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医疗保险计划;利用情况及质量控制同行评审组织(PRO)信息的获取、保护和披露——医疗保健财务管理局。最终规则。

Medicare program; acquisition, protection, and disclosure of utilization and quality control peer review organization (PRO) information--HCFA. Final rule.

出版信息

Fed Regist. 1985 Apr 17;50(74):15347-64.

Abstract

These regulations govern the acquisition, protection, and disclosure of information obtained or generated by Utilization and Quality Control Peer Review Organization (PROs). The Peer Review Improvement Act of 1982 authorizes PROs to acquire information necessary to fulfill their duties and functions, places limits on disclosure of PRO information, and establishes penalties for unauthorized disclosure. These regulations implement the PROs' statutory right of access to necessary information and set forth their responsibilities to assure that information once acquired is adequately safeguarded and disclosed only for proper purposes.

摘要

这些规定适用于利用与质量控制同行评审组织(PROs)获取、保护和披露所获得或产生的信息。1982年的《同行评审改进法案》授权PROs获取履行其职责和职能所需的信息,对PRO信息的披露加以限制,并对未经授权的披露规定了处罚措施。这些规定落实了PROs获取必要信息的法定权利,并规定了它们的责任,以确保一旦获取信息,就能得到充分保护,且仅为正当目的而披露。

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