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2 Document(s) [ Subject: Medical licensing ]

Committee: Joint Medical Peer Review Process, Interim
Title: Interim Report
Library Catalog Title: Joint Select Committee to Study the Medical Peer Review Process interim report 2007 : a report to the Texas Legislature, 80th Legislature
Subjects: Liability | Medical Board, Texas | Medical licensing | Medical malpractice | Physicians |
Library Call Number: L1836.79 M468
Session: 79th R.S. (2005)
Online version: View report [23 pages  File size: 230 kb]
Charges: This report should address the charges below.
1.

Study the medical peer review process in hospitals and other health care entities in this state. The study shall include an examination of:
(1) the use of medical peer review in identifying and reporting to the Texas Medical Board the conduct of or the quality of care provided by physicians who are members of the medical staffs of hospitals and other health care entities;
(2) the use of medical peer review in disciplining a physician based on the conduct or quality of care provided by the physician as a member of the medical staff of a hospital or other health care entity;
(3) the appropriate level of immunity protections for hospitals and other health care entities, medical peer review committees, and individuals who participate on those committees in health care liability claims brought by patients alleging bad faith physician credentialing; and
(4) whether there are adequate mechanisms in state law to ensure appropriate regulatory supervision of the appropriateness and effectiveness of medical peer review in hospitals and other health care entities.

2.

As part of the joint interim committee's study, the committee shall investigate:
(1) the adequacy of the Texas Medical Board's oversight and investigation of physician claims that the medical peer review process is misused, including whether the board's oversight and investigation powers should be strengthened and how other states investigate claims of misuse of the medical peer review process;
(2) the state regulatory reporting mechanisms relating to the appropriateness and effectiveness of medical peer review in hospitals and other health care entities and the oversight and authority of the state to ensure good faith medical peer review in hospitals and other health care entities in this state;
(3) the potentially negative impact on medical peer review in this state that could result from potential changes to:
(A) immunity protections; or
(B) the oversight and investigation of physician claims of misuse of the medical peer review process;
(4) how the laws of other states address immunity protections for medical peer review; and
(5) any other matter relevant to the medical peer review process, including how state and federal law identifies physician conduct that is considered to be unprofessional or unsafe by a medical peer review committee.

Committee: House Public Health
Title: Interim Report
Library Catalog Title: House Committee on Public Health, Texas House of Representatives interim report, 2002 : a report to the House of Representatives, 78th Texas Legislature.
Subjects: Alternative medicine | Biological weapons | Drug rehabilitation programs | Health, Texas Department of | Homeland security | Hospital districts | Immunizations | Medical licensing | Medical reimbursements | Mental health services | Prescription drug costs | Public health | Substance abuse | Terrorism | Undocumented immigrants |
Library Call Number: L1836.77 h349h
Session: 77th R.S. (2001)
Online version: View report [119 pages  File size: 429 kb]
Charges: This report should address the charges below.
1. Assess the state of the healthcare infrastructure in Texas in light of hospital closures, rising costs, constrained reimbursement rates, workforce issues and any other pertinent factors. Consider differences in regions or localities that might adversely affect healthcare delivery to specific groups of Texans.
2. Conduct an extensive review of access to programs and treatment options for mental illness and substance abuse. Identify barriers to access and any gaps in existing programs.
3. Examine the costs and benefits of allowing state and local governments to provide health and preventive care without regard to the immigration status of the patient.
4. Gather information about the production, distribution, use and disposal of biological agents that could be used in terrorist actions, as well as vaccines that would be used to respond to biological attacks. Review hospital plans for responding to large-scale emergencies. Review government regulations and business practices to determine whether legislation is needed to protect life and property and to detect, interdict and respond to acts of terrorism.
5. Study the use of complementary and alternative medicines in Texas. Is there a need for the state to develop a regulatory framework for their use?
6. Assess the procedures of health-related licensing agencies regarding the intake of complaints, investigation procedures and timetables, and enforcement of laws and rules. Comment on any factors involving the use or abuse of patient information by healthcare agencies or institutions.
7. Actively monitor agencies and programs under the committee's oversight jurisdiction. Pay particular attention to implementation of recommendations to restructure the Department of Health including the childhood immunization program; and implementation of pharmaceutical legislation passed by the 77th Legislature.

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