37-2-402. Quality assurance program activities. A quality assurance program may include but is not limited to the following activities:

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Terms Used In Montana Code 37-2-402

  • Data: means written reports, notes, or records or oral reports or proceedings created by or at the request of a quality assurance committee that may be shared with a medical practitioner, including the medical practitioner being reviewed, and that are used exclusively in connection with quality assessment or improvement activities, including but not limited to the professional training, supervision, or discipline of a medical practitioner by a medical practice group. See Montana Code 37-2-401
  • Medical practice group: means a group of two or more medical practitioners practicing medicine in a professional corporation, professional limited liability company, partnership, sole proprietorship, or associations of these entities. See Montana Code 37-2-401
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Quality assurance program: means a comprehensive, ongoing system of mechanisms established by a medical practice group for monitoring and evaluating the quality and appropriateness of the care provided to patients in order to:

    (a)identify and take steps to correct any significant problems and trends in the delivery of care; and

    (b)take advantage of opportunities to improve care. See Montana Code 37-2-401

(1)review of pending malpractice claims;

(2)review of quality assurance issues;

(3)identification of areas in need of improvement related to quality and appropriateness of patient care;

(4)promotion and evaluation of best practices;

(5)review and analysis of risk management issues;

(6)oversight of medical event management processes;

(7)prioritization of risk management activities;

(8)tracking of information and of trends identified by data;

(9)investigation of incidents related to quality;

(10)development of risk management strategies, education, and training;

(11)development and implementation of remedial solutions related to quality and appropriateness of patient care for all licensed professionals and other staff affiliated with the medical practice group;

(12)review of information and trends related to claims; and

(13)peer review and oversight of medical practitioners.