S-4.2, r. 23 - Regulation respecting the information that institutions must provide to the Minister of Health and Social Services

Schedule Disposition versions

2012-09-01

SCHEDULE II

1. Where a care and service program is implemented for a user, an institution referred to in section 3 of the Regulation must provide the following information:

(1) concerning the user:

(a) civil status;

(b) ethnic or cultural group;

(c) language of communication used in daily activities;

(d) religion;

(e) the method of management of the user’s property;

(f) the date and place of death, where applicable;

(2) concerning the services rendered to a user who benefits from a care and service program:

(a) the date on which the program is determined;

(b) the date on which the program begins for the user following registration of the user’s presence;

(c) the program applied to the user;

(d) the master program to which the user’s program is linked;

(e) if the user is registered for the “day centre” or “day hospital” programs:

i. the days of the week and, for each day, the time of day during which interventions are planned as part of the program;

ii. the method of transportation used each day by the user to benefit from the program, whether or not the transportation is provided by the institution;

(f) the type of resource providing the program;

(g) if the program is interrupted:

i. the date of and reason for the interruption;

ii. if the interruption lasts more than one day, the date on which the user resumes the program;

(h) the date on which the program is terminated and the reason for termination;

(3) concerning the departure point and destination of a user who benefits from a care and service program:

(a) the place and code of the municipality where the user is residing or staying at the beginning and end of the program;

(b) the postal code of the place where the user is residing or staying at the end of the program;

(c) any other program in which the user participated before the beginning of the program;

(d) the person or organization that made the application leading to the determination of the program;

(e) the program and the person or organization to which the user is referred at the end of the program;

(4) concerning each diagnosis made in respect of a user during the period of participation in a care and service program:

(a) the date of any assessment;

(b) the diagnosis according to the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, expanded by the Canadian Institute for Health Information (ICD-10-CA);

(c) the type of diagnosis;

(d) the date of the diagnosis;

(5) concerning any prescribed medication administered to a user in an institution referred to in section 3 of the Regulation during the period of participation in a care and service program:

(a) the date on which the medication is first administered;

(b) the identification number of the prescribed medication identified in the list of medications-institutions, except for medications collectively prescribed;

(c) the date on which the medication ends;

(6) concerning any accident or incident suffered by a user during the period of participation in a care and service program:

(a) the date, place and time of the accident or incident that caused the trauma or adverse effect suffered by the user;

(b) the cause of the accident or incident and a description thereof;

(c) the circumstances preceding the accident or incident and a description of the facts:

i. the type of situation preceding the accident orincident;

ii. the mental state of the user before the accident or incident;

iii. the mobility of the user before the accident or incident;

iv. the level of supervision needed by the user before the accident or incident;

v. the factors which might have contributed to the accident or incident;

vi. the physical environment before the accident or incident which might have had an influence on its occurrence;

vii. the configuration of the bed at the time of the accident or incident;

(d) the repercussions of the event on the user which make it possible to determine whether it is an accident or incident;

(e) the opinion of the provider on a possible claim by the user following the accident or incident;

(7) concerning any control measure applied to a user:

(a) the type of control measure applied;

(b) the date on which the control measure begins;

(c) the reason for the control measure;

(d) the category of professional who decided to use the control measure;

(e) the total number of hours per day during which the user is subject to the control measure;

(f) the date on which the control measure ends;

(8) concerning any transmission of information to the Minister:

(a) the code of the transmitting facility;

(b) the permit number of the institution providing services to the user;

(c) the number of the facility on the permit of the institution providing services to the user;

(d) the date of transmission;

(e) the number assigned to the transmission;

(f) the dates on which the period concerned begins and ends.

O.C. 103-2009, Sch. II.