HIS Policies & Forms
(also access General HIS or Privacy and Access)
| Policy # | Title | Rationale | Date | Summary | Link |
|---|---|---|---|---|---|
| ORG.1410.PL.001.FORM.03 | Client Chart Health Record Order Audit Tool PCH and Transitional Care Centres | Apr 7, 2025 | |||
| ORG.1410.PL.202.SD.01 | Retention Schedule for Non Client Records | to reflect changes in The Limitations Act | Feb 24, 2025 | ||
| ORG.1410.PL.303.FORM.01 | Notice of Lost Destroyed Incomplete Information Form | Feb 24, 2025 | |||
| ORG.1410.PL.002.FORM.03 | Reinstatement of Privileges | changing VP Medical to Regional Lead-Medical Services & CMO | Dec 16, 2024 | ||
| ORG.1410.PL.002.FORM.02 | Notice of Suspension to Inform Health Information Services Nursing Units | changing VP Medical to Regional Lead-Medical Services & CMO | Dec 16, 2024 | ||
| ORG.1410.PL.002.FORM.01 | Notice of Suspension To Physician | changing VP Medical to Regional Lead-Medical Services & CMO | Dec 16, 2024 | ||
| ORG.1410.PL.003 | Management of Incomplete Health Records | Renamed/revised policy to address alternatives and timelines to managing outstanding incomplete health record in prolonged situations not just for medical Staff departure but also noncompliance in accordance with ORG.1410.PL.003 Health Record Completion by Medical Staff | Dec 16, 2024 | ||
| ORG.1410.PL.002 | Health Record Completion by Medical Staff | Dec 16, 2024 | |||
| ORG.1410.PL.003.SD.01 | Incomplete Health Record Notice | Dec 16, 2024 | |||
| ORG.1410.PL.002.SD.01 | Completion of Health Records Standards | Completion of Health Records Standards to align with Provincial Medical Council Leadership endorsement of no longer requiring face sheet completion when thorough discharge summaries and OR reports are completed | Dec 16, 2024 | ||
| ORG.1410.PL.201 | Retention and Destruction of Personal Health Information | Removed retention period for blood and blood products - to follow minimum retention period of discharges - therefore step to purge record for same was deleted. removed statement that records may be kept longer if space available. | Oct 10, 2024 | ||
| ORG.1410.PL.008 | Control of Health Records | To define guidelines for the removal and return of health records to Health Information Services. Some sites face challenges with records returning in a timely manner. | Jul 8, 2024 | ||
| ORG.1410.PR.001.FORM.02 | Secured Health Records Log | Feb 1, 2024 | |||
| ORG.1410.PR.001 | Securing Health Records | Feb 1, 2024 | |||
| ORG.1410.PR.001.FORM.01 | Health Record Safekeeping Control Report | Feb 1, 2024 | |||
| ORG.1410.PL.101.SD.01 | Standard Operating Procedure for Recording and Reporting Alternate Level of Care ALC | Added as a supporting document within the ALC Policy- Alternate Level of Care (ALC) to provide support to the health care team in implementing a process change - using the completed ALC designation form to also report ALC in the ADT EPR | Jan 29, 2024 | ||
| ORG.1410.PL.101.FORM.01 | Alternate Level of Care Designation Record | Standard Operating Procedure Org.1410.PL.101.FORM.02 has been added as a supporting document within the ALC Policy- Alternate Level of Care (ALC) to provide support to the health care team in implementing a process change - using the completed ALC designation form to also report ALC in the ADT EPR | Jan 29, 2024 | ||
| ORG.1410.PL.101 | Alternate Level of Care | Updated provincial ALC designation form ORG.1410.PL.101.FORM.01, which is a supporting document within the policy. Standard Operating Procedure Org.1410.PL.101.FORM.02 has been added as a supporting document to provide support to the health care team in implementing a process change - using the completed ALC designation form to also report ALC in the ADT EPR | Jan 29, 2024 | ||
| ORG.1410.SG.001 | Encrypting Records using 7 Zip File Manager | Jan 15, 2024 | |||
| ORG.1410.PL.551 | Staff Witness to Legal Documents | Apr 13, 2023 | |||
| ORG 1410.PL.001.SD.02 | Client Chart Health Record Order Home Care Nursing | Feb 16, 2023 | |||
| ORG.1410.PL.302 | Health Record Management in the Event of an Evacuation | Jan 13, 2023 | |||
| ORG.1410.PL.005.FORM.01 | Thinning of Documents From Client Charts Tracking | Oct 19, 2022 | |||
| ORG.1410.PL.005 | Thinning of Documents from Client Charts in Clinical Areas Programs | Oct 19, 2022 | |||
| ORG.1410.PL.005.SD.03 | Thinning of Documents from Client Charts in Clinical Area Program Guideline PCH and Transitional Care Centres | Oct 19, 2022 | |||
| ORG.1410.PL.005.SD.01 | Thinning of Documents from Client Charts in Clinical Area Program Guideline Acute Care | Oct 19, 2022 | |||
| ORG.1410.PL.005.SD.02 | Thinning of Documents from Client Charts in Clinical Area Program Guideline Home Care Nursing | Oct 19, 2022 | |||
| ORG 1410.PL.001.SD.04 | Client Chart Health Record Order PCH and Transitional Care Centres | Oct 19, 2022 | |||
| ORG.1410.PL.001 | Client Chart Health Record Order | Oct 19, 2022 | |||
| ORG.1410.PL.001.SD.01 | Client Chart Health Record Order Acute Care | Oct 19, 2022 | |||
| ORG.1410.PL.001.FORM.01 | Client Chart Health Record Order Audit Tool Acute Care | Oct 19, 2022 | |||
| ORG.1410.PL.001.FORM.02 | Client Chart Health Record Order Audit Tool Home Care Nursing | Oct 19, 2022 | |||
| ORG.1410.PL.001.SD.03 | Client Chart Health Record Order Home Care Case Coordinator | Jan 21, 2022 | |||
| ORG.1410.PL.402.SD.05 | Iron Mountain Permanent Withdrawal and Destruction | Jan 21, 2021 | |||
| ORG.1410.PL.402 | Off Site Storage of Records | Jan 18, 2021 | |||
| ORG.1410.PL.402.FORM.01 | Iron Mountain Request to Add New Division | Jan 18, 2021 | |||
| ORG.1410.PL.402.SD.01 | Iron Mountain Requesting Reports | Jan 18, 2021 | |||
| ORG.1410.PL.402.SD.04 | Iron Mountain Searching in the Records Centre | Jan 18, 2021 | |||
| ORG.1410.PL.402.FORM.02 | Iron Mountain Request to Add New Department | Jan 18, 2021 | |||
| ORG.1410.PL.402.SD.03 | Iron Mountain Creating a Pickup Order | Jan 18, 2021 | |||
| ORG.1410.PL.402.SD.02 | Iron Mountain Adding Boxes and Files | Jan 18, 2021 | |||
| ORG.1410.PL.402.FORM.03 | Iron Mountain Access Form Request to Add or Delete User | Jan 18, 2021 | |||
| ORG.1410.PL.550.SD.01 | Data Report Naming Convention | Nov 5, 2018 | |||
| ORG.1410.PL.550 | Health Information Data Request Process | Oct 29, 2018 | |||
| ORG.1410.PL.550.FORM.01 | Health Information Data Request Form | Oct 29, 2018 | |||
| ORG.1410.PL.302.FORM.01 | Transferring of Health Records for Evacuation Worksheet | Feb 1, 2017 | |||
| ORG.1410.PL.302.FORM.02 | Transfer Summary for Evacuation | Feb 1, 2017 | |||
| ORG.1410.PL.202.FORM.01 | Record of Destruction Log Non Client | Feb 1, 2017 | |||
| ORG.1410.PL.302.SD.01 | Physician Responsibilities Client Evacuation | Feb 1, 2017 | |||
| ORG.1410.PL.303.FORM.03 | Location of Records Log | Feb 1, 2017 | |||
| ORG.1410.PL.303.FORM.02 | Damaged Records for Destruction Log | Feb 1, 2017 | |||
| ORG.1410.PL.303 | Disaster Management and Recovery of Paper Based Records | Feb 1, 2017 | |||
| ORG.1410.PL.004 | Health Records of Adopted Children | Jan 23, 2017 | |||
| ORG.1410.PL.002.SD.04 | Physician Deficiency Notice | Jan 19, 2017 | |||
| ORG.1410.PL.002.SD.02 | Physician Deficiency Slip | Jan 19, 2017 | |||
| ORG.1410.PL.002.SD.03 | Physician Deficiency List 28 Days | Jan 13, 2017 | |||
| ORG.1410.PL.007 | Management of Electronic Health Information System Printouts | Jan 9, 2017 | |||
| ORG.1410.PL.105 | Standard Date and Time | Jan 13, 2016 | |||
| ORG.1410.PL.203 | Disposal of Personal Health Information | Jan 13, 2016 | |||
| Org.1410.PL.301.SD.01 | Poster Notification of reason for verification | Mar 11, 2015 | |||
| ORG.1410.PL.301 | Client Identification | Mar 11, 2015 |