17.08.2010

Management, funding and monitoring of health services

63.176 In its submission to the OPC Review, the NHMRC stated that health information was important in three areas: the provision of health services; management activities related to the provision of health services; and the conduct of research. The NHMRC noted that management activities include, for example: quality assurance; quality improvement; policy development; planning; evaluation;

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17.08.2010

Collection of health information

Collection of family medical history information by health service providers63.3 NPP 10.1 provides that, subject to a number of exceptions, an organisation must not collect sensitive information without consent. This requirement is also included in the ‘Collection’ principle in the model UPPs.[5] On 21 December 2001, the Privacy Commissioner made two Temporary Public Interest Determinations

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17.08.2010

Use and disclosure of health information

Use and disclosure for primary and secondary purposes63.63 IPPs 10 and 11 and NPP 2 regulate the use and disclosure of personal information. IPP 10 provides that information, including health information, may be used for the purpose it was collected or a directly related purpose. If it is to be used for any other purpose

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17.08.2010

Consent

62.72 Consent is a central concept in the Privacy Act—as it is in health ethics—and is of particular importance in dealing with health information because of the sensitive nature of that information. Consent provisions allow individual health consumers a measure of control over the collection, use and disclosure of their health information. This contributes to

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17.08.2010

Definition of ‘health service’

62.21 Another definition that is central to the way health information is handled under the Privacy Act is the definition of a ‘health service’. The term ‘health service’ is used in the Privacy Act in a range of circumstances. These include: as part of the definition of ‘health information’; as a limitation on the scope

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17.08.2010

Discussion Paper proposals

Electronic health information systems61.21 In the Discussion Paper, Review of Australian Privacy Law (DP 72), the ALRC expressed the view that the collection of health information into electronic health information systems does not necessarily require specific legislative control if the Privacy Act is updated and amended, as proposed in DP 72. The collection of health

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17.08.2010

Medicare and Pharmaceutical Benefits databases

61.36 The Australian Government databases containing personal information collected in connection with claims under the Pharmaceutical Benefits Program and the Medicare Benefits Program are examples of national electronic health records. These databases are subject to specific privacy controls over and above those set out in the Privacy Act, including binding guidelines issues by the Privacy

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17.08.2010

Introduction

60.1 In 2004, the Australian Government Department of Health and Ageing (DOHA) stated that:Privacy is a fundamental principle underpinning quality health care. Without an assurance that personal health information will remain private, people may not seek the health care they need which may in turn increase the risks to their own health and the health

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17.08.2010

National consistency

Issues and problemsOverlapping and inconsistent legislation60.9 Chapter 2 provides an overview of privacy regulation in Australia. The position is particularly complex in the area of health information for a number of reasons. In general terms, the Privacy Act regulates the handling of health information in the Australian Government and ACT public sectors and in the

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17.08.2010

A separate set of Health Privacy Principles?

60.55 At the federal level, health information is generally treated as a sub-set of ‘sensitive information’ under the Privacy Act, although there are a number of provisions and principles that deal specifically with health information. As noted above, three of the states and territories have taken a different approach. New South Wales, Victoria and the

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