Oregon Administrative Rules › Chapter 850 - OREGON BOARD OF NATUROPATHIC MEDICINE › Division 5 - ADMINISTRATION OF THE BOARD › Section 850-005-0185 - Peer Review

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If the Board
			 directs, peer review will occur upon submission of a request for review by a
			 patient, his/her representative, insurer or health care provider, an agency, or
			 the Board itself. This request must be made in writing and submitted with all
			 available information and documentation. The Board shall establish criteria for
			 screening requests for peer review. The Board shall have the authority to
			 establish a fee to assist in defraying administrative costs of performing the
			 review.
(2) The Peer Review
			 Investigatory Committee may request an informal interview with the doctor(s)
			 being reviewed and, when appropriate, may request the opinion of other health
			 care providers for reviews involving particular area of practice. When required
			 to travel, the members shall be paid mileage and per diem at the state
			 rate.
(3) Any member(s) of the Peer
			 Review Committee shall disqualify him/herself from participation in a case
			 investigation for close personal and/or professional involvement or association
			 with the involved doctor(s), patient, patient's representative and the insurer
			 or professional competition in the community with the involved doctor(s).
			 Members shall also be disqualified for lack of impartiality. The doctor(s)
			 being reviewed may protest being reviewed by a specific peer review member,
			 request the presence of a Board member(s) or be given the opportunity to be
			 accompanied by legal counsel.
(4)
			 The Peer Review Investigatory Committee shall consider all files and records
			 submitted to it by the Board. These records shall be compiled in their
			 completeness before submission to each Peer Review member. The Committee shall
			 also consider any written and/or oral comments by doctor(s) being reviewed and
			 the involved patient. The Committee shall meet, complete the review and submit
			 a written report to the Board within 60 days of the submission of the case to
			 the Peer Review Committee. This report should be made in the presence of the
			 full committee, or copies shall be sent to the absent members for their written
			 approval prior to submission to the Board. The report shall include, but not be
			 limited to, a brief statement of the facts of the case, any violation of ORS
			 Chapter 685, the necessity, efficacy and/or appropriateness of any part of the
			 care provided and any comments which may assist the Board in taking appropriate
			 action. An annual summary of the findings of the Peer Review Investigatory
			 Committee shall be prepared and submitted to the Board.
(5) The peer review process shall be governed
			 by ORS Chapter 183 and
			 685.205. The evaluations and
			 recommendations of the Committee shall be submitted and placed in the files of
			 the Board and shall not be subject to the public disclosure or admissible as
			 evidence in any judicial proceeding. Only in the case where the Board finds any
			 violation of ORS Chapter 685, and following a formal hearing, shall the party
			 who submitted the request be notified of the Board's specific findings. The
			 doctor(s) being reviewed must receive a certified copy of the Peer Review
			 Investigatory Committee's findings. The Board shall dismiss immediately any
			 Peer Review member found to have violated ORS Chapter 685.
(6) To provide active supervision over the
			 conduct of the peer review committee a board member shall serve as a member of
			 the peer review committee.
Stat. Auth.: ORS
				  685.125
Stats. Implemented: ORS
				  685.205