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
- Stop and call for help if a patient is at immediate risk. Do not delay urgent care to complete paperwork.
8. Before you start
- Confirm the forms and equipment named in this document are available and current.
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
- No decision points in this procedure.
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
- Any serious problem goes to the duty clinical lead at once and to the clinical director the same day.
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
- Staff are trained in this document at induction and refreshed each year, with a recorded competency check.
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
- Digital Care and AI Systems for Care (FIT-12)
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)