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Frequently Asked Questions

  • Data Quality Framework Document - Frequently Asked Questions

    1. Can we apply this framework to our facility databases?

      Yes. The Data Quality Framework assists in identifying the strengths and weaknesses of a database. The Framework will not assign you`r database with a mark of “pass” or “fail”. Instead, through a comprehensive assessment, it will help inform you, or the users of your data of the data quality of your databases and any limitations to be considered in analyzing the data.

    2. Can you advise us on how to proceed with this?

      We suggest you read the entire Framework document to become familiar with the different aspects of data quality.

      The first application of the Framework may be time consuming. We suggest you focus on the areas that are key to you and your users, for example, data elements used in indicator development, etc. Also, while analyzing the results of the assessment, document ways to improve your activities so that in the future you will have better quality data.

    3. Can you provide a copy of the Assessment report or ratings assigned to the databases or registries?

      Information about the data for users of a data holding can be accessed through the associated data user documentation. The program area responsible for the data holding publishes these documents with the release of their data.

      The assessment report and ratings for each aspect of data quality measured by the assessment tool are meant to assess the strengths and weaknesses of the data holding and to develop continuous quality improvement plans. This information is then used to help create the data quality documentation for users noted above.

    4. Are you going to provide education sessions on this framework?

      Education sessions are currently being developed for internal CIHI staff. Once completed, they may be made available on our website. If assistance is required, please contact dataquality@cihi.ca for more information.

    5. Is this the industry standard for evaluating a database?

      There is currently no established industry standard for evaluating the data quality of a database. The Data Quality Framework is a tool that CIHI uses to assess the data quality of its own data holdings which has been built on industry best practices.

    6. How does CIHI implement actions to address feedback from users?

      Program areas responsible for data holdings within CIHI follow the practices of continuous quality improvement. These include using the findings from the application of the Assessments for each year of data to identify improvements for the databases. Program areas first prioritize the activities required for corrective action and subsequently develop a plan for implementation.

    7. I don't agree with your definitions, dimensions and criteria. Can I submit suggestions to change it and to whom?

      We are very interested in hearing opinions on how the Framework deals with data quality issues. Please direct your comments or suggestions to dataquality@cihi.ca.

    8. How does this link with the "Data Limitations” document you published last year?

      The data quality for users document published by CIHI last year was developed, in part, using the findings from the application of the Assessment. It summarizes the known data limitations of the database for that and subsequent years.

    9. Who should I call to get more information about this?

      Please direct your questions or inquiries to dataquality@cihi.ca
  • Can we apply the Data Quality framework to our facility databases?

    Yes. The Data Quality Framework assists in identifying the strengths and weaknesses of a database. The Framework will not assign your database with a mark of “pass” or “fail”. Instead, through a comprehensive assessment, it will help inform you, or the users of your data of the data quality of your databases and any limitations to be considered in analyzing the data.

  • What is Activity-Based Funding?

    Activity-based funding is a method of funding health-care providers (for example, acute-care hospitals, long-term care facilities, rehabilitation facilities) for the care and services they provide. 

    The Canadian Institute for Health Information (CIHI) has set up an Activity-Based Funding Unit to assist Canadian health system funders as they consider activity-based funding. CIHI has technical expertise in clinical data, financial data and case mix systems, all of which are important components in the design of an activity-based funding model. 

  • Electronic medical records (EMRs) are computerized health records in the form of electronic documents and images. EMRs enable community-based physicians and other primary health care (PHC) providers to store, retrieve and manipulate patient-encounter information electronically. Adopting EMRs with pan-Canadian standards allows PHC professionals to

    • Exchange information with other points of care across the country
    • Achieve the health-care benefits of e-health investments
  • About CORR

    • What is the Canadian Organ Replacement Register?
      The Canadian Organ Replacement Register (CORR) is a pan-Canadian database managed by the Canadian Institute for Health Information (CIHI). CORR’s mandate is to record and analyze the level of activity and outcomes of vital organ transplantation and renal dialysis activities.
    • Who is responsible for this database?
      CIHI manages this register.
    • What is the value of this database?
      This pan-Canadian database provides statistics that track long-term trends for organ transplantation, organ donation, waiting list statistics and dialysis activity. In doing so, the database makes comparative data available that can contribute to better treatment and patient care, and enhance research.

    Organ transplants

    • How many organ transplants are done in Canada each year?
      In 2014, there were 2,356 solid organ transplants in Canada.
    • Which organ is most commonly transplanted in Canada each year?
      In 2014, there were 1,430 kidney transplants in Canada, accounting for the majority of single-organ transplants (61%). Other single-organ transplants included 537 liver, 161 heart, 226 lung and 79 pancreas transplants.

    Transplant waiting lists

    • How many people are waiting for a transplant?
      As of December 31, 2014, there were 4,514 people waiting for an organ transplant. Of these patients, 77% were waiting for a kidney transplant, and 11% were waiting for a liver transplant. This does not include 75 patients who were waiting for an islet cell transplant.

    Dialysis

    • How many people are on dialysis in Canada?
      In 2014, there were 5,269 new dialysis patients. The number of patients on dialysis followed in the CORR database as of December 31, 2014, was 20,690. The majority of dialysis patients were on hemodialysis (77%), with the balance on peritoneal dialysis (23%).
    • How many dialysis centres are there in Canada?
      The most recent information available from CORR reported a total of 103 hospital-based programs in Canada in 2014 that offered full-care renal services.

    Organ donors

    • How many organ donors are there?
      In 2014, there were 592 deceased organ donors. In addition, there were 553 living donors.
    • How are organ donations from deceased and living organ donors different?
      A living donor provides a single organ for transplant, but a deceased organ donor can provide up to 8 organs. In addition, living donors are often related to the recipient, while this is not necessarily the case for deceased organ donors.
    • How can someone become an organ donor?
      If you or someone you know is interested in becoming an organ donor, please connect with your local organ procurement organization
  • FAQ

    General Questions

    1. What is the data request process at CIHI?

      The data request process involves five key steps:
      1. Submission of inquiry to CIHI
      2. Assessment by program area
      3. Finalization of specifications, documentation, and approvals
      4. Data processing and verification
      5. Data release (and data destruction, for third party, record-level requests)
         
    2. What is the purpose of the data inquiry form?

      The intent of the new online data inquiry form is to provide a centralized entry point for data requests and to allow CIHI to assess client needs prior to completion of any formal documentation or approvals.
       
    3. What additional documentation needs to be completed for data requests?

      For third-party data requests, completion of a formal data request form and signing of a Non-Disclosure/Confidentiality Agreement are required. For the Graduate Student Data Access Program (GSDAP), additional requirements apply (see www.cihi.ca/gsdap).
       
    4. What determines the turnaround time to receive the data?

      CIHI will begin to process the data request once the client has submitted all of the necessary documents and the data requirements are finalized. The time it takes to compile the data varies depending on the complexity of the request, for example, the number of databases involved and whether the data request requires privacy consultation and approval. Timing also depends on the client’s ability to respond to questions from the database area. Having a good understanding of the research purpose and how CIHI data can answer the research question, as well as knowledge of the CIHI database, will expedite the request.
       
    5. Will the data holding area help with my analysis?

      CIHI staff can provide advice on the structure and content of the data requested. You should consult a research advisor regarding statistical analysis.
       
    6. Does CIHI provide population statistics?

      No, population statistics are provided by Statistics Canada. Refer to Statistics Canada’s website at www.statcan.gc.ca.
       
    7. What if I don’t know which classification codes (ICD-9, ICD-10-CA and CCI) relate to the health-related condition of interest to me?

      You should consult with a research advisor or a hospital health records department to identify the codes. If you require further assistance, someone from the data holding area will work with you to determine the codes as part of the data specifications process.
       
    8. Is there any CIHI data that will not be released?

      Yes. Depending on the data holding, some specific data elements cannot be released, for example, for reasons of privacy. For all data holdings, data releases are subject to CIHI review from a privacy perspective to ensure that they are compliant with authoritative requirements set out in legislation, agreements with data providers and internal policies and practices.
       

    Data Definitions

    1. What is personal health information?

      Personal health information is health information about an individual that identifies the specific individual; that may be used or manipulated by a reasonably foreseeable method to identify the individual; or may be linked by a reasonably foreseeable method to other information that identifies the individual.
       
    2. What is aggregate-level data?

      Aggregate-level data is summed and/or categorized data that can answer research questions about populations or groups of organizations. The data has been compiled from record-level data to a level that ensures the identities of individuals or organizations cannot be determined by a reasonably foreseeable method.
       
    3. What is record-level data?

      Record-level data is data in which each record is related to a single individual or organization.
       
    4. How does CIHI de-identify record-level data?

      CIHI modifies personal health information records so that the identity of the individuals or institutions cannot be determined by a reasonably foreseeable method. This involves:
      1. Removing the name (if collected);
      2. Removing or encrypting identifying numbers, such as a personal health or chart number;
      3. Truncating the postal code to the first three digits or providing a geographic region;
      4. Converting the date of birth to month and year of birth, age or age group;
      5. Converting the date of admission and date of discharge to month and year only; and
      6. Reviewing the data elements in their totality to ensure they do not permit identification of the individual by a reasonably foreseeable method.
      7. Methodologies and standards, in addition to those listed above, may be developed to de-identify information to the fullest extent possible.
         

    Data Storage, Retention and Secure Destruction
     

    1. How long can I keep and use the data released to me?

      According to the Non-Disclosure/Confidentiality Agreement, clients must destroy or return all third-party data, as well as any copies made, within one year of any published work or three years after the receipt of record-level data (whichever comes first). CIHI does not require aggregate data to be returned.
       
    2. Is it possible to get an extension to keep the record-level data more than three years?

      In exceptional circumstances it may possible for data to be retained for longer than three years; however, this request for extension must be made in writing to CIHI.
       
    3. Are there any data use restrictions?

      Yes. In compliance with the Non-Disclosure/Confidentiality Agreement, recipients of CIHI data must take all reasonable measures to avoid residual disclosure of the identity of individuals or health facilities.
       
    4. Can I use CIHI data in publications?

      Yes. Any publications resulting from data provided by CIHI must cite CIHI as the source of the data and must indicate that the results or views expressed are those of the author(s).
       
    5. Are there any restrictions on moving or relocating data?

      For record-level data, the institution or organization requesting CIHI data is ultimately accountable for protecting the data and complying with the terms and conditions in Section 8 of the Non-Disclosure/Confidentiality Agreement. If, for any reason, the data is to be moved or relocated from the organization/institution, CIHI must be informed in writing prior to the move. CIHI follows up with third-party requestors to ensure secure destruction of record-level data at the end of its term.
       
    6. Are there requirements for the destruction of record-level data?

      Yes. The requirements with respect to the secure destruction of CIHI record-level data are set out as part of the data request process. Question 8 of CIHI’s record-level data request form requires the recipient of CIHI data to outline the approach (and/or methods) that will be used to securely destroy the data.

      At the end of the retention period, data must be securely destroyed in compliance with the Non-Disclosure/Confidentiality Agreement. Recipients of CIHI data, supervisors (in the case of GSDAP students) and ultimately the institution or organization will be asked to provide CIHI with a certificate of destruction, which certifies the completion of the secure destruction activity and sets out the date, time, location and method of secure destruction employed. A template for the certificate of destruction is available upon request from CIHI.
       
    7. What is secure destruction and how is this standard met?

      Secure destruction of record-level data refers to the destruction of the data in such a manner that reconstruction is not reasonably foreseeable in the circumstances, as defined in Section 19 of the Non-Disclosure/Confidentiality Agreement. Industry best practices for the secure destruction of data are constantly evolving; this is particularly true for data in electronic format. For general information with respect to secure destruction methods, please review the fact sheet available on the website of the Information and Privacy Commissioner of Ontario (www.ipc.on.ca/wp-content/uploads/Resources/fact-10-e.pdf ). This fact sheet includes suggested best practices for the destruction of personal information. More information about CIHI’s current secure destruction requirements is available upon request.
       

    The Graduate Student Data Access Program
     

    1. Who is ultimately responsible for the protection and ultimate destruction of data received from CIHI for GSDAP recipients?


      The university at which the GSDAP applicant was enrolled when the data was originally provided is ultimately accountable for protecting the data and complying with the terms and conditions stated in Section 8 of the Non-Disclosure/Confidentiality Agreement.
       
    2. Do all graduate student requests for data need to go through the complete GSDAP application process?


      No, students should first refer to existing published CIHI reports and Quick Stats on the CIHI website to see if the data are already publicly available. If the data request requires customized work, then students should contact the GSDAP coordinator.
       
    3. Are Canadian students studying abroad at universities eligible to apply to the GSDAP?

      Yes. Canadian graduate students studying abroad are eligible to apply. Priority will be given to Canadian students studying at Canadian universities. In all cases, CIHI does not disclose identifiable personal health information to entities located beyond Canadian borders. As is the case for all GSDAP applicants, data must remain in the custody and control of the university to which the data was originally provided.
       
    4. Can non-Canadian students apply for data under the GSDAP?

      Data will not be provided to non-Canadian residents studying at non-Canadian universities. Non-Canadian graduate students studying at Canadian universities are eligible to apply. Data must remain in the custody and control of the university to which the data was originally provided.
       
    5. Are undergraduate students eligible to apply for data through the GSDAP?

      No. The GSDAP is for graduate students needing data to fulfill graduate requirements (for example, master’s thesis, PhD dissertation or medical research fellow requirements).
       
    6. Does the GSDAP provide data to students who have received funding and/or grants to support access to data for research related to degree requirements?

      No. If you or your supervisor received funding and/or grants to support access to data, you will not be eligible to receive data through the GSDAP. You can apply directly to the data holding area to access data for a fee.
       
    7. Is there any other way that I can access data if I don’t qualify for the GSDAP?

      Yes. You can request data directly from a CIHI data holding. CIHI responds to custom data requests from researchers and others on a cost-recovery basis.
       
    8. Are there restrictions on how long record-level data can be kept?

      Yes. The Non-Disclosure/Confidentiality Agreement for record-level data indicates that data can be retained up to one year after any published work for graduate requirements or three years after the receipt of record-level data, whichever comes first, after which it and any copies must be securely destroyed. CIHI does not typically require the return or destruction of aggregate data. (Refer to your signed agreement for terms and conditions.)
       
    9. I am working on a study for my research advisor—can I apply for data through the GSDAP and then provide this data to my research advisor for further use once I complete my project?

      No. The intent of the GSDAP is to provide data to graduate students to fulfill degree requirements. Students should not be applying for or requesting data on behalf of their research advisors. In compliance with the terms and conditions stated in the Non-Disclosure/Confidentiality Agreement for record-level data, the data is released solely for the purposes set out in the request form and for no other purposes. If the research advisor wants to use the data for another purpose, then the advisor must go through CIHI’s formal data request process.
       
    10. Can I use data received through the GSDAP for another use, for example, ad hoc projects with my research advisor?

      No. The data set you receive is for graduate requirements stated in the project objectives submitted in the application. Any other use is not permitted, unless authorized by CIHI.
  • Frequently Asked Questions About the MIS Standards

    What is the MIS Standards?

    The MIS Standards is the Standards for Management Information Systems in Canadian Health Service Organizations. It is a set of national standards for gathering and processing data and for reporting financial and statistical data on the day-to-day operations of a health service organization. It provides a framework for integrating clinical, financial and statistical data.

    Why was it developed?

    The MIS Standards was developed to

    • Better measure the use of resources in relation to activities, by integrating financial, activity and clinical data; and
    • Improve the timeliness and comparability of information being collected within Canadian health care facilities.

    What is included?

    The MIS Standards includes

    • A chart of accounts;
    • Accounting principles and procedures;
    • Workload measurement systems;
    • Indicators;
    • Management applications; and
    • A glossary of terms.

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    Who uses the MIS Standards?

    Hospitals and health regions are expected to submit MIS Standards–compliant financial and statistical data relating to hospital services to the Canadian MIS Database. Health regions also submit data on other health service activities. Most provinces and territories submit hospital data through their respective ministries of health. This information can be used to cost the activities of health service organizations, and it forms the basis of management reporting, including annual general purpose financial statements, financial ratio analysis and operational budgeting.

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    Who advises CIHI on the development of and revisions to the MIS Standards?

    The Technical Working Group provides expert technical advice on the development, maintenance and effective implementation of the MIS Standards across the continuum of health service delivery. The working group is composed of CIHI’s MIS Standards team and provincial and territorial MIS coordinators.

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    How do I obtain a copy of the MIS Standards?

    The MIS Standards 2013 is the latest version of the MIS Standards. It will take effect April 1, 2013. Core Plan subscribers can obtain the MIS Standards 2013 for free. To find out whether your organization has already downloaded the MIS Standards or is a Core Plan subscriber, please send an email to orderdesk@cihi.ca.

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    How do I install the files on my computer or network?

    The files are simple to install. Detailed installation instructions are provided in CIHI’s online store.

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    Is there implementation support for the MIS Standards?

    Each province and territory has its own MIS coordinator who is part of the Technical Working Group. Please contact this person first if you need implementation support for the MIS Standards. If further information is required, please send an email to CIHI at fsi@cihi.caor call 613-241-7860 and ask to speak with an MIS Standards consultant.

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    Does CIHI offer education about how to use the MIS Standards?

    The MIS Standards operates using the Folio Views® platform. If you are familiar with using the internet, you should not have much trouble navigating the MIS Standards. Searching for specific information, printing and using hyperlinks are done in similar ways as online.

    New users are also advised to read the section MIS Standards Quick Start Guide, which is accessed from the main menu. You may also find it useful to register for CIHI’s online learning course entitled Navigating the MIS Standards With Folio Views® (MIS). This course is offered free of charge to Core Plan subscribers.

    CIHI offers other self-directed online learning related to the MIS Standards, as well as face-to-face workshops. Please visit CIHI’s Learning Centre to find the course or workshop that is best for you.

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    What is a workload measurement system?

    A workload measurement system (WMS) is a tool for measuring the volume of activity provided by a specific functional centre in standardized units of time. When used with other financial and statistical data (such as on hours, staff and service activity), a functional centre’s workload gives managers a good indication of the amount and kinds of services provided in terms of productivity, utilization and financial indicators. Section 4.4 of the MIS Standards provides an overview of workload measurement systems, including discipline-specific categories of workload and classifications for workload activities.

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    More Questions?

    Please send us an email at fsi@cihi.ca with any other questions or queries that haven’t been addressed here.

     
     
     
     
     
     
     

Accessing Our Services

  • The first step is to create a CIHI profile, which will allow you to access our products and services. Several applications are available to everyone who has a CIHI profile, including the eQuery tool, the Learning Centre and eStore. A number of other applications, such as eReports, are restricted to only data-submitting or approved non-submitting organizations. Access to these applications depends on whether your organization is entitled to access the data and has a service agreement or licence in place with CIHI.

    Please go to our Create a Profile page to get started.

    Important

    • Please keep your CIHI profile information current to maintain your access. You can make any necessary changes by logging in and clicking Edit Profile in the left-hand navigation menu.
    • If you no longer require your CIHI profile or access to specific applications, please contact CIHI immediately.
    • CIHI profiles are for individual use and cannot be shared.
  • Once you have created a CIHI profile, you can request access to restricted CIHI applications. Log in to your CIHI profile and click Request Access: New/Revoke in the left-hand navigation menu. You can request or revoke access for yourself or others within your organization by completing the mandatory information. You will need to select the program, service, request type and role (if required). For most of our services, you will also need to provide your organization identifier(s) so we can authenticate and process your request.

    Please log in to your CIHI profile to submit a request for access, or contact us at help@cihi.ca for more information. 

  • Core Plan organizations

    CIHI and Canada’s ministries of health are happy to provide Canadian health care facilities and regional health authorities (or similar organizations, such as local health integration networks) with access to many products and services at no additional cost (up to certain maximums for many products). This access is referred to as CIHI’s Core Plan. To find out whether your organization is entitled to access products through the Core Plan, please email help@cihi.ca or call 613-241-5543.

    Software vendors

    Vendors must sign a licence agreement to receive CIHI’s products and services. See more information for vendors.

    CIHI service agreement

    All organizations need to sign a CIHI service agreement. This agreement outlines the terms and conditions for accessing and using restricted services. You will need to designate an organizational contact from your organization to be responsible for managing access to CIHI’s restricted services. To find out whether your organization already has a service agreement in place, please email help@cihi.ca or call 613-241-5543.

  • CIHI’s Learning Centre offers a large number of educational products and services. The courses cover, among other things, how to code data, how to submit data to CIHI, how to use CIHI’s reports and how to use data for decision-making.

    CIHI delivers its education sessions through the following methods:

    • Web conferences: Live, online interactive presentations with discussion
    • Workshops: Face-to-face interactive sessions at locations across Canada
    • Self-study: Interactive elearning courses
    • Downloadable documents
    • Online web conference recordings with learning assessments (where applicable)

    Non–Core Plan users are subject to CIHI’s Learning Centre Pricing Policy.

    Visit our Events and Education page for additional information or email help@cihi.ca.

    eStore

    CIHI’s eStore offers access to CIHI’s products, publications, instruction manuals and other tools. Access to some eStore products is restricted to clients whose organizations have signed a service agreement with CIHI.

    The quantities provided through the Core Plan to health care facilities are determined by the health care facility type, the total number of beds and the annual volume of case abstracts. Some Core Plan elements are subject to confidentiality and privacy restrictions, and are provided taking into account any imposed limitation.

  • Vendor licensing

    CIHI develops products, services and tools to help inform stakeholders and improve the health and well-being of Canadians. Vendors (software developers) must sign a licence agreement to receive CIHI’s products and services. The agreement provides vendors with the CIHI products they need to develop and support their software to meet the electronic submission requirements for our data holdings. Once we receive the signed 3-year licence agreement and annual products selection form, vendors receive our products as they become available.

    For more information on becoming a licensed CIHI vendor, please email help@cihi.ca.

    Vendor testing

    CIHI requires all licensed vendors to submit test files at the beginning of every fiscal year to ensure compliance in applying all new edits for data collection. Additional information about this process is available on the Vendor Licensing page of our website.

    CIHI vendors

    View commercial vendors that have successfully completed testing for the following data holdings:

    Canadian Joint Replacement Registry (CJRR) Vendor Testing

    Canadian Patient Experiences Reporting System (CPERS) Vendor Testing

    Continuing Care Reporting System (CCRS) Vendor Testing

    Discharge Abstract Database (DAD) Vendor Testing

    Home Care Reporting System (HCRS) Vendor Testing

    National Ambulatory Care Reporting System (NACRS) Vendor Testing

    National Rehabilitation Reporting System (NRS) Vendor Testing

    Ontario Mental Health Reporting System (OMHRS) Vendor Testing

Requesting Data

Data Definitions

  • Personal health information is health information about an individual that identifies the specific individual; that may be used or manipulated by a reasonably foreseeable method to identify the individual; or that may be linked by a reasonably foreseeable method to other information that identifies the individual.

  • Aggregate-level data is summed and/or categorized data that can answer research questions about populations or groups of organizations. The data has been compiled from record-level data to a level that ensures the identities of individuals or organizations cannot be determined by a reasonably foreseeable method.

  • Record-level data is data in which each record is related to a single individual or organization.

Data Storage, Retention and Secure Destruction

  • According to the Non-Disclosure/Confidentiality Agreement, you must destroy or return all third-party data, as well as any copies made, within 1 year of publishing any work or 3 years after receiving record-level data (whichever comes first). CIHI does not require aggregate data to be returned.

  • In exceptional circumstances, it may possible to retain data for longer than 3 years. A request for an extension must be made in writing to CIHI.

  • Yes. In compliance with the Non-Disclosure/Confidentiality Agreement, recipients of CIHI data must take all reasonable measures to avoid residual disclosure of the identity of individuals or health facilities.

  • Yes. Any publications resulting from data provided by CIHI must cite CIHI as the source of the data and must indicate that the results or views expressed are those of the author(s).

  • For record-level data, the institution or organization requesting CIHI data is ultimately accountable for protecting the data and complying with the terms and conditions in Section 11 of the Non-Disclosure/Confidentiality Agreement. If, for any reason, the data is to be moved or relocated from the organization/institution, CIHI must be informed in writing prior to the move. CIHI follows up with third-party requestors to ensure secure destruction of record-level data at the end of its term.

  • Yes. The requirements for the secure destruction of CIHI record-level data are set out as part of the data request process. Question 7 of CIHI’s record-level Data Request Form requires the recipient of CIHI data to outline the approach (and/or methods) that will be used to securely destroy the data.

    At the end of the retention period, data must be securely destroyed in compliance with the Non-Disclosure/Confidentiality Agreement. Recipients of CIHI data, supervisors (in the case of GSDAP students) and ultimately the institution or organization will be asked to provide CIHI with a certificate of destruction, which certifies the completion of the secure destruction activity and sets out the date, time, location and method of secure destruction employed. A template for the certificate of destruction is available upon request from CIHI.

  • Secure destruction of record-level data refers to the destruction of the data in such a manner that reconstruction is not reasonably foreseeable in the circumstances, as defined in Section 18 of the Non-Disclosure/Confidentiality Agreement. Industry best practices for the secure destruction of data are constantly evolving; this is particularly true for data in electronic format. For general information about secure destruction methods, please review the fact sheet available from the Information and Privacy Commissioner of Ontario. This fact sheet includes suggested best practices for the destruction of personal information. More information about CIHI’s current secure destruction requirements is available upon request.

The Graduate Student Data Access Program