The issue of hospital secrecy in detail, including what you see as the pros and cons of a hospital’s right of secrecy and a family’s right to information.

After watching the W5 video [running time: 14:19] and reading the related article please discuss the issue of hospital secrecy in detail, including what you see as the pros and cons of a hospital’s right of secrecy and a family’s right to information. Also. do you see a slippery slope arising from the new QCIPA, 2016? Please watch the video and article and answer both questions.

W5 Video and Article Website: https://www.ctvnews.ca/w5/family-still-searching-for-answers-after-hospital-tragedy-runs-headlong-into-provincial-secrecy-laws-1.2804289

QCIPA, 2016 Website: https://www.ola.org/en/legislative-business/bills/parliament-41/session-1/bill-119

Additional website to support question: https://www.ctvnews.ca/w5/family-still-searching-for-answers-after-hospital-tragedy-runs-headlong-into-provincial-secrecy-laws-1.2804289

https://www.ontario.ca/laws/statute/16q06

Additional information to support question: 

“QCIPA allows health professionals to have open discussions about critical incidents involving patient care and quality improvement matters in general. The goal of QCIPA is to make a safe space for health professionals to talk openly about quality improvement, including the potential cause of any critical incidents, without fear that the information will be used against them. QCIPA applies to hospitals, independent health facilities, long-term care homes, licensed medical laboratories and specimen collection centres. The first version of QCIPA came into force in 2004 (QCIPA, 2004). In July 2014, the Minister of Health and Long-Term Care initiated a review of QCIPA to identify areas for improvement. Health Quality Ontario convened a review committee and the committee gave its recommendations to the minister in December 2014. To respond to the committee’s recommendations, the minister put forward legislation to repeal QCIPA, 2004 and replace it with QCIPA, 2016. The legislation was passed by the legislature and QCIPA, 2016 came into force on July 1, 2017. QCIPA, 2016 enables health care providers to have protected quality improvement discussions to help improve patient safety while still ensuring that patients and their authorized representatives have access to the facts about a critical incident. QCIPA, 2016 increases transparency and maintains quality in Ontario’s health care system by: 

Affirming the rights of patients to access information about their own health care

Clarifying that facts about critical incidents cannot be withheld from affected patients and their families

Requiring the Minister of Health and Long-Term Care to review QCIPA every five years”

 Relationship Between PHIPA and QCIPA PHIPA is about protecting patient privacy in a manner consistent with the effective provision of healthcare. QCIPA is about fostering frank discussions about the provision of healthcare among healthcare professionals to determine what may have gone wrong and how quality of care can be improved in facility. QCIPA does this through the creation of a Quality of Care Committee (which is defined under s. 2 as “a body of one or more individuals that performs quality of care functions …”). Under QCIPA, information given to a “quality of care committee” is prevented from being disclosed. The information is not necessarily PHI but may include PHI. The committee is a formal designated committee within a health facility. 

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