Idaho State Statutes - Idaho Attorney Directory

The following terms shall have the following
meanings when used in this section:
(1) "Emergency medical services personnel" means emergency medical
services providers certified by the department of health and welfare pursuant
to section 56-1011 et seq., Idaho Code, and ambulance-based clinicians as
defined in the rules governing emergency medical services as promulgated by
the department of health and welfare.
(2) "Group medical practice" means a partnership, corporation, limited
liability company, or other association formed for the purpose of offering
health care services through physicians and other licensed or otherwise
authorized health care providers who are partners, shareholders, members,
employees, or contractors of such group medical practice.
(3) "Health care organization" means a hospital, in-hospital medical
staff committee, medical society, managed care organization, licensed
emergency medical service, group medical practice, or skilled nursing
facility.
(4) "Hospital" means a facility in Idaho licensed under sections 39-1301
through 39-1314, Idaho Code, and defined in section 39-1301(a)(1), Idaho Code.
(5) "In-hospital medical staff committees" means any individual doctor
who is a hospital staff member, or any hospital employee, or any group of such
doctors and/or hospital employees, who are duly designated a committee by
hospital staff bylaws, by action of an organized hospital staff, or by action
of the board of directors of a hospital, and which committee is authorized by
said bylaws, staff or board of directors, to conduct research or study of
hospital patient cases, or of medical questions or problems using data and
information from hospital patient cases.
(6) "Licensed emergency medical service" means an ambulance service or a
nontransport service licensed by the department of health and welfare pursuant
to section 56-1011 et seq., Idaho Code.
(7) "Managed care organization" means a public or private person or
organization which offers a managed care plan.
(8) "Managed care plan" means a contract of coverage given to an
individual, family or group of covered individuals pursuant to which a member
is entitled to receive a defined set of health care benefits through an
organized system of health care providers in exchange for defined
consideration and which requires the member to use, or creates financial
incentives for the member to use, health care providers owned, managed,
employed by or under contract with the managed care organization.
(9) "Medical society" means any duly constituted, authorized and
recognized professional society or entity made up of physicians licensed to
practice medicine in Idaho, having as its purpose the maintenance of high
quality in the standards of health care provided in Idaho or any region or
segment of the state, operating with the approval of the Idaho state board of
medicine, or any official committee appointed by the Idaho state board of
medicine.
(10) "Patient care records" means written or otherwise recorded, preserved
and maintained records of the medical or surgical diagnostic, clinical, or
therapeutic care of any patient treated by or under the direction of licensed
professional personnel, including emergency medical services personnel, in
every health care organization subject to this act, whether as an inpatient or
outpatient of the health care organization.
(11) "Peer review" means the collection, interpretation and analysis of
data by a health care organization for the purpose of bettering the system of
delivery of health care or to improve the provision of health care or to
otherwise reduce patient morbidity and mortality and improve the quality of
patient care. Peer review activities by a health care organization include,
without limitation:
(a) Credentialing, privileging or affiliating of health care providers as
members of, or providers for, a health care organization;
(b) Quality assurance and improvement, patient safety investigations and
analysis, patient adverse outcome reviews, and root-cause analysis and
investigation activities by a health care organization; and
(c) Professional review action, meaning an action or recommendation of a
health care organization which is taken or made in the conduct of peer
review, that is based on the competence or professional conduct of an
individual physician or emergency medical services personnel where such
conduct adversely affects or could adversely affect the health or welfare
of a patient or the physician's privileges, employment or membership in
the health care organization or in the case of emergency medical services
personnel, the emergency medical services personnel's scope of practice,
employment or membership in the health care organization.
(12) "Peer review records" means all evidence of interviews, reports,
statements, minutes, memoranda, notes, investigative graphs and compilations
and the contents thereof, and all physical materials relating to peer review
of any health care organization. "Peer review records" does not mean or
include patient care records; provided however, that the records relating to
the identification of which particular patient care records were selected for,
or reviewed, examined or discussed in peer review by a health care
organization and the methodology used for selecting such records shall be
considered peer review records.
(13) "Skilled nursing facility" means a facility licensed under chapter
13, title 39, Idaho Code, to provide skilled care to recipients.

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