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Protecting Your Privacy: Descriptions of Community Care Access Centre Applications Containing Personal Health Information

For more information on these applications please visit our Enabling Care Through Technology page.

Information & Referral Applications

Health Care Connect is an application that helps CCAC staff link Ontario residents that do not have a family physician, with a physician who is able to take on new patients. Unattached patients can register with a valid OHIP card and complete a health questionnaire to determine their need for family health care services.

 

Care Coordination Application

Client Health & Related Information System (CHRIS) is a web-based application that holds the patient health record for each of the 14 CCACs. CHRIS provides the CCACs with detailed client records, case management tracking and support while enabling health system integration to/from the community. It allows CCAC intake staff to assess patients, refer patients to community services and initiate CCAC care plans.

Document Management System (DMS) is a patient based document library, integrated with CHRIS that provides secure storage for CCAC patient personal health information. It is accessed and managed by authorized CCAC staff. DMS includes documents received as part of a patient referral from a hospital or family physician, updated medical referrals when delegated acts are required for a patient's treatment, documents completed by the CCAC Care Coordinator, reports completed and received from CCAC contracted service providers, communications from long-term care (LTC) homes, etc.

Bed Board Management (BBM) is a bed inventory management system used by CCACs for long-term care as well as complex care and rehab placement. It matches patients waiting for service and provides reservation management for long-term care, short stay or respite. It also allows long-term care homes and hospitals to view the waitlist for particular bed types and services at their organization which assists them in planning for capacity and room assignments.

 

Applications for CCACs to Communicate with Other Health Partners

Health Partner Gateway (HPG) is a portal application system that supports the timely and secure exchange of information between a CCAC and a service provider. Service providers can access HPG to receive and respond to service offers, and access referrals and important patient records required for quality health-care delivery. This allows CCAC Care Coordinators to receive prompt patient status updates to better coordinate patient care.

Community Health Portal (CHP) is an application that provides service providers, physicians and hospital staff with real-time health information about CCAC patients. CCAC Care Coordinators through CHP can share a summary of a patient's CCAC services, patient assessment(s) and other patient status documentation. Patient information can be accessed by authorized health partners as long as the patient is actively receiving CCAC services.

 

Assessment applications

Our patient assessment application is a software system integrated with CHRIS that contains a set of standardized assessment tools used by CCAC Care Coordinators to assess the needs of their patients which can be shared between CCACs. A number of types of assessments are used by CCACs and the type of assessment used for a particular patient depends on the location of the patient and type of needs.

The RAI-HC (Home Care) is a full functional assessment that can be done either in hospital or in the patient's home in the community and provides a thorough assessment of the patient's functional capabilities and needs. The information captured from the assessment helps CCAC Care Coordinators to identify issues, risks and changes in health conditions and assists in the development of specific care planning. 

The interRAI-CA (Contact Assessment) is an intake screening assessment for use in the community or hospital to determine a patient's need for a more comprehensive assessment, urgency for home care service provision and the need for specialized services.

The interRAI-PC (Palliative Care) is an assessment instrument that is used in community settings of all adults in a palliative care setting and provides a comprehensive assessment of strengths, preferences and untreated health needs. The information collected from the assessment, allows the CCACs to provide an evaluation of all untreated health needs and to develop a care plan.

Integrated Assessment Record (IAR) for CCAC Assessments is an application that allows authorized users to view a consenting client's assessment information to effectively plan and deliver services to that client. Copies of the assessments completed by CCAC Care Coordinators are provided to an IAR repository put in place by the Ministry of Health and Long-Term Care. CCAC assessments are only shared with IAR if the CCAC patient grants consent to share the information. Assessments in the IAR are viewable by staff in CCACs, hospitals, LTC homes and other health partners who have been granted permission to ensure that all heath service providers have ready access to the information they require to provide care to their patients.

 

Other Integrations with CCACs' CHRIS

eNotification to CCAC is a web-service interface that enables participating CCACs to be notified of active CCAC clients who meet certain criteria and are visited by emergency medical services, present to a hospital emergency department, or are admitted to or discharged from the hospital.

eReferral to CCAC is a web-service interface that supports an automated method for a Referring Partner (i.e. Acute hospital) staff to refer clients being discharged for CCAC assessment and services. The Referring Partner users identify the need for referrals to CCAC in their system; at which point the system automatically sends the information to CHRIS for the CCAC user.

Client Information Query is a web-service interface that enables authorized partner systems to query CCAC client health care information from CHRIS. The client information available through this interface includes: Client and Contact information, Allergies, Risk and Safety information, Care Plan and Community Support Notes, Client Diagnosis, Referrals and Services.

ConnectingGTA (cGTA), ConnectingSouthWestOntario (cSWO), ConnectingNorthernandEasternOntario (cNEO) are initiatives that will enable health care providers and organizations to share and access electronic patient information across the care continuum in these regions. Clinicians will be able to securely access their patients' health information through a clinical viewer (portal) and/or an electronic medical record (EMR).

 

Information Security at the Ontario Association of Community Care Access Centres

The OACCAC is committed to putting in place privacy and information security controls around personal health information or other personal information. The OACCAC adheres to the Personal Health Informa​tion Protection Act, 2004 (PHIPA) and its regulations as well as the Personal Information Protection and Electronic Documents Act (PIPEDA).

The OACCAC maintains comprehensive and robust administrative, physical and technical controls, consistent with industry best practices, to protect the confidentiality, integrity, and availability of personal health information while being transferred, processed or stored. These controls are based on a defense in depth approach and include security hardening, encryption protocols, firewalls, physical access controls, privacy impact assessments and threat risk assessments. All staff are required annually to complete privacy and security awareness training and sign confidentiality/non-disclosure agreements.