Sec. 18.23.070. Definitions for AS 18.23.005 — 18.23.070.

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A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

In AS 18.23.005 — 18.23.070, unless the context otherwise requires,

(1)“administrative staff” means the staff of an agency, institution, or organization that provides health care;

(2)“health care” means professional services rendered by a health care provider or an employee of a health care provider, and services furnished by a sanatorium, rest home, nursing home, boarding home, or other institution for the hospitalization or care of human beings;

(3)"health care provider" means a person licensed, certified, or otherwise permitted by law to provide health care services in the ordinary course of business or practice of a profession; an organization or government agency that is certified or licensed to provide emergency medical services under AS 18.08 ; a hospital as defined in AS 47.32.900 , including a governmentally owned or operated hospital; and an employee of a health care provider acting within the course and scope of employment;

(4)“professional service” means service rendered by a health care provider of the type the provider is licensed to render;

(5)“review organization” means

(A)a hospital governing body or a committee whose membership is limited to health care providers and administrative staff, except where otherwise provided for by state or federal law, and that is established by a hospital, by a clinic, by one or more state or local associations of health care providers, by an organization of health care providers from a particular area or medical institution, by an organization or government agency that provides emergency medical services, or by a professional standards review organization established under 42 U.S.C. 1320c-1, 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 in the area or medical institution;

(ii)reducing morbidity or mortality;

(iii)obtaining and disseminating statistics and information relative to the treatment and prevention of diseases, illness, and injuries;

(iv)developing and publishing guidelines showing the norms of health care in the area or medical institution;

(v)developing and publishing guidelines designed to keep the cost of health care within reasonable bounds;

(vi)reviewing the quality or cost of health care services provided to enrollees of health maintenance organizations;

(vii)acting as a professional standards review organization under 42 U.S.C. 1320c;

(viii)reviewing, ruling on, or advising on controversies, disputes, or questions between a health insurance carrier or health maintenance organization and one or more of its insured or enrollees; between a professional licensing board, acting under its powers of discipline or license revocation or suspension, and a health care provider licensed by it when the matter is referred to a review organization by the professional licensing board; between a health care provider and the provider's patients concerning diagnosis, treatment, or care, or a charge or fee; between a health care provider and a health insurance carrier or health maintenance organization concerning a charge or fee for health care services provided to an insured or enrollee; or between a health care provider or the provider's patients and the federal or a state or local government, or an agency of the federal or a state or local government;

(ix)acting on the recommendation of a credential review committee or a grievance committee;

(B)the State Medical Board established by AS 08.64.010 ;

(C)a committee established by the commissioner of health and approved by the chief medical officer in the Department of Health to review public health issues regarding morbidity or mortality;

(D)a nationally recognized group or entity that accredits health care organizations, including the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Article 2. Form of Medical Records.