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International Accreditation of Healthcare Facilities

Standards › Standard 30 › Policies

Policy · FW-POL-001 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 30.1

At a glance

  • Health-tracking data is collected only with the member’s informed consent and only for its stated purpose (FW-FRM-001).
  • Data is secured under the information security policy (DIG-POL-001).
  • Data is not shared with a third party without the member’s consent.
  • A breach is reported under the breach procedure (DIG-SOP-001).
  • Stop and get help straight away if: member health data is shared with a third party without consent.

1. Purpose

To make sure biometric and health-tracking data is protected and used only as the member agreed (30.1).

2. Scope

Applies to Clinical and support staff in the hospital
Locations All wards, clinics and departments of the facility
When Whenever the activity described is carried out
Does not apply to Activities covered by another document listed in section 15

3. Definitions

Term Meaning
Clinical lead The doctor or nurse in charge of the area at the time

4. Background

Heart rate, body composition and other data from fitness trackers are personal health information. They must be protected and used only for the purpose the member agreed to.

5. Responsibilities

Role Responsibility Competence
Fitness service lead Owns the data rule Clinician or manager
Instructor and front desk Collect data only with consent Staff

6. Materials and equipment

Item Requirement Condition
Records and forms named in this document Current version Checked before use

7. Safety

8. Before you start

9. Procedure

Step 1. Consent.

  • Record the member’s consent for each data use on FW-FRM-001 before collection.

Key point: Consented.

Step 2. Secure.

  • Store the data under the information security policy.

Key point: Secured.

Step 3. Limit use.

  • Use the data only for its stated purpose, and report any breach.

Key point: Limited.

10. Decision points

11. Special situations

Situation Action
Out of hours Follow the same steps. Use the on-call contact on the wall of the area.

12. Escalation

13. Monitoring

Measure Target Frequency Owner If not met
Members with data consent recorded before collection 100% Quarterly Fitness service lead Escalate to medical director

14. Records

Record Kept in Retention
Record named in this document Patient record or the area file the period set by the facility’s records policy years

15. Training

16. Related documents

ID Title Use
FW-FRM-001 Health-tracking data consent record Record
DIG-POL-001 Information security and access control (existing, reused) Policy

17. Evidence

Reference Note
E-009 Based on the WHO guidance on digital health and data protection, the American College of Sports Medicine Guidelines for Exercise Testing and Prescription (11th ed., 2021), and the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care (2020).
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

18. Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

E-learning for this document

References

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