Question

5. Discuss the regulations and legislation of the health care organizations operations (public, private) pertinent to HIM, including but not limited to: minimum of documentation requirements, custodianship of record, privacy, consent and Accreditation Canada standards applicable to HIM. [B3]

a. Explain the regulations and legislations (public hospitals, private Long Term Care Facilities, and Public health).

b. What Accreditation Canada Standards are applicable to HIM

Answer 1

Provinces and territories in Canada have primary responsibility for organizing and delivering health services and supervising providers. Many have established regional health authorities that plan and deliver publicly funded services locally. Generally, those authorities are responsible for the funding and delivery of hospital, community, and long-term care, as well as mental and public health services. The federal government cofinances provincial and territorial programs, which must adhere to the Canada Health Act (1985), which in turn sets standards for “medically necessary” hospital, diagnostic, and physician services.1 The act states that to be eligible to receive full federal cash contributions for health care, each provincial health care insurance plan needs to be: publicly administered, comprehensive in coverage, universal, portable across provinces, and accessible (for example, without user fees).
The federal government also regulates the safety and efficacy of medical devices, pharmaceuticals, and natural health products; funds health research; administers a range of services for certain populations, including First Nations, Inuit, members of the Canadian Armed Forces, some veterans, resettled refugees and some refugee claimants, and inmates in federal penitentiaries; and administers several public health functions.
Hospitals are a mix of public and private, predominantly not-for-profit, organizations, often managed locally by regional authorities or hospital boards representing the community. In provinces with regional health authorities, many hospitals are publicly owned,whereas in other provinces, such as Ontario, they are predominantly private nonprofit corporations. There are no data on the number of private for-profit clinics (which are mostly diagnostic and surgical).
Hospitals in Canada generally operate under annual global budgets, negotiated with the provincial or territorial ministry of health or regional health authority. However, several provinces, including Ontario, Alberta, and British Columbia, have considered introducing activity-based funding for hospitals. Hospital-based physicians generally are not hospital employees and are paid fee-for-service directly.
Long-term care and end-of-life care provided in nonhospital facilities and in the community are not considered insured services under the Canada Health Act.All provinces and territories fund services, but coverage varies among and within them. All provinces provide some nursing home care and some combination of case management and nursing care for home care clients, but there is considerable variation when it comes to other services, including medical equipment, supplies, and home support, and many jurisdictions require client contributions. About half of the provinces and territories provide some home care without means-testing, but access may depend both on assessed priority and on availability within capped budgets.

Eligibility criteria for home and institutional long-term care services generally include a needs assessment based on health status and functional impairment. Some provinces have established minimum residency periods as an eligibility condition for facility admission. Spending on nonhospital institutions, of which the majority are long-term care facilities, accounted for just under 11 percent of total health expenditure in 2015, with financing mostly from public sources (70%).

A mix of private for-profit (44%), private not-for-profit (30%), and public facilities (27%) provide facility-based long-term care.Public funding of home care is provided either through provincial or territorial government contracts with agencies that deliver services or through government stipends to patients to purchase their own services.

Provinces and territories are responsible for delivering palliative and end-of-life care in hospitals, where the majority of such costs occur. But many provide some coverage for services outside those settings, such as doctors, nurses, and drug coverage in hospices, in nursing facilities, and at home.

Support for informal caregivers (estimated to provide 66% to 84% of care to the elderly) varies by province and territory. In Ontario, for example, the Family Caregiver Leave Bill offers job protection to caregivers. There are also some federal programs, including the Family Caregiver Tax Credit and the Employment Insurance Compassionate Care Benefit.
B,
In Canada, current HIM employees are mostly called the "Health Information Management Professionals", with the designation of "Certified Health Information Manager" (CHIM). The accrediting association here is the Canadian Health Information Management Association (CHIMA).The following list below consists of Canadian post-secondary schools that have given full accreditation for their HIM programs from CHIMA.
The Canadian College of Health Information Management (CCHIM) is the national accrediting body for Health Information Management (HIM) education in Canada. Accreditation provides public notification that an HIM program meets the standards of quality education set forth by CCHIM. As a process accreditation with CCHIM confirms that the educational facility is committed to self-assessment and external peer review in meeting or exceeding the standards and to continuously find new ways to enhance the quality of education and training provided. The ultimate goal is to meet the evolving needs of the HIM professional - that of supporting quality healthcare decisions through quality health information management practices.

CCHIM’s program accreditation process is the means by which CCHIM evaluates formal educational programs for their suitability to prepare students to meet national standards and become eligible to enter HIM practice as certified professionals. Graduates of CCHIM-accredited programs are eligible to challenge the CCHIM national certification examination (NCE).

In relation to program accreditation, the CCHIM works to:

implement continuous quality improvement in educational activities develop and maintain dynamic learning content for program implementation and professional education which support the advancement of professional standards monitor and evaluate programs to ensure continuous quality and effectiveness of formal programs