Freedom of Information & Protection of Privacy Act (FIPPA)

Directory of Records & Personal Information Banks (the Directory)

The Directory contains a list of the general classes or types of records in the custody or under the control of the hospital. Its purpose is to assist members of the public in exercising their rights of access under the Freedom of Information & Protection of Privacy Act (FIPPA) by listing and describing the hospital’s records holdings.

The Directory does not contain the actual records and it is necessary to make an access request to the hospital’s Freedom of Information & Privacy Office. Following is a description of the information provided in the Directory about each general class of records and personal information banks.

General Classes of Records (GCR)

For each class of General Records, the following information is provided:

  • the title of the type or class of records
  • a description of the type of information maintained
  • the department responsible for maintaining the records

Personal Information Banks (PIB)

For each Personal Information Bank, the following information is provided:

  • a description of the type of information maintained
  • types of personal information maintained (e.g. name, contact information)
  • categories of users (individuals who would have access on a regular basis)

Consolidated Records Inventory Worksheet – Personal Information

Department: Clinical Records

Subject of the Record Brief Description Format
Clinical Records Personnel Timesheets P
Emergency Room Clerks Staff Schedules E/P
Personnel files P
Patient Records Records of Personal Health Information E/P
Physician Applications and Credentials Application for Privileges and Yearly Reappointments P
Requests under Personal Health Information Protection Act Correspondence Directory P
Resumes for Employment P

Department: Finance (Accounting, Human Resources, Information Technology)

Subject of the Record Brief Description Format
Admissions/Discharges All admissions and discharges for Hospital P
Alternate Payment Program Payments to Physicians on call in ER Department P/E
Ambulance Call Reports Ambulance reports for patients. P
APP files Working papers to support ER  and physician payments P
Bank Deposit slips Deposits to bank P
Bone Density Consents Patient consents for self payments. P
Condition Sheets and Census summary Lists the status of all hospital beds for in patients. P
Credit Bureau All Credit Bureau files for collection. P
Discharged Admission Records A-Z discharges of all patients in hospital. P
Accounts Receivable Postings per month, receipts per month. P
Nurse Practioner Budgets, etc. P
OHIP documentation Postings, remittance advices, submissions P/E
Payroll Personnel files, union contracts, payroll reports, posting, benefits information, pay scales, sick reports, vacation reports, etc. P
Plastic Surgeon Information for surgery requirements. P
Reciprocal Billing Out of Province billings. P
Rentals All rent files for hospital renters. P
Retired Employees Benefits Health & Dental benefit for retired employees. P
Supply Chain Agreements, correspondence P

Department: Administration

Subject of the Record Brief Description Format
Claims Statement of Claims P
Complaints P
Employee Education Evaluations Evaluations P
Salary Disclosure Employees Paid over $100,000 E
Service Awards Staff Recognition P/E
Staff ID photos Photographs E
Employment contracts Physician, NP P

Department: Laboratory

Subject of the Record Brief Description Format
Training, Personnel and Performance Appraisal files Medical Laboratory Technicians P

Department: Physiotherapy

Subject of the Record Brief Description Format
Admission/Discharge Sheets Daily list of Hospital Admissions/Discharges P
Correspondence – MVA’s/Legal Correspondence to Lawyers/etc., regarding MVA/Litigation P
In-Patient documentation Condition sheets, statistics, referrals P
Out-patient documentation Diagnosis, appointments, attendance, referrals, progress notes, treatment, destroyed files, etc. E/P
Personnel Files Employee Records, Documents Pertaining to Employment P
Physiotherapy Time Sheets Record of Staff worked hours – employee number P
Pre-Admission Referrals Referrals for Surgical/SDC patients – Name, Procedure, Date of Surgery P
Records of Deceased Patients Complete out-patient physiotherapy record of known deceased patients P

Department: Maintenance & Housekeeping

Subject of the Record Brief Description Format
Sign-In Sheets Record of Staff Worked Hours P
Personnel files P
Schedule Change Request Form Record of staff request for a schedule change P/E

Department: Diagnostic Imaging

Subject of the Record Brief Description Format
MRTs Exposure Reports Radiation Exposure reports P
Patient Records All patient records related to diagnostic services E/P
Personnel files E/P
Registration book All patient bookings related to diagnostic services P
Faxes Reports, Communication P
Requisitions Request for Diagnostic Services P
Timesheets/Call back Staff hours and callback P

Legend:
Subject of the Record:  name of the record
Format:  P=Paper, E=Electronic