ENROLLED
H. B. 4587
(By Delegates Foster, Palumbo and Amores)
[Passed March 13, 2004; in effect ninety days from passage.]
AN ACT to amend and reenact §30-3C-1 of the code of West Virginia,
1931, as amended, relating to including persons who are
members or consultants to review organizations within the
definition of health care professionals for peer review
purposes; including patient safety review in peer review; and
including certain other organizations within the meaning of a
review organization.
Be it enacted by the Legislature of West Virginia:
That §30-3C-1 of the code of West Virginia, 1931, as amended,
be amended and reenacted to read as follows:
ARTICLE 3C. HEALTH CARE PEER REVIEW ORGANIZATION PROTECTION.
§30-3C-1. Definitions.
As used in this article:
"Health care professionals" means individuals who are licensed
to practice in any health care field and individuals, who, because of their education, experience or training participate as members
of or consultants to a review organization.
"Peer review" means the procedure for evaluation by health
care professionals of the quality and efficiency of services
ordered or performed by other health care professionals, including
practice analysis, inpatient hospital and extended care facility
utilization review, medical audit, ambulatory care review, claims
review and patient safety review.
"Professional society" includes medical, psychological,
nursing, dental, optometric, pharmaceutical, chiropractic and
podiatric organizations having as members at least a majority of
the eligible licentiates in the area or health care facility or
agency served by the particular organization.
"Review organization" means any committee or organization
engaging in peer review, including a hospital utilization review
committee, a hospital tissue committee, a medical audit committee,
a health insurance review committee, a health maintenance
organization review committee, hospital, medical, dental and health
service corporation review committee, a hospital plan corporation
review committee, a professional health service plan review
committee or organization, a dental review committee, a physicians'
advisory committee, a podiatry advisory committee, a nursing
advisory committee, any committee or organization established
pursuant to a medical assistance program, the joint commission on accreditation of health care organizations or similar accrediting
body
or any entity established by such accrediting body
or to
fulfill the requirements of such accrediting body
, any entity
established pursuant to state or federal law for peer review
purposes, and any committee established by one or more state or
local professional societies or institutes, to gather and review
information relating to the care and treatment of patients for the
purposes of: (i) Evaluating and improving the quality of health
care rendered; (ii) reducing morbidity or mortality; or (iii)
establishing and enforcing guidelines designed to keep within
reasonable bounds the cost of health care. It shall also mean any
hospital board committee or organization reviewing the professional
qualifications or activities of its medical staff or applicants for
admission thereto, and any professional standards review
organizations established or required under state or federal
statutes or regulations.