
During the course of the last several months, numerous people have come forward to talk to me about problems they have had accessing their medical records, accessing the medical records of close family members when they have legal responsibility (Power of Attorney), or are the "patient advocate" for their parents.
In the present Personal Health Information Act, the requirement is that care providers (institutions like hospitals and personal care homes) or family physicians have up to 30 days to provide access to medical records. Too often, this has led to antagonistic relationships between care providers who withhold information for 30 days, and those receiving care (and their families) who want prompt access to information.
In today's world, the requirement for 30 days to provide access is no longer needed when a person is in care in a hospital or personal care home. Indeed, it will promote much better partnerships between caregivers and those receiving care when information is shared, and patients and family members can better participate in decisions around care.
Indeed, the Manitoba Society of Seniors, in 2003, asked the following question on a survey
"Do you believe your personal representative would be able to advocate on your behalf more effectively if they could access your treatment information during treatment as opposed to 30 days later?" Seventy-four people answered the question. Seventy-one (96%) said Yes they felt that prompt access to treatment information would be best. Three were undecided and no one answered no. There is broad support for this initiative. It needs to be done.
Today, I held a press conference to call for medical records for those in hospitals and personal care homes to be available within 24 hours rather than in 30 days. My goal is to improve the Personal Health Information Act to benefit Manitoba citizens, to provide for more open and transparent government, and to create better partnerships between caregivers and those receiving care.
In my office with me today were Mimi Raglan and Blake Taylor who both had problems with getting access to medical records when they were the advocate for their parents.
My call for change in the law has been echoed by Winnipeg family physician Dr. Rick Ross who says: "If a patient can walk into their family doctor's office and for a small fee get a copy of their chart in a day or two, why should hospitals or personal care homes be any different? Why should patients in a hospital have to wait any longer to see their files than the patients of family doctors?"
We have already received some feedback: "Hello : This is a great idea and a good release!!! Way to go Jon Gerrard!!" Don Fletcher
[ April 2010: Finally a bill to implement 24 hour access to medical records will come into force on May 1 of this year!]