights and Choices

You, or a person who can legally make decisions about your PHI, have the right to:

  • View and get copies of your personal health information (hospital medical records)
  • Request corrections to inaccurate or incomplete PHI.
  • Ask us not to share your PHI with other healthcare providers, unless permitted or required by law.
  • Be informed if your PHI is lost, stolen, missing or improperly accessed or disclosed.

Some exceptions apply to these rights.

Family and Friends

Your family and friends may be given general information about you, such as your location in the hospital and your general health condition, FOI and Health Information Management Policies & Procedures;

Spiritual and Religious Visits

If you provide us with information regarding your faith group affiliation, parish or congregation, we may give your name and room location to a member of the visiting clergy of your faith group, unless you tell us not to provide this information.

Fundraising

Niagara Health relies on patient and community support for part of our funding. Niagara Health, or the Niagara Health Foundation Office, may use your name and address to contact you for support, unless you tell us not to provide this information.

If you require more privacy rights information or are unable to resolve a privacy concern with Niagara Health, you may contact: Information & Privacy Commissioner/Ontario (IPC/O) at 1-800-387-0073, or email your privacy concerns to info@ipc.on.ca

Privacy Notice and Statement of Information Practices

Outlined below are the ways in which we collect, use, disclose, and protect your health information.

What types of information do you collect? 

The information we collect includes: 

  • Your name 
  • Date of birth 
  • Address 
  • Health history 
  • Records of your visits
  • The care you received at Niagara Health and other hospitals or clinics 

Occasionally, we may collect PHI about you from other sources if we have obtained your consent to do so or if the law permits. 

How do you collect my personal health information? 

We collect your PHI and store this information in our electronic hospital information system. We may also collect PHI from other authorized caregivers so that we are able to fully understand your health history to support your care journey. 

How do you use my personal health information? 

There are several ways in which we use your PHI, all of which are appropriately designed and monitored to align with the requirements of PHIPA.

To support your care experience and treatment:  We may share general information about your health status with friends, family members, or religious/spiritual representatives concerned about you, unless you request otherwise, in order to support your health care journey. 

To improve our services for the community we serve:  We use your PHI to plan, administer, and manage our operations and services. This includes conducting risk management, quality of care activities, and gathering feedback through patient experience surveys, all of which are used to improve the services we deliver. 

To support administrative requirements: We use your PHI to comply with legal and regulatory requirements and to secure payment for services provided to you (e.g., OHIP, WSIB, private insurer, or others). 

To support fundraising efforts:  As a public hospital, Niagara Health relies on financial support from the community to offer services. Unless you request otherwise, we may provide your name and contact information to the Niagara Health Foundation to support our fundraising efforts. 

To support research efforts: We will generally obtain your consent before collecting, using, and sharing your PHI for research. Some studies do not require consent but must be approved by a research ethics board and have privacy safeguards in place. Research activities will help us to understand and enhance health services at Niagara Health. 

To enhance learning opportunities for our staff: We may use your PHI to inform training and learning opportunities for clinicians, staff, trainees, and learners. This is done in a way that ensures information does not identify you as the patient. 

How do you share or disclose my personal health information?

Your PHI may be used and shared with health providers, both within and outside of Niagara Health as necessary, to assist in your care and treatment. Additionally, your PHI may be used to update your provincial electronic health record and other secure electronic systems to ensure timely and coordinated care. 

How do you ensure that my health information is protected? 

We strive to ensure that all service providers for Niagara Health protect your privacy and use your PHI only for consented purposes or as permitted by PHIPA. Any person who works, studies, or volunteers at Niagara Health is required to follow all of the privacy policies according to the obligations under PHIPA. 

We have administrative, physical, and technical security measures in place to protect your PHI from any unauthorized access, theft, copying, modification, use, disclosure, and disposal. We also conduct privacy audits and have breach management policies in place to monitor and ensure PHI privacy compliance. 

How can I limit who sees my personal health information? 

You can request that your PHI has limited access by asking for a consent directive, which is also referred to as a “lockbox.” This lockbox allows you to specify if you would like to lock your whole health record, specific visits, or from a particular staff member(s) who you do not want to see your PHI. To do this, please contact the Privacy Office at 905-378-4647, ext. 44475. 

How do I get access to my personal health information? 

You may obtain a copy of your health records by contacting the Health Records Office at Niagara Health.

How do I make a change to my personal health information on my medical record? 

You may request a review and correction of the information that you feel is inaccurate or incomplete in your health record by contacting the Health Records Office at Niagara Health. 

How do I report a privacy breach or concern I have with my medical records access? 

If you believe that someone has inappropriately accessed your health records, you may request an audit of your health record through the Privacy Office at Niagara Health at 905-378-4647 x44475.

General Privacy Information

What updates have been made to Niagara Health's privacy policies?

Niagara Health has launched a Hospital Information System (HIS) with important updates to how we protect your Personal Health Information (PHI). These updates strengthen security measures, clarify how your information is used and enhance your ability to control access to your data.

Data Security and Access

How does Niagara Health protect patient personal health information?

Niagara Health employs various measures to safeguard your PHI, including: 

  • Secure electronic health record systems 
  • Data encryption 
  • Staff training on privacy protocols 
  • Regular audits to ensure compliance with privacy regulations

Who has access to patient health information?

Access to your health information is limited to authorized personnel who need it for your care, such as doctors, nurses, and administrative staff. You can request to know who has accessed your records by contacting the Privacy Office at 905-378-4647 x44475.

Rights and Consent 

What rights do patients have regarding their personal health information? 

You have several rights concerning your PHI, including: 

  • The right to access your health records. 
  • The right to request corrections to your records. 
  • The right to withdraw consent for sharing your information, except where required by law. 
  • The right to restrict who can access your health records. 

How can patients withdraw consent from sharing their personal health information?

You can withdraw consent by contacting our Privacy Office at 905-378-4647 x44475. They will provide you with the necessary forms and information on how your withdrawal of consent may affect your care. 

Can patients opt out of sharing their personal health information for specific purposes? 

Yes, you have the right to opt out of sharing your PHI for certain activities, such as fundraising, hospital directory listings, sharing visit details with your family doctor, marketing or research. To learn more, speak with a member of the Patient Registration staff at the time of your hospital visit or contact the Privacy Office at 905-378-4647 x44475.

Privacy Policies and Further Information 

What should patients do if they have concerns about their privacy? 

If you have any concerns about your privacy or how your PHI is being handled, please speak with a member of our staff or contact the Privacy Office at 905-378-4647 x44475. We take all concerns seriously and will address them as promptly as possible.

How will patients be informed about future changes to privacy policies? 

We will communicate any significant changes to our privacy policies through notices in our facilities, on our website, and via direct communication if necessary. We encourage you to stay informed by checking our website regularly. 

  • Freedom of Information

    Niagara Health has established the Privacy and Freedom of Information (FOI) Office to coordinate requests and matters related to the Freedom of Information and Protection of Privacy Act (FIPPA). The Privacy FOI office oversees the administration of personal information access requests liaises with the Information and Privacy Commissioner of Ontario. What is FIPPA ? Freedom of ...
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