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S  t 6-     T*   t 6`-    V*  H t 0޽h ? 3380___PPT10.՞q  ` X | (  tfi tegaolaop d |d | 0      0___PPT106___PPT9___PPTMac11  0namd(Monotype SortsrFF   T*  f | 0p    0___PPT106___PPT9___PPTMac11  0namd(Monotype SortsrFF   V*  j | 6     0___PPT106___PPT9___PPTMac11  0namd(Monotype SortsrFF   T*  l | 6p    0___PPT106___PPT9___PPTMac11  0namd(Monotype SortsrFF   V*  H | 0޽h ? 3380___PPT10.ku8;P.   0|( se , 2eS |x | C PA8HQIP-01-title-slide-bg-blue | 6H  "@  ___PPT10`X  ___PPT9  : ___PPTMac11    hnamd` Arial&Monotype Typography&&PP     hnamd` Arial&Monotype Typography(&&PP    hnamd` Arial&Monotype Typography(&&PP   hnamd` Arial&Monotype Typography&&PP    hnamd` Arial&Monotype Typography&&PP     hnamd` Arial&Monotype Typography&&PP   hnamd` Arial&Monotype Typography&&PP     hnamd` Arial&Monotype Typography&&PP   hnamd` Arial&Monotype Typography&&PP     hnamd` Arial&Monotype Typography&&PP   hnamd` Arial&Monotype Typography&&PP   Quick Guide to Undertaking an Information Governance Compliant Clinical Audit Project Wendy Harrison and Heather Sharp NHS Bradford and AiredaleG&&P"G&&PG&&P G &PG&PG&PG&P G&P G &P$G$&P(G(&P  HH | 0޽h ? 33___PPT10u.iu+D=' = @B +S8.  2 2@1( PIC ADP t  C LA4HQIP-slide-layout-blue-02  0@#"# 0 $,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  o1 Aims of the guide.G&PC ,L  0P"78___PPT10F___PPT9( ___PPTMac11  ,namd$ Wingdings賳    ,namd$ Wingdings賳   JContents& ""  0"B : $,0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  @5 The use of patient identifiable information for clinical audit"AZAG&P ,$   0"Q I  $,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  *6 Access to information for clinical audit4+ZG&P*G&P x,L   c $p   0" x  $,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  "7 Transferring clinical audit data4#ZG&P"G&P ,r   0 "   $ ,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  `8 Information security do s, don ts and how to s41ZG[0G&P, ,E   0"   $ ,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  39 Storage/retention/disposal of clinical audit data44ZG&P3G&P3 ,f  0"3  $,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  H2 Laws affecting the use of confidential information in clinical audit.IHG&PC$6 ,  0i"  $,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  q3 Informing patients .G&PC ,[  0#"  $,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  =4 Justifying the use of patient information in clinical audit.>=G&PC$6 ,   00#"1) $ ,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  (10 Secondary uses of clinical audit data4)ZG['G&P ,  03"XP $ ,8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  #11 Information Governance checklist4$ZG["G&P ,H  0޽h ? 33&!!___PPT10 .du+|ID^' *p= @B D' = @BA?%,( < +O%,( < +DP' =%(%(D' =%(D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%( D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(pD@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(XD@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(@D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%((#D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%('D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*+h+0+U ++0+U ++0+ U ++0+ U ++0+ U ++0+ U ++0+U ++0+U ++0+U ++0+U ++0+U +9.  P4( PIC ADP 4t 4 C LA4HQIP-slide-layout-blue-02 4 6$ P0P H $, h___PPT10H@___PPT9___PPTMac11   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  x  x  RThis guide is a condensed version of key messages from the HQIP Clinical Audit and Information Governance Guide This  quick guide is designed to be a pocket-sized reminder of the key areas of information governance which apply to clinical audit projects p0( 208 20( 2%G&P G~G&P G ~G&PG~G"&PG"&P>:\OX 4 0I "78___PPT10F___PPT9( ___PPTMac11  ,namd$ Wingdings賳    ,namd$ Wingdings賳   V1 Aim of this Guide &""H 4 0޽h ? 33___PPT10.Cv,+\D' *p= @B D' = @BA?%,( < +O%,( < +D' =%(%(D' =%(D@' =A@BB BB0B%(D' =1:Bvisible*o3>+B#style.visibility<*4%(D' =-o6Bdissolve*<3<*4+8+0+4e +-,.  `pl H  (  08.)"MH<2d lt kl C LA4HQIP-slide-layout-blue-02c 9l 00"708___PPT10F___PPT9( ___PPTMac11  ,namd$ Wingdings賳    ,namd$ Wingdings賳   aWhat is information governance?& ""L :l c $p4l ) I pl) I,$D ,n al 0") IB bl 6 " ` 08___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  :It s basically common sense  think of any information you handle as if it were your own. How would you expect your information to be handled or accessed?2G&P:6I jl  ol,$D ,n >l 0~"x ?l 6) ~" 0@8@___PPT10 V___PPT980___PPTMac11d\ x   x    hnamd` Arial&Monotype Typography  *What is information governance all about? P*)G* l 0P  nl0P ,$D ,n ^l 0"0P  _l 6Pz " `0@___PPT10 V___PPT980___PPTMac11   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  x  zInformation Governance is a framework for handling personal information in a confidential and secure manner to appropriate ethical and quality standards, in a modern health service @G~AE~^2& 5 l  P 0  mlP 0 ,$D ,2 cl NGb&Hd"P  C p ll 0P"  0 |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  nso2G~E~ 2 Zl NGb&H~d" `,$D ,H l 0޽h ? 33___PPT10.huZ+++B#style.visibility<*ol%(D' =-o6Bwipe(up)*<3<*olD' =%(D' =%(D3' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*Zl%(D' =-o6Bwipe(up)*<3<*ZlD' =%(D' =%(D3' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*nl%(D' =-o6Bwipe(up)*<3<*nlD' =%(D' =%(D3' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*ml%(D' =-o6Bwipe(up)*<3<*mlD' =%(D' =%(D3' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*pl%(D' =-o6Bwipe(up)*<3<*pl+R:.  L>D>p<=( PIC ADP <t < C LA4HQIP-slide-layout-blue-02 < 0j "P___PPT100(v___PPT9XP___PPTMac11  ,namd$ Wingdings賳    ,namd$ Wingdings賳   x  x   ,namd$ Wingdings賳   Bv2 What laws affect the use of information? There are laws protecting how we handle information and these include: f.ZFH-"F  0G  ,L < c $p&z 0 8 <  ( ,$D,  < <@ ": 8@___PPT10 V___PPT980___PPTMac11 x  x  x  5Access to Health Records Act 1990 (Deceased records) :64[[6   < <A "0 P |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa ~z  K9  < ( ,$D,e  < <p " K* XP0___PPT106___PPT9___PPTMac11 x  #The Freedom of Information Act 2000$$[$    < </ " 9 |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa z 0   < (k,$D,  < <p1 "# |8___PPT10F___PPT9( ___PPTMac11 x    hnamd` Arial&Monotype Typography  )Criminal Justice and Immigration Act 2008.*)[E[)    < <P@ "0 |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa z   < ( ,$D, < <0c " |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  xThe Data Protection Act 1998.G[[  < <s "|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa  z 0  < P (o,$D, < < ": H___PPT10( f___PPT9H@.___PPTMac11 x    hnamd` Arial&Monotype Typography[[  x  x  Section 251 of the NHS Act 2006 specifically relates to the use of information (with strict controls) for clinical audit purposes Lt[[  [   < <0 "0 P |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa sz  9  < : (W Z ,$D,Z < < " * XP0___PPT106___PPT9___PPTMac11 x  xComputer Misuse Act 1990[   < < Ý " 9 |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa z  0  <  (; : ,$D, < < " # |8___PPT10F___PPT9( ___PPTMac11 x    hnamd` Arial&Monotype Typography  Human Rights Act 1998.[E[   < < ) "0 |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H < 0޽h ? 33___PPT10.v+AD' *p= @B D>' = @BA?%,( < +O%,( < +Du' =%(%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*<%(D' =-o6Bdissolve*<3<*<D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* <%(D' =-o6Bdissolve*<3<* <D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*<%(D' =-o6Bdissolve*<3<*<D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*<%(D' =-o6Bdissolve*<3<*<D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*<%(D' =-o6Bdissolve*<3<*<D' =%( D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*<%(D' =-o6Bdissolve*<3<*<D' =%( D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*<%(D' =-o6Bdissolve*<3<*<+)U4.  < <.$ w;( Gxobtvcaa t  C LA4HQIP-slide-layout-blue-02  6 "zD<8___PPT10F___PPT9( H___PPT2001${V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  Always bear in mind the eight Data Protection Act principles which require that personal data must  ,ed#"#X  0Ll  ',$D,n   0~"Z   < ~" `___PPT10@8___PPT9xpH___PPT2001${___PPTMac11| x  x  x  x  x  x  x   Be processed fairly and lawfully!&P ~&P  ~&P~  B 8c8c?"B0e@    pl  (,$D,  <Б " P___PPT100(v___PPT9XPH___PPT2001${b___PPTMac11<4 x  x  x  x  x  5Be obtained or processed for specific lawful purposesd6&P~&P  ~h  s *~"Ql 0  )0 ,$D,e  <N ~", `___PPT10@8___PPT9xpH___PPT2001${___PPTMac11| x  x  x  x  x  x  x  'Be adequate, relevant and not excessive(&P ~&P  ~&P ~&Ph   s *~"0 l 0 P  *0 P ,$D,  6pm "? L P___PPT100(v___PPT9XPH___PPT2001${b___PPTMac11<4 x  x      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxy{|}~  x  x  x   Be accurate and kept up to date d!&P ~ &P   ~&Ph ! s *~"0 P l P p  +P p ,$D,  6~ "_ l H___PPT10( f___PPT9H@H___PPT2001${___PPTMac11 x  x  x  x  &Not be kept for longer than necessary R'~&P~  &Ph " s *~"P p $l p   ,p  ,$D,8  6` "   @___PPT10 V___PPT980H___PPT2001${___PPTMac11 x  x  x  8Be processed in accordance with rights of data subjects @9 &P~&Ph # s *~"p  l    -  ,$D,h $ s *~"   % 6 " y  @___PPT10 V___PPT980H___PPT2001${___PPTMac11 x  x  x  kBe kept secure @&P~&Pl   . ,$D ,   <I " LDH___PPT10( f___PPT9H@H___PPT2001${.___PPTMac11 x  x    hnamd` Arial&Monotype Typography&&PP  x  `Not be transferred outside the European Economic Area (EEA) unless there is adequate protection Ra~&P)&P  &Ph & s *~" H  0޽h ? 33___PPT10.Cv/:+VD^' *p= @B D' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*'%(D' =-o6Bdissolve*<3<*'D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*(%(D' =-o6Bdissolve*<3<*(D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*)%(D' =-o6Bdissolve*<3<*)D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<**%(D' =-o6Bdissolve*<3<**D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*+%(D' =-o6Bdissolve*<3<*+D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*,%(D' =-o6Bdissolve*<3<*,D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*-%(D' =-o6Bdissolve*<3<*-D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*.%(D' =-o6Bdissolve*<3<*.+&;.    "D@( PIC ADP Dt D C LA4HQIP-slide-layout-blue-02 D B 8c8c?"B0e@    p2 D 6"zD<8___PPT10F___PPT9( H___PPT2001${V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  r*3 Informing patients about clinical audits,+*# # l `   !D`  ,$D,n D 0~"  D 0`~"`    `___PPT10@8___PPT9xpH___PPT2001${___PPTMac11   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  DAlthough explicit consent is not required patients should be informed about how their information could be used in the NHS including the potential use of their information for clinical audit. In order to assist with this, an example patient information leaflet is available on the HQIP website. The leaflet aims to help patients understand why we might need to use their information for clinical audit+G&PG~G&P G ~}G&PG~E~)  ((591 l   "D ,$D, D <`" |fX___PPT1080___PPT9h`H___PPT2001${___PPTMac11x   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  There may be some occasions where although consent is not a requirement it may be good practice e.g. the involvement of children, palliative care, mental health topics+G&PG~!G&P  G ~JG&PE&P>2,2n D 0~" H D 0޽h ? 33<4___PPT10.Cv/:+D' *p= @B D' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*!D%(D' =-o6Bdissolve*<3<*!DD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*"D%(D' =-o6Bdissolve*<3<*"D+,<.  "" LX"( PIC ADP Lt L C LA4HQIP-slide-layout-blue-02 L 0 "gP___PPT100(v___PPT9XP___PPTMac11  ,namd$ Wingdings賳    ,namd$ Wingdings賳   x  x   ,namd$ Wingdings賳   74 Justifying your use of patient data To help ensure that you have justified the use of the data for your clinical audit project, consider: f&ZFi%"f  'h z    L  9k ,$D,  L <0"  XP0___PPT106___PPT9___PPTMac11 x  RHave the key stakeholders been agreed and the project lead or sponsor identified?SS[S    L <Y" 9 |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa  z V L  O,$D, L <p"VH___PPT10( f___PPT9H@___PPTMac11   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  x  QHas the project been prioritised as part of an annual clinical audit programme? (more guidance is available in the HQIP Clinical Audit Guidance Tools) VQG[GG~G[  [,5+6  L <Ʊ"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa f z   L   ,$D,M L <08" @___PPT10 V___PPT980___PPTMac11 x    hnamd` Arial&Monotype Typography[[    hnamd` Arial&Monotype Typography  Have all staff involved had appropriate information governance training and have confidentiality clauses written into their contracts?@4[S[E[   L <Ա"0 |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H L 0޽h ? 33  ___PPT10o .v+1cD7 ' *p= @B D' = @BA?%,( < +O%,( < +D)' =%(%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*L%(D' =-o6Bdissolve*<3<*LD' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*L%(D' =-o6Bdissolve*<3<*LD' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*L%(D' =-o6Bdissolve*<3<*L+B=.  T/L/T.( TF:SQHPI Tt T C LA4HQIP-slide-layout-blue-02 T 6"zP___PPT100(v___PPT9XPH___PPT2001${___PPTMac11ld   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  P4 Justifying your use of patient data Always follow the six Caldicott Principles  ZT%#"##, ! #,   z  T ,$D,h T s *~" T 6~"H___PPT10( f___PPT9H@H___PPT2001${___PPTMac11 x  x  x  x  :1 Justify the purpose(s) of using confidential informationN;&P~"&P  z   T ,$D,$  T 6@"  @___PPT10 V___PPT980H___PPT2001${___PPTMac11 x  x  x  $2 Only use when absolutely necessary@%&P~h  T s *~"z 0   T 0 ,$D,  T 6~" , H___PPT10( f___PPT9H@H___PPT2001${___PPTMac11 x  x  x  x  "3 Use the minimum that is requiredR# &P~&P  &Ph T s *~"0 z 0 P  T 0 P ,$D, T 6PԲ"? L TLX___PPT1080___PPT9h`H___PPT2001${___PPTMac11 x  x  x  x  x  x  14 Access should be on a strict need-to-know basisr2&P~&P  ~&P)h T s *~"0 P +z P p  T P p ,$D,1 T 6$"_ l  @___PPT10 V___PPT980H___PPT2001${___PPTMac11 x  x  x  15 Everyone must understand their responsibilities@2 &P~&Ph T s *~"P p z p   T p  ,$D, T 607" TLX___PPT1080___PPT9h`H___PPT2001${___PPTMac11 x  x  x  x  x  x  $6 Understand and comply with the lawv%&P ~&P  ~ &P&Ph T s *~"p  H T 0޽h ? 33___PPT10.Cv/:+߀iD' *p= @B DC' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*T%(D' =-o6Bdissolve*<3<*TD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* T%(D' =-o6Bdissolve*<3<* TD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* T%(D' =-o6Bdissolve*<3<* TD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*T%(D' =-o6Bdissolve*<3<*TD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*T%(D' =-o6Bdissolve*<3<*TD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*T%(D' =-o6Bdissolve*<3<*T+'>.  p h  \ ( PIC ADP \t \ C LA4HQIP-slide-layout-blue-02 \ 0 "h___PPT10H@___PPT9 ___PPTMac11  ,namd$ Wingdings賳    ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography   ,namd$ Wingdings賳    ,namd$ Wingdings賳   x  x   ,namd$ Wingdings賳   $The use of patient identifiable information for clinical audit Patient identifiable data vs anonymised data  #Z ZF0#"""  .^    , @`L \ c $p z 0 S  \ V S2,$D,g \ <@": S @___PPT10 V___PPT980___PPTMac11 x  x  x  In general terms, patient identifiable data is data that can be directly linked back to a living individual. This can be directly by including sufficient details such as name, address, sex, date of birth, postcode, phone number, condition, medication etc. or by use of a key such as the NHS number or your own local key. In both cases the data can be linked back to a single living individual :[[   \ <"0 P |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa  z  \ ,$D, \ <ӳ"H___PPT10( f___PPT9H@___PPTMac11   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography[[    hnamd` Arial&Monotype Typography[[  x  1Historically there has been some misunderstanding around the difference between patient identifiable data and anonymised/psuedonymised dataV9G[5G[G[  [n  \ <"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H \ 0޽h ? 33___PPT10.v+D' *p= @B D_' = @BA?%,( < +O%,( < +D' =%(%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*\%(D' =-o6Bdissolve*<3<*\D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*\%(D' =-o6Bdissolve*<3<*\+ )?.  !! d=!( PIC ADP dt d C LA4HQIP-slide-layout-blue-02 d 0ɴ"0(P___PPT100(v___PPT9XPJ___PPTMac11$  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography   ,namd$ Wingdings賳   x  x  5 The use of patient identifiable information for clinical audit Patient identifiable data vs anonymised data  fFZF/'"".  ^     ,zz 0 f d @v ,$D,a  d <?": f  p___PPT10PH___PPT9___PPTMac11ld x    hnamd` Arial&Monotype Typography[[    hnamd` Arial&Monotype Typography[[    hnamd` Arial&Monotype Typography[[    hnamd` Arial&Monotype Typography[[    hnamd` Arial&Monotype Typography[[    hnamd` Arial&Monotype Typography[[  x  x  It is a common misconception that data is anonymous if the recipient does not have access to the key. it must be noted that ANY data associated with a unique key which refers to a single living individual is patient identifiable data and are subject to the Data Protection Act *[<[[  ~[:[<[  [   d <"0 P |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa yz - d -,$D,` d <""-8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography[[  `Processing of patient identifiable data is subject to the provisions of the Data Protection Act2a`G[G[9&  d <F"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H d 0޽h ? 33___PPT10.v+D' *p= @B D_' = @BA?%,( < +O%,( < +D' =%(%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*d%(D' =-o6Bdissolve*<3<*dD' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*d%(D' =-o6Bdissolve*<3<*d+=F@.  66 P6( PIC ADP t  C LA4HQIP-slide-layout-blue-02L  c $p4  0"PH8___PPT10F___PPT9( ___PPTMac11  ,namd$ Wingdings賳   x  n*6 Access to information for clinical audit(+Z*"z R  "8,$D,  <"R 8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography[[  'Consider the following groups of people2('G[G[    <p"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa V   0@Q"8___PPT10F___PPT9( V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  When thinking about information governance issues it is important to consider who will require access to the information and what level of access they will require.,ZCC z    /,$D,   <e"  @___PPT10 V___PPT980j___PPTMac11D<   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography[[  ZClinical staff  will need access to all dataF.G~G[G[    <n"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa  z 9   ,$D,  <{"9  @___PPT10 V___PPT980j___PPTMac11D<   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography[[  lClinical audit team  could require access to all dataF7G~#G[G[   < !"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa  z N  % ,$D,  <P"NLDH___PPT10( f___PPT9H@~___PPTMac11XP   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography[[    hnamd` Arial&Monotype Typography[[  ,Administrative staff  should only need access to anonymised dataZBG~G[G[ G [2    <ʶ"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa l    ,$D,   6З" @8@___PPT10 V___PPT980___PPTMac11d\   hnamd` Arial&Monotype Typography  x  x  IUEnsure that you assess the levels of access for different staff groups in the planning stages and ensure appropriate access controls are in place i.e. only those who need to have access to clinical audit data, should have access. A mechanism for removing access to the data should also be in place for staff who leave the organisation. NUTG~[p9:8726  n  0~" PH  0޽h ? 33 ___PPT10.v+tD' *p= @B Dp' = @BA?%,( < +O%,( < +D ' =%(%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*+1A.  4',' `&( PIC ADP t  C LA4HQIP-slide-layout-blue-028  6"zD<8___PPT10F___PPT9( H___PPT2001${V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  x"7 Transferring clinical audit data,#"#"#hb l ` @ ` @,$D,n  0~"@p  0 ~"` %X___PPT1080___PPT9h`H___PPT2001${___PPTMac11x   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  bIt is your responsibility to ensure the safety of the data you are using for your clinical audit. You must adhere to your organisation s procedures for secure data handling and seek assurance that the receiving person/team/organisation is aware of their responsibilities to handle and store data securely.2G&PG~G&P G ~G&PA l @p  @p ,$D,   0@ͷ"p# X___PPT1080___PPT9h`H___PPT2001${___PPTMac11x   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  kYou should also seek assurance that clinical audit data will not be given to or be accessible to anyone not involved with the clinical audit project.>G&PG~G&P G ~!G&PE&P,2*8h   s *~"@p u l p   p  ,$D,   0Ц"  X___PPT1080___PPT9h`H___PPT2001${___PPTMac11x   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography&&PP    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  GConsider creating a log to record all transfers of clinical audit dataHG&PG~G&P G &PG&PA,! h   s *~"p  H  0޽h ? 33'  ___PPT10 .Cv/:+EKD ' *p= @B D ' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*+&B.  1) ( TF:SQHPI t  C LA4HQIP-slide-layout-blue-02  B 8c8c?"B0e@    p+  608"zD<8___PPT10F___PPT9( H___PPT2001${V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  k#Example Clinical Audit Transfer Log,$##"#"   logֳgֳA ??Object 7"`  `   s *~"0H  0޽h ? 33___PPT10u.Cv/:+D=' H= @B +C/.  3390 2(  t " C LA4HQIP-slide-layout-blue-02 9 B 8c8c?"B0e@    pJ   0PP"kphX___PPT1080___PPT9h`r___PPTMac11LD  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  d8 Information security do s When handling clinical audit information YOU MUST ALWAYS  0lPP;0lP8"C)A E ~AC6l A 0\ D ,$D, ) <0 "|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa +   B0"A0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  SGive passwords/access to those members of staff who need it for the clinical auditTTG&P,3 vl qD /Q ,$D, ' <"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa k  B "qD0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  Seek assurance that those who need access to the clinical audit data are aware of their information governance responsibilitiesG&P>9 ) l 0 .h#,$D, % B@"0P|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa   B"80___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  Protect your team s/network s files and folders by ensuring that permissions are up-to-date and only those who need access have accessG&P,;7 Ul .  1 u ,$D, ( <04".N|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa J  B?"9 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  Operate a clear desk policy  lock paper information away when you re not using itTTG&P  l }V<  2 4,$D,  B0W "V<  @___PPT10 V___PPT980j___PPTMac11D<   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  eSecure your workstation when absent from your desk by activating a password protected screen saver or using Ctrl-Alt-Del-Lock workstation if your network supports thisHnG&PG~+G&P>5 (<  - <1"} |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H  0޽h ? 33___PPT10.v8+?D' *p= @B DX' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*.%(D' =-o6Bdissolve*<3<*.D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*/%(D' =-o6Bdissolve*<3<*/D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*0%(D' =-o6Bdissolve*<3<*0D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*1%(D' =-o6Bdissolve*<3<*1D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*2%(D' =-o6Bdissolve*<3<*2+4E.  &''  &( PIC ADP t  C LA4HQIP-slide-layout-blue-02  0" kD<P__      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}_PPT100(v___PPT9XP^___PPTMac1180  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  T8 Information security do s When handling clinical audit information YOU MUST ALWAYS  0lPP;0lP8"C)A E ~Az +    ,$D,n  <0ڹ"+0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  Destroy clinical audit data in line with your organisation s procedures, i.e. in a confidential manner hhG&P   <|"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa z  Iu  P  ,$D,  <" Iu0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  7Encrypt data so that if information needs to be stored on portable media (i.e. disk, CD, USB) or emailed to someone else, you know it is secure G&PP9*   <P"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa ]z  /   pY,$D,D  <`" / 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  fEnsure that databases are password protected, even if the information is anonymised/pseudo-anonymised ggG&P65   <"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa Nz    y ,$D,5  <"0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  aLog the retention period for the audit data, so that it can be destroyed when no longer required bbG&P,;    <s"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H  0޽h ? 33  ___PPT10 .v8+*ogD ' *p= @B Dm ' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*+_?D.   //0#.( PIC ADP t  C LA4HQIP-slide-layout-blue-02J  0`X"kphX___PPT1080___PPT9h`r___PPTMac11LD  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  d8 Information security don'ts When handling clinical audit information YOU MUST NEVER  0lPP:0lP8"C)A E ~AAz   @( ,$D,  <@"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa ~  <&"0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  ,Include patient details in your audit proforma unless you have the patient s consent VVG&P,&   &z q  `Q,$D,  <@"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa     < "q0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  KTransfer data by any method, without ensuring it is being done so securely LLG&P9 z 0^P   @5`,$D,   <"0P|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa    <0"8^E0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  6Leave patient notes/audit data unattended on your desk 77G&P z .      ,$D,  <Ļ".N|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa ~  <"9 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  ,Save information to your local  c drive as if your pc fails you will lose your data VVG&P,  1z }Di   $ ,$D,  <"Di 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  LInput information into a database without anonymising/ pseudo-anonymising it MMG&P$)    <G"} |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H  0޽h ? 33___PPT10.v8+\:wD' *p= @B DX' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*+h@F.  0 0@#/( PIC ADP t  C LA4HQIP-slide-layout-blue-02  0~"k`___PPT10@8___PPT9xp___PPTMac11`X  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  8 Information security don'ts When handling clinical audit information YOU MUST NEVER  0lPP;0lP8"C)A E ~AE~AXz   @  ,$D,  <"0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  8Pass any data used in your audit to anyone who does not have a legitimate right to use the information (i.e. third parties inside or outside of your organisation) G&P>7:!   <"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa z     @` ,$D,  <಼"  0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  8Keep data forms, databases etc for longer than necessary 99G&P   <ü"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa $z      @,$D,   <"  0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  ;Email audit data without winzipping and encrypting it first.<0lPP<G&P    <й"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa @z   f bQ ,$D,'  <`"0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  SBreach legal requirements or be ignorant of the legal requirements that affect you TTG&P,/   <ڽ"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa #z      @),$D,  ! <"  0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  >Create databases without ensuring they are password protected ??G&P$3   " <"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H  0޽h ? 33___PPT10.v8+uD' *p= @B DX' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*+5G.  44P @d4( PIC ADP t  C LA4HQIP-slide-layout-blue-02&  6 "zD<8___PPT10F___PPT9( H___PPT2001${V___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  fGuidance on creating passwords,#"#"%8 `0    `  n  0~"0 @%  00Ծ~"`` 2   ___PPT10       ___PPT9       H___PPT2001${J___PPTMac11$   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  2A secure password should contain a combination of upper and lower case letters, numbers and characters. It should be random and not be able to be easily guessed by those who do not require access to the information. A good way to create a password is to link it to a phrase i.e. The diabetes clinical audit takes place in March 09 - your password would then be TdcatpiM09 or you could use your current favourite songCG~C  G ~JCG~CG~ C $G$~(C(,G,~0C04G4~8C8+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* +%-H.  %%p 0  %( PIC ADP t  C LA4HQIP-slide-layout-blue-02  0]("7F8___PPT10F___PPT9( "___PPTMac11  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography  ;9 Storage/retention and disposal of clinical audit data(<;"C#ll    ,$D,z   B s("x ___PPT10xp     ___PPT9     F___PPTMac11    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography&&PP    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography&&PP    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography&&PP    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography&&PP    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  TIP: Create a log of all projects undertaken by your team/office/department, which shows who has guardianship of the clinical audit data and reports, their contact details, location of the data, retention period and ultimately when and how it was destroyed" G&PG~G&P G ~%G&PG&P-G&PG&P< G &P$G$&P9(G(&P,G,&P,0G0&P4E4&P4+ -& n  0~"  l  @  @,$D,   Bf("p7  X___PPT1080___PPT9h`___PPTMac11x   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  Ensure that contact details are updated when guardians leave or if the clinical audit data is removed to another site. Your organisation may have a central register for clinical audit projects, which should incorporate these details G&PG~pG&P G ~EG&PG&P>6@:7 h  s *~" @H  0޽h ? 33<4___PPT10.v8+d&D' *p= @B D' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*+ 0K.  %%   %( PIC ADP t  C LA4HQIP-slide-layout-blue-02   B 8c8c?"B0e@    p  0("8___PPT10F___PPT9( "___PPTMac11  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography  l(10 Secondary uses of clinical audit data()("C" z  Zu   * ,$D,  <)" ZuxpP___PPT100(v___PPT9XP___PPTMac11ld   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  This includes you; you can not use the raw clinical audit data you have collected for other projects and especially NOT for research purposespVG&PG&PG&P G ~G&PP>0   <)"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa E z    e ,$D,,  <@)" 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  Patient information should not be used for any other purpose than that for which you have collected it. Although you may want to use the summarised, anonymised clinical audit results to support other quality improvement work you must not give or allow anyone access to the raw clinical audit data without checking whether the team/individual has a legitimate right to access it G&P<<  '%$    < <)"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa  l "    ,$D,    BN)"b` NxpP___PPT100(v___PPT9XP___PPTMac11ld   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography  Healthcare purposes is defined as all activities that directly contribute to the diagnosis, care and treatment of an individual and the audit/assurance of the quality of the healthcare provided. They do not include research, teaching, financial audit and other management activitiespG~G&PG~ G &PYG~>PMK0 n  0~"" H  0޽h ? 33'  ___PPT10 .v8+ǘD ' *p= @B D ' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*+;L.  V+N+#P*( PIC ADP t  C LA4HQIP-slide-layout-blue-02  B 8c8c?"B0e@    p  0 )"78___PPT10F___PPT9( "___PPTMac11  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography  d11 IG checklist  consider the following  B20lPP1"C 3l  X  " X ,$D,  B)"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa "  B0)" X 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  ZAre clinical audit patient information leaflets generally available in your organisation? [[G&P9   l  7  ! 7 ,$D,  B)" 7 |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa    B)"( 5 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  5Will you need to anonymise or pseudonymise your data? 66G&P,    l oP   oP ,$D,   B)"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa    B0)"oP 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  Will you be using patient identifiable information throughout your audit (if yes, you may need patient consent and/or the approval of your Caldicott Guardian/Information Governance Lead)? G&Pl2 ( ' Gl  G{ # G,$D,  B@*" |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa 6  B*" G{0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  JAre those who have access to the data aware of their IG responsibilities? KKG&P>% l  ,$D,  B@**"'|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa   B.*"0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  ,Have you registered your clinical audit project with your organisation s clinical audit team? __G&P9$ H  0޽h ? 33___PPT10.v8+} 1D' *p= @B DX' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bdissolve*<3<*D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*!%(D' =-o6Bdissolve*<3<*!D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*"%(D' =-o6Bdissolve*<3<*"D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*#%(D' =-o6Bdissolve*<3<*#+DO.  11.X`-1( PIC ADP Xt X C LA4HQIP-slide-layout-blue-02 X B 8c8c?"B0e@    p X 0 *"78___PPT10F___PPT9( "___PPTMac11  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography  d11 IG checklist  consider the following  B20lPP1"C El  *X,$D,4 X BP*"0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  ZWho has access to the clinical audit data and at what level (identifiable or anonymised)? [[G&P,5   X B0*"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa l 6  +X6 ,$D, X B*"6 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  7How will you securely transfer any clinical audit data? 88G&P +  X B*" |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa Xl ? 0 .X ,$D, X B*"? _|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa G X B0*"P 00___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  [What is the level of security on any electronic/paper records of your clinical audit data? \\G&P>5 l  w  -XO 7,$D, !X B*"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa   "X Bp+" w 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  EWhere will you store the clinical audit data? Is this a secure area? FFG&P7  l    ,X ` ,$D, $X B +"  |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa o %X B%+"  0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  qCan you consider creating a log of any transfers of information which will be happening throughout the project? rrG&PP3    (l  )X,$D, 'X B6+"  0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  =Have you considered any ethical issues (third party access)? >>G&P,&    (X B`P+"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H X 0޽h ? 33___PPT10.v8+MqD' *p= @B DC' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*)X%(D' =-o6Bdissolve*<3<*)XD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<**X%(D' =-o6Bdissolve*<3<**XD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*+X%(D' =-o6Bdissolve*<3<*+XD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*,X%(D' =-o6Bdissolve*<3<*,XD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*-X%(D' =-o6Bdissolve*<3<*-XD' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<*.X%(D' =-o6Bdissolve*<3<*.X+DM.  K1C1 0( PIC       !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGJKLMNOPQRSTUVWXYZ[\]^_`abcdeghij ADP  t   C LA4HQIP-slide-layout-blue-02   B 8c8c?"B0e@    p   0P+"78___PPT10F___PPT9( "___PPTMac11  ,namd$ Wingdings賳     hnamd` Arial&Monotype Typography  d11 IG checklist  consider the following  B20lPP1"C z .    +,$D,   < +"|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa    <`+".0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  <Have you created a password to protect any electronic data? ==G&P5 +z .    ',$D,   <+".N|8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa    <+"9 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  PHave you informed those staff who need access to the data what the password is? QQG&P4 z }i    + ,$D,   <+"i 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  AWho will be the named guardian/owner of the clinical audit data? BBG&P4     <p,"} |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa z }i     . ,$D,   <p,"i 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  .Have you created a log of clinical audit projects containing the  guardian/owner of the data? ``G&P<"    <$,"} |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa 'z }i     /u,$D,   <=,"i 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  LHave you identified the retention period and destruction date for the data? MMG&P8    <O,"} |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa z }    i.I,$D,   <T," 0___PPT106___PPT9B___PPTMac11   hnamd` Arial&Monotype Typography  <Are you using any of the other HQIP clinical audit products?.=0lPP=G&P    <o,"} |8___PPT10F___PPT9( ___PPTMac11   hnamd` Arial&Monotype Typography  x  y 0E[Efa H   0޽h ? 33___PPT10.v8+wD' *p= @B DC' = @BA?%,( < +O%,( < +D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* D' =%(D' =%(D3' =4@BB BB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bdissolve*<3<* +Q.   ( o f)3H: x  C PA8HQIP-01-title-slide-bg-blue  6`x "@  ___PPT10`X  ___PPT9  : ___PPTMac11    hnamd` Arial&Monotype Typography&&PP     hnamd` Arial&Monotype Typography(&&PP    hnamd` Arial&Monotype Typography(&&PP   hnamd` Arial&Monotype Typography&&PP    hnamd` Arial&Monotype Typography&&PP     hnamd` Arial&Monotype Typography&&PP   hnamd` Arial&Monotype Typography&&PP     hnamd` Arial&Monotype Typography&&PP   hnamd` Arial&Monotype Typography&&PP     hnamd` Arial&Monotype Typography&&PP   hnamd` Arial&Monotype Typography&&PP   Quick Guide to Undertaking an Information Governance Compliant Clinical Audit Project Wendy Harrison and Heather Sharp NHS Bradford and AiredaleG&&P"G&&PG&&P G &PG&PG&PG&P G&P G &P$G$&P(G(&P  HH  0޽h ? 33___PPT10u.iu+D=' H= @B +  xp( ; @  R  3 tDx  v  #  t   " H  0޽h ? 3380___PPT10.v'S   xp( |  | R  3 tDx  v  #  t   " H  0޽h ? 3380___PPT10.v'S  xp0( ltncltnc R  3 tDx  v  # t   " H  0޽h ? 3380___PPT10.JXvR   (  X C Dx   S f    " H  0޽h ? 3380___PPT10.v'S  8 (  8X 8C Dx   8S r    " H 8 0޽h ? 3380___PPT10.JXvR   @ (  @X @C Dx   @S     " H @ 0޽h ? 3380___PPT10.vT  @H (  HX HC Dx   HS     " H H 0޽h ? 3380___PPT10.JXvR  PP (  PX PC Dx   PS p    " H P 0޽h ? 3380___PPT10.vT  `X (  XX XC Dx   XS p    " H X 0޽h ? 3380___PPT10.JXvR  p` (  `X `C Dx   `S P    " H ` 0޽h ? 3380___PPT10.vT  h (  hX hC Dx   hS P    " H h 0޽h ? 3380___PPT10.vT    (  X C Dx   S 0    " H  0޽h ? 3380___PPT10.vT!   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