PHIPA DECISION 35

The complainants, the daughters of a deceased patient of Dr. Fausto Michael Cianfrone and Woodview Medical Pharmacy (the pharmacy), filed complaints about the pharmacy’s disclosure to Dr. Cianfrone, and Dr. Cianfrone’s concomitant collection, and subsequent use and disclosure, of their mother’s prescription information after her death. This information was relevant to an investigation by the College of Physicians and Surgeons of Ontario into the complainants’ allegations about Dr. Cianfrone’s treatment and care of their mother before her death, particularly in relation to his prescribing of medication to her.
In this decision, the adjudicator dismisses the doctor’s and the pharmacy’s claims that they had the mother’s consent to collect, use and disclose her personal health information after her death. She finds, however, that the collection, use and disclosure were permitted to be made without consent under the Personal Health Information Protection Act, 2004 (the Act). In particular, she accepts that the pharmacy’s disclosure of the mother’s prescription information to the doctor was permitted to be made without consent under section 39(1)(d) of the Act, which permits the sharing of a patient’s information between health care providers of that patient for quality of care purposes. She finds that the doctor’s collection, use and disclosure of this same information were permitted to be made without consent under sections 36(1)(g) (collection where disclosure permitted or required by law), 37(1)(b) (use for purpose for which disclosure permitted or required by law) and 43(1)(b) (disclosure to a College) of the Act. She concludes that there has been no breach of the Act.