Employee / Volunteer Confidentiality Agreement

I, the undersigned, have read and understand The Ten Points about PHIA (Personal Health Information Act).  I also acknowledge that I am aware of and understand South Central Cancer Resource's guidelines as stated in The Ten Points about PHIA regarding the security of personal health information including the policies relating to the use, collection, disclosure, storage and destruction of personal health information.

In consideration of my association with South Central Cancer Resource, and as an integral part of the terms and conditions of my association, I hereby agree, pledge and undertake that I will not at any time, during my association with the Facility, or after my association ends, access or use personal health information, or reveal or disclose to any persons within or outside the Facility, any personal health information except as may be required in the course of my duties and responsibilities and in accordance with applicable Legislation, South Central Cancer Resource and departmental guidelines outlining proper release of information.

I under stand that my obligations outlined above will continue after my association with South Central Cancer Resource ends.

I further understand that my obligations concerning the protection of the confidentiality of personal health information relate to all personal health information whether I acquire the information through my association with the Facility, within any of the healthcare facilities in the Central Regional Health Authority (CRHA) or through my association with the CRHA.

I also understand that unauthorized use of disclosure of such information will result in a disciplinary action up to and including termination of association, the imposition of fines pursuant to The Personal Health Information Act, and a report to my professional regulatory body.

The Ten Points about PHIA (Personal Health Information Act) are:

1. PHIA is about PERSONAL HEALTH INFORMATION (PHIA)
2. Personal Health Information includes all information tat could identify an individual and includes:
   • Name
   • Health or health history
   • Behavior from illness or treatment
   • Type of care or treatment provided
   • Numbers or symbols, ie, PHIN number (9 digit health number)
   • Financial situation, home conditions or difficulties
   • Other private matters such as age, sexual orientation
3. Patients have the right to confidentiality about their Personal Health Information.
4. Information that could identify someone and link it to their Personal Health Information is not to be shared.
5. Sharing information is based on a "Need to Know" related to the job.
6. Sharing information can also occur with the Patients permission.
7. Everyone associated with South Central Cancer Resource is involved, including you.
8. Personal Health Information is not discussed in public placed within or outside South Central Cancer Resource.
9. It is the law.
10. If in doubt, ask the South Central Cancer Resource, Resource Coordinator.