privacy & confidentiality. consider for a moment……. have you ever been in an elevator and...
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Privacy & Confidentiality
Consider for a moment…….
Have you ever been in an elevator and overhead information about a resident being discussed by other staff?
How would you feel if you knew that staff were discussing your care where other people could hear?
What is Privacy?Privacy is a basic right in our society and is governed under law.
Privacy is……
A state of mind
A specific place
Freedom from intrusion or control over the exposure of self or personal information
Privacy also….Involves providing care in a way that does not expose
the body unnecessarily.
What are some examples of how care is done in a private way?
Pulling privacy curtain
Exposing only the part of the body involved in care
Asking visitors to leave during personal care
Privacy Legislation
Personal Health Information Protection Act (PHIPA):
Provides laws about the residents right to control how his/her personal health information is collected, used and disclosed.
Marianhill PolicyPrivacy - Notice and Consent L.3.02
“The knowledge and consent of the individual are required for the collection, use, or disclosure of personal information, except where inappropriate (legal, medical, security reasons may make it impossible or impractical to seek consent.)”
What is patient confidentiality? A conscious effort by every healthcare worker to keep private all
personal information revealed by the resident while receiving care.
It includes the resident’s:− Identity− Physical or psychological state− Emotional status− Financial situation
Confidentiality refers to the handling of
information once someone discloses it to us
Duty to Confidentiality At all times respect the privacy of residents, their families, and other
employees/volunteers.
Treat all clinical, administrative and financial information about residents, their families, and other employees/volunteers as confidential information.
Ensure that private and confidential information is not inappropriately accessed, used or disclosed either directly or by virtue of password to systems.
Do not give out assigned confidential passwords.
Marianhill PolicyConfidentiality L.3.02
“ Under no circumstances may information concerning residents or the operation of Marianhill be discussed with anyone other than those people concerned in the discharge of their duties. Marianhill depends on the maturity and loyalty of each employee to keep private any such information. Breach of the duty of confidence is a serious matter and may result in discipline up to and including dismissal”
Privacy and Confidentiality Violated
Privacy is violated when an unauthorized person gains access to another person’s private information.
Confidentiality is violated when someone talks about a persons private information to another person without the first person’s consent.
Privacy and Confidentiality Violated
Violations to privacy and confidentiality may include but are not limited to:
Accessing personal information that are not require for work / volunteering purposes.
Misusing or disclosing personal information (verbally, through the computer system or in hard copy) without proper authorization.
Altering personal information of residents or other employees.
Exposing a Resident unnecessarily during care.
A breach of any one of these conditions is grounds for termination
If confidentiality is brokenThe consequences are:
Person reluctant to seek care
Reluctance to give information which could affect their well being
False rumors, upset family and friends, and media harassment
Security
Is the measures taken to protect personal health information, e.g. locked cabinets, passwords, closing PCC when you walk away from the computer.
Residents have the right to expect that the information reveal to us will be protected and remain private.
What is Personal Health Information (PHI)?
Any identifying information about clients that is in verbal, written or electronic form
Any information that identifies a person without being named For example:– Room number– Diagnosis– Physical or mental including family health history– Care previously provided – Payments or eligibility for health care– Information about donation of body parts or blood – Health number – Name of SDM
Circle of Care and Need to Know
Circle of Care is any health care provider involved with care, service, monitoring of care and administration in the home and on referral
Examples: Dr, Nurse, NP, PSW, Program Staff, Office Manager, Unit Clerk, Dietitians, Physiotherapy, CCAC, hospital, Specialists (on referral), Massage therapy, Agency, Lab, Pharmacy, Administrative Staff,
Compliance Advisors Professionals within the Circle of Care may access resident
personal health information.Staff may only access what they need-to-know
to perform their role
Resident Consent for Collection, Use and Disclosure of PHI
Resident/SDM must be informed upon
admission sign the Notice and Consent Form.
Staff Responsibilities Only share and access information that you need to know
to provide care and perform your role Maintain confidentiality of resident PHI while a resident of
the home and after discharge or death Do not discuss residents in public places Remind co-workers of the need to maintain confidentiality Deny access to resident PHI to individuals not in the circle
of care Do not share your computer password and LOG out when
leaving the computer
Staff Responsibilities (cont’d)
Destroy paper with resident PHI i.e assignment, reports, notes
Not sending resident PHI by email
Use only resident initials on any correspondence leaving the home by fax and use confidentiality warning on fax cover sheet/emails
Direct complaints about the management of PHI to the administrator
Read and sign employee confidentiality agreement
Accountability
The Administrator is the privacy contact for the home
Privacy of Information Policy O.1.24
Be On Guard
Everyone has Everyone has a responsibility for ensuring resident a responsibility for ensuring resident
confidentiality and privacy!confidentiality and privacy!
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