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Freedom of information

You may not need to make a formal freedom of information request to obtain information from Holland Bloorview.

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The Freedom of Information and Protection of Privacy Act (FIPPA) is a provincial law governing access to information and the protection of privacy. It has been applied to hospitals since January 1, 2012.

Under FIPPA, individuals have a right to request access to records that are in Holland Bloorview’s custody or control, dating back to January 1, 2007. 

While FIPPA promotes public access to information, it also ensures that personal and confidential information is appropriately protected and that individuals’ privacy rights are upheld.

The Privacy Office of Holland Bloorview carries out the hospital’s commitments under FIPPA. Below you will find a wide range of information and resources related to freedom of information.

 

Freedom of Information resources:

 

Personal Information Banks: 

FIPPA requires Holland Bloorview to maintain an index of Personal Information Banks (PIBs). This index describes the personal information the Hospital collects to support its programs and services, where the information can be retrieved using an individual’s name or another identifier.

The Personal Information Bank includes the following:

  • The title and type of the class of records
  • The statute authorizing the collection of personal information
  • The location of this class of records
  • The format of this class of records
  • A description of the type of information that is maintained in this class of records
  • The uses and users of personal information maintained in this class of records
  • A description of the types of individuals whose information is maintained in this class of records
  • The retention and disposal (how long the information is kept)

Please refer to the Classification and Retention Structure for retention and disposal information. Any questions please contact the Privacy Office privacy@hollandbloorview.ca

 

Making a Request for information: 

Before sending in a formal request for information, please contact the Privacy Office (see details below) to discuss what records you’re looking for. Many records can be provided directly by hospital departments, and you may not need to submit a formal request to access them.

The form contains information about fees.

 


 

Personal Information Banks include:

Administration

Consent for photography/Video and Supporting Documentation

Type

PIB (Personal Information Bank)

Authority

FIPPA

Description

Records related to the photography or videotaping of clients, visitors and members of the public

Location

Communication and Public Engagement Office

Format

Electronic

Information Maintained

Name, age, diagnosis optional, and contact information

Uses

Hospital and/or Foundation promotional materials, publications and communications, for example; annual report, BLOOM, fundraising material, award submissions, Hospital and/or Foundation website, social media sites, and media stories. Photos, videos and sound bites are stored in a protected photo bank.

Users

Communications and Public Engagement Office, Holland Bloorview Foundation (can use it for up to 3 years)

Individuals in Bank

Clients who consent to take part in photography or video recordings by Holland Bloorview

Freedom of Information and Protection of Privacy

Type

Personal Information Bank (PIB) and GCR (general classes of records)

Authority

FIPPA

Description

Records relating to administration of requests for access under the Freedom of Information and Protection of Privacy Act

Location

Privacy Office

Format

Electronic 

Information Maintained

Name, contact information of requestors, third parties, complaints

Uses

Respond to requests for access, correction, complaints 

Users

Privacy office staff

Individuals in Bank

Individuals who make access requests, requests for correction or complaints

Requests for Information under PHIPA

Type

PIB

Authority

PHIPPA (Personal Health Information Protection Act)

Description

Records related to requests for access to personal health information

Location

Health Records

Format

Electronic

Information Maintained

Name, address, date of birth, health record number, description of information to disclose 

Uses

To identify, locate and provide requested personal health information to patient/former patient or as directed by patient or substitute decision maker

Users

Health Records team, clients/caregivers/ lawyers

Individuals in Bank

Clients/caregivers or lawyers

Board of Directors List

Type

PIB

Authority

Corporations Act

Description

Maintaining contact list of board of directors

Location

President/CEO's Office

Format

Electronic 

Information Maintained

Name, contact information, vulnerable sector check, address, confidentiality agreement, conflict of interest disclosure

Uses

To maintain information about Board of Directors, for charity returns

Users

Board of Directors, Senior Management, Board Secretary, contact information of board members is reported to the Ministry as required by the application.

Individuals in Bank

Board of Directors

Academic

Staff Learning

Type

PIB 

Authority

FIPPA

Description

Records related to staff applying to the professional development fund

Location

Teaching and Learning Institute, Clinical areas

Format

Electronic

Information Maintained

Name, profession, department and funds provided

Uses

Track applications and funding

Users

Collaborative Practice Director and Executive assistant, professional development fund committee, and staff manager as appropriate 

Individuals in Bank

Client facing Staff

Student Placement Records

Type

PIB

Authority

Public Hospitals Act

Description

Records related to student placements and clinical education

Location

Teaching and Learning Institute

Format

Electronic

Information Maintained

Name, student/placement information (school/program, start/end date, supervisor), contact information (email, phone number), vulnerable sector check, immunization declaration

Uses

To support student and trainee onboarding for education placements

Users

Teaching and Learning Institute

Individuals in Bank

Students and trainees

Student Experiences

Type

PIB

Authority

Public Hospitals Act

Description

Records related to student experiences (accommodation, issues, concerns)

Location

Teaching and Learning Institute

Format

Electronic

Information Maintained

Name, student/placement information (school/program), concern raised, resolution, information regarding accommodation needs (medical/legal), documentation (emails, letters)

Uses

To ensure all documentation related to a concern or issue is in one location

Users

Teaching & Learning Institute

Individuals in Bank

Students and Trainees

Research

Research Records

Type

PIB and GCR 

Authority

PHIPPA

Description

Records related to research

Location

With Principal Investigator

Location

Electronic

Information Maintained

Curriculum Vitae of Research Ethics Board (REB) members, REB training records, personal health information of research subjects

Uses

Clinical Research 

Users

Principal investigator, REB

Individuals in Bank

REB members, research participants

Clinical/Health Records

Infection, Prevention and Control

Type

PIB/GCR

Authority

Public Hospitals Act R.S.0 1990, c. P.40; Health Protection & Promotion Act; O. Reg. 49/07

Description

Records related to infection, prevention and control

Location

Infection, Prevention and Control

Format

Electronic/hardcopy

Information Maintained

Client name, medical record number (MRN), other patient demographic information as required based on outbreak type

Uses

To report and track outbreaks as required by Toronto Public Health

Users

Infection, Prevention and Control, Toronto Public Health 

Individuals in Bank

Clients diagnosed with a reportable disease in an outbreak

Patient Register

Type

PIB

Authority

Public Hospitals Act R.S.0 1990, c. P.40

Description

Register of all patients receiving care at the Hospital

Location

Common - clinical areas

Format

Electronic/hardcopy

Information Maintained

Client name, demographic and contact information, medical record number and OHIP number, date of visit and reason for visit, primary care and attending physician, emergency contact information, length of stay

Uses

Used to accurately identify patients and to link client care information to the correct client; maintain a complete record of all client visits

Users

Registration staff, patient accounts, care providers

Individuals in Bank

Clients

Client/Patient Chart

Type

PIB

Authority

Public Hospitals Act R.S.0 1990, c. P.40

Description

Record of the care and treatment provided to clients

Location

Health Information Management

Format

Electronic

Information Maintained

Please see Patient Register; medical condition and diagnostic information, test results, medications, records relating to surgery or any medical procedures

Uses

In the provision of care; to document the history of patient care; in the evaluation of quality of care and service provision; for research approved by Research Ethics Boards (REB)

Users

Care providers, staff responsible for meeting provincial reporting requirements, researchers approved by REB

Individuals in Bank

Clients

Diagnostic Images

Type

PIB

Authority

Public Hospitals Act RS.0 1990, c. P.40

Description

Medical images of clients

Location

Client charts/health records

Format

Electronic

Information Maintained

Please see Patient Register; diagnostic images

Uses

Diagnosis and care and treatment of patient

Users

Care providers

Individuals in Bank

Clients

Patient Admitting

Type

PIB

Authority

Public Hospitals Act R.S.0 1990, c.P.40

Description

Records relating to the registration and admitting of clients

Location

Common - clinical areas

Format

Electronic/hardcopy

Information Maintained

Client name, demographic and contact information, medical record number (MRN) and OHIP number, date of visit and reason for visit, name of primary care and attending physician, emergency contact information, length of stay

Uses

Record of client visits and admission

Users

Registration staff, client (patient) accounts, care providers

Individuals in Bank

Clients 

Patient Prescriptions

Type

PIB

Authority

Drugs & Pharmacies Regulations Act, R.So. 1990 c. H. 4

Description

Records of inpatient and outpatient drug prescriptions

Location

Pharmacy

Format

Electronic/hardcopy

Information Maintained

Client name, MRN, drug prescribed, date of prescription, name of prescriber

Uses

Dispensing of prescribed drugs to patient

Users

Pharmacy Staff

Individuals in Bank

Clients who have been prescribed medication

Personal Health Information Requests

Type

PIB 

Authority

Personal Health Information Protection Act, 2004, S.O. 2004, c. 3, Sched. A.

Description

Record of all corrections to patient personal health information

Location

Health Records

Format

Electronic/hardcopy

Information Maintained

Name, Address, Date of birth, health record number, description of information to correct

Uses

To manage requests of all corrections made by clinician/client/caregiver

Users

Health Records

Individuals in Bank

Clinicians/clients/caregivers who have requested an amendment to the client chart

Ethics Records

Type

PIB

Authority

Freedom of Information and Protection of Privacy Act

Description

Record of bioethics requests

Location

Ethics

Format

Electronic/Hardcopy

Information Maintained

Staff names, client names, medical record number (MRN)

Uses

To manage requests of ethical reviews

Users

Senior Bioethicist

Individuals in Bank

Clients / staff who have requested ethics support

Facilities Management

Property Management

Type

PIB/GCR

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to the management of property owned or leased by Holland Bloorview

Location

Facilities Management

Format

Electronic 

Information Maintained

Staff name, vehicle identification information, driver’s license, reference information, personal address

Uses

Tracking and quality assurance

Users

Facilities Management

Individuals in Bank

Clients/staff

Computer Audit and Utilization Records

Type

PIB 

Authority

Public Hospitals Act, Personal Health Information Protection Act, Freedom of Information and Privacy Protection Act

Description

Records related to computer audits of use, utilization of records

Location

Decision support and data analytics, Online Servers

Format

Electronic

Information Maintained

Usernames, computer IDs

Uses

To monitor system uses when accessing client care/records for intended purpose of usage

Users

Information Management and Technology, privacy office

Individuals in Bank

Users of the computer network

Agreements - Parking

Type

PIB 

Authority

Public Hospitals Act R.S.0 1990, c.P.40

Description

Records related to staff parking, authorized staff parking, parking payments

Location

People and Culture department and Facilities Management

Format

Electronic

Information Maintained

Name, email, vehicle identification information

Uses

Payroll deduction, maintenance of parking privileges

Users

Parking personnel, payroll

Individuals in Bank

Staff, physicians

Finance

Billing and Remittance (excluding OHIP)

Type

PIB/GCR

Authority

Public Hospitals Act R.S.0 1990, c. P.40

Description

Billing and remittance documentation including patient, institutional and other governmental agencies, and the Ministry of Health 

Location

Finance

Format

Electronic/hardcopy 

Information Maintained

Client: Information in client chart, Credit Card No. and insurance benefit information 
Insurance companies, schools/university, companies making payment: contact information, credit card or cheque details 
Nursery School: Participant information (name, caregiver name) and payment detail (credit card or cheque)

Any other billing information required by individual departments

Uses

To support hospital revenue transactions and issue billings

Users

Finance Department/ Insurance Companies/Individual departments

Individuals in Bank

Clients and caregivers, insurance companies, other institutions as needed, HB nursey school attendees

OHIP Billing

Type

PIB/GCR

Authority

Health Insurance Act R.R.O. 1990, Regulation 552

Description

Records relating to claims submitted to the Ministry of Health in respect of treatment and services provided to patients under the Ontario Health Insurance Plan

Location

Finance

Format

Electronic/hardcopy

Information Maintained

Information from client chart, Chart number and service rendered

Uses

Receive payment for insurable treatment and services provided to patients

Users

Physicians, Finance, Ministry of Health

Individuals in Bank

Clients

Accounts Payable

Type

PIB/GCR

Authority

Public Hospitals Act R.S.0 1990, c. P.40

Description

Records relating to processing payments made at Holland Bloorview

Location

Finance

Format

Electronic/hardcopy

Information Maintained

Suppliers name, address, receipts, invoices, expense claim statements, payments certificates, financial transactions, SIN number, banking information

Uses

To support hospital expense transactions

Users

Finance staff

Individuals in Bank

Any individual or corporation receiving cash outflows from the hospital

People and Culture

Attendance, scheduling, payroll and deductions

Type

PIB

Authority

Employment Standards Act s. 15(5). Employment Standards Act, 2000, c.41, s.11; Insurance Act, R.S.O. 1990, c.1.8, s.300; Canada Pension Plan, R.S. 1985, C. C-8. Pension Benefit Act, R.S.O. 1990, c. P.10. 

FIPPA

Description

Records relating to attendance, scheduling and payroll. Records relating to pension plans and individual deductions

Location

Individual Departments, Finance

Format

Electronic/hardcopy 

Information Maintained

Leaves of absence, hours of work, overtime, statutory holidays, and sick time taken, vacation days, attendance, shift schedules. Employee number, name, address, sex, social insurance number, date of birth, marital status, telephone number, tax exemptions, employee benefit information, bank account number, pension information.

Uses

Document attendance, record and manage sick time. Calculate and administer payroll; administer employee benefits and pensions.

Users

Managers, Timekeepers, Finance Staff, Employees, Third party insurance/benefits/pension providers

Individuals in Bank

Employees (casual, temporary or permanent)

Employee Benefits

Type

PIB/GCR

Authority

Public Hospitals Act R.S.0 1990, c. P.40

Description

Records relating to benefit plans offered to eligible staff and retirees and their families

Location

People and Culture

Format

Electronic/hardcopy

Information Maintained

Employee ID, name, date of birth (DOB), sex, marital status, telephone number, beneficiary information

Uses

Enrolment and administration of benefit plans

Users

People and Culture Staff

Individuals in Bank

Staff

Recruitment

Type

PIB

Authority

Public Hospitals Act R.S.0 1990, c. P.40

Description

Records relating to the recruitment of staff for permanent, part-time, and contract job postings

Location

People and Culture

Format

Electronic

Information Maintained

Submitted resumes and/or job applications, containing information on employment history, education, and contact information. Interview notes from recruitment campaigns. Offer letters.

Uses

To complete the hiring process

Users

People and Culture Staff

Individuals in Bank

Staff and members of the public applying for employment at Holland Bloorview

Employment Records

Type

PIB

Authority

Employment Standards Act, S.O. 2000, c. 41, s. 15

Description

Records relating to the employment of Holland Bloorview staff

Location

People and Culture

Format

Electronic

Information Maintained

Employee number and name, personal contact information, benefits options, education, work history, attendance and leave records, performance evaluations, disciplinary actions, onboarding documentation.

Uses

To document work history

Users

People and Culture staff, Managers

Individuals in Bank

Staff

Employee Information

Type

PIB

Authority

Employment Standards Act, S.O. 2000, c. 41, s. 15

Description

Records related to staff

Location

People and Culture

Format

Electronic/hardcopy

Information Maintained

Staff identification information (legal name, address, contact numbers, DOB, SIN, emergency contact information). Employment details (employee ID, job, status, manager). Compensation and payroll details (wages, bank details).

Uses

To document work history

Users

People and Culture Staff

Individuals in Bank

Staff

Physician and Dentist Files

Type

PIB 

Authority

Public Hospitals Act R.S.O 1990 c. P. 40

Description

Records relating to the appointment of Physicians and Dentists practicing at Holland Bloorview

Location

Medicine and Academic Affairs

Format

Electronic/hardcopy

Information Maintained

Name, address, date of birth, academic information, emergency contact, email address

Uses

Credential physicians and dentists and appoint them to the Medical/Dental staff

Users

Medicine and Academic Affairs Vice President

Individuals in Bank

Staff physicians and dentists: contract and cross-appointed

Staff Credentialling

Type

PIB

Authority

Regulated Health Professions Act

Description

Records relating to the credentials of Health Disciplines

Location

Collaborative Practice

Format

Electronic

Information Maintained

Name, academic information related to credentials for specific health discipline

Uses

Monitor the credentials of regulated health disciplines

Users

Collaborative Practice

Individuals in Bank

Staff requiring credentialing

Fellow and Resident Program Files

Type

PIB 

Authority

Public Hospitals Act R.S.O 1990 c. P. 40

Description

Records related to fellowships and residencies

Location

Medicine and Academic Affairs

Format

Electronic/hardcopy

Information Maintained

Name, contact information, evaluations, program information

Uses

Program planning and information related to client care

Users

Affiliated educational institution, program committees, departments

Individuals in Bank

Fellows, Residents

Observerships

Type

PIB 

Authority

FIPPA, PHIPPA

Description

Records related to observerships

Location

Teaching and Learning Institute

Format

Electronic

Information Maintained

Name, contact information, observership information (school, program, start/end date, supervisor), contact information (email, phone number, emergency contact), CV, vulnerable sector check, immunization declaration

Uses

To monitor observerships at Holland Bloorview

Users

Teaching & Learning Institute

Individuals in Bank

Observers

Volunteers

Type

PIB 

Authority

Public Hospitals Act, R.S.O 1990 c. P.40

Description

Records related to volunteers at Holland Bloorview

Location

Volunteer Resources

Format

Electronic

Information Maintained

Volunteer user number and name, personal contact information, application information, education history and or work history, attendance hours, performance evaluations, disciplinary actions, onboarding documentation. Includes vulnerable sector police checks and personal health information (immunization records)

Uses

To contact and/or schedule volunteers and verify volunteering history

Users

Volunteer Resources staff (full access to information) and staff supervisors in client programs (limited information)

Individuals in Bank

Volunteers at Holland Bloorview

Harassment reports/findings/ombudsman

Type

PIB 

Authority

Occupational Health and Safety Act (OHSA) and the Ontario Human Rights Code (if the circumstances involve prohibited grounds)

Description

Records relating to harassment concerns, reports and findings

Location

Quality, Safety and Performance

Format

Electronic

Information Maintained

Name, contact information, information related to status at Holland Bloorview

Uses

To monitor and manage harassment complaints

Users

Quality, Safety and Performance staff, People and Culture staff

Individuals in Bank

Staff reporting concerns

Staff Education

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to tuition reimbursement program, and internal courses

Location

People and Culture

Format

Electronic

Information Maintained

Name, education, and amount re-imbursed

Uses

Record and monitor use of the tuition re-imbursement program and internal courses

Users

People and Culture Staff

Individuals in Bank

Staff

Staff Sociodemographic Data

Type

PIB

Authority

Freedom of Information and Protection of Privacy Act

Description

Records relating to employee sociodemographics

Location

People and Culture and Inclusion, Diversity, Equity, Accessibility and Anti-Racism (IDEAA)

Format

Electronic

Information Maintained

Race, gender, religion, immigration, disability

Uses

To advance staff and leadership representation

Users

Select People and Culture leaders, Inclusion, Diversity, Equity, Accessibility and Anti-Racism (IDEAA)

Individuals in Bank

Employees (casual, temporary or permanent)

Occupational Health and Safety 

Employee Medical Data

Type

PIB

Authority

Occupational Health and Safety Act, R.S.O. 1990, c. O.1, s.26

Description

Records relating to the medical status, condition, and recovery of individual Hospital employees

Location

Occupational Health and Wellness

Format

Electronic/hardcopy

Information Maintained

Information about staff member's medical conditions and whether they can return to regular work duties

Uses

Assist with employee medical issues as they relate to employment

Users

Occupational Health and Safety staff

Individuals in Bank

Staff

Staff Immunization Data

Type

GCR/PIB 

Authority

Occupational Health and Safety Act, R.S.O. 1990, c. O.1, s9. Occupational Health and Safety Act, R.S.O. 1990, c.O.1, s26. Workplace Safety- Insurance Act, 1997

Description

Records relating to staff immunization

Location

Occupational Health and Wellness

Format

Electronic/hardcopy

Information Maintained

Name, employee number, immunization status

Uses

Track immunization data for staff safety during outbreaks

Users

Occupational Health and Safety staff

Individuals in Bank

Staff, volunteers, students

Fitness Center Data

Type

PIB

Authority

Freedom of Information and Protection of Privacy Act

Description

Records relating to medical status, condition

Location

Occupational Health and Wellness

Format

Electronic/hardcopy

Information Maintained

Name, employee number, Information about staff member's medical conditions and whether they safely use the fitness center

Uses

Assist with employee medical issues as they relate to use of the fitness center

Users

Occupational Health and Safety staff

Individuals in Bank

Staff, Volunteers, students

Occupational Health Records

Type

GCR /PIB 

Authority

Occupational Health and Safety Act, R.S.O. 1990, c. O.1, s9. Occupational Health and Safety Act, R.S.O. 1990, c.O.1, s26. Workplace Safety and - Insurance Act, 1997

Description

Records relating to the storage, use, and disposal of biological agents and records relating to worker exposure to chemical or biological agents

Location

Occupational Health and Wellness

Format 

Electronic/hardcopy

Information Maintained

Employee names, test results, concerns about health, safety, accommodation needs

Uses

To respond to health and safety concerns and issues

Users

Occupational Health and Safety staff and QSP staff

Individuals in Bank

Staff who have been involved in an incident

Accident/Incident investigation reports

Type

GCR/PIB 

Authority

Occupational Health and Safety Act, R.S.O. 1990, c. O.1, s9. Occupational Health and Safety Act, R.S.O. 1990, c.O.1, s26. Workplace Safety and Insurance Act, 1997

Description

Records relating workplace incidents/accidents

Location

Quality, Safety and Performance

Format

Electronic/hardcopy

Information Maintained

Names, details related to incidents, medical information, contact information

Uses

Respond to health and safety concerns or issues

Users

Occupational Health and Safety staff and Joint Health & Safety Committee as appropriate, People and Culture, Quality, Safety and Performance

Individuals in Bank

Staff who have been involved in an incident or accident

Radiation Exposure Records

Type

GCR/PIB 

Authority

Occupational Health and Safety Act, R.S.O. 1990, c. O.1, s9
Healing Arts Radiation Protection Act. R.R.O. 1990, REGULATION 543 X-RAY SAFETY CODE

Description

Records relating to radiation exposure and Radionuclides

Location

Radiology

Format

Hardcopy

Information Maintained

Name, information related to radiation exposures, work history

Uses

Record and track radiation exposures

Users

Radiation Safety Officer

Individuals in Bank

Staff/Researchers exposed to radiation and/or radionuclides

Ergonomic Assessments

Type

PIB 

Authority

Occupational Health and Safety Act, R.S.O. 1990, c. O.1, s9. Occupational Health and Safety Act, R.S.O. 1990, c.O.1, s26. Workplace Safety and Insurance Act, 1997

Description

Records relating to staff completing ergonomic assessments

Location

Quality, Safety and Performance

Format

Electronic/hardcopy

Information Maintained

Name, employment information, information related to assessment

Uses

Record ergonomic assessments and support staff

Users

Quality, Safety and Performance (Safety Specialist)

Individuals in Bank

Staff/ Students

Individualized Emergency Response Plan

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to safe evacuation (Code green)

Location

Quality, Safety and Performance

Format

Electronic 

Information Maintained

Name, employment information, information related to assessment

Uses

Record safe evacuation strategy for employees

Users

Manager, assigned individual, staff, Quality Safety and Performance

Individuals in Bank

Staff /students

Employee Emergency Information Form

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to safe evacuation (Code green)

Location

Quality, Safety and Performance

Format

Electronic

Information Maintained

Name, information provided by Employee for evacuation

Uses

Record evacuation needs 

Users

Quality, Safety and Performance and employee manager

Individuals in Bank

Staff / students

Visitor Restriction and Revocation Form

Type

PIB

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to Holland Bloorview individual restrictions

Location

Quality, Safety and Performance

Format

Electronic and paper

Information Maintained

Name, employee information, client information, restricted individuals information

Uses

Record restricted visitors

Users

Quality, Safety and Performance, reception, Health Information Management, security other staff as needed

Individuals in Bank

Any individual of the public

Mask Fit Testing

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

To fit half face respirators

Location

Quality, Safety and Performance

Format

Electronic/paper

Information Maintained

Name, employee information, medical information of employee as needed

Uses

To support mask fit testing

Users

Quality, Safety and Performance

Individuals in Bank

Staff/students required to have mask fit testing

Client and Family Relations

Client and Family Relations Records

Type

PIB 

Authority

Public Hospitals Act. R.S.0 1990, c. P.40

Description

Records relating to client feedback

Location

Client and Family Relations

Format

Electronic

Information Maintained

Name and contact information of individual/Holland Bloorview client complimenting or complaining about some aspect of their experience; information relating to the nature of the complaint or compliment

Uses

Respond to concern or complaint; evaluate and improve program and service delivery

Users

Client and family relations staff

Individuals in Bank

Individuals making a complaint/concern or providing feedback related to care at Holland Bloorview

Emergency Transportation Fund

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records relating to Emergency Transportation Fund requests

Location

Client and Family Integrated Care

Format

Electronic

Information Maintained

name and contact information, address, phone number, clinical background information, Funding information and amount requested.

Uses

To monitor and review applications

Users

Client and Family Integrated Care

Individuals in Bank

Individuals applying for or receiving funds from the Emergency Transportation Fund at Holland Bloorview

Family Support Fund

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to Family Support Fund applications and grants

Location

Client and Family Integrated Care

Format

Electronic/hardcopy

Information Maintained

Name and contact information, address, phone number, clinical background information, financial background information, Family household occupants, Funding information and amount requested.

Uses

To monitor and review funding applications

Users

Client and Family Integrated Care

Individuals in Bank

Individuals applying for or receiving funds from the family support fund at Holland Bloorview.

Family Support Specialists

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to families that request 1:1 consultation

Location

Stored electronically with Client and Family Integrated care staff including leadership having access

Format

Electronic

Information Maintained

Name, contact information, nature of consultation

Uses

To track and support 1:1 consultations with family support specialists

Users

Client and Family Integrated Care Team including Leadership

Individuals in Bank

Individuals requesting 1:1 consultation

Family Leader Records

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records relating to family leaders participating in hospital initiatives

Location

Client and Family Integrated Care

Format

Electronic

Information Maintained

Name, contact information, information related to the initiatives they are a part of

Uses

To monitor and record family participation in hospital initiatives

Users

Client and Family Integrated Care staff

Individuals in Bank

Families of current or previous clients who participate in hospital initiatives

Quality and Patient Safety Reviews

Type

GCR/PIB 

Authority

Quality of Care Information Protection Act, 2004, S.O. 2004, c. 3, Sched. B; Public Hospitals Act R.S.0 1990, c. P.40

Description

Records relating to the assessment and evaluation of the quality of health care provided and related to programs and services

Location

Quality, Safety and Performance

Format

Electronic

Information Maintained

Patient name and contact information, patient health information, care and treatment provided and adverse events

Uses

To evaluate care and service delivery/ improve the quality of care and services provided to clients

Users

Quality, Safety and Performance Staff

Individuals in Bank

Clients

Incident Reports

Type

GCR/PIB

Authority

ICH Good Clinical Practice Guidelines; Personal Health Information; Public Hospitals Act R.S.0 1990, c. P.40

Description

Reports relating to incidents occurring in the Hospital or on Hospital property

Location

Quality, Safety and Performance

Format

Electronic

Information Maintained

Name and contact information of involved individuals, detail of incident and related circumstances

Uses

To improve safety, to inform affected parties and to respond to any issues related to the matter

Users

Quality, Safety and Performance Staff

Individuals in Bank

Clients or visitors who were involved in incident

Serious Safety Event Review

Type

PIB

Authority

Personal Health Information Protection Act, 2004, S.O. 2004, c. 3 Sched. A; Quality of Care Information Protection Act, 2004, S.O. 2004, c. 3, Sched B

Description

Records relating to critical incident reviews conducted

Location

Quality, Safety and Performance

Format

Electronic 

Information Maintained

Clinical information related to care; Name and contact information of involved individuals, detail of incident and related circumstances

Uses

To review critical incidents

Users

Quality, Safety and Performance Staff

Individuals in Bank

Clients or visitors who were involved in incident

Quality/Risk Audits

Type

GCR/PIB 

Authority

Personal Health Information Protection Act, 2004, S.O. 2004, c. 3, Sched. A.

Description

Reports related to quality and risk audits

Location

Quality, Safety and Performance

Format

Electronic 

Information Maintained

May include patient names, MRN, unit, responsible physician

Uses

Indicator reports for scorecard, accreditation indicator

Users

Quality, Safety and Performance Staff

Individuals in Bank

Clients

Legal Matters (not otherwise specified)

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

To respond to legal matters and litigation affecting the Hospital/ Staff

Location

People and Culture Office and Quality, Safety and Performance

Format

Electronic/hardcopy

Information Maintained

Name, contact information, terms of legal matters in relation to employees

Uses

To monitor legal matters

Users

People and Culture Staff and Quality, Safety and Performance

Individuals in Bank

Individual involved in legal matters affecting Holland Bloorview/ Staff in relation to employment

Staff Elearning Records

Type

PIB

Authority

Freedom of Information and Protection of Privacy Act

Description

Records of staff assigned to or completed on WISE. Completion/compliance managed by module owners.

Location

People and Culture

Format

Electronic 

Information Maintained

Employee name, Employee number, manager, e-learning record completion status and date.

Uses

to monitor and track staff compliance with training

Users

People and Culture Staff, Leaders

Individuals in Bank

Staff and students

Security 

Keys and Access Cards

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Information related to Key holders and access card holders

Location

Facilities Management

Format

Electronic

Information Maintained

Employee name and department

Uses

Monitor key and access card holders

Users

Facilities Management

Individuals in Bank

Employees

Security Department Documentation

Type

GCR/PIB 

Authority

Public Hospitals Act R.S.0 1990, c. P.40

Description

Records relating to providing security for patients, visitors, staff, physicians and volunteers

Location

Quality, Safety and Performance and Reception

Format

Electronic and paper

Information Maintained

Names of staff, identification number and photograph; images of persons at entrances and main hallways captured by video surveillance

Uses

Videotaping and monitoring is used to identify and respond to potential security risks

Users

Security Department

Individuals in Bank

Hospital staff, patients, visitors, families, volunteers, members of the public

Participation and Inclusion

Early Learning and Development- Nursery schools, Infant Child Development Program, Community Outreach Services

Type

PIB

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to active and past participants of Holland Bloorview nursery schools

Location

Holland Bloorview Nursery School Sites

Format

Electronic

Information Maintained

Please see patient/client chart, logs for ministry of education

Uses

To provide clinical care to nursery school participants

Users

Holland Bloorview Nursery School Staff involved in clinical care

Individuals in Bank

Clients

Integrated Education and Therapy (IET program)

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to active and past participants of Holland Bloorview's IET program

Location

IET Program

Format

Electronic

Information Maintained

Please see patient chart

Uses

To provide clinical care to IET clients

Users

Holland Bloorview IET staff involved in clinical care

Individuals in Bank

Clients

Aquatic Records

Type

PIB

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to staff and members of the public that participate in aquatic programs at Holland Bloorview

Location

Aquatics Office

Format

Electronic/hardcopy

Information Maintained

Name, address, contact information, medical information as needed

Uses

To provide aquatics programming to staff and members of the public

Users

Aquatics staff

Individuals in Bank

Staff, members of the public

Inclusion Programs (Spiral Gardens, Music and Arts, Community Programs)

Type

PIB

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to clients participating and applying to Holland Bloorview's inclusion programs

Location

Health Information Management

Format

Electronic/hardcopy

Information Maintained

Name, medical record number, documentation related to participation in programs, medical information

Uses

To provide a safe program experience to inclusion programs

Users

Inclusion programming staff

Individuals in Bank

Clients

Youth Engagement Strategy

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to youth leaders participating in hospital initiatives

Location

Youth Engagement Strategy

Format

Electronic/hardcopy 

Information Maintained

Name, contact information, records relating to participation in meetings

Uses

To monitor youth leaders participating in hospital initiatives

Users

Staff working with Youth Leaders

Individuals in Bank

Youth Leaders

Family Advisory Council (FAC)

Type

PIB 

Authority

Freedom of Information and Protection of Privacy Act

Description

Records related to family members participation in FAC

Location

Client and Family Integrated Care (CFIC)

Format

Electronic

Information Maintained

Name, contact information, records relating to participation in meetings

Uses

To monitor family’s participation in FAC

Users

CFIC staff

Individuals in Bank

Families

Centralized Equipment Pool

Centralized Equipment Pool

Type

PIB 

Authority

Personal Health Information Protection Act and the Freedom of Information and Protection of Privacy Act

Description

Records related to client’s use of equipment

Location

57 Colville Road

Format

Electronic/hardcopy 

Information Maintained

Name, medical diagnosis, date of birth, health card number, client tracking number

Uses

To monitor equipment use

Users

Centralized Equipment Pool staff

Individuals in Bank

Clients


Contact and Resources

If you have any questions: please contact the Privacy Office at Holland Bloorview
Email: privacy@hollandbloorview.ca

Please note: Your health information cannot be accessed through the freedom of information process. You can request access or request a correction to your personal health record by contacting Health Information Management at (416) 425-6220 ext. 3422.