Source: http://qups.org/med_errors.php?c=internal&id=59
Timestamp: 2019-06-24 15:11:56
Document Index: 144507443

Matched Legal Cases: ['§ 144', '§ 145', '§ 144', '§ 144', 'art 7', '§ 144', '§ 626', 'art 7', '§ 144', '§ 144', '§ 144', '§ 145', '§ 145', 'art 3', 'art 7', 'art 3', 'art 1', 'art 4', '§ 145', '§ 145', 'art 2', 'art 3', '§ 145', 'art 7', 'art 8', 'art 1', 'art 2', '§ 145', '§ 145', '§ 145', '§ 145', 'art 8', '§ 147', 'art 2', '§ 147', '§ 147', 'art 1', '§ 147', '§ 148', '§ 148', '§ 151', '§9', '§ 151', '§10', '§153', '§ 153', '§9', '§ 181']

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Minnesota Health Statutes
Selected Health Laws Relating to Medical Errors and Patient Safety
adapted from Minnesota's Statutes website
Chapter 144 - Department of Health, §§ 144.7063 to 144.7069 - Adverse Health Care Events Reporting Act of 2003 (statute website and 2003 Session Law, entire Chapter 99 S.F. 1019.
Section 144.7063. Definition.
Section 144.7065. Facility requirements to report, analyze, and correct.
Section 144.7067. Commissioner duties and responsibilities.
Section 144.7068. Reports from Licensing Boards.
Section 144.7069. Interstate coordination; reports.
Chapter 145 – Public Health Provisions, §§ 145.61 to 145.67 -Management of Information
Section 145.61. Definitions.
Section 145.62. Limitation on liability for persons providing information to review organization.
Section 145.63. Limitation on liability for sponsoring organizations, review organizations, and members of review organizations.
Section 145.64. Confidentiality of records of review organization.
Section 145.65. Guidelines not admissible in evidence.
Section 145.66. Penalty for violation.
Section 145.67. Protection of patient.
Section 145.682. Certification of expert review; affidavit.
Chapter 147 – Board of Medical Practice
Section 147.121. Immunity.
Section 147.155. Reports to the Commissioner of Health.
Chapter 147A – Physician Assistants, Registration
Section 147A.15. Immunity.
Section 147A.155. Reports to the Commissioner of Health.
Chapter 148 – Public Health Occupations - Nursing
Section 148.264. Immunity.
Section 148.267. Reports to the Commissioner of Health.
Chapter 151 – Pharmacy
Section 151.301. Reports to the Commissioner of Health.
Section 151.302. Immunity.
Chapter 153 – Podiatry
Section 153.25. Immunity.
Section 153.255. Reports to the Commissioner of Health.
Chapter 181- Labor and Industry: Employment; wages, conditions, hours, restrictions
Section 181.275 Regulating nurses' overtime.
Laws 2003, chapter 99, section 7, as amended by Laws 2003, First Special Session chapter 14, article 7, section 86 – Adverse Health Care Events Reporting System Transition Period
2003, Ch 186, Section 13 Transition Period Defined.
§§ 144.7063 to 144.7069
§ 144.7063 – Definitions.
Unless the context clearly indicates otherwise, for the purposes of sections 144.706 to 144.7069, the terms defined in this section have the meanings given them.
Subdivision. 2. Commissioner.
Subdivision. 3. Facility.
"Facility" means a hospital or outpatient surgical center licensed under sections 144.50 to 144.58.
EFFECTIVE DATE. This section is effective on the date of full implementation of the adverse health care events reporting system as provided in Laws 2003, chapter 99, section 7, provided the commissioner has secured sufficient funds from nonstate sources to operate the adverse health care events reporting system in fiscal year 2005.
(Subdivision 3 was changed in May 2004 by the passage of 2004 Chapter 198, adding reporting requirements to ‘outpatient surgical centers.’ With 4-months prior notice on August 6, 2004 (as required by law), ‘full implementation’ began December 6, 2004, when the MHA handed the reporting chores over to the MDH.)
Subdivision. 4. Serious disability.
Subdivision. 5. Surgery.
"Surgery" means the treatment of disease, injury, or deformity by manual or operative methods. Surgery includes endoscopies and other invasive procedures.
HIST: 2003 c 99 s 2; 1Sp2003 c 14 art 7 s 84
§ 144.7065 – Facility requirements to report, analyze, and correct.
Subdivision 1. Reports of adverse health care events required.
Subdivision. 2. Surgical events.
Subdivision. 3. Product or device events.
Subdivision. 4. Patient protection events.
Subdivision. 5. Care management events.
(2) patient death or serious disability associated with a hemolytic reaction due to the administration of ABO-incompatible blood or blood products;
(7) patient death or serious disability due to spinal manipulative therapy.
Subdivision. 6. Environmental events.
(4) patient death associated with a fall while being cared for in a facility; and
Subdivision. 7. Criminal events.
Subdivision. 8. Root cause analysis; corrective action plan.
Following the occurrence of an adverse health care event, the facility must conduct a root cause analysis of the event.
Following the analysis, the facility must:
(1) implement a corrective action plan to implement the findings of the analysis or
(2) report to the commissioner any reasons for not taking corrective action. If the root cause analysis and the implementation of a corrective action plan are complete at the time an event must be reported, the findings of the analysis and the corrective action plan must be included in the report of the event. The findings of the root cause analysis and a copy of the corrective action plan must otherwise be filed with the commissioner within 60 days of the event.
Subdivision. 9. Electronic reporting.
Subdivision 10. Relation to Other Law
(a) Adverse health events described in subdivisions 2 to 6 do not constitute “maltreatment,” “neglect,” or “a physical injury that is not reasonably explained” under section 626.556 or 626.557 and are excluded from the reporting requirements of §§ 626.556 and 626.557, provided the facility makes a determination within 24 hours of the discovery of the event that this section is applicable and the facility files the reports required under this section in a timely fashion.
(c) The protections and immunities applicable to voluntary reports under section sections 626.556 and 626.557 are not affected by this section.
(d) Notwithstanding section 626.556, 626.557, or any other provision of Minnesota statute or rule to the contrary, neither a lead agency under section 626.556, subdivision 3c, or section 626.5572, subdivision 13, the commissioner of health, nor the director of the Office of Health Facility Complaints is not required to conduct an investigation of or obtain or create investigative data or reports regarding an event described in subdivisions 2 to 6. If the facility satisfies the requirements described in paragraph (a), the review or investigation shall be conducted and data or reports shall be obtained or created only under sections 144.706 to 144.7069, except as permitted or required under sections 144.50 to 144.564, or as necessary to carry out the state's certification responsibility under the provisions of sections 1864 and 1867 of the Social Security Act.
(3) records created or obtained by the commissioner in reviewing or investigating the reports, findings, and plans described in clause (2). For purposes of the nonpublic data classification contained in this paragraph, the reporting facility shall be deemed the subject of the data.
HIST: 2003 c 99 s 3; 1Sp2003 c 14 art 7 s 85
This subdivision 10 was changed in May 2004 by the passage of 2004 Chapter 198. In part, this subdivision defines the relationship between the reporting law and the Maltreatment of Minors Act. The 2003 legislation provided that an adverse health event, if properly reported under the new reporting system, was excluded from the reporting requirements of the Vulnerable Adults Act (VAA). These paragraphs and others extend that exemption to apply to the Maltreatment of Minors Act. In addition, the law added subsection (e) that extended confidentiality to all information and documents in the adverse events reporting program.
§ 144.7067 – Commissioner duties and responsibilities.
Subdivision 1. Establishment of reporting system.
Subdivision. 2. Duty to analyze reports; communicate findings.
Subdivision. 3. Sanctions.
HIST: 2003 c 99 s 4
§ 144.7068 – Reports from Licensing Boards.
This section of the Adverse Event Act was changed in May 2004 by the passage of 2004 Chapter 198. This section of law requires the health licensing boards that regulate physicians, physician assistants, nurses, pharmacists, and podiatrists to report to MDH events that come to their attention that may qualify as adverse health care events.
§ 144.7069 – Interstate coordination; reports.
The commissioner shall report the definitions and the list of reportable events adopted in this act to the National Quality Forum and, working in coordination with the National Quality Forum, to the other states. The commissioner shall monitor discussions by the National Quality Forum of amendments to the forum's list of reportable events and shall report to the legislature whenever the list is modified. The commissioner shall also monitor implementation efforts in other states to establish a list of reportable events and shall make recommendations to the legislature as necessary for modifications in the Minnesota list or in the other components of the Minnesota reporting system to keep the system as nearly uniform as possible with similar systems in other states.
HIST: 2003 c 99 s 5
§§ 145.61 to 145.67
§ 145.61 – Definitions.
Subdivision 1. Scope
Subdivision 2. Professional.
"Professional" means a person licensed or registered to practice a healing art under chapter147 or 148, to practice dentistry under chapter 150A, to practice as a pharmacist under chapter 151, or to practice podiatry under chapter 153.
Subdivision 3. Professional service.
Subdivision 4. Health care.
Subdivision 4a. Administrative staff.
Subdivision 4b. Consumer director.
Subdivision 4c. Preferred provider organization.
Subdivision 5. Review organization.
HIST: 1971 c 283 s 1; 1974 c 295 s 1,2; 1975 c 73 s 1; 1976 c 173 s 49; 1982 c 424 s 133; 1982 c 546 s 1; 1985 c 184 s 1; 1989 c 282 art 3 s 30; 1991 c 137 s 1-3; 1992 c 400 s 1,2; 1992 c 549 art 7 s 6; 1993 c 345 art 3 s 18; 1994 c 497 s 1,2; 1996 c 305 art 1 s 37; 1996 c 451 art 4 s 24; 1999 c 51 s 2; 1999 c 84 s 2; 2001 c 7 s 33; 2001 c 120 s 1
§ 145.62 – Limitation on liability for persons providing information to review organization.
No person, firm, or corporation providing information to a review organization shall be subject to any action for damages or other relief, by reason of having furnished such information, unless such information is false and the person providing such information knew, or had reason to believe, such information was false.
HIST: 1971 c 283 s 2
§ 145.63 – Limitation on liability for sponsoring organizations, review organizations, and members of review organizations.
Subdivision 1. Members, directors, and officers.
Subdivision. 2. Organizations.
HIST: 1971 c 283 s 3; 1974 c 295 s 3; 1985 c 184 s 2; 1986 c 444; 1987 c 152 art 2 s 1; 1989 c 282 art 3 s 31; 1991 c 137 s 4
§ 145.64 – Confidentiality of records of review organization.
Subdivision 1. Data and information.
Subdivision. 2. Provider data.
Subdivision. 3. Hennepin County emergency medical services data.
Subdivision. 4. Standardized incident reporting system data.
Subdivision. 5. Commissioner of health.
HIST: 1971 c 283 s 4; 1974 c 295 s 4; 1975 c 73 s 2; 1986 c 444; 1991 c 137 s 5; 1992 c 549 art 7 s 7; 1994 c 497 s 3; 1994 c 625 art 8 s 47; 1996 c 440 art 1 s 37; 1997 c 225 art 2 s 62; 2001 c 120 s 2-4; 2003 c 99 s 6
§ 145.65 – Guidelines not admissible in evidence.
No guideline established by a review organization shall be admissible in evidence in any proceeding brought by or against a professional by a person to whom such professional has rendered professional services.
HIST: 1971 c 283 s 5
§ 145.66 – Penalty for violation.
Any disclosure other than that authorized by section 145.64, of data and information acquired by a review committee or of what transpired at a review meeting, is a misdemeanor.
HIST: 1971 c 283 s 6
§ 145.67 – Protection of patient.
HIST: 1971 c 283 s 7; 1986 c 444
§ 145.682 – Certification of expert review; affidavit.
Subdivision. 2. Requirement.
In an action alleging malpractice, error, mistake, or failure to cure, whether based on contract or tort, against a health care provider which includes a cause of action as to which expert testimony is necessary to establish a prima facie case, the plaintiff must:
(1) unless otherwise provided in subdivision 3, paragraph (b), serve upon defendant with the summons and complaint an affidavit as provided in subdivision 3; and
(2) serve upon defendant within 180 days after commencement of the suit an affidavit as provided by subdivision 4.
Subdivision. 3. Affidavit of expert review.
Subdivision. 4. Identification of experts to be called.
(a)The affidavit required by subdivision 2, clause (2), must be signed by each expert listed in the affidavit and by the plaintiff's attorney and state the identity of each person whom plaintiff expects to call as an expert witness at trial to testify with respect to the issues of malpractice or causation, the substance of the facts and opinions to which the expert is expected to testify, and a summary of the grounds for each opinion. Answers to interrogatories that state the information required by this subdivision satisfy the requirements of this subdivision if they are signed by the plaintiff's attorney and by each expert listed in the answers to interrogatories and served upon the defendant within 180 days after commencement of the suit against the defendant.
Subdivision. 5. Responsibilities of plaintiff as attorney.
Subdivision. 6. Penalty for noncompliance.
Subdivision. 7. Consequences of signing affidavit.
HIST: 1986 c 455 s 60; 1992 c 549 art 8 s 1; 2002 c 403 s 1
Chapter 147 (website)
§ 147.121 – Immunity.
Subdivision 1. Reporting.
Subdivision 2. Investigation; indemnification.
HIST: 1985 c 247 s 15,25; 1991 c 199 art 2 s 1; 1993 c 21 s 10; 1995 c 18 s 9
Section (b) of Board of Medical Practice was added in May 2004 by the passage of 2004 Chapter 198.
§ 147.155 – Reports to the Commissioner of Health.
This entire section of Board of Medical Practice was added in May 2004 by the passage of 2004 Chapter 198.
Physician Assistants, registration
Chapter 147A (website)
§ 147A.15 – Immunity.
Physician assistant cooperation. A physician assistant who is the subject of an investigation by or on behalf of the board shall cooperate fully with the investigation. Cooperation includes responding fully and promptly to any question raised by or on behalf of the board relating to the subject of the investigation and providing copies of patient medical records, as reasonably requested by the board, to assist the board in its investigation. The board shall pay for copies requested. If the board does not have a written consent from a patient permitting access to the patient's records, the physician assistant shall delete any data in the record which identifies the patient before providing it to the board. The board shall maintain any records obtained pursuant to this section as investigative data pursuant to chapter 13.
HIST: 1995 c 205 art 1 s 14
Subdivision 2., Section (b) of Physician Assistants, registration was added in May 2004 by the passage of 2004 Chapter 198.
§ 147A.155 – Reports to the Commissioner of Health.
This entire section of Physician Assistants, registration was added in May 2004 by the passage of 2004 Chapter 198.
Public Health Occupations - Nursing
Chapter 148 (website)
§ 148.264 – Immunity.
Subdivision 2. Investigation.
HIST: 1989 c 194 s 15
Subdivision 2., Section (b) of Public Health Occupations was added in May 2004 by the passage of 2004 Chapter 198.
§ 148.267 – Reports to the Commissioner of Health.
This entire section of Public Health Occupations was added in May 2004 by the passage of 2004 Chapter 198.
Pharmacy – Chapter 151
§ 151.301 – Reports to the Commissioner of Health.
This entire section of Pharmacy was added in May 2004 by the passage of 2004 Chapter 198, §9.
§ 151.302 – Immunity.
This section of Pharmacy was added in May 2004 by the passage of 2004 Chapter 198, §10.
Podiatry – Chapter 153
§153.25 – Immunity.
Any person, health care facility, business, or organization is immune from civil liability or criminal prosecution for submitting a report to the board under section 153.24 or for otherwise reporting to the board violations or alleged violations of section 153.19.
This entire section of Podiatry was added in May 2004 by the passage of 2004 Chapter 198.
§ 153.255 – Reports to the Commissioner of Health.
This entire section of Podiatry was added in May 2004 by the passage of 2004 Chapter 198, §9.
Employment; wages, conditions, hours, restrictions
§ 181.275 – Regulating nurses' overtime.
(1) "emergency" means a period when replacement staff are not able to report for duty for the next shift or increased patient need, because of unusual, unpredictable, or unforeseencircumstances such as, but not limited to, an act of terrorism, a disease outbreak, adverse weather conditions, or natural disasters which impact continuity of patient care;
(3) "nurse" has the meaning given in section 148.171, subdivision 9; and
Subdivision. 2. Prohibited actions.
Except as provided in subdivision 3, a hospital or other entity licensed under sections 144.50 to 144.58, and its agent, or other health care facility licensed by the commissioner of health, and the facility's agent, is prohibited from taking action against a nurse solely on the grounds that the nurse fails to accept an assignment of additional consecutive hours at the facility in excess of a normal work period, if the nurse declines to work additional hours because doing so may, in the nurse's judgment, jeopardize patient safety. This subdivision does not apply to a nursing facility, an intermediate care facility for persons with mental retardation, a licensed boarding care facility, or a housing with services establishment.
Subdivision. 3. Emergency.
Subdivision. 4. Exception.
HIST: 2002 c 272 s 3
Laws 2003, chapter 99, section 7, as amended by
Laws 2003, First Special Session chapter 14, article 7, section 86
Adverse Health Care Events Reporting System Transition Period
(a) Effective July 1, 2003, limited implementation of the Adverse Health Care Events Reporting Act shall begin, provided the commissioner of health has secured sufficient nonstate funds for this purpose. During this period, the commissioner must:
(1) solicit additional nonstate funds to support full implementation of the system;
(2) work with organizations and experts familiar with patient safety to review reporting categories in Minnesota Statutes, section 144.7065, make necessary Clarifications, and develop educational materials; and
(3) monitor activities of the National Quality Forum and other patient safety organizations, other states, and the federal government in the area of patient safety.
(b) Effective July 1, 2003, facilities defined in Minnesota Statutes, section 144.7063, subdivision 3, shall report any adverse health care events, as defined in Minnesota Statutes, section 144.7065, to the incident reporting system maintained by the Minnesota Hospital Association. The association shall provide a summary report to the commissioner that identifies the types of events by category. The association shall consult with the commissioner regarding the data to be reported to the commissioner, storage of data received by the association but not reported to the commissioner, and eventual retrieval by the commissioner of stored data. Data reported to or retrieved by the commissioner under this section, and data created or obtained by the commissioner in reviewing or investigating reports under this section, are nonpublic data and confidential data on individuals as defined in Minnesota Statutes, section 13.02, except as necessary for the commissioner to communicate with facilities and publish the annual report as required by Minnesota Statutes, section 144.7067, subdivision 2.
(c) The commissioner shall report to the legislature by January 15 of 2004 and 2005, with a list of the number of reported events by type and recommendations, if any, for reporting system modifications, including additional categories of events that should be reported.
(d) From July 1, 2003, until full implementation of the reporting system, the commissioner of health shall not make a final disposition as defined in Minnesota Statutes, section 626.5572, subdivision 8, for investigations conducted in licensed hospitals under the provisions of Minnesota Statutes, section 626.557. The commissioner's findings in these cases shall identify noncompliance with federal certification or state licensure rules or laws.
(e) Effective July 1, 2004, The reporting system shall be fully implemented, provided (1) the commissioner has secured sufficient funds from nonstate sources to operate the system during fiscal year 2005, and (2) the commissioner has notified facilities by April 1, 2004 at least four months prior to full implementation, of their duty to report.
(f) Effective July 1, 2005, the reporting system shall be operated with state appropriations.
Presented to the governor May 7, 2004