Page:United States Statutes at Large Volume 119.djvu/444

 119 STAT. 426

PUBLIC LAW 109–41—JULY 29, 2005 ‘‘(II) are developed by a patient safety organization for the conduct of patient safety activities; and which could result in improved patient safety, health care quality, or health care outcomes; or ‘‘(ii) which identify or constitute the deliberations or analysis of, or identify the fact of reporting pursuant to, a patient safety evaluation system. ‘‘(B) CLARIFICATION.— ‘‘(i) Information described in subparagraph (A) does not include a patient’s medical record, billing and discharge information, or any other original patient or provider record. ‘‘(ii) Information described in subparagraph (A) does not include information that is collected, maintained, or developed separately, or exists separately, from a patient safety evaluation system. Such separate information or a copy thereof reported to a patient safety organization shall not by reason of its reporting be considered patient safety work product. ‘‘(iii) Nothing in this part shall be construed to limit— ‘‘(I) the discovery of or admissibility of information described in this subparagraph in a criminal, civil, or administrative proceeding; ‘‘(II) the reporting of information described in this subparagraph to a Federal, State, or local governmental agency for public health surveillance, investigation, or other public health purposes or health oversight purposes; or ‘‘(III) a provider’s recordkeeping obligation with respect to information described in this subparagraph under Federal, State, or local law. ‘‘(8) PROVIDER.—The term ‘provider’ means— ‘‘(A) an individual or entity licensed or otherwise authorized under State law to provide health care services, including— ‘‘(i) a hospital, nursing facility, comprehensive outpatient rehabilitation facility, home health agency, hospice program, renal dialysis facility, ambulatory surgical center, pharmacy, physician or health care practitioner’s office, long term care facility, behavior health residential treatment facility, clinical laboratory, or health center; or ‘‘(ii) a physician, physician assistant, nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, certified nurse midwife, psychologist, certified social worker, registered dietitian or nutrition professional, physical or occupational therapist, pharmacist, or other individual health care practitioner; or ‘‘(B) any other individual or entity specified in regulations promulgated by the Secretary.

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