Montana Code 50-6-415. Confidentiality
50-6-415. Confidentiality. (1) Data in a health care facility‘s hospital trauma register and reports developed from that data pertaining to quality of trauma care may be given by the facility only to:
Terms Used In Montana Code 50-6-415
- Department: means the department of public health and human services provided for in Title 2, chapter 15, part 22. See Montana Code 50-6-401
- Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
- Emergency medical service: means an emergency medical service as defined by 50-6-302. See Montana Code 50-6-401
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- facility: means a hospital, critical access hospital, or medical assistance facility as defined in 50-5-101. See Montana Code 50-6-401
- Hospital trauma register: means patient-specific trauma data that is maintained by a health care facility, in a format prescribed by department rule, and that has the primary purpose of facilitating peer review and quality improvement at the health care facility. See Montana Code 50-6-401
- Quality improvement: means the process of defining trauma care system performance standards, collecting data against which the standards may be applied, using the data to determine compliance with the standards, and using the data and compliance information in a nonpunitive manner, including peer review, that will continuously improve performance and facilitate compliance with the standards. See Montana Code 50-6-401
- State trauma register: means trauma data relating to a specific patient or health care facility that is maintained by the department in an electronic format and that has the primary purpose of facilitating peer review and quality improvement for a health care facility or a trauma care system. See Montana Code 50-6-401
- Trauma: means a severe, abrupt injury to the human body that is caused by mechanical, environmental, thermal, or other physical force. See Montana Code 50-6-401
- Trauma care committee: means the trauma care committee created in 2-15-2216. See Montana Code 50-6-401
(a)the facility’s peer review committee;
(b)the regional trauma care advisory committee of the region in which the facility is located;
(c)the trauma care committee; or
(d)the department.
(2)Data in the state trauma register and hospital trauma registers is not subject to discovery in a civil action and may not be introduced into evidence in a judicial or administrative proceeding.
(3)Data and reports concerning peer review, quality improvement, or the quality of the trauma care provided by a health care facility or a health care provider that are produced by a regional trauma care advisory committee or the trauma care committee or provided by a health care facility to a regional trauma care advisory committee or the trauma care committee, as well as the proceedings of those committees concerning peer review and quality improvement, are not subject to discovery in a civil action and may not be introduced into evidence in a judicial or administrative proceeding.
(4)A statistical report on trauma and trauma care developed by the department that does not identify specific health care facilities, health care providers, or patients is not confidential and is considered public information.
(5)A statistical report developed by a health care facility from information in its hospital trauma register that does not pertain to peer review or quality improvement is not confidential and is considered public information.
(6)Information in a department record or report that is used to evaluate and improve the quality of emergency medical service and trauma care by a health care facility or emergency medical service is not subject to discovery and may not be introduced in evidence in a judicial or administrative proceeding.
(7)Information in a department record or report that is used to determine whether a health care facility will be designated or lose its designation as a trauma care facility is not confidential and is considered public information.
(8)A standard or protocol adopted by the department pursuant to this part may not be used to demonstrate negligence or lack of negligence by a health care provider or health care facility to whom the standard or protocol applies.