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Communicating with a client's other providers
CRPO's Standard 3.3: when to communicate with a client's other health care providers, when not to, what the client decides, documenting refusals and unanswered attempts, and emergencies (PHIPA s. 38 (1) (a)).
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Standard 3.3
- Make reasonable attempts to communicate with a client's other relevant health care providers about their care (3.3.1; failing to is misconduct, O. Reg. 317/12, para. 54).
- Not if the client refuses to consent.
- Nor if it would be counter-therapeutic or is unnecessary.
- If you deny another provider access to the client's information, record the decision and reasons, and discuss it with the client (3.3.2).
The client decides
- The client controls collaboration and communication, and may direct you not to share.
- Clients are entitled to coordinated care when it is necessary, appropriate and the client explicitly authorizes it.
- Explain the benefits of collaboration and what refusing to let you share would mean.
How, and with whom
- Usually with consent: providers caring for the same client, a multidisciplinary team, and those you refer to.
- By letter, conference call, team meeting, meetings the client asks for, or family meetings.
- Every such communication is documented in the clinical record.
When no one answers
- You are not responsible when another professional refuses to communicate or does not respond to reasonable efforts.
- Note unsuccessful attempts in the clinical record.
Emergencies
- When consent cannot be obtained in time, such as when a client is admitted to hospital, you may disclose what is reasonably necessary for their health care.
- Not if the client has expressly instructed you not to (PHIPA s. 38 (1) (a)).
Meeting the standard
- Decisions to share comply with Standards 3.1 and 3.2.
- Document discussions with clients about sharing information.
- Share only when necessary and likely to have a positive effect therapeutically.
- Do not share if the client asks you not to.
With consent, reach out; without it, or when it would harm or serve no purpose, do not; record refusals and unanswered attempts.