ON Chiropractic Fall 2014 | Page 25

ON Chiropractic Disclosing and Using Personal Health Information The disclosure of personal health information is covered extensively by PHIPA. In specific circumstances, practitioners may consult PHIPA, the CCO and its Standards of Practice, the Office of the Privacy Commissioner, a lawyer or a practice liability insurance provider, such as CCPA. In general, personal health information should only be disclosed: • when the patient has provided their consent, or • when disclosure of the information is reasonably necessary for the provision of health care and obtaining consent in a timely manner is not possible, or • for the purpose of contacting next of kin if the patient is injured, incapacitated or ill and unable to give consent personally. Additional circumstances under which personal health information may be disclosed include: • determining or verifying the eligibility of the individual to receive health care or related goods, services or benefits (such as with an extended health insurer, WSIB or MVA), though the practitioner should make best effort to obtain the patients consent, • providing information to a person conducting an audit or reviewing an application for accreditation or reviewing an accreditation when the audit or review relates to services provided by the health information custodian (the practitioner is again advised to make best efforts to obtain the patient's consent before proceeding with this request), and, • disclosing to another health information custodian who shares in the provision of care to the patient. PHIPA requires that the personal health information you generate in the course