Understanding Hipaa Canada and Its Impact on Healthcare Privacy

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In Canada, healthcare privacy is protected by the Personal Health Information Protection Act (PHIPA) and the Personal Information Protection and Electronic Documents Act (PIPEDA), but what about HIPAA Canada?

HIPAA Canada is not a standalone law, but rather a set of guidelines based on the US Health Insurance Portability and Accountability Act (HIPAA) that aim to protect sensitive patient information.

These guidelines are not legally binding in Canada, but rather serve as a model for healthcare organizations to follow in order to maintain patient confidentiality.

PHIPA vs HIPAA

PHIPA and HIPAA are two laws that govern the use, disclosure, and collection of health information in Canada and the US, respectively.

PHIPA is a law that protects personal health information in Ontario, while HIPAA is a law that protects protected health information in the US. HIPAA compliance in Canada ensures the security of identifiable patient information, which can be written, oral, or electronic.

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PHIPA requires healthcare workers and organizations to follow safety rules to ensure data safety, while HIPAA enforces a rule that information must be kept private unless certain conditions are met or a patient gives written permission for it to be shared.

The two laws have similarities, including setting clear limits for protecting data and making organizations responsible for the personal data they handle. However, they also have differences, such as PIPEDA protecting personal data in many fields, while HIPAA compliance in Canada protects patient health records.

Here are the key differences between PHIPA and HIPAA:

One key difference is that PHIPA allows implied consent for gathering, using, and sharing personal health information for healthcare purposes, while HIPAA requires written permission.

Compliance and Regulations

HIPAA compliance in Canada requires covered organizations to keep patients' private and sensitive information safe. This includes accepting patient rights, such as the right to access their data, and considering patients' consent before using or sharing their protected health information.

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Under HIPAA, patients have the right to access their medical information and send it to a different healthcare provider. This right is called the HIPAA Right of Access, and healthcare providers must permit 30 days to access the data.

HIPAA compliance in Canada also helps reduce liability by protecting businesses and patient safety. This is achieved by following certain simple steps, such as getting written permission from patients before sharing their information, rechecking permissions before informing employees or business partners, and disclosing patient details securely.

Here are some key differences between HIPAA and PHIPA breach notification requirements:

Importance of Compliance

Compliance is essential for any business, especially in the healthcare industry. HIPAA compliance in Canada is crucial for Canadian healthcare companies that perform business in the USA.

HIPAA certification in Canada helps businesses focus on their operations with confidence, knowing they're meeting the necessary standards. Patient satisfaction is vital for healthcare businesses, and HIPAA compliance reduces the risk of patient dissatisfaction.

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Patient rights are protected under HIPAA, including the right to access their data, which must be disclosed within 60 days if a discrepancy is found. Patients can also request to process their health information, known as the HIPAA Right of Access.

Covered organizations must obtain explicit written permission from patients before using or sharing their protected health information (PHI) with a third party. This is a key aspect of HIPAA compliance in Canada.

To maintain HIPAA rules, follow these simple steps:

  • Ensure written permission from patients before sharing their information, except in certain situations.
  • Recheck permissions before informing employees, business partners, and other covered organizations.
  • Disclose patient details securely to lower the chance of HIPAA violations.
  • Implement technology-based controls, such as access control, password managers, and antivirus software.

Covered Entities vs Custodians

HIPAA regulates the use and disclosure of PHI by covered entities, but PHIPA has its own set of rules for health information custodians.

To understand the difference, it's essential to know what constitutes a health information custodian. Under PHIPA, an HIC is a health care practitioner or person who operates an organization that provides health care to an individual and has custody or control of that individual's personal health information.

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A health information custodian can become aware of a privacy breach in various ways, including a data breach, a lost or stolen device, or an unauthorized access to their system.

To determine if you're a covered entity or a health information custodian, consider the following: you operate an organization that provides health care to an individual. If so, you may be a health information custodian.

Breach Notification Requirements

Breach Notification Requirements can be a complex and nuanced topic, especially when it comes to HIPAA and PHIPA regulations.

Under HIPAA, a breach of unsecured protected health information must be reported within 60 calendar days of its discovery if it affects 500 or more individuals.

To report a breach, covered entities must notify the Secretary of Health and Human Services, individuals affected by the breach, and prominent media outlets in the states and jurisdictions where the breach victims reside.

If a breach affects less than 500 individuals, the covered entity may notify the Secretary no later than 60 days after the end of the calendar year in which the breach is discovered.

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PHIPA has more stringent requirements for reporting a breach. A health information custodian must notify the Information and Privacy Commissioner whenever they have reasonable grounds to believe that personal health information was used or disclosed without authority.

Here are the specific circumstances under which a health information custodian must notify the Information and Privacy Commissioner:

  • The HIC has reasonable grounds to believe that personal health information (PHI) was used or disclosed without authority by a person who knew or ought to have known that they were using or disclosing the information without authority.
  • The HIC has reasonable grounds to believe that, after an initial loss or unauthorized use or disclosure of PHI in the HIC’s custody or control, the PHI was or will be further used or disclosed without authority.
  • The loss or unauthorized use or disclosure of PHI is part of a pattern of similar losses or unauthorized uses or disclosures of PHI in the custody or control of the HIC.
  • The HIC is required to give notice to a regulated health professional’s governing body or College, in accordance with PHIPA, as it relates to the loss or unauthorized use or disclosure of PHI.

Get Compliance Under Certpro

Getting compliance under CertPro can be a game-changer for your healthcare business. They have auditors who are versed in implementing HIPAA and understand the differences between HIPAA, PIPEDA, and PHIPA.

CertPro can help simplify the operation process and reduce the time required to keep information safe and build trust in the healthcare business. They can utilize the existing rules to implement HIPAA compliance.

HIPAA compliance in Canada is the best option if you plan for specific data security in your healthcare sectors. Compliance implementation is tricky, so expert help from CertPro can be invaluable.

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CertPro auditors can help you navigate the HIPAA rules and ensure that you're following the correct procedures to keep patient data safe. They can also help you understand the differences between HIPAA, PIPEDA, and PHIPA.

Here are some key benefits of getting compliance under CertPro:

  • Expert guidance on implementing HIPAA compliance
  • Simplified operation process and reduced time required
  • Utilization of existing rules to implement HIPAA compliance
  • Help in navigating HIPAA rules and procedures
  • Understanding of differences between HIPAA, PIPEDA, and PHIPA

Privacy and PHI Handling

In Canada, healthcare providers must take reasonable steps to protect personal health information against theft, loss, unauthorized use and disclosure, and unauthorized copying, modification, or disposal.

Under Part IV of PHIPA, healthcare information custodians (HICs) are required to take these steps during the normal course of business.

Healthcare providers in Canada must also report PHI breaches to the Information and Privacy Commissioner of Ontario and the affected parties to avoid extreme penalties.

If a healthcare provider is found liable for a breach of personal health information, they will be held accountable.

Healthcare providers in Canada must only collect data that is reasonably applicable to the healthcare services being provided.

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In Canada, every organization operating in healthcare must adhere to the data handling laws documented in PIPEDA.

Here are the key steps to follow when handling PHI in Canada:

  • Take reasonable steps to protect PHI against theft, loss, unauthorized use and disclosure, and unauthorized copying, modification, or disposal.
  • Report PHI breaches to the Information and Privacy Commissioner of Ontario and the affected parties.
  • Only collect data that is reasonably applicable to the healthcare services being provided.

Multiple International Laws Exist

In Canada, there are multiple international laws that govern the handling of personal health information, in addition to the Canadian laws.

The Health Insurance Portability and Accountability Act (HIPAA) is a US law that has influenced Canadian healthcare policies, but it is not directly applicable in Canada.

Canada has its own national laws, such as the Personal Information Protection and Electronic Documents Act (PIPEDA), which outlines the rules for collecting, using, and disclosing personal information.

In the healthcare sector, the Pan Canadian Trust Framework is a key initiative that aims to facilitate the secure sharing of health information across different jurisdictions.

The framework is built on a set of principles that prioritize patient consent, data quality, and security.

Frequently Asked Questions

Is HIPAA in Ontario?

No, HIPAA is not applicable in Ontario, as the province has its own health privacy legislation, the Personal Health Information Protection Act (PHIPA).

What is the PIPEDA in Canada?

What is PIPEDA in Canada? The Personal Information Protection and Electronic Documents Act (PIPEDA) is a Canadian law that regulates how private companies collect, use, and share personal information.

Kellie Hessel

Junior Writer

Kellie Hessel is a rising star in the world of journalism, with a passion for uncovering the stories that shape our world. With a keen eye for detail and a knack for storytelling, Kellie has established herself as a go-to writer for industry insights and expert analysis. Kellie's areas of expertise include the insurance industry, where she has developed a deep understanding of the complex issues and trends that impact businesses and individuals alike.

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