Health Sector Privacy Law (applies to custodians)
Health Information Act
The Health Information Act (HIA or Act) applies to “custodians”, such as government departments responsible for health services in Alberta, provincial health agencies (Recovery Alberta, Assisted Living Alberta, Acute Care Alberta, Primary Care Alberta), hospital services (Alberta Health Services, Covenant Health, Lamont Health Care Centre), pharmacies and pharmacists, physicians, optometrists, registered nurses, dentists, and their health service providers or employees.
HIA protects privacy by controlling the ways a health custodian may collect, use or disclose health information, including diagnostic, treatment, care and registration information. Custodians are prohibited from collecting, using, or disclosing health information unless permitted by the Act.
Your health information may be used and disclosed by custodian for the purposes of providing you with health care including to other health care providers or other persons who may be involved in your health care. Your health information may also be used or disclosed for the purposes of managing the public health care system in Alberta and for making certain of your health information accessible electronically to those authorized to have this access. The electronic health care record in Alberta is called “Netcare”.
Custodians must consider your expressed wishes when deciding how much information to disclose to others and for making it accessible through Netcare. What this means is that if you inform your health care provider that you don’t want all of your health information, or certain kinds of information, such as highly sensitive health information, accessible by others, you can express this wish to a custodian and they must consider it before making the specified health information accessible.
If you were to express your wish to a custodian that you do not want your health information accessible through Netcare, the custodian could “mask” this information so that other care providers cannot access this information unless they “break the glass”, which means they may unmask it. Generally, this would only occur with your consent or in circumstances where you cannot give your consent due to your medical condition.
Your health information may also be disclosed with your consent. If disclosure of your health information is authorized without your consent, you have the right to ask about it. You also have the right to request a record – also known as an “audit log”. Requesting an audit log of Netcare accesses will show you who has accessed your health information in Netcare.
A custodian is required to protect your health information from loss, unauthorized access or disclosure and must notify you if your health information is involved in a breach and you are at risk of significant harm as a result of the breach.
In addition to the rights mentioned, you have the right under the HIA to request a correction of health information (not opinions), you have the right to access your health information and you can make a complaint if you believe that your health information has been collected, used, accessed or disclose contrary to the HIA.
It is an offence in the HIA to collect, use, access or disclose health information contrary to the HIA and to fail to protect health information as required by the Act.
See below for more information about exercising your privacy rights under HIA.
For more information on submitting a privacy complaint, click here.
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