Privacy is a serious concern in healthcare. This can be at odds with how we choose to share information in our personal lives. Many people feel the convenience of being able to email/text their doctor's office outweighs the risks of potential disclosure of health information.
The “standard” for security in healthcare is snail mail or fax (neither of which are perfectly secure either). Email and text are considered riskier.
If you understand the risks (see below) and agree, we're happy to communicate with you via email or text. We will use reasonable safeguards, discretion and our best judgment to protect your privacy.
The following are some examples of information we would normally consider appropriate to send via text/email:
On your intake form prior to your first appointment, we asked for your permission to communicate with you in various ways. You can change this at any time. Speak with us to see what consent you've given or if you may wish to change it.>
We are always available to discuss your privacy and the use of technology.
By participating in your telehealth appointment, you accept the inherent privacy and security risks (e.g., unintentional disclosure of your health information) when using videoconferencing. By proceeding with your appointment, you agree that you understand the risks involved.
Remember, no technological system is 100% secure. To minimize this risk, you can participate from a private setting, and should not use an employer's or someone else's computer/device. If you have any questions or concerns, please raise them with us before your telehealth appointment.
The PHSA has some additional resources on the risks of using digital communication that you should read.
Video telehealth appointments are via Zoom for Healthcare, which the Ministry of Health endorses as meeting privacy and security requirements for patient care.
Fax messages are sent and received via an online service (SRFax) built for use in healthcare environments. Servers are in BC, data is encrypted on their server, and all communication with us is encrypted.
Email service is provided via secure servers located in Canada (WHC.ca). Our communication with email servers is encrypted. Email messages themselves are not encrypted.
Telephone, voice mail and text messaging services are provided via a cloud-based service (RingCentral.ca). All communication is encrypted. Servers have safeguards in place but are located in the USA.
The following is adapted from the Consent to Use Electronic Communications from the Canadian Medical Protective Association.
We (Dr. Lysak and her staff and associates) will use reasonable means to protect the security and confidentiality of information sent and received using electronic communications, including email and text messaging. However, because of the risks outlined below, we cannot guarantee the security and confidentiality of electronic communications:
To communicate via email/text,you must: