The Ombudsman
is concerned that the personal information practices of a number of
public bodies and personal health information trustees may not be
in compliance with legislation and could compromise personal information
rights.
For example, the
Ombudsman found that five chiropractors contravened PHIA when they
used and disclosed the personal health information of their patients
for mailing and telephone solicitation seeking support for a political
nominee in 1999. An investigation by the Ombudsman also found that
that the chiropractors were not in compliance with security safeguard
provisions of the Act.
Some personal health information trustees know too little about
their access and privacy obligations under FIPPA and PHIA.
Manitoba's Ombudsman
also noted that while provincial departments and agencies have had
nearly 30 years' experience dealing with the Ombudsman's Office, health
care professionals and most organizations in the private sector covered
by The Personal Health Information Act (PHIA) are unaccustomed
to oversight activity by an independent office.
"It concerns
me that there are health care professionals who know little about the
legislation governing health information," said the Ombudsman.
"I believe that there are very few personal health information
trustees that are in full compliance with The Personal Health Information
Act." During 1999, for example;
- An investigation confirmed that patient rights had been violated
and personal information was not safeguarded by a health care clinic
as required under PHIA when patients files were found in a dumpster
behind one of the clinic's locations.
- A bill was submitted to the Ombudsman's office by a health
care professional for his time spent responding to the Ombudsman's
Office on a complaint made against him.
The Ombudsman
also warned that increasing federal-provincial activities on the creation
of a national electronic health information infrastructure must balance
the requirements of such a system with the protection of personal
health information under PHIA, Manitoba's vanguard legislation in
the area.
Public bodies
and the public need to be better informed of their rights and obligations
under FIPPA and PHIA
To better define
some of the principles and issues involved in access to information
and privacy rights, the Ombudsman prepared "A Privacy Snapshot",
a special report for the Legislature regarding the current privacy
environment and some of the provincial, national and international
issues and challenges related to privacy.
Neither FIPPA
nor PHIA elaborates the specific characteristics of meaningful consent
involved in obtaining and managing personal information. This fact,
combined with a growing demand for guidance in the day-to-day practices
of handling personal information by numerous trustees and public bodies,
led the Ombudsman to develop "Elements of Consent"
during 1999. It provides information on informed consent and serves
as a practical guide for trustees and public bodies when collecting,
using or disclosing personal information or personal health information.
Drafting began
on material that could be widely distributed to help public bodies
and trustees self assess their level of compliance with FIPPA and
PHIA. Work on these systemic tools remains incomplete as staff and
resources deal with the growing volume and complexity of privacy and
access complaints.
The rising
volume of complaint work is undermining the discharge of major compliance
duties to investigate, audit, and monitor public bodies and trustees,
and to inform the public about PHIA and FIPPA.
Since 1997, when
new legislation was introduced, complaints have more than doubled.
In 1999, Ombudsman
access and privacy staff investigated 159 complaints, an increase
of 35% over the previous year. While a record number of cases (151)
were closed in 1999, the number of cases carried over to the year
2000 more than doubled.
About 25% of the
complaints received during the year involved issues of privacy. These
cases are significantly more labour and time intensive than access
cases due to their very intimate, intricate and individualistic nature.
For example;
- One complainant expressed concern that her psychiatrist had disclosed
reports on her personal health information to Winnipeg Child and
Family Services without her consent, resulting in the apprehension
of her child. The psychiatrist indicated that the reason for providing
the reports was his concern regarding the complainant's ability
to properly care for her child. He also noted that he had a statutory
duty to report these concerns to CFS under The Child and Family
Services Act.
- An employee of the Parking Permit Program, administered by
the Society for Manitobans with Disabilities Inc. on behalf of Manitoba
Highways and Transportation, faxed copies of a complainant's medical
certification to the Workers Compensation Board without written consent.
- A breach of privacy occurred when employees' ages were disclosed
in a computer-generated report by Better Methods, a project of Manitoba
Finance. Although names were not provided in the report, the information
could easily be matched with another report provided at the same time.
Access-to-information
applications are becoming more demanding and sophisticated. The number
of access applications granted in full or in part by provincial government
bodies dipped to 55% this year compared with a rate of 74% or better
during the previous 5 years.
In the annual
report, the Ombudsman also noted that 90% of all responses for access
to information applications by departments and government agencies
in 1999 were within the 30-day time requirement, maintaining Manitoba's
reputation for having one of the best response times in Canada.
Created in 1970,
the Office of the Provincial Ombudsman exists to promote fairness,
equity and administrative accountability through independent and impartial
investigation of complaints and legislative compliance reviews. Under
The Ombudsman Act, the Ombudsman investigates complaints about
any act, decision, recommendation or omission related to a matter
of administration by any department or agency of the provincial government
or a municipal Government. An Access and Privacy Division, created
in 1998, investigates complaints and reviews compliance under The
Freedom of Information and Protection of Privacy Act and The
Personal Health Information Act.