OP 4044 Privacy and Confidentiality of Participant’s Information in Continuing Professional Development Activities

Title: Privacy and Confidentiality of Participant’s Information in Continuing Professional Development Activities
Original Date: June 2018
Effective Date: 14 June 2023
IdentificationNumber: OP 4044
Last Review/Revision Date: May 2023
Next ReviewDate: May 2026
HMC Facilities: All HMC Hospitals / Entities

  • 1.0 POLICY STATEMENT AND PURPOSE:
    • 1.1 This policy is formulated all Hamad Medical Corporation (HMC) healthcare practitioners to be aware that all information provided in their participation to Continuous Professional Development (CPD) activities are maintained and protected.
    • 1.2 The purpose of this policy to ensure that all accredited CPD activities are approved by the Department of Healthcare Professions - Accreditation Section (DHP-AS) to comply with the licensure requirement of Ministry of Public Health (MOPH)-Department of Healthcare Professions (DHP) as well as mandatory training required by HMC and / or Departments.
  • 2.0 DEFINITIONS:
    • 2.1 Continuous Professional Development (CPD) – A holistic approach towards the enhancement of personal skills and proficiency throughout a professional’s career. It consists of educational activities that focus on discipline-specific knowledge and skills but embraces learning across a wide range of content areas and competencies (for example, communication skills, professionalism, leadership and management skills, healthcare quality management, evidence-based practice and clinical guidelines, information technology, collaboration and teamwork skills and quality improvement) needed to deliver high-quality healthcare. The CPD activities are categorized as follows:
      • 2.1.1 Category 1: Accredited group learning activities.
      • 2.1.2 Category 2: Self-directed learning activities.
      • 2.1.3 Category 3: Assessment activities.
    • 2.2 CPD Participant’s Information – This refers to any documentation (e.g., verbal, written and electronic) related to the educational activity such as: names, profession, department / unit, result or scores of formative and summative assessment, participant’s evaluation feedback, shared experiences, and self-reflection.

    • 2.3 CPD Confidentiality and Privacy – The responsibility for limiting disclosure of CPD participant’s information. It includes the responsibility to use, disclose, or release such information only with the knowledge and consent of the individual, and for lawful purposes, in accordance with Qatar Law 13, 2016.

    • 2.4 Department of Healthcare Professions (DHP) at Ministry of Public Health (MOPH) – The sole authority responsible for the regulation of healthcare practitioners working in the State of Qatar.

    • 2.5 Department of Healthcare Professions-Accreditation Section (DHP-AS) – One of the three main sections in the Department of Healthcare Professions (DHP) concerned with accrediting medical education activities and those which are related to different health specialties and organizing the participation of health practitioners in CPD program / activity in Qatar.

    • 2.6 Information Security – Measures to protect the confidentiality, integrity and availability of information systems used for access of CPD participant’s information.

    • 2.7 Authorization- A special written permission / consent is granted for the use and / or disclosure of a staff member’s information.

    • 2.8 Authorized Access – Special privilege granted to HMC staff according to law and regulations based on “need to know.”

    • 2.9 Disclosure – The divulging, release, transfer of information, or the provision of access to information in any manner.

    • 2.10 De-Identification – The process of deleting identifiable CPD participant’s information to maintain anonymity and privacy of individuals.
  • 3.0 RESPONSIBILITIES:
    • 3.1 Director of Medical Education Department / CPD Chair: responsible for approving this policy.

    • 3.2 HMC CPD Program Steering Committee: responsible for developing, revising, updating, and disseminating this policy.

    • 3.3 Department CPD Lead: responsible for educating, implementing, and monitoring compliance to this policy.

    • 3.4 Scientific Planning Committee (SPC) / CPD Organizers, Speakers, Educators and Training Providers, Facilitators, Moderators, Department Heads / Chairman: responsible for implementing this policy and maintaining all the CPD participant’s information.

    • 3.5 All Healthcare Practitioners: responsible to be aware of, and comply with, this policy.
  • 4.0 PROCEDURE/PROCESS:
    • 4.1 Every accredited CPD activity developed and delivered by HMC SPC requires the CPD participant’s information.

    • 4.2 Information provided by participants in HMC CPD activities shall:
      • 4.2.1 Be respected and protected.
      • 4.2.2 Be accessed only by those people involved in the CPD activities of the department and shall be kept for six (6) years.
      • 4.2.3 Be permitted to individual(s) with authorized access when a balance occurs between personal compliance / competency and organizational responsibilities to manage performance and risk in professional practice.
      • 4.2.4 Be granted with limited access to external companies that are officially contracted by SPC to support the delivery of CPD activity for the purpose of event registration and certificate distribution only.
      • 4.2.5 Not share with sponsors (for-profit or not-for-profit organizations), or other external organizations.
    • 4.3 Disclosure outside authorized access, shall require participant’s consent and explanation on the purpose and extent of the required information.

    • 4.4 Data that has been aggregated, and de-identified, may be used for quality improvement, development of new CPD activity, evidence for educational learning needs and reporting purposes. 

    • 4.5 Electronic educational records management shall comply with the policy OP 4086 Information Security.

    • 4.6 The healthcare practitioners shall:
      • 4.6.1 Have the right to inform the SPC chair or the department CPD lead in the event that this policy is breached.
      • 4.6.2 Provide summaries of CPD activities as part of performance appraisal process and / or promotion when required.
    • 4.7 CPD participants information shall be entered and documented in the educational activity sheets and forms pertaining to the approved accredited CPD activity.
  • 5.0 DOCUMENTATION:
    • 5.1 All CPD participant’s information shall be documented and kept safe and secured for six (6) years.
  • 6.0 REFERENCES:
  • 7.0 ATTACHMENTS: Not applicable.

  • 8.0 TRACKING HISTORY OF CHANGES:

    Revision Date

    Version Number

    Section Number

    Summary of Changes

    May

    2023

    2.0

    Header

    Section

    • Version replaced with Effective Date.

    • Last Revision Date added with the Review.

    • The word Changes was added to Tracking History.

    • Hospital(s) replaced by HMC Facilities.

    • Title revised.

       

    1.1 & 1.2

    • Sections revised and new information added.

       

    2.1 to 2.5

    • New definitions added.

       

    2.6 & 2.10

    • Definitions revised and modified with new information added.

       

    3.0

    Responsibilities: new section added to the policy with new information from section 3.1 to 3.5.

    Change in numbering of policy content.

       

    4.0

    Procedure / Process Section:

    • Major changes and new information added to identify the process of privacy and confidentiality of CPD participant’s information activities.

       

    5.1

    • New information added.

       

    6.1 to 6.5

    • New references added.


    Subject Matter Expert  Contributors:

      •    HMC CPD Program Steering Committee